Abstract:Asian Americans are one of the most diverse and fastest growing ethnic groups in the United States, having grown 204% between 1980 (U.S. Census Bureau, 2002. Asian Americans consist of over 30 different ethnic groups, comprise approximately 4-4% of the U.S. population, and are expected to continue growing (U.S. Census Bureau, 2003). Although the number of groups that collectively make up Asian Americans is large, unfortunately, the amount of treatment research focused on them is quite limited (Iwamasa, 1996(I… Show more
“…This framing challenges a cultural value of balance. Many foreign-born Chinese believe that balance and moderation in all things including diet (hot and cold, yin and yang), interpersonal relations, and environmental relations promotes health (21). When working with foreign-born Chinese Americans, greater success may be achieved by adapting the frame for diabetes management from limits or restrictions to balance.…”
Section: Discussionmentioning
confidence: 99%
“…Diet-related distress and family conflict are highly prevalent, and incorporating this social concern into diabetes management planning is warranted. Additionally, stress related to social concerns for family well-being and face are frequently factored into patient disease management decisions and should be part of patient-centered care with immigrant Chinese Americans (14,21). …”
OBJECTIVEAlthough Asians demonstrate elevated levels of type 2 diabetes, little attention has been directed to their unique cultural beliefs and practices regarding diabetes. We describe cultural and family challenges to illness management in foreign-born Chinese American patients with type 2 diabetes and their spouses.RESEARCH DESIGN AND METHODSThis was an interpretive comparative interview study with 20 foreign-born Chinese American couples (n = 40) living with type 2 diabetes. Multiple (six to seven) semistructured interviews with each couple in individual, group, and couple settings elicited beliefs about diabetes and narratives of care within the family and community. Interpretive narrative and thematic analysis were completed. A separate respondent group of 19 patients and spouses who met the inclusion criteria reviewed and confirmed the themes developed from the initial couples.RESULTSCultural and family challenges to diabetes management within foreign-born Chinese American families included how 1) diabetes symptoms challenged family harmony, 2) dietary prescriptions challenged food beliefs and practices, and 3) disease management requirements challenged established family role responsibilities.CONCLUSIONSCulturally nuanced care with immigrant Chinese Americans requires attentiveness to the social context of disease management. Patients' and families' disease management decisions are seldom made independent of their concerns for family well-being, family face, and the reciprocal responsibilities required by varied family roles. Framing disease recommendations to include cultural concerns for balance and significant food rituals are warranted.
“…This framing challenges a cultural value of balance. Many foreign-born Chinese believe that balance and moderation in all things including diet (hot and cold, yin and yang), interpersonal relations, and environmental relations promotes health (21). When working with foreign-born Chinese Americans, greater success may be achieved by adapting the frame for diabetes management from limits or restrictions to balance.…”
Section: Discussionmentioning
confidence: 99%
“…Diet-related distress and family conflict are highly prevalent, and incorporating this social concern into diabetes management planning is warranted. Additionally, stress related to social concerns for family well-being and face are frequently factored into patient disease management decisions and should be part of patient-centered care with immigrant Chinese Americans (14,21). …”
OBJECTIVEAlthough Asians demonstrate elevated levels of type 2 diabetes, little attention has been directed to their unique cultural beliefs and practices regarding diabetes. We describe cultural and family challenges to illness management in foreign-born Chinese American patients with type 2 diabetes and their spouses.RESEARCH DESIGN AND METHODSThis was an interpretive comparative interview study with 20 foreign-born Chinese American couples (n = 40) living with type 2 diabetes. Multiple (six to seven) semistructured interviews with each couple in individual, group, and couple settings elicited beliefs about diabetes and narratives of care within the family and community. Interpretive narrative and thematic analysis were completed. A separate respondent group of 19 patients and spouses who met the inclusion criteria reviewed and confirmed the themes developed from the initial couples.RESULTSCultural and family challenges to diabetes management within foreign-born Chinese American families included how 1) diabetes symptoms challenged family harmony, 2) dietary prescriptions challenged food beliefs and practices, and 3) disease management requirements challenged established family role responsibilities.CONCLUSIONSCulturally nuanced care with immigrant Chinese Americans requires attentiveness to the social context of disease management. Patients' and families' disease management decisions are seldom made independent of their concerns for family well-being, family face, and the reciprocal responsibilities required by varied family roles. Framing disease recommendations to include cultural concerns for balance and significant food rituals are warranted.
“…According to Iwamasa, Hsia, and Hinton (2006), cultural norms might explain why Asian immigrant clients tend to ask fewer questions, interact less with the therapist, and agree with therapist’s statements even if they disagree, which may impede understanding of session material. Furthermore, it is likely that an individual from an Asian culture with social anxiety disorder would exhibit exaggerated tendencies towards these behaviors.…”
Section: Recommendations To Clinicians and Studentsmentioning
confidence: 99%
“…Thus, CBT may be particularly useful for Asian clients, given the short-term, problem-focused nature of the treatment modality, in addition to its focus on contextual factors (Iwamasa et al, 2006). …”
Section: Recommendations To Clinicians and Studentsmentioning
Cognitive-behavioral therapy (CBT) for the treatment of Social Anxiety Disorder (SAD) has demonstrated efficacy in numerous randomized trials. However, few studies specifically examine the applicability of such treatment for ethnic minority clients. Thus, the purpose of this article is to present two case studies examining the utility of individualized CBT for SAD with two clients who immigrated to the United States, one from Central America and one from China, for whom English was not their primary language. Both clients demonstrated improvement on a semi-structured interview and self-report measures. Necessary adaptations were modest, suggesting that therapy could be conducted in a culturally sensitive manner without much deviation from the treatment protocol. Results are discussed in terms of adapting treatment to enhance acceptability for and better fitting the needs of ethnic minority clients and non-native speakers of English. Implications for treating ethnic minority clients, as well as the practice of culturally sensitive treatment, are discussed.
“…For the majority of traditional Chinese people, the time necessary for therapeutic effect significantly affects their treatment adherence and willingness to continue the particular treatment modality (Iwamasa et al 2006). As mentioned above, many Chinese people are likely to transfer their psychological concerns into somatic problems.…”
Section: Medicalization Of Psychological Problemsmentioning
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