Stigma of depression is more severe in Chinese Americans than Caucasian Americans.

Stigma of mental illness is a major obstacle to its diagnosis and treatment and may be worse among Asians than Caucasians. This study compared the stigma of depression in 50 Chinese Americans (CA) and 50 Caucasian Americans (WA). Subjects were asked to read 5 case vignettes in the following order: d...

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Publicado en:Psychiatry: Interpersonal & Biological Processes Vol. 71; no. 3; pp. 210 - 219
Autores principales: Hsu LKG, Wan YM, Chang H, Summergrad P, Tsang BYP, Chen H
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Fall2008
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Fall2008
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        2010063441
        10.1521/psyc.2008.71.3.210
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        atl: Stigma of depression is more severe in Chinese Americans than Caucasian Americans.
      aug:
        au:
          Hsu LKG
          Wan YM
          Chang H
          Summergrad P
          Tsang BYP
          Chen H
        affil: Tufts-New England Medical Center, Boston, Massachussetts 02111, USA. ghsu@tufts-nemc.org
      sug:
        subj:
          Chinese Persons
          Depression
          Stigma
          White Persons
          Coefficient alpha
          Comparative Studies
          Culture
          Data Analysis Software
          Exploratory Research
          Factor Analysis
          Linear Regression
          Massachusetts
          Mental Disorders Diagnosis
          Questionnaires
          Severity of Illness Indices
          Summated Rating Scaling
          T-Tests
          Vignettes
          Human
      ab: Stigma of mental illness is a major obstacle to its diagnosis and treatment and may be worse among Asians than Caucasians. This study compared the stigma of depression in 50 Chinese Americans (CA) and 50 Caucasian Americans (WA). Subjects were asked to read 5 case vignettes in the following order: diabetes mellitus (DB), major depressive disorder (MDD), somatoform depression (SD), psychotic depression (PD), and fever of unknown origin (HA). Diagnosis of each case was not revealed. Subjects then rated their response to each case, on a Likert scale from 'strongly disagree' to 'strongly agree,' to 25 statements that contained 6 stigma factors: fear, shame, cognitive distortion, social consensus, discrimination, and sanction. Composite scores constructed from ratings of each factor were used to calculate the severity of stigma. Stigma of all 5 cases was worse in CA than WA. Both groups ranked DB and HA to be least and PD to be most stigmatizing. CA rated SD to be less stigmatizing than MDD but not WA. We concluded that stigma formation and severity were determined by fear, shame, cognitive distortion, social communication, consensus, and sanction. Mental symptoms, particularly psychotic symptoms, were more stigmatizing than physical symptoms, especially for CA. Belief that depression was like a physical illness did not diminish its stigma.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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