This document summarizes a literature review on depression among Chinese Americans. The review examined risk factors for depression and effectiveness of culturally relevant interventions. Six studies were reviewed that used various sample sizes and methodologies, including randomized controlled trials and qualitative analyses. Key findings included that culturally adapted treatments were effective at reducing depression symptoms. However, studies also noted barriers like small sample sizes. Overall, the review found support for utilizing culturally sensitive approaches to address under-recognition of depression in the Chinese American population.
A journal club article review prepared for the Psychiatry Residency of Texas Tech El Paso - Paper title: 'Psilocybin Produces Substantial & Sustained Decreases in Depression & Anxiety in Patients With Life-threatening Cancer: A Randomized Double-Blind Trial'
This course has been designed to equip the student with the basic research design including research methods in health sciences. The course aims to impart basic knowledge on different types of study design
A journal club article review prepared for the Psychiatry Residency of Texas Tech El Paso - Paper title: 'Psilocybin Produces Substantial & Sustained Decreases in Depression & Anxiety in Patients With Life-threatening Cancer: A Randomized Double-Blind Trial'
This course has been designed to equip the student with the basic research design including research methods in health sciences. The course aims to impart basic knowledge on different types of study design
Protection of human subjects,Phenomenon ,Methodology,Study design,Theoretical model,Significance of the study,Research problem,
WHAT IS THE IMPACT OF COMFORT CARE VERSES ALTERNATIVE CARE FOR THE CHRONIC DYING PATIENT FAMILY AND THE HEALTH CARE TEAM
Carle Palliative Care Journal Club 1/15/2020Mike Aref
A journal club review and criticism of J Natl Cancer Inst. 2019 Dec 17. pii: djz233. doi: 10.1093/jnci/djz233 Emergency Department Visits for Opioid Overdoses Among Patients with Cancer by Jairam V, Yang DX, Yu JB, Park HS.
Get your quality homework help now and stand out.Our professional writers are committed to excellence. We have trained the best scholars in different fields of study.Contact us now at http://www.premiumessays.net/ and place your order at affordable price done within set deadlines.We always have someone online ready to answer all your queries and take your requests.
رای جستجوي اطلاعات مناسب، یافتن بهترین شواهد موجود در کمترین زمان ممکن بسیار مهم و حیاتی می باشد. از این رو آشنایی با روشهای صحیح جستجو، نحوه طرح سوال قابل پاسخ (PICO ) و پایگاههای اطلاعاتی مناسب ضروری به نظر می رسد
استراتژی عمومی جستجو در بالین
مرحله اول: طراحی PICO
در مرحله اول جستجوی اطلاعات، چند دقیقه وقت بگذارید و به خوبی در مورد سوال خود و آنچه که می خواهید در مورد آن جستجو کنید فکر کنید. جستجوگر بایستی مشکل و سوال خود را بخوبی بررسی و تجزیه و تحلیل کند. يكي از بهترين توصيه ها در این زمینه براي كادر بالینی، طرح سوال قابل پاسخ و یا به اصطلاح PICO است
مرحله دوم: تعیین کلیدواژه ها و مترادفات
پس از طراحی PICO ، کلیدواژه های جستجو بر اساس P ، I ، C و O در سوال موردنظر تعیین می شوند. واژه های مترادف و مرتبط این کلیدواژه ها از قبیل اختصارات، واژه های با دامنه وسیع تر و یا دامنه محدودتر، رسم الخط های متفاوت و ... نیز در صورت نیاز تعیین می شوند و جستجو آغاز می شود
مرحله سوم: انتخاب پایگاه اطلاعاتی مناسب
انتخاب پایگاه اطلاعاتی مناسب و مرتبط با موضوع جستجو یکی از کلیدی ترین مراحل جستجو است. با توجه به اینکه بسیاری از پایگاههای اطلاعاتی بویژه در حوزه پزشکی براساس نوع اطلاعات و مطالعات در حال تخصصی شدن هستند، آشنایی با دامنه موضوعی و کاربردهای آنها موجب بازیابی اطلاعات مناسب تر و صرفه جویی در زمان خواهد شد.
