Abstract
This chapter examines the challenges that researchers face when estimating prevalence rates of psychiatric disorders among Asian Americans, and provides recommendations for designing and implementing culturally valid epidemiological research. Our present understanding of psychiatric prevalence rates, pathogenesis, and correlates of mental disorders among Asian Americans is woefully inadequate. Large scale epidemiological studies of mental disorders in this country (e.g., Kessler et al., 1994; Robins & Regier, 1991) have failed to include sufficient numbers of Asian Americans, limiting our ability to make meaningful comparisons of the rates of mental illness between Asian Americans and the general United States population. The magnitude of this problem is troubling. Our knowledge base has lagged far behind the population growth of Asian Americans. The Asian American population doubled in size between 1980 and 1990, and has grown by an average of 4.5 percent annually since 1990 (Hajime-Shinagawa, 1996). At this rate, by the year 2050, it is estimated that the Asian American population will have grown to five times its size in 1995 and will make up ten percent of the nation’s population (Hajime-Shinagawa, 1996). In order to improve our response to the treatment needs of this growing population of Americans, more, well-designed studies are needed to determine the rates and correlates of mental illness among Asian Americans.
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References
Abe, J. S., & Zane, N. W. S. (1990). Psychological maladjustment among Asian and White American college students: Controlling for confounds. Journal of Counseling Psychology, 37(4), 437–444.
American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author.
American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (3rd ed., Rev..). Washington, DC: Author.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
Asian Week. (1991). Asians in America: 1990 Census. Classification by states. San Francisco: Author.
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.
Diaz, J. O. P. (1988). Assessment of Puerto Rican children in bilingual education programs in the United States: A critique of Lloyd M. Dunn’s monograph. Hispanic Journal of Behavioral Sciences, 10, 237–252.
Hajime-Shinagawa, L. (1996). The impact of immigration on the demography of Asian Pacific Americans. In B. Ong Hing, & R. Lee, R (Eds.), The state of Asian Pacific America: Reframing the immigration debate. A public policy report. LEAP Asian Pacific American Public Policy Institute and UCLA Asian American Studies Center: Los Angeles.
Herrera, R. S., Delcampo, R. L., & Ames, M. H. (1993). A serial approach for translating family science instrumentation. Family Relations, 42, 357–360.
Hwu, H.-G., Yeh, E. K., & Chang, L. Y. (1986). Chinese Diagnostic Interview Schedule, I: Agreement with psychiatrist’s diagnosis. Acta Psychiatrica Scandinavica, 73, 225–233.
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.
Hwu, H.-G., Yeh, E. K., Chang, L. Y., & Yeh, Y. L. (1986). Chinese Diagnostic Interview Schedule, II: A validity study on estimation of lifetime prevalence. Acta Psychiatrica Scandinavica, 73, 348–357.
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.
Kleinman, A. (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.
Kuo, W. H. (1984). Prevalence of depression among Asian-Americans. Journal of Nervous and Mental Disease, 172(8), 449–457.
Marsella, A. J., Kinzie, D., & Gordon, P. (1973). Ethnic variations in the expression of depression. Journal of Cross-Cultural Psychology, 4(4), 435–458.
Okazaki, S. (1997). Sources of ethnic differences between Asian American and White American college students on measures of depression and social anxiety. Journal of Abnormal Psychology, 106(1), 32–60.
Robins, L. N., & Regier, D. A. (1991). Psychiatric disorders in America: The Epidemiologic Catchment Area Study. New York: The Free Press.
Snowden, L. R., & Cheung, F. K. (1990). use of inpatient mental health services by members of ethnic minority groups. American Psychologist, 45(3), 347–355.
Sue, S., Fujino, D. C., Hu, L. T., Takeuchi, D. T., & Zane, N. W. S. (1991). Community mental health services for ethnic minority groups: A test of the cultural responsiveness hypothesis. Journal of Consulting & Clinical Psychology, 59(4), 533–540.
Sue, S. (1999). Science, ethnicity, and bias: Where have we gone wrong? American Psychologist, 54(12), 1070–1077.
Sue, S., Kurasaki, K. S., & Srinivasan, S. (1999). Ethnicity, genders, and cross-cultural issues in clinical research. In P. C. Kendall, J. N. Butcher, & G. N. Holmbeck (Eds.), Handbook of research methods in clinical psychology (2nd ed., pp. 54–71). New York: J. Wiley & Sons.
Sue, S., & Sue, D. W. (1974). MMPI comparisons between Asian-American and non-Asian students utilizing a student health psychiatric clinic. Journal of Counseling Psychology, 21(5), 423–427.
Takeuchi, D. T., Chung, R. C-Y., Lin, K.-M.., Shen, H., Kurasaki, K., Chun, C-A., & Sue, S. (199 8). Lifetime and twelve-month prevalence rates of major depressive episodes and dysthymia among Chinese Americans in Los Angeles. American Journal of Psychiatry, 155,(10), 1407–1414.
Takeuchi, D. T., Kuo, H-S., Kim, K., & Leaf, P. J. (1989). Psychiatric symptom dimensions among Asian Americans and Native Hawaiians: An analysis of the symptom checklist. Journal of Community Psychology, 17(4), 319–329.
Takeuchi, D., & Uehara, E. (1996). Ethnic minority mental health services: Current research and future conceptual directions. In B. L. Levin, & J. Petrila (Eds.), Mental health services: A public health perspective (pp. 63–96). New York: Oxford University Press.
Uba, L. (1994). Asian Americans: Personality patterns, identity, and mental health. New York: Guilford.
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 & G. J. Canino (Eds.), Alcoholism in North America, Europe, and Asia (pp. 264–286). New York: Oxford University Press.
World Health Organization (1992). ICD-10: The ICD-10 classification of mental and behavioral disorders. Clinical descriptions and diagnostic guidelines. Geneva, Switzerland: Author.
Yin, X.-H. (2000, May 7). Asian Americans: The two sides of America’s ‘model minority.’ Los Angeles Times.
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. S., Wang, Y., & Cheung, F. (1997). An epidemiological study of neurasthenia in Chinese-Americans in Los Angeles. Comprehensive Psychiatry, 38(5), 249–259.
Zung, W. W. K. (1965). A self-rating depression scale. Archives of General Psychiatry, 12, 63–70.
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Kurasaki, K.S., Koike, A.K. (2002). Assessing Psychiatric Prevalence Rates Among Asian Americans. 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_14
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DOI: https://doi.org/10.1007/978-1-4615-0735-2_14
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