Department of Psychiatry and Behavioral Sciences, Boston Children's Hospital/Harvard Medical School, 300 Longwood Avenue, Boston, MA, 02115, USA.
Jane and Terry Semel Institute for Neuroscience and Human Behavior, University of California Los Angeles, 760 Westwood Plaza, Suite 37-384, Los Angeles, CA 90024, USA.
Child Adolesc Psychiatr Clin N Am. 2022 Oct;31(4):789-803. doi: 10.1016/j.chc.2022.06.006. Epub 2022 Sep 7.
South Asian American (SAA) youth are culturally diverse with respect to migration patterns, language, religion, and social determinants of health. Culturally specific stressors related to family, acculturation, discrimination, and intersectionality converge during developmentally sensitive periods, impacting mental health and identity development. "Model minority" stereotypes and somatic expressions of distress contribute to underdetection and limited perceived need for treatment. SAA families navigate structural barriers, including limited access to culturally tailored services, limited English proficiency, referral bias, and stigma, resulting in underutilization of services. Cultural considerations must be integrated into diagnostic conceptualization and treatment recommendations to effectively engage SAA youth and families in treatment.
南亚裔美国人(SAA)青年在移民模式、语言、宗教和健康的社会决定因素方面具有文化多样性。与家庭、文化适应、歧视和交叉性相关的特定文化压力因素在发展敏感时期汇聚在一起,影响心理健康和身份发展。“模范少数族裔”的刻板印象和痛苦的躯体表现导致检测不足和治疗需求认知有限。SAA 家庭面临结构障碍,包括获得文化适宜服务的机会有限、英语水平有限、转介偏见和污名化,导致服务利用率低。在进行诊断概念化和治疗建议时,必须考虑文化因素,以有效地让 SAA 青年及其家庭参与治疗。