مرحله چهارم: طراحی روش جستجو
جستجو در اینترنت و پایگاه اطلاعاتی با بکارگیری روشهای ساده و در عین حال صحیح جستجو بسیار آسان و لذت بخش خواهد بود. برعکس، عدم آشنایی با این روشهای آسان ممکن است موجب شود که یا اطلاعات غیرمرتبط بازیابی کنید و یا بسیاری از اطلاعات مفید را از دست بدهید.
SHARE Webinar: Why Should I Join a Clinical Trial with Dr. Hershmanbkling
Dr. Dawn L. Hershman of the Herbert Irving Comprehensive Cancer Center at Columbia University presented the basics of clinical trials and emphasized how important it is for more patients to participate in them. She also discussed trials currently available for early stage and metastatic breast cancers. The webinar was presented on June 25, 2014. To hear the webinar, visit www.sharecancersupport.org/hershman
QUALITY OF LIFE AS A PREDICTOR OF POST OPERATIVE OUTCOME FOLLOWING REVASCULAR...Shantonu Kumar Ghosh
World Health Organization (WHO) defines quality of life as an individual’s perception of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards and concerns.8
QOL encompasses the concept of health-related quality of life (HRQOL) and other domains such as environment, family and work. HRQOL is the extent to which one’s usual or expected physical, emotional and social well-being is affected by a medical condition or its treatment.9
For patients suffering from peripheral arterial disease (PAD), quality of life (QoL) has become as important as medical outcome end points, such as mortality and morbidity, to evaluate the effect of disease and treatment.10
Austin Biometrics and Biostatistics is a peer-reviewed, open access journal published by Austin Publishers. It provides easy access to high quality Manuscripts covering wide aspects of science of biostatistics that encompasses the design of biological experiments in various related fields like medicine, pharmacy, agriculture and fishery where the collection, summarization, and analysis of data, interpretations of data and inference. This journal also focuses upon the combination of biology and statistics, commonly referred as Biometry or Biometrics.
Austin Publishing Group is a successful host of more than hundred peer reviewed, open access journals in various fields of science and technology with intent to bridge the gap between academia and research access.
Austin Biometrics and Biostatistics accepts original research articles, review articles, case reports, mini reviews, rapid communication, opinions and editorials on all the related aspects of biometrics and biostatistics.
Protection of human subjects,Phenomenon ,Methodology,Study design,Theoretical model,Significance of the study,Research problem,
WHAT IS THE IMPACT OF COMFORT CARE VERSES ALTERNATIVE CARE FOR THE CHRONIC DYING PATIENT FAMILY AND THE HEALTH CARE TEAM
Carle Palliative Care Journal Club 1/15/2020Mike Aref
A journal club review and criticism of J Natl Cancer Inst. 2019 Dec 17. pii: djz233. doi: 10.1093/jnci/djz233 Emergency Department Visits for Opioid Overdoses Among Patients with Cancer by Jairam V, Yang DX, Yu JB, Park HS.
Get your quality homework help now and stand out.Our professional writers are committed to excellence. We have trained the best scholars in different fields of study.Contact us now at http://www.premiumessays.net/ and place your order at affordable price done within set deadlines.We always have someone online ready to answer all your queries and take your requests.
