Ai Amy L, Appel Hoa B, Lee Jungup, Fincham Frank
Colleges of Social Work, Medicine, and Nursing, Florida State University, 2570 University Building C, Tallahassee, FL, 32306, USA.
School of Nursing and Health Studies, University of Washington Bothell, Bothell, WA, 98011, USA.
J Behav Health Serv Res. 2022 Jan;49(1):4-21. doi: 10.1007/s11414-021-09760-6. Epub 2021 Jun 7.
Asian-Americans (AAs) constitute the fastest growing minority group in the USA. AAs share a common emphasis on collective cultural strengths, especially family values. Using the National Latino and Asian American Study (NLAAS) data, this study investigated the roles of family cohesiveness, along with other cultural strength factors and negative family interactions in three psychiatric disorders. Supporting the study's hypotheses, multivariate analyses showed that family cohesiveness was associated with a lower incidence of general anxiety disorder (GAD), while regular religious attendance was linked with a lower likelihood of having substance use disorder (SUD). Conversely, negative family interactions increased the likelihood of experiencing major depression disorder (MDD) and SUD. Whereas perceived discrimination was related to higher odds of all diagnoses, family cohesiveness moderated the relationship between discrimination and GAD. These findings suggest that family relationships play a critical role in AAs' mental health and should be further explored through a prospective design.
亚裔美国人是美国增长最快的少数族裔群体。亚裔美国人共同强调集体文化优势，尤其是家庭价值观。本研究利用全国拉丁裔和亚裔美国人研究（NLAAS）的数据，调查了家庭凝聚力以及其他文化优势因素和负面家庭互动在三种精神疾病中的作用。多变量分析支持了该研究的假设，表明家庭凝聚力与广泛性焦虑症（GAD）发病率较低相关，而定期参加宗教活动与物质使用障碍（SUD）可能性较低相关。相反，负面家庭互动增加了患重度抑郁症（MDD）和SUD的可能性。虽然感知到的歧视与所有诊断的较高几率相关，但家庭凝聚力调节了歧视与GAD之间的关系。这些发现表明，家庭关系在亚裔美国人的心理健康中起着关键作用，应通过前瞻性设计进一步探索。
