Yan-hua Huang, PhD, OTR/L, is Professor, Department of Occupational Therapy, College of Health, Human Services and Nursing, California State University Dominguez Hills, Carson;
Ciara A. Nagao, MS, OTR/L, is Occupational Therapist, Orange, CA. At the time of the study, Nagao was Master's Student, California State University Dominguez Hills, Carson.
Am J Occup Ther. 2022 Mar 1;76(2). doi: 10.5014/ajot.2022.046912.
Asian-Americans are more likely than other ethnic groups to care for older family members and less likely to seek mental health services. The research on caregiver burden among Asian-American intergenerational caregivers is limited.
To investigate how spirituality and mental health help-seeking attitudes correlate with and predict perceived feelings of caregiver burden among Asian-American caregivers. Favorable mental health help-seeking attitudes were predicted to negatively correlate with caregiver burden, and spirituality was predicted to negatively correlate with and negatively predict caregiver burden.
Quantitative survey research.
Community mental health.
One hundred one participants were recruited using the following inclusion criteria: Asian-Americans who currently or previously provided care to an Asian family member at least one generation older than the caregiver for at least 1 mo and in the past 3 yr. Outcomes and Measures: Items from the Burden Scale for Family Caregivers, Spirituality Scale, Expressions of Spirituality Inventory-Revised, Mental Help Seeking Attitudes Scale, and Self-Stigma of Seeking Psychological Help measured caregiver burden, spirituality, and mental health help-seeking attitudes.
A statistically significant negative correlation was found between caregiver burden and spirituality and between caregiver burden and mental health help-seeking attitudes. Spirituality and number of domains of care were statistically significant predictors of caregiver burden.
Spirituality was found to negatively predict caregiver burden among Asian-American intergenerational caregivers. Mental health help-seeking attitudes were negatively correlated with caregiver burden. Occupational therapy practitioners have the opportunity to integrate spirituality and culturally sensitive mental health promotion into their services to Asian-Americans. What This Article Adds: Evidence that spirituality is a negative predictor of caregiver burden for Asian-American intergenerational caregivers offers a unique opportunity for occupational therapy practitioners to offer alternative methods of mental health promotion with this population. Understanding that spirituality and mental health help-seeking attitudes are culturally mediated allows practitioners to be informed about a dynamic in Asian-American culture.
与其他族裔群体相比，亚裔美国人更有可能照顾年长的家庭成员，而不太可能寻求心理健康服务。关于亚裔美国人代际照顾者的照顾者负担的研究有限。
研究灵性和心理健康求助态度与亚裔美国照顾者的照顾者负担的感知之间的相关性，并预测其对照顾者负担的影响。预计良好的心理健康求助态度与照顾者负担呈负相关，而灵性与照顾者负担呈负相关，并预测照顾者负担。
定量调查研究。
社区心理健康。
根据以下纳入标准招募了 101 名参与者：目前或以前至少为一名比照顾者年长至少一代的亚裔家庭成员提供照顾至少 1 个月且过去 3 年的亚裔美国人。
采用照顾者负担量表、灵性量表、修订后的灵性表达量表、心理健康求助态度量表和寻求心理帮助的自我污名量表来衡量照顾者负担、灵性和心理健康求助态度。
照顾者负担与灵性以及照顾者负担与心理健康求助态度之间存在统计学上显著的负相关。灵性和照顾领域的数量是照顾者负担的统计学显著预测因素。
研究发现，灵性对亚裔美国人代际照顾者的照顾者负担有负向预测作用。心理健康求助态度与照顾者负担呈负相关。职业治疗师有机会将灵性和对文化敏感的心理健康促进融入他们为亚裔美国人提供的服务中。
有证据表明，灵性是亚裔美国人代际照顾者负担的负向预测因素，这为职业治疗师为这一人群提供替代心理健康促进方法提供了独特的机会。了解到灵性和心理健康求助态度是文化介导的，可以使从业者了解亚裔美国人文化中的一个动态。