رای جستجوي اطلاعات مناسب، یافتن بهترین شواهد موجود در کمترین زمان ممکن بسیار مهم و حیاتی می باشد. از این رو آشنایی با روشهای صحیح جستجو، نحوه طرح سوال قابل پاسخ (PICO ) و پایگاههای اطلاعاتی مناسب ضروری به نظر می رسد
استراتژی عمومی جستجو در بالین
مرحله اول: طراحی PICO
در مرحله اول جستجوی اطلاعات، چند دقیقه وقت بگذارید و به خوبی در مورد سوال خود و آنچه که می خواهید در مورد آن جستجو کنید فکر کنید. جستجوگر بایستی مشکل و سوال خود را بخوبی بررسی و تجزیه و تحلیل کند. يكي از بهترين توصيه ها در این زمینه براي كادر بالینی، طرح سوال قابل پاسخ و یا به اصطلاح PICO است
مرحله دوم: تعیین کلیدواژه ها و مترادفات
پس از طراحی PICO ، کلیدواژه های جستجو بر اساس P ، I ، C و O در سوال موردنظر تعیین می شوند. واژه های مترادف و مرتبط این کلیدواژه ها از قبیل اختصارات، واژه های با دامنه وسیع تر و یا دامنه محدودتر، رسم الخط های متفاوت و ... نیز در صورت نیاز تعیین می شوند و جستجو آغاز می شود
مرحله سوم: انتخاب پایگاه اطلاعاتی مناسب
انتخاب پایگاه اطلاعاتی مناسب و مرتبط با موضوع جستجو یکی از کلیدی ترین مراحل جستجو است. با توجه به اینکه بسیاری از پایگاههای اطلاعاتی بویژه در حوزه پزشکی براساس نوع اطلاعات و مطالعات در حال تخصصی شدن هستند، آشنایی با دامنه موضوعی و کاربردهای آنها موجب بازیابی اطلاعات مناسب تر و صرفه جویی در زمان خواهد شد.
مرحله چهارم: طراحی روش جستجو
جستجو در اینترنت و پایگاه اطلاعاتی با بکارگیری روشهای ساده و در عین حال صحیح جستجو بسیار آسان و لذت بخش خواهد بود. برعکس، عدم آشنایی با این روشهای آسان ممکن است موجب شود که یا اطلاعات غیرمرتبط بازیابی کنید و یا بسیاری از اطلاعات مفید را از دست بدهید.
SHARE Webinar: Why Should I Join a Clinical Trial with Dr. Hershmanbkling
Dr. Dawn L. Hershman of the Herbert Irving Comprehensive Cancer Center at Columbia University presented the basics of clinical trials and emphasized how important it is for more patients to participate in them. She also discussed trials currently available for early stage and metastatic breast cancers. The webinar was presented on June 25, 2014. To hear the webinar, visit www.sharecancersupport.org/hershman
QUALITY OF LIFE AS A PREDICTOR OF POST OPERATIVE OUTCOME FOLLOWING REVASCULAR...Shantonu Kumar Ghosh
World Health Organization (WHO) defines quality of life as an individual’s perception of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards and concerns.8
QOL encompasses the concept of health-related quality of life (HRQOL) and other domains such as environment, family and work. HRQOL is the extent to which one’s usual or expected physical, emotional and social well-being is affected by a medical condition or its treatment.9
For patients suffering from peripheral arterial disease (PAD), quality of life (QoL) has become as important as medical outcome end points, such as mortality and morbidity, to evaluate the effect of disease and treatment.10
Austin Biometrics and Biostatistics is a peer-reviewed, open access journal published by Austin Publishers. It provides easy access to high quality Manuscripts covering wide aspects of science of biostatistics that encompasses the design of biological experiments in various related fields like medicine, pharmacy, agriculture and fishery where the collection, summarization, and analysis of data, interpretations of data and inference. This journal also focuses upon the combination of biology and statistics, commonly referred as Biometry or Biometrics.
Austin Publishing Group is a successful host of more than hundred peer reviewed, open access journals in various fields of science and technology with intent to bridge the gap between academia and research access.
Austin Biometrics and Biostatistics accepts original research articles, review articles, case reports, mini reviews, rapid communication, opinions and editorials on all the related aspects of biometrics and biostatistics.
This presentation was given at the ISAAC Asian American Young Adults Ministry workshop in Cupertino on March 28th. It includes demographic information about Asian American religious identification and information about recent findings regarding Asian American Young Adult culture and youth mental health.
