Severe Mental Illnesses in Asian Americans: Schizophrenia and Bipolar Disorder
- 1.2k Downloads
Cultural beliefs, medical traditions, and language are just some of the characteristics that distinguish the uniqueness and distinctness of mental illness within Asian American community compared to other U.S. populations. The assessment, diagnosis, and treatment for ethnic Asian patients affected by mental illness requires culturally appropriate and flexible approaches for effective service delivery. Working with the families of schizophrenia and bipolar patients, as well as addressing the stigma associated with mental illness is especially important for Asian American patients, even more than mainstream and other American ethnic groups.. Of note, there is a limited number of studies on schizophrenia and no research on bipolar disorders among Asian Americans. Recommendations for better service delivery include specific guidelines for assessment and treatment of Asian American clients, particularly noting some of the particular needs of an individual subgroup (language, for example) within the general minority community.
KeywordsMental Health Mental Illness Bipolar Disorder Antipsychotic Medication Severe Mental Illness
- American Psychiatric Association (APA). (2004). Practice guidelines for the treatment of schizophrenia (2nd ed.). Washington, DC: American Psychiatric Press, Incorporated. Retrieved April 25, 2011, from http://www.psychiatryonline.com/content.aspx?aID=46733.
- Asian American Center for Disparities Research (AACDR) at University of California, Davis. (2007). Retrieved June 5, 2011, from http://psychology.ucdavis.edu/aacdr.
- Bhugra, D., Corridan, B., Rudge, S., Leff, J., & Mallett, R. (1999). Early manifestations, personality traits and pathways into care for Asian and white first-onset case of schizophrenia. Social Psychiatry, 34, 595–599.Google Scholar
- Eon, S., & Durham, J. (2009). Schizophrenia: A review of pharmacologic and nonpharmacologic treatments. US Pharmacist, 34(11), 1–5.Google Scholar
- Galanti, G. A. (2004). Caring for patients from different cultures (3rd ed.). Philadelphia: University of Pennsylvania Press.Google Scholar
- Gee, K., & Ishii, M. (1997). Assessment and treatment of schizophrenia among Asian Americans. In E. Lee (Ed.), Working with Asian Americans: A guide for clinicians (pp. 227–252). New York: Guilford Press.Google Scholar
- Goldner, E. M., Hsu, L., Waraich, P., & Somers, J. M. (2002). Prevalence and incidence studies of schizophrenic disorders: A systematic review of the literature. Canadian Journal of Psychiatry, 47(9), 833–843.Google Scholar
- Haddock, G., Morrison, A., Hopkins, R., Lewis, S., & Tarrier, N. (1998). Individual cognitive-behavioural interventions in early psychosis. The British Journal of Psychiatry, 172(Suppl. 33), 101–106.Google Scholar
- Isaacs, M. R., Huang, L. N., Hernandez, M., & Echo-Hawk, H. (2005). The road to evidence: The intersection of evidence-based practices and cultural competence in children’s mental health. Washington, DC: The National Alliance of Multi-Ethnic Behavioral Health Associations.Google Scholar
- Kaplan, H. I., Sadock, B. J., & Grebb, J. A. (1994). Kaplan and Sadock’s synopsis of psychiatry: Behavioral sciences, clinical psychiatry (7th ed.). Baltimore: Williams & Wilkins.Google Scholar
- Kleinman, A., Eisenberg, L., & Good, B. (1978). Culture, illness, and care: Clinical lessons from anthropologic and cross-cultural research. Annals of Internal Medicine, 88(2), 251–258.Google Scholar
- Lee, T. M. Y., Chong, S. A., Huat, Y., & Sathyadevan, G. (2004). Command hallucinations among Asian patients with schizophrenia. Canadian Journal of Psychiatry, 49(12), 838–842.Google Scholar
- Lim, R. F. (2006). Clinical manual of cultural psychiatry. Arlington, VA: APPI.Google Scholar
- Mayo Clinic. (2011). Bipolar disorder: Treatment and drugs. Retrieved May 1, 2011, from http://www.mayoclinic.com/health/bipolar-disorder/DS00356/DSECTION=treatments-and-drugs.
- Medilexicon. (2011a). Latuda (lurasidone). Retrieved May 1, 2011, from http://www.medilexicon.com/drugs/latuda.php.
- Medilexicon. (2011b). Saphris (Asenapine). Retrieved May 1, 2011, from http://www.medilexicon.com/drugs/saphris.php.
- Salimbene, S. (2000). What language does your patient hurt in? A practical guide to culturally competent patient care (2nd ed.). Amherst, MA: Diversity Resources.Google Scholar
- Stompe, T., Karakula, H., Rudalevičiene, P., Okribelashvili, N., Chaudhry, H. R., Idemudia, E. E., & Gscheider, S. (2006). The pathoplastic effect of culture on psychotic symptoms in schizophrenia. World Cultural Psychiatry Research Review, 1(3/4), 157–163. July/October.Google Scholar
- Tseng, W. S., & Strelzer, J. (1997). Culture and psychopathology. New York: Brunner/Mazel.Google Scholar
- U.S. Department of Health and Human Services (USDHHS). (1999). Mental health: A report of the surgeon general. Rockville, MD: U.S. Department of Health and Human Services. Retrieved March 19, 2011, from http://www.surgeongeneral.gov/library/mentalhealth/home.html.
- USDHHS. (2001). Mental health: Culture, race and ethnicity: A supplement to mental health: A report to the Surgeon General. Rockville, MD: U.S. Department of Health and Human Services. Retrieved March 15, 2011, from http://www.surgeongeneral.gov/library/mentalhealth/cre/