McKelvey R S, Webb J A
Department of Paediatrics, University of Western Australia, Perth, Australia.
J Am Acad Child Adolesc Psychiatry. 1996 Feb;35(2):240-5. doi: 10.1097/00004583-199602000-00018.
To determine the relationship between premigratory expectations for one's future life in the United States and postmigratory symptoms of anxiety and depression in a group of Vietnamese Amerasians.
A cohort of 161 Vietnamese Amerasian migrants was assessed prior to departure from Vietnam using the Hopkins Symptom Checklist-25 (HSCL-25), the Vietnamese Depression Scale, and an Expectations Questionnaire. After migration to the United States, subjects were reassessed using the HSCL-25 and the Vietnamese Depression Scale.
Premigratory expectations for support from the Vietnamese community in the United States were associated with significantly higher scores on the HSCL-25 Depression scale. Of subjects reassessed in the United States, 20% scored in the clinical range for depression.
Like-ethnic community support is critically important in preventing depressive symptoms among Vietnamese Amerasian migrants. Clinicians working with Amerasians should target those with unrealistically high expectations for preventive intervention and should approach Vietnamese community leaders to mobilize support for recently arrived Amerasians.
确定一群越南美亚混血儿在移民美国之前对未来生活的期望与移民后焦虑和抑郁症状之间的关系。
在161名越南美亚混血儿移民离开越南之前，使用霍普金斯症状清单-25（HSCL-25）、越南抑郁量表和一份期望问卷对他们进行评估。移民到美国后，使用HSCL-25和越南抑郁量表对受试者进行重新评估。
对美国越南社区支持的移民前期望与HSCL-25抑郁量表上显著更高的分数相关。在美国接受重新评估的受试者中，20%的人在抑郁临床范围内得分。
同族社区支持对于预防越南美亚混血儿移民中的抑郁症状至关重要。与美亚混血儿合作的临床医生应针对那些期望过高不切实际的人进行预防性干预，并应与越南社区领袖接触，为新到的美亚混血儿动员支持。
