Paterson Janis, Tautolo El-Shadan, Iusitini Leon, Taylor Steve
National Institute for Public Health and Mental Health Research, Auckland University of Technology, New Zealand.
Aust N Z J Public Health. 2016 Apr;40(2):110-4. doi: 10.1111/1753-6405.12491. Epub 2015 Dec 29.
This study investigated: 1) the prevalence of psychological distress among a cohort of mothers of Pacific children; and 2) the socio-demographic and lifestyle variables associated with psychological distress.
The Pacific Islands Families (PIF) Study is a longitudinal investigation of a cohort of Pacific children born in Auckland, New Zealand, and their mothers and fathers. The 12-item General Health Questionnaire (GHQ12) was used to assess psychological distress among mothers (N=851) at about 11 years postpartum.
Current psychological distress was reported by 19% of mothers, and six explanatory variables were significantly associated with maternal psychological distress: stressful life events, postnatal depression, marital status, maternal education, ethnicity and cultural alignment.
These findings suggest that the mental health of Pacific people varies by particular ethnic group and cultural alignment. This highlights the need for culturally appropriate evaluation and treatment for at-risk Pacific mothers that will break down psychological, cultural and economic barriers to accessing help for psychological distress.
By learning about factors that are potentially modifiable we can begin to identify the most appropriate ways to address their impact on psychological distress among Pacific women.
本研究调查了:1)一群太平洋裔儿童母亲的心理困扰患病率;2)与心理困扰相关的社会人口学和生活方式变量。
太平洋岛屿家庭(PIF)研究是对一群在新西兰奥克兰出生的太平洋裔儿童及其父母进行的纵向调查。采用12项一般健康问卷(GHQ12)评估产后约11年时母亲(N = 851)的心理困扰情况。
19%的母亲报告有当前心理困扰,六个解释变量与母亲心理困扰显著相关:生活应激事件、产后抑郁、婚姻状况、母亲教育程度、种族和文化适应性。
这些发现表明,太平洋岛民的心理健康因特定种族群体和文化适应性而异。这凸显了对有风险的太平洋裔母亲进行文化上适当的评估和治疗的必要性,这将打破心理、文化和经济障碍,使她们能够获得针对心理困扰的帮助。
通过了解潜在可改变的因素,我们可以开始确定应对其对太平洋裔女性心理困扰影响的最适当方法。