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Hispanic/Latinx 人群中有精神病谱系障碍者的文化融入和文化适应与自杀意念的关系。

Enculturation and acculturation's relationship to suicidal ideation in Hispanic/Latinx individuals with psychotic spectrum disorders.

机构信息

University of Miami, Department of Psych, University of Miami, 5665 Ponce de Leon Blvd, Coral Gables FL, 33146, USA.

University of Miami, Department of Psych, University of Miami, 5665 Ponce de Leon Blvd, Coral Gables FL, 33146, USA.

出版信息

Psychiatry Res. 2022 Jan;307:114298. doi: 10.1016/j.psychres.2021.114298. Epub 2021 Nov 21.

Abstract

Suicide is a leading cause of premature death in people with schizophrenia (Inoue et al., 2020). Hispanic/Latinx (H/L) individuals, the largest ethnic minority group in the U.S., face potential hurdles (e.g., discrimination, language barriers) when trying to receive care for psychotic spectrum disorders, which may increase their risk for suicidal ideation. Drawing from prior literature, we tested the hypotheses that greater acculturation and lower enculturation would be associated with increased suicidal ideation in a sample of 45 H/L individuals with psychotic spectrum disorders using a linear regression analysis controlling for gender and education. As hypothesized, greater acculturation and lower enculturation were associated with greater suicidal ideation. In line with prior research, results of this study suggest that maintaining beliefs and traditions from one's home culture may be beneficial to H/Ls with psychotic spectrum disorders and may reduce suicidal ideation whereas there may be detrimental aspects of mainstream United States culture on one's desire to live. Thus, encouraging H/L patients with psychotic spectrum disorders to maintain a sense of ethnic pride and stay engaged with practices and values from their culture of origin may help reduce suicidal ideation in this vulnerable population.

摘要

自杀是精神分裂症患者过早死亡的主要原因(Inoue 等人,2020 年)。西班牙裔/拉丁裔(H/L)是美国最大的少数族裔群体,在试图接受精神病谱系障碍治疗时可能会面临潜在障碍(例如歧视、语言障碍),这可能会增加他们的自杀意念风险。根据先前的文献,我们使用线性回归分析,在控制了性别和教育的情况下,在 45 名患有精神病谱系障碍的 H/L 个体样本中测试了以下假设:更多的文化适应和更少的文化融入与自杀意念的增加有关。正如假设的那样,更多的文化适应和更少的文化融入与更高的自杀意念有关。与先前的研究一致,本研究的结果表明,保持来自家乡文化的信仰和传统可能对患有精神病谱系障碍的 H/L 有益,并可能减少自杀意念,而主流美国文化对一个人生活的渴望可能有不利的方面。因此,鼓励患有精神病谱系障碍的 H/L 患者保持民族自豪感,并参与其原籍文化的实践和价值观,可能有助于减少这一弱势群体的自杀意念。

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