Searching for His Chinese American Identity: A Psychologist Morphed into A H...John Jung
An account of how a psychology professor searching for his Chinese American identity became an historian of Chinese American history after he retired.
Monterey Park library 7.24.2012
Social, Cultural and Ethnic Aspects of Mood DisordersImran Waheed
A lecture by Dr Imran Waheed, Consultant Psychiatrist, delivered in Birmingham, UK on February 7th 2012. The audience was medical students in Birmingham
Week 5 EBP ProjectAppraisal of EvidenceCLC EBP Research .docxcockekeshia
Week 5 EBP Project/Appraisal of Evidence
CLC: EBP Research Table
Citation
Include the APA reference note.
Abstract/Purpose
Craft a 100-150 word summary of the research.
Research/Study
Describe the design of the relevant research or study in the article.
Methods
Describe the methods used, including tools, systems, etc.
Setting/Subject
Identify the population and
the setting in which the study was conducted.
Findings/Results
Identify the relevant findings, including any specific data points that may be of interest to your EBP project.
Variables
Describe the independent and dependent variables in the research/study.
Implication for Practice
Articulate the value of the research to the EBP project your group has chosen.
Independent Variable
Dependent Variable
King-Shier, K.M., Mather, C., &LeBlanc, P. (2013). Understanding the influence of urban or rural living on cardiac patients’ decisions about diet and physical activity: Descriptive decision modeling. International Journal of Nursing Studies, 50(11), 1513-1523. doi: 10.1016/j.ijnurstu.2013.03.003
This research aims to answer to better understand the decision-making process of eating a heart healthy diet and extent of physical activity. Also, are these decisions influenced by whether the subject lives in a rural or urban setting. The research proposal was the cultural issues effected participants decision making as well as place of residence. This research used a previous qualitative research design in which 42 cardiac patients (21 urban, and 21 rural) were interviewed about their diet and physical activity. The researchers then designed a model for interviewing regarding the decision-making process. The combination model was then given and tested with 647 cardiac patients (327 urban and 320 rural) from Canada. The results were based on 93.5% accuracy for diet and 97.5 % accuracy with physical activity. Results indicated that decision-making was less about place of residence and more about perception of control over health including time, effort, or competing priorities, receipt of appropriate clear information, and appeal of the activity.
A three-staged, multi-methods approach was used to develop and analyze the descriptive decision making model that patients use in making decisions regarding their cardiac lifestyle. A cross-sectional survey was used to interview patients one year post-cardiac catherization. These interviews were performed via telephone. A three stage decision tree model was then used to analyze the information offered. The stages were as follows: 1. Factors that were influential in decision making. 2. If and where failure had occurred for patients. 3. Did patients consistently, sometimes, or not at all engage in physical activity and a heart healthy diet. Results were then analyzed using statistical analysis.
Information was gathered from a previous series of qualitative interviews conducted with 42 cardiac patients (21 rural, 21 urban). Based on the infor.
Homework #3The information need for this assignment is already b.docxhoward4little59962
Homework #3
The information need for this assignment is already been done in a previous assignment #2 just need to add to the ongoing assignment.
#1 ASSIGNMENT
Assignment 2: LASA 1: Final Project: Early Methods Section
Due
Wednesday, April 12, 2017
.
In your final paper for this course, you will need to write a
Methods
section that is about 4 pages long where you will assess and evaluate the methods of research.
In preparation for this particular section, answer the following questions thoroughly and provide justification/support. The more complete and detailed your answers for these questions, the better prepared you are to successfully write your final paper.
Please submit your answers as a single 4- to 6-page document as a numbered list; this will ensure you do not inadvertently miss a question.
Additionally, please submit a title page and a reference page in proper APA format.
What is your research question?
What is your hypothesis or hypotheses? What is the null hypothesis?
How many participants would you like to use and why? What are the inclusion characteristics, i.e., what must they have in order to be included in your study (for example, gender, diagnosis, age, personality traits, etc.)? Are there any exclusion characteristics, i.e. are there certain characteristics that would exclude them from being in your study? Does the sample need to be diverse? Why or why not?
