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一项关于居住在雅典的精神病移民和非精神病移民的文化适应研究。

A study of acculturation in psychotic and non-psychotic immigrants living in Athens.

机构信息

1st Department of Psychiatry, Athens University, Eginition Hospital, Athens, Greece.

出版信息

Int J Soc Psychiatry. 2013 Mar;59(2):157-64. doi: 10.1177/0020764011430031. Epub 2011 Dec 12.

Abstract

BACKGROUND

Acculturation is the phenomenon that results when a group with one culture comes into continuous contact with a host culture.

AIMS

To investigate the correlation between acculturation and psychotic symptomatology in a group of immigrants suffering from psychosis and to explore differences in demographic factors related with the acculturation process between individuals with and without psychosis.

METHODS

Sixty-five patients and 317 non-psychotic immigrants were interviewed using the Immigrant Acculturation Scale (IAS) and a structured questionnaire for demographic data. The Positive and Negative Syndrome Scale (PANSS), the Calgary Depression Scale for Schizophrenia (CDSS) and the Global Assessment of Functioning (GAF) were also administered to all immigrants suffering from psychosis.

RESULTS

Total IAS scores, as well as IAS everyday life scores, were positively correlated with GAF scores. IAS everyday life score in the patient group related with religion, marital status, gender and years in Greece, while in the non-psychosis group it was related with gender and years in Greece. IAS wishful orientation/nostos (the strong desire for one's homeland) related with religion in both groups. The IAS identity in the psychosis group did not show any significant relation with any of the variables, while in the non-patient group, it was related with marital status, gender and years in Greece. Age, duration of residence in Greece and higher adoption of Greek ethnic identity were the variables that differentiated the two groups of immigrants.

CONCLUSION

Acculturation in immigrants suffering from psychosis could be seen as a process that does not correlate strongly with the severity of the symptomatology but is probably influenced by different set of factors.

摘要

背景

文化适应是指一个具有某种文化的群体与主体文化持续接触而产生的现象。

目的

调查一组患有精神病的移民的文化适应与精神病症状之间的相关性,并探讨与文化适应过程相关的人口统计学因素在有和无精神病个体之间的差异。

方法

使用移民适应量表(IAS)和人口统计学数据的结构化问卷对 65 名患者和 317 名非精神病移民进行访谈。所有患有精神病的移民还接受了阳性和阴性综合征量表(PANSS)、卡尔加里精神分裂症抑郁量表(CDSS)和总体功能评估(GAF)。

结果

IAS 总分以及 IAS 日常生活得分与 GAF 得分呈正相关。患者组的 IAS 日常生活得分与宗教、婚姻状况、性别和在希腊的年数有关,而非精神病组则与性别和在希腊的年数有关。IAS 愿望取向/寻根(对家乡的强烈渴望)在两组中均与宗教有关。精神病组的 IAS 认同与任何变量均无显著关系,而非患者组则与婚姻状况、性别和在希腊的年数有关。年龄、在希腊的居住时间和对希腊民族认同的更高接纳是区分两组移民的变量。

结论

精神病患者的文化适应可以被视为一个与症状严重程度相关性不强的过程,但可能受到不同因素的影响。

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