Abstract
The increasing diversity of the American public has challenged mental health professionals to expand their knowledge base to include issues of race, culture, and ethnicity. A fundamental issue is whether or not the rates and distribution of mental disorder in the community vary by ethnic group. Unfortunately, this deceptively simple question has not been satisfactorily answered despite the growing number of studies examining mental illness among European Americans, African Americans, Latinos, and more recently American Indians and Asian Americans. Critical methodological and conceptual problems have complicated our understanding and assessment of ethnic differences and highlight the need for improvements in research methods and assessment practices. This chapter will review the available community prevalence data for Asian Americans compared to other groups and discuss the conceptual and methodological issues that have influenced the state of the field. In addition, within-group variables that influence the prevalence of mental disorders will be discussed.
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References
American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4th edition; DSM-IV). Washington, DC: Author.
Beiser, M. (1988). Influences of time, ethnicity, and attachment on depression in Southeast Asian refugees. American Journal of Psychiatry, 145, 46–51.
Chang, D. F. (2000). The cultural validity of neurasthenia: Psychiatric diagnosis and illness beliefs in a Chinese primary care sample. Unpublished doctoral dissertation, University of California, Los Angeles.
Chen, C.-N, Wong, J., Lee, N., Chan-Ho, M.-W., Lau, J. T.-F., & Fung, M. (1993). The Shatin community mental health survey in Hong Kong: II. Major findings. Archives of General Psychiatry, 50, 125–133.
Cheung, F. M., & Lau, B. W. K. (1982). Situational variations of help-seeking behavior among Chinese patients. Comprehensive Psychiatry, 23(3), 252–262.
Cheung, F. M., Lau, B. W. K., & Waldmann, E. (1980–81). Somatization among Chinese depressive in general practice. Internationa Uournal of Psychiatry in Medicine, 10(4), 361–374.
Cheung, F. M., Lee, S. Y., & Chan, Y. Y. (1983). Variations in problem conceptualizations and intended solutions among Hong Kong students. Culture, Medicine, and Psychiatry, 8, 207–228.
Chun, K. M., Eastman, K. L., Wang, G. C. S. & Sue, S. (1998). Psychopathology. In L.C. Lee and N.W.S. Zane (Eds.,), Handbook of Asian American psychology (pp. 457–484). Thousand Oaks, CA: Sage.
Dion, K. L, Dion, K. K., & Pak, A. W. P. (1992). Personality-based hardiness as a buffer for discrimination-related stress in members of Toronto’s Chinese community. Canadian Journal of Behavioural Science, 24, 517–536.
Dohrenwend, B. P. (1990). Socioeconomic status (SES) and psychiatric disorders. Social Psychiatry and Psychiatric Epidemiology, 25, 41–47.
Dohrenwend, B. P., & Dohrenwend, B. S. (1969). Social status and psychological disorder: A causal inquiry. New York: Wiley.
Durvasula, R. S., & Mylvaganam, G. A. (1994). Mental health of Asian Indians: Relevant issues and community implications. Journal of Community Psychology, 22, 97–108.
Fugita, S. S. (1990). Asian/Pacific-American mental health: Some needed research in epidemiology and service utilization. In F. C. Serafica and A. I. Schwebel (Eds.,), Mental health of ethnic minorities (pp. 66–84). New York: Praeger.
Gong-Guy, E. (1987). The California Southeast Asian mental health needs assessment (Contract No. 85-76282A-2). Sacramento: California State Department of Mental Health.
Good, B. J. (1993). Culture, diagnosis and comorbidity. Culture, Medicine, and Psychiatry, 16, 427–446.
Guarnaccia, P. J., & Rogler, L. H. (1999). Research on culture-bound syndromes: New directions. American Journal of Psychiatry, 156(9), 1322–1327.
Hinton, L. & Kleinman, A. M. (1993). Cultural issues and international psychiatric diagnosis. In J. A. Costa, E. Silva & C. Nadelson (Eds.), International review of psychiatry, Volume 1 (pp. 111–129). Washington, DC: American Psychiatric Association Press.
Holzer, C. E., III, Shea, B. M., Swanson, J. W., Leaf, P. J., Myers, J. K., George, L. K., Weissman, M. M., & Bednarski, P. (1986). The increased risk for specific psychiatric disorders among persons of low socioeconomic status, evidence from the Epidemiologic Catchment Area Surveys. American Journal of Social Psychiatry, 6, 259–271.