What sampling technique will be used to collect your sample? What population does your sample generalize to?
What are the variables in your study?
HINT:
Refer back to your hypothesis or hypotheses.
Provide operational definitions for each variable.
How will you measure each variable? Discuss the reliability and validity of these measures in general terms.
What technique will be used for data collection (e.g., observation, survey, interview, archival, etc.)?
What type of research design is being used?
Briefly discuss the procedure that would be followed when conducting the research.
What are some
POTENTIAL
ethical issues? How might they be addressed?
#2 THE EXAMPLE FOR THE ASSIGNMENT
Final Project: Early Method Section
Final Project:
Early Method Section
What is your research question?
My research question is “Does stress reduction efficacy vary between relaxation response treatment and mindfulness-based programs for female undergraduate students between the ages of 18-25?”
The research question is important because previous studies have only provided empirical evidence demonstrating the efficacy of each method on its own and a comparison of the methods within other controlled populations. Research has investigated the effects of these stress-reduction methods within specific subgroups of the population, but not within the population that is targeted in this study. It is also important because
the majority of research has focused on the effects of stress-reduction techniques on medical students, healthcare professionals, and undergraduate pr.
Telaah jurnal Prevalence of hypochondriac symptoms among health science stude...Rindang Abas
Hypochondriac symptoms are commonly reported in health science students. With their incomplete medical knowledge, they may compare their own bodily symptoms with disease symptoms during the process of learning, which can lead to mental distress and the need for repeated medical reassurance.
Research Methods in PsychologyThe Effectiveness of Psychodyn.docxronak56
Research Methods in Psychology
The Effectiveness of Psychodynamic Therapy on Childhood Abused Victims.
Annotate Bibliography
Nickel, R., & Egle, U. T. (2005). Influence of childhood adversities and defense styles on the 1-year follow-up of psychosomatic- psychotherapeutic inpatient treatment. Psychotherapy Research, 15(4), 483-494. doi:10.1080/10503300500091660
This study was conducted to examine childhood abused victims' quality of life before treatment, and after treatment. A multimodal psychodynamic group concept was used to treat 138 patients for an average of 80.4 days. In order, to properly develop a comparison, clinical examiners interviewed each patient before the start to their in-patient program to diagnose each individual, and have therapy goals for them. The questionnaires that were used to measure quality of life targeted the patient's social life health, general health, emotional and physical functioning. The patients were all re-assessed after one year had passed by, to examine any changes in their quality of life. It was revealed that the patients' mental quality of life had improved by more than one standard deviation. Their physical quality of life improved just less than one standard deviation.
Baker, V., & Sheldon, H. (2007). 'The Light at the End of the Tunnel': Issues of Hope and Loss in Endings with Survivors Groups. Group Analysis, 40(3), 404-416. doi:10.1177/0533316407081759
In this article, a previous study was mentioned in which childhood abuse survivors were treated for 20 sessions. The authors of this article agreed that 20 sessions of treatment for childhood abuse survivors isn't enough for them to develop a secure attachment to the group. This study explores whether childhood abuse victims can benefit from treatment by being treated for a longer period. Seven group members of ages 23-55 were treated for 52 sessions, over a period of 13 months. All of the members in this group are women, and they had all been sexually abused in their childhood by a family member. They followed a psychodynamic, time-limited closed group therapy, in which they all benefited somewhat. However, many of the members expressed anxiety of leting go, and not being able to move on after the group ended.
Foa, E. (2009). Psychodynamic Therapy for Child Trauma. Retrieved from https://www.istss.org/ISTSS_Main/media/Documents/ISTSS_g12.pdf
The authors of this article discuss the efficacy of pyshcodynamic methods on childhood abuse victims, by presenting the results of five randomized controled trials. The population involved in these randomized controled trials were : preschoolers that were exposed to domestic violance, abused infant and sexually abused girls. Three of these randomized controled trials focused on a child-parent therapy, using a relationship-based intervention. The goal to these three randomzied trials was to strengthen the parent-child relationship to lead to a long term healthy child development. Another randomized ...
