Bernstein Kunsook, Park So-Young, Hahm Sohee, Lee Young Na, Seo Jin Young, Nokes Kathleen M
Hunter-Bellevue School of Nursing, Hunter College, City University of New York, New York, NY.
Silver School of Social Work, New York University, New York, NY.
Arch Psychiatr Nurs. 2016 Feb;30(1):19-26. doi: 10.1016/j.apnu.2015.10.011. Epub 2015 Oct 29.
Asian American women are more prone to suffer from depression compared to their non-Asian American counterparts and have lower rates of seeking mental healthcare services due to lack of available culturally appropriate therapies. Two prior studies of a culturally tailored therapeutic intervention called LogoAutobiography were helpful in treating depressed Korean American women. The LogoAutobiography program was revised to enhance its efficacy not only for depressive symptoms and purpose in life but also to increase coping strategies.
To test the efficacy of the Enhanced LogoAutobiography program on depressive symptoms, purpose in life, and coping strategies of depressed community-dwelling Korean American women.
Two-group, non-randomized quasi-experimental design.
Local Korean community areas located in New York City and eastern New Jersey of the United States.
A total of 54 depressed women with Korean heritage completed either experimental group (n1=25) or control group (n2=29). Sample inclusion criteria were adult women with Korean heritage, depressive symptoms as measured by a CES-D score 16 or higher, fluent Korean language, and able to participate independently. Sample exclusion criteria were those who presented active suicidal ideation and history of episodes of mania or psychosis screened by the psychosocial survey questionnaire.
The experimental group received Enhanced Logo-Autobiography program which was guided by a facilitator who used a manualized intervention for 90minute sessions over 8weeks; the control group attended routine weekly community activities. Data were collected during the first session (pretest), the end of 8weeks (posttest), and the 3months follow-up session. Time and group changes in depressive symptoms, purpose in life, and coping strategies were computed using Repeated Measures General Linear Model (RMGLM).
Findings suggested that the experimental group showed greater improvement in depressive symptoms (F=6.94 (2, 88), p<0.01), active cognitive coping (F=5.07 (2, 86), p<0.01), and avoidance coping strategies (F=3.48 (2, 86), p<0.05) compared to the control group during the three time intervals. Purpose in life showed statistically significant Time and Group effects (F=5.18 (2, 88), p<0.01; F=9.44 (2, 88), p<0.01, respectively), but no significant interaction effect of Time and Group was detected.
These findings suggest that enhanced LogoAutobiography is effective for depressive symptoms and coping strategies and somewhat effective for improving purpose in life for depressed Korean American women.
与非亚裔美国女性相比，亚裔美国女性更容易患抑郁症，且由于缺乏符合其文化背景的可用治疗方法，寻求心理保健服务的比例较低。此前两项关于一种名为“标志自传”的文化定制治疗干预措施的研究，对治疗韩裔美国抑郁症女性有所帮助。“标志自传”项目经过修订，以提高其疗效，不仅针对抑郁症状和生活目标，还包括增加应对策略。
测试强化版“标志自传”项目对居住在社区的韩裔美国抑郁症女性的抑郁症状、生活目标和应对策略的疗效。
两组非随机准实验设计。
美国纽约市和新泽西州东部的当地韩裔社区。
共有54名有韩国血统的抑郁症女性完成了实验（n1 = 25）或对照组（n2 = 29）。样本纳入标准为有韩国血统的成年女性、通过流调中心抑郁量表（CES - D）得分16分或更高测量出的抑郁症状、韩语流利且能够独立参与。样本排除标准为那些有自杀意念以及通过社会心理调查问卷筛查出有躁狂或精神病发作史的人。
实验组接受强化版“标志自传”项目，由一名主持人指导，使用手册化干预，为期8周，每周90分钟；对照组参加每周的常规社区活动。在第一次会议（预测试）、8周结束时（后测试）和3个月随访会议期间收集数据。使用重复测量一般线性模型（RMGLM）计算抑郁症状、生活目标和应对策略随时间和组别的变化。
研究结果表明，在三个时间间隔内，与对照组相比，实验组在抑郁症状（F = 6.94（2, 88），p < 0.01）、积极认知应对（F = 5.07（2, 86），p < 0.01）和回避应对策略（F = 3.48（2, 86），p < 0.05）方面有更大改善。生活目标显示出时间和组别的统计学显著效应（分别为F = 5.18（2, 88），p < 0.01；F = 9.44（2, 88），p < 0.01），但未检测到时间和组别的显著交互效应。
这些研究结果表明，强化版“标志自传”对抑郁症状和应对策略有效，对改善韩裔美国抑郁症女性的生活目标也有一定效果。
