Lim Caroline, Um Mee Young, Schott Erik, Arkadie Nicole, Hernandez Mercedes, Barrio Concepción
School of Social Work, California State University at San Bernardino, 5500 University Parkway, San Bernardino, CA, 92407, USA.
School of Social Work, Arizona State University, Tempe, AZ, USA.
Community Ment Health J. 2025 Jan;61(1):169-180. doi: 10.1007/s10597-024-01340-0. Epub 2024 Sep 2.
We implemented a pilot study to investigate symptoms and functional outcomes of Asian Americans treated in urban community mental health centers for a diagnosis of schizophrenia spectrum disorder. Furthermore, we investigated whether these outcomes differed between East and Southeast Asians. We collected quantitative data from 75 participants recruited using a nonprobability sampling strategy from six urban community mental health centers. We used the Positive and Negative Syndrome Scale (Kay et al. in Schizophrenia Bulletin 13(2):261-276, 1987) and the Strauss and Carpenter Outcome Scale (Strauss and Carpenter in Archives of General Psychiatry 27(6):739-746, 1972) to measure their symptoms and functional outcomes. To compare the outcomes between East and Southeast Asians, we used a multivariable logistic regression model, which adjusted for the estimated effects of age, sex assigned at birth, and age at onset of illness for each outcome examined. The data shows that the treatment outcomes for this group are poor. Only a small number of participants experienced symptomatic remission (30.67%), role restoration (34.67%), and clinical recovery (21.33%). The majority of those who did not experience clinical recovery had difficulties sustaining symptomatic remission and restoring role functioning (54.67%). However, more participants achieved social restoration (68.00%). The results did not vary by national origin groups and sex assigned at birth. However, the participant's age, the age at which the illness began, or both determined whether the treatment outcomes were favorable. Findings underscore the need for interventions that improve symptom control to increase the likelihood of other favorable outcomes.
我们开展了一项试点研究，以调查在城市社区心理健康中心接受治疗的被诊断为精神分裂症谱系障碍的亚裔美国人的症状和功能结局。此外，我们还调查了东亚人和东南亚人的这些结局是否存在差异。我们从六个城市社区心理健康中心采用非概率抽样策略招募了75名参与者，并收集了定量数据。我们使用阳性和阴性症状量表（Kay等人，《精神分裂症通报》13(2):261 - 276, 1987）和施特劳斯与卡彭特结局量表（施特劳斯和卡彭特，《普通精神病学档案》27(6):739 - 746, 1972）来测量他们的症状和功能结局。为了比较东亚人和东南亚人的结局，我们使用了多变量逻辑回归模型，该模型针对所检查的每个结局对年龄、出生时指定的性别以及发病年龄的估计影响进行了调整。数据显示，该组的治疗结局较差。只有少数参与者实现了症状缓解（30.67%）、角色恢复（34.67%）和临床康复（21.33%）。大多数未实现临床康复的参与者在维持症状缓解和恢复角色功能方面存在困难（54.67%）。然而，更多参与者实现了社会恢复（68.00%）。结果在国籍组和出生时指定的性别方面没有差异。然而，参与者的年龄、疾病开始的年龄或两者共同决定了治疗结局是否良好。研究结果强调了需要采取干预措施来改善症状控制，以增加其他良好结局的可能性。