Could you please fill this out for Postpartum depressionDirection.pdfisenbergwarne4100
Could you please fill this out for Postpartum depression:
Directions
Write a research proposal using your clinical question formulated earlier in the course that was
approved by your instructor. This may be either a qualitative or quantitative research proposal.
Your proposal must include APA formatting. The proposal should be a 6–10 in length plus
appendices cover page, and reference page. The appendices should include your survey
instrument created in week 6. (week 7)
As you are writing your paper, use the below as your guideline. Make sure you use APA format
for all aspects of the paper.
Introduction
• Clearly stated problem and purpose of the study
• Independent and dependent variables
• Definition of terms
• Assumptions, hypothesis, or questions (depending on research type)
Theoretical Framework
• Description of the theoretical framework to be utilized
• Identification of the concepts to be explored
• Rationale for choosing framework
Review of the literature
• At least 4 scholarly sources included
• Appropriateness of the review and the proposal focus
• Inclusion of primary or secondary sources
Methodology
• Description of study type (quantitative or qualitative)
• Description of study design
• Rationale for the use of the selected design
• Inclusion of sample size, type, sampling method, inclusion/exclusion criteria, setting, data
collection method (instrument), and data collection process
• Method for Protection of Human Subjects (consent)
• Questionnaire and consent forms must be included as appendices
Data Analysis
• Data analysis method is appropriate for study design.
• Method of data analysis is clearly stated. • Method for displaying findings is stated.
Applicability to Nursing
• Research focuses on a problem significant to nursing.
• Research would contribute to nursing knowledge.
• Proposal is complete so that another researcher could replicate the study. • Statement
about areas of nursing that would benefit from this study.
Research Proposal: Does the mother\'s cultural background impact potential postpartum
depression?
(A Retrospective of LA County)
Solution
Introduction:
Background: Postpartum depression is a clinical depression which occurs after child birth due to
many reasons and affects both sexes. It occurs in women of all cultural and ethnic backgrounds.
Postpartum depression is the most common complication of childbearing. It affects
approximately 10–15% of women [5]. Various studies [1, 3] find that the depression could result
of demographic characteristics, social class and life adversity like stressful life events and low
levels of emotional support.
Research Problem: These studies suggest that postpartum depression is associated to culture and
living nature of women but do not depicts it clearly. We suggest that a study is needed to find
whether the mother\'s cultural background which births a new child in depression characteristics
affects really or not. The studies indicate a heavy possibility towards the aim.
D.
Tangible Needs and External Stressors Faced by Chinese Ameri.docxperryk1
Tangible Needs and External Stressors
Faced by Chinese American Families with
a Member Having Schizophrenia
Winnie Kung
This article examines the tangible needs and external stressors experienced by Chinese
American families with a member living with schizophrenia, in the context of a six-month
pilot study of family psychoeducation. Therapists’ notes from 117 family and group sessions
were analyzed. The families expressed concerns regarding housing, finance, work, study, and
the shortage of bilingual psychosocial services. Interacting with government offices and
social services agencies caused anxiety and frustration, partly due to the high stakes involved
given their low socioeconomic status, and partly due to the bureaucracy. As immigrants,
study participants had needs for language translation, knowledge about resources, and advo-
cacy by case managers. This study also highlights the importance of interventions beyond
the micro individual level to the mezzo and macro levels, where changes in organizations
and policies are necessary.
