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台湾移民女性的感知歧视、家庭功能与抑郁症状

Perceived discrimination, family functioning, and depressive symptoms among immigrant women in Taiwan.

作者信息

Yang Hao-Jan, Wu Jyun-Yi, Huang Sheng-Shiung, Lien Mei-Huei, Lee Tony Szu-Hsien

机构信息

Department of Public Health, Chung Shan Medical University, No.110, Sec.1, Jianguo N. Rd., Taichung, 40201, Taiwan,

出版信息

Arch Womens Ment Health. 2014 Oct;17(5):359-66. doi: 10.1007/s00737-013-0401-8. Epub 2014 Jan 12.

Abstract

This study examined the moderating effect of family functioning on the relationship between perceived discrimination and depressive symptoms in immigrant women. A total of 239 immigrant women were selected from four administrative regions in Central Taiwan. Questionnaires concerning perceived discrimination, family functioning (including family cohesion and family adaptability), depressive symptoms, and demographic characteristics were completed by either women themselves (N = 120) or their husbands (N = 119). The moderating effect of family functioning on the relationship between perceived discrimination and depression symptoms was analyzed using multiple regression analysis. Findings showed that a higher level of perceived discrimination among immigrant women is associated with more severe depressive symptoms. Family functioning serves as a moderator between the relationship of perceived discrimination and depressive symptoms, but the moderating effect of family adaptability was evident only in data reported by immigrant women. The results indicate that perceived discrimination has negative mental health implications, and also point to the importance of family functioning for depression. Findings suggest that providers should consider addressing immigrant women's mental health needs through declining their psychosocial distress at multiple ecological levels.

摘要

本研究考察了家庭功能在移民女性感知到的歧视与抑郁症状之间关系中的调节作用。从台湾中部四个行政区选取了239名移民女性。关于感知到的歧视、家庭功能(包括家庭凝聚力和家庭适应性)、抑郁症状以及人口统计学特征的问卷,由女性自身(N = 120)或其丈夫(N = 119)填写。使用多元回归分析来分析家庭功能在感知到的歧视与抑郁症状之间关系中的调节作用。研究结果表明,移民女性中较高水平的感知到的歧视与更严重的抑郁症状相关。家庭功能在感知到的歧视与抑郁症状的关系中起到调节作用,但家庭适应性的调节作用仅在移民女性报告的数据中明显。结果表明,感知到的歧视对心理健康有负面影响,同时也指出了家庭功能对抑郁的重要性。研究结果表明,医疗服务提供者应考虑通过在多个生态层面减轻她们的心理社会困扰来满足移民女性的心理健康需求。

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