School of Social Work, College of Social and Behavioral Science, California State University, San Bernardino, 5500 University Parkway, San Bernardino, CA, 92407-2318, USA.
Suzanne Dworak-Peck School of Social Work, University of Southern California, 669 West 34th Street, Los Angeles, CA, 90089-0411, USA.
Community Ment Health J. 2019 Feb;55(2):232-240. doi: 10.1007/s10597-018-0273-5. Epub 2018 Apr 26.
A cross-sectional study of 4921 Latinos from the National Health Interview Survey was conducted to examine behavioral patterns of psychological distress among Latinos. Latent class analysis was used to ascertain psychological distress behavioral profiles among Latinos. Analysis revealed four latent classes of distress, which included moderate psychological distress (13.6%); mild sadness, nervousness, and restlessness (13.0%); high psychological distress (2.8%); and no psychological distress (70.7%). Worthlessness, a widely-accepted dimension of distress, was not a significant behavioral trait. Results from the present study suggest that underlying cultural elements affect the subjective interpretations of symptoms reported by Latinos. These findings highlight distress profiles among Latinos and the possibility of overlooking behaviors that are uniquely indicative of distress, potentially leading to the underreporting of serious psychological distress in this population. Furthermore, these findings shed light on other paradoxical issues impacting the mental health of Latinos.
本研究对来自全国健康访谈调查的 4921 名拉丁裔人群进行了横断面研究,旨在探究拉丁裔人群中心理困扰的行为模式。采用潜在类别分析确定拉丁裔人群中心理困扰的行为特征。分析显示,困扰存在 4 种潜在类别,包括中度心理困扰(13.6%);轻度悲伤、紧张和不安(13.0%);高度心理困扰(2.8%)和无心理困扰(70.7%)。无价值感是困扰的一个广泛认可维度,但不是一个显著的行为特征。本研究结果表明,潜在的文化因素影响拉丁裔人群报告的症状的主观解释。这些发现突出了拉丁裔人群的困扰特征,以及可能忽略独特提示困扰的行为,这可能导致该人群严重心理困扰的报告不足。此外,这些发现揭示了影响拉丁裔人群心理健康的其他矛盾问题。