Holzer, C. E., III, Swanson, J. W., & Shea, B. M. (1995). Ethnicity, social status, and psychiatric disorder in the Epidemiologic Catchment Area Survey. In R. K. Price, B. M. Shea, and H. N. Mookherjee (Eds.), Social psychiatry across cultures. New York: Plenum Press.
Hwu, H.-G, Yeh, E.-K., Chang, L. Y. (1989). Prevalence of psychiatric disorders in Taiwan defined by the Chinese Diagnostic Interview Schedule. Acta Psychiatrica Scandinavica, 79, 136–147.
Kamo, M., Hough, R. L., Burnam, A., Escobar, J. I., Timbers, D. M., Santana, F., & Boyd, J. H. (1987). Lifetime prevalence of specific psychiatric disorders among Mexican Americans and non-Hispanic Whites in Los Angeles. Archives of General Psychiatry, 44, 695–701.
Katz, M. M., Marsella, A., Dube, K. C, Olatawura, M., Takahashi, R., Nakane, Y., Wynne, L. C, Gift, T., Brennan, J., Sartorius, N., & Jablensky, A. (1988). On the expression of psychosis in different cultures: Schizophrenia in an Indian and Nigerian community. Culture, Medicine and Psychiatry, 12, 331–355.
Kessler, R. C, McGonagle, K. A., Zhao, S., Nelson, C. B., Hughes, M., Eshleman, S., Wittchen, H.-U., & Kendler, K. S. (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Archives of General Psychiatry, 51, 8–19.
Kinzie, J. D., Boehnlein, J. K., Leung, P. K., Moore, L. J., Riley, C., & Smith, D. (1990). The prevalence of posttraumatic stress disorder and its clinical significance among Southeast Asian refugees. American Journal of Psychiatry, 147(1), 913–917.
Kitano, H. H. (1969). Japanese-American mental illness. In S. Plog & R. Edgerton (Eds.), Changing perspectives in mental illness (pp. 256–284). New York: Holt, Rinehart Winston.
Kleinman, A. M. (1980). Patients and healers in the context of culture: An exploration of the borderland between anthropology, medicine, and psychiatry. Berkeley, CA: University of California Press.
Kleinman, A. M. (1982). Neurasthenia and depression: A study of somatization and culture in China. Culture, Medicine, and Psychiatry, 6(2), 77–190.
Kleinman, A. M. (1988). Rethinking psychiatry: From cultural category to personal experience. New York: The Free Press.
Kuo, W. H., & Tsai, Y.-M. (1986). Social networking, hardiness and immigrant’s mental health. Journal of Health and Social Behavior 27, 133–149.
Lee, C. K., Kwak, Y. S., Yamamoto, J., Ree, H., Kim, Y. S., Han. J. H., Choi, J. O., & Lee, Y. H. (1990). Psychiatric epidemiology in Korea, Part I: Gender and age differences in Seoul. Journal of Nervous and Mental Disease,178 (4), 242–246.
Lee, S. (1996). Reconsidering the status of anorexia nervosa as a Western culture-bound syndrome. Social Science and Medicine, 42(1), 21–34.
Lin, K.-M., Tozuma, L., & Masuda, M. (1979). Adaptational problems of Vietnamese refugees. Archives of General Psychiatry, 36, 955–961.
Luk, C., & Bond, M. (1992). Chinese lay beliefs about the causes and cures of psychological problems. Journal of Social and Clinical Psychology, 77(2), 140–157.
Matsuoka, J., & Hamada, R. (1991). The wartime and postwar experiences of Asian-Pacific American veterans. Journal of Applied Social Sciences, 16,23–36.
Nakane, Y., Ohta, Y., Radford, M., Yan, H., Wang, X., Lee, H. Y., Min, S. K., Michitsuji, S., & Ohtsuka, T., (1991). Comparative study of affective disorders in three Asian countries: II. Differences in prevalence rates and symptom presentation. Acta Psychiatrica Scandinavica, 84, 313–319.
Neugebauer, D. D., Dohrenwend, B. P., & Dohrenwend, B. S. (1980). The formulation of hypotheses about the true prevalence of functional psychiatric disorders among adults in the United States. In B. P. Dohrenwend, B. S. Dohrenwend, M. S. Goulde, B. Link, R. Neugebauer, & R. Wunsch-Hitzig (Eds.), Mental illness in the United States. New York: Praeger.
Robins, L. N., & Regier, D. A. (1991). Psychiatric disorders in America: The Epidemiologic Catchment Area Study. New York: The Free Press.
