Mental Health Issues for Asian Americans

Lin, Keh‐Ming; Cheung, Freda

doi:10.1176/ps.50.6.774

Cited by 283 publications

(219 citation statements)

References 46 publications

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“…Multiple studies have demonstrated high rates of somatic symptoms in trauma victims (Lin and Cheung, 1999;Shrestha et al, 1998;Van Ommeran et al, 2001). Results of the present study support the hypothesis that Rwandan holocaust survivors frequently experience the sudden onset of somatic symptom(s) that form part of a panic attack.…”

Section: Discussionsupporting

confidence: 85%

Somatic panic-attack equivalents in a community sample of Rwandan widows who survived the 1994 genocide

Hagengimana

Hinton

Bird

et al. 2003

Psychiatry Research

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The present study is the first to attempt to determine rates of panic attacks, especially 'somatically focused' panic attacks, panic disorder, symptoms of post-traumatic stress disorder (PTSD), and depression levels in a population of Rwandans traumatized by the 1994 genocide. The following measures were utilized: the Rwandan Panic-Disorder Survey (RPDS); the Beck Depression Inventory (BDI); the Harvard Trauma Questionnaire (HTQ); and the PTSD Checklist (PCL). Forty of 100 Rwandan widows suffered somatically focused panic attacks during the previous 4 weeks. Thirtyfive (87%) of those having panic attacks suffered panic disorder, making the rate of panic disorder for the entire sample 35%. Rwandan widows with panic attacks had greater psychopathology on all measures. Somatically focused panic-attack subtypes seem to constitute a key response to trauma in the Rwandan population. Future studies of traumatized non-Western populations should carefully assess not only somatoform disorder but also somatically focused panic attacks.

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Section: Discussionsupporting

confidence: 85%

Somatic panic-attack equivalents in a community sample of Rwandan widows who survived the 1994 genocide

Hagengimana

Hinton

Bird

et al. 2003

Psychiatry Research

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“…These findings suggest the importance of positive mental health in efforts to promote subjective health. Our findings should be considered in the context of previous studies suggesting a particular connection between physical and mental health among Asians American groups such as Korean Americans [35]. In contrast to the Western mind-body dichotomy, Asians tend to view mind and body as integrated; with the result that somatization is a more frequent method of experiencing and expressing emotional distress [35].…”

Section: Discussionmentioning

confidence: 47%

“…Our findings should be considered in the context of previous studies suggesting a particular connection between physical and mental health among Asians American groups such as Korean Americans [35]. In contrast to the Western mind-body dichotomy, Asians tend to view mind and body as integrated; with the result that somatization is a more frequent method of experiencing and expressing emotional distress [35]. Given these unique cultural characteristics, the linkage between depressive symptomatology and perception of physical health may be greater than that found in non-Asian populations.…”

Section: Discussionmentioning

confidence: 52%

Changes in Perceived Health and Depressive Symptoms: A Longitudinal Analysis with Older Korean Americans

Jang

Kim

Cho

2007

J Immigrant Minority Health

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The present study examined changes in the perceived health of older Korean Americans (n = 141) over a 2-year period: 2003 (T1) and 2005 (T2). A hierarchical regression model of changes in perceived health was estimated with the following array of predictors: (1) background variables (age, gender, marital status, education, and length of stay in the United States), (2) initial perceived health (T1), (3) physical and mental health conditions at T1 (chronic conditions, functional disability, and depressive symptoms), and (4) changes in physical and mental health conditions (T2 -T1). When the effects of background variables and baseline perceived health were controlled, baseline chronic conditions and changes in both chronic conditions and depressive symptoms were found to predict changes in perceived health. Older individuals who initially had more chronic conditions and those who had experienced an increasing number of chronic conditions and depressive symptoms over 2 years viewed their health more negatively at follow-up. Findings highlight the importance of interventions for disease management and mental health promotion to enhance subjective health among older Korean immigrants.

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“…Somatic complaints play an especially important role in symptom presentations among Southeast Asians (Chung & Singer, 1995;Kinzie, 2001;Lin & Cheung, 1999;Tseng et al, 1990;White, 1982). In a sample of Southeast Asian refugees, Chung and Singer (1995) performed a factor analysis of three scales (Anxiety, Depression, and Psychosocial) of the Health Opinion Survey (HOS).…”

Section: A Cultural Syndrome Common Among Cambodian Refugees: Weak Heartmentioning

confidence: 99%

“…We believe that when treating traumatized refugees, one should focus on somatic symptoms; somatic symptoms are prominent in PTSD populations (Shalev, Bleich, & Ursano, 1990;Shrestha et al, 1998;Van Ommeren et al, 2001) and are particularly emphasized in many nonEnglish-speaking groups (Cintrón, Carter, Suchday, Sbrocco, & Gray, 2005;Jenkins, 1996;Kirmayer, 1996;Lin & Cheung, 1999;Parker, Gladstone, & Chee, 2001). To successfully implement cognitive-behavior therapy for traumatized refugees requires an understanding of symptom generation.…”

mentioning

confidence: 99%

Symptom Presentation and Symptom Meaning Among Traumatized Cambodian Refugees: Relevance to a Somatically Focused Cognitive-Behavior Therapy

Hinton

Otto

2006

Cognitive and Behavioral Practice

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Among psychologically distressed Cambodian refugees, somatic complaints are particularly prominent. Cambodians interpret anxiety-related somatic sensations in terms of "Wind" (khyâl), an ethnophysiology that gives rise to multiple catastrophic interpretations; and they have prominent trauma-memory associations to anxiety-related somatic symptoms. In this article, we detail some of the common sensation-related dysphoric networks of Cambodian refugees, focusing on catastrophic cognitions and trauma associations. We argue that delineating symptom-related dysphoric networks is crucial to successfully adapt cognitive-behavioral interventions to treat panic disorder and posttraumatic stress disorder among Cambodian refugees, and that such an approach may be useful for the culturally sensitive adaptation of cognitive-behavior therapy for other traumatized nonWestern groups.The Current Article discusses how a somatic-focused cognitive-behavior therapy can be applied to the treatment of traumatized Cambodian refugees and, more generally, to nonEnglish-speaking traumatized refugees. The article demonstrates that such a treatment approach must be based on a complex model of the generation of somatic symptoms among trauma victims.

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Mental Health Issues for Asian Americans

Cited by 283 publications

References 46 publications

Somatic panic-attack equivalents in a community sample of Rwandan widows who survived the 1994 genocide

Somatic panic-attack equivalents in a community sample of Rwandan widows who survived the 1994 genocide

Changes in Perceived Health and Depressive Symptoms: A Longitudinal Analysis with Older Korean Americans

Symptom Presentation and Symptom Meaning Among Traumatized Cambodian Refugees: Relevance to a Somatically Focused Cognitive-Behavior Therapy

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