Serafini Kelly, Wendt Dennis C, Ornelas India J, Doyle Suzanne R, Donovan Dennis M
Swedish Medical Center.
Alcohol and Drug Abuse Institute, University of Washington.
Psychol Addict Behav. 2017 Mar;31(2):180-188. doi: 10.1037/adb0000245. Epub 2017 Jan 9.
The purpose of this study was to examine the association of acculturation with substance use treatment outcomes in a sample of treatment-seeking Latino/as (N = 405). The study used data from a multisite randomized controlled trial of a culturally adapted version of Motivational Enhancement Therapy delivered in Spanish. Berry, Kim, Minde, and Mok's (1987) acculturation model was used to divide the sample into 4 types (integrated, assimilated, separated, marginalized), based on Bicultural Involvement Questionnaire scores. One-way analyses of variance, chi-squared tests, and repeated-measures regression were used to examine baseline acculturation, posttreatment outcomes, and follow-up outcomes. All participants were of Latino/a background, and 88.4% of the sample was male. Participants with greater acculturation to American culture (i.e., integrated and assimilated acculturation types) reported more substance use and associated problems at baseline, χ²(3) = 20.5, p < .001, with the integrated type reporting the highest percentage of substance use disorder symptoms and problems (67.6%). No significant differences in substance use were detected among acculturation types posttreatment or at follow-up. Although the integrated and assimilated acculturation types were associated at baseline with more substance use and associated problems, all acculturation types seemed to benefit at posttreatment from an evidence-based culturally adapted treatment. (PsycINFO Database Record
本研究旨在调查在寻求治疗的拉丁裔样本（N = 405）中，文化适应与物质使用治疗结果之间的关联。该研究使用了一项多地点随机对照试验的数据，该试验采用了以西班牙语提供的文化适应版动机增强疗法。基于双文化参与问卷得分，采用贝里、金、明德和莫克（1987）的文化适应模型将样本分为4种类型（整合型、同化型、分离型、边缘化型）。使用单因素方差分析、卡方检验和重复测量回归来检验基线文化适应、治疗后结果和随访结果。所有参与者均为拉丁裔背景，样本中88.4%为男性。对美国文化适应程度较高的参与者（即整合型和同化型文化适应类型）在基线时报告了更多的物质使用及相关问题，χ²(3) = 20.5，p <.001，其中整合型报告的物质使用障碍症状和问题百分比最高（67.6%）。在治疗后或随访时，各文化适应类型之间未检测到物质使用方面的显著差异。尽管整合型和同化型文化适应类型在基线时与更多的物质使用及相关问题相关，但所有文化适应类型在治疗后似乎都从基于证据的文化适应治疗中获益。（PsycINFO数据库记录