KEY WORDS: caregivers; Chinese Americans; environmental stressors; ethnic sensitivity;
schizophrenia
This study aims to address the knowledge gap in understanding the challenges faced by Chinese American families with a member
living with schizophrenia in relation to their tangible
needs and external stressors from the environment. I
conducted this research in the context of an interven-
tion study of family psychoeducation that I previously
developed and pilot-tested as an ethnic-sensitive pro-
gram for Chinese Americans ( Kung, Tseng, Wang,
Hsu, & Chen, 2012). Family psychoeducation has
been proven effective in reducing caregiver stress and
the relapse rate of individuals with schizophrenia
( Jewell, Downing, & McFarlane, 2009; Lefley, 2010;
McFarlane, Dixon, Lukens, & Lucksted, 2003). The
intervention protocols focus on educating the fami-
lies about the nature of the illness, promoting better
communication, and helping family members re-
solve conflicts ( Anderson, Reiss, & Hogarty, 1986;
McFarlane, 2002) to reduce “expressed emotions”
such as criticism and overinvolvement, which highly
predict relapses ( Butzlaff & Hooley, 1998; Hooley,
2007; Leff & Vaughn, 1985; Marom, Munitz, Jones,
Weizman, & Hermesh, 2005). Few studies had been
conducted with Chinese American families, many of
whom face unique challenges due to their immigrant
status and cultural values ( Kung, 2003).
To more thoroughly understand the stresses ex-
perienced by these families so as to better meet their
needs and to refine the family psychoeducation pro-
tocol, a qualitative inquiry was conducted using the
clinicians’ session notes from the intervention study.
Whereas the family psychoeducation model in its
original design focused on resolving the psycho-
logical and relational issues within the families, this
investigation noted that these families’ struggles were
closel.
Protective factors against suicidal acts in major depression:Reasons for living, Journal Club Presentation in the Dept of Psychiatric Nursing, Kothamangalam
2. Introduction
Chinese Americans are the largest ethnic group among the Asian American
populations in the United States, with a population of 4.3 million (U.S. Census
Bureau, 2015).
Depression-related symptoms is reported in approximately 10% of Asian Americans.
15.9% of young Asian American women report suicidal thoughts (Kalibatseva &
Leong, 2011).
The purpose of this systemic review is to find the depression risk factors and the
effectiveness of culturally relevant interventions for reducing depression among
Chinese Americans.
3. Introduction
The Asian American Journal of
Psychology
The Journal is dedicated to research, practice,
advocacy, education, and policy within Asian
American psychology (APA, 2015).
Published: quarterly, beginning in March
4. Introduction
Database: CINAHL and PUBMED
Search Year and Language: 2010 – 2015, English
Keywords: Chinese Americans, Asian Americans, depression, behavioral
health, mental health, cultural barrier, immigration
Inclusion criteria: peer reviewed articles, primary quantitative and
qualitative research, health outcomes of interest, publication
language.
522 search articles yielded and 6 articles were selected for the review.
5. Methods
Yeung et al. (2010)
Included: a sufficient sample size and
randomized controlled trials (RCT).
Excluded: participants with a high risk of suicide,
substance use disorder, bipolar disorder and
unstable medical conditions.
Hwang et al. (2015)
Included: a small sample size and a RCT.
Excluded: reliable data and sufficient sample
size
Kwong, Chung, Cheal, Chou and Chen (2011)
Included: a RCT and a small sample size
Excluded: adequate and reliable samples due to
high refusal rate.
Chao et al. (2014)
Included: both participants and matching group
in the UCSF.
Excluded: diverse sample size.
Zhang, Fang, Wu and Wieczorek (2013)
Included: date from the National Latino and
Asian Study (NLAAS)
Excluded: the RCTs and controlled groups
Hsieh and Bean (2014)
Included: interpreting findings that understating
cultural factors in Chinese American families.
Excluded: a summary statistic
6. Author: Yeung et al. (2010)
Study Design
• Sample size: 4,228 Chinese American patients
• Participants: participants were randomized into culturally sensitive
collaborative treatment (CSCT) and compared group (Yeung et al.,
2010).
Study Results
• Results clearly showed that CSCT model achieved a nearly 7-fold
increase in treatment than the control care group (Yeung et al., 2010).
Study Conclusion
• CSCT is an effective model in improving the treatment among
depressed Chinese Americans, given patients the knowledge and
treatment based on culturally-based