Sarason, I. G., Johnson, J. H., & Siegel, J. M. (1978). Assessing the impact of life changes: Development of the Life Experience Survey. Journal of Consulting and Clinical Psychology, 46, 932–946.
Simons, R. C, & Hughes, C. C. (1985). The culture-bound syndromes: Folk illnesses of psychiatric and anthropological interest. Dordrecht, The Netherlands: D. Reidel.
Sue, D. W., & Sue, D. (1999). Counseling the culturally different: Theory and practice (3rd Ed.). New York: John Wiley & Sons.
Sue, S. (1999). Science, ethnicity, and bias: Where have we gone wrong? American Psychologist, 54(12),1070–1077.
Sue, S., & McKinney, H. (1975). The mental health of Asian Americans. San Francisco: Jossey-Bass.
Sue, S., Sue, D. W., Sue, L., & Takeuchi, D. (1995). Psychopathology among Asian Americans: A model minority? Cultural Diversity and Mental Health, 1(1), 39–51.
Takeuchi, D. T., Chung, R. C-Y., Lin, K.-M., Shen, H., Kurasaki, K., Chun, C-A., & Sue, S. (1998). Lifetime and twelve-month prevalence rates of major depressive episodes and dysthymia among Chinese Americans in Los Angeles. American Journal of Psychiatry, 755(10), 1407–1414.
Tran, T.V. (1989). Ethnic community supports and psychological well-being of Vietnamese refugees. International Migration Review, 21, 833–845.
Wang, C. H., Liu, W. T, Zhang, M. Y., Yu, E. S. H., Xia, Z. Y., Fernandez, M., Lung, C. T., Xu, C. L., & Qu, G. Y. (1992). Alcohol use, abuse, and dependency in Shanghai. In J. E. Helzer and G. J. Canino (Eds.), Alcoholism in North America, Europe, and Asia (pp. 264–286). New York: Oxford University Press.
Weissman, M. M., Bruce, M. L., Leaf, P. J., Florio, L. P., & Holzer, C. E., III (1991). Affective disorders. In L. N. Robins and D. A. Regier, Psychiatric disorders in America: The Epidemiologic Catchment Area Study (pp. 53–80). New York: The Free Press.
Westermeyer, J., Neider, J., & Callies, A. (1989). Psychosocial adjustment of Hmong refugees during their first decade in the United States: A longitudinal study. Journal of Nervous and Mental Disease, 177 (3), 132–139.
World Health Organization (1992). ICD-10: The ICD-10 classification of mental and behavioral disorders. Clinical descriptions and diagnostic guidelines. Geneva, Switzerland: WHO.
Yamamoto, J., Rhee, S., & Chang, D.-S. (1994). Psychiatric disorders among elderly Koreans in the United States. Community Mental Health Journal, 30(1), 17–26.
Yee, B. W. K, Huang, L. N., & Lew, A. (1998). Families: Life-span socialization in a cultural context. In L. C. Lee and N. W. S. Zane (Eds.), Handbook of Asian American psychology (pp. 83–136). Thousand Oaks, CA: Sage.
Ying, Y., & Leise, L. H. (1994). Initial adjustment of Taiwanese students to the United States: The impact of postarrival variables. Journal of Cross-Cultural Psychology, 25(4), 466–477.
Yoon, E., & Chien, F. (1995). Asian American and Pacific Islander health: A paradigm for minority health. Journal of American Medical Association, 275(9), 736–737.
Yu, E., Zhang, M.-Y., Xia, Z.-Y, & Liu, W. T. (1987). Translation of instruments: Procedures, issues, and dilemmas. In W. T. Liu (Ed.), The Pacific/Asian American Mental Health Research Center. A decade review of mental health research, training, and services. A report to the National Institute of Mental Health (pp. 75–86). Chicago: P/AAMHRC.
Zhang, A. Y., & Snowden, L. R. (1999). Ethnic characteristics of mental disorders in five U.S. communities. Cultural Diversity and Ethnic Minority Psychology, 5(2), 134–146.
Zheng, Y.-P., Lin, K.-M., Takeuchi, D. Kurasaki, K., Wong, Y., & Cheung, F. (1997). An epidemiological study of neurasthenia in Chinese-Americans in Los Angeles. Comprehensive Psychiatry, 38(5), 249–259.
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Chang, D.F. (2002). Understanding the Rates and Distribution of Mental Disorders. In: Kurasaki, K.S., Okazaki, S., Sue, S. (eds) Asian American Mental Health. International and Cultural Psychology Series. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-0735-2_2
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DOI: https://doi.org/10.1007/978-1-4615-0735-2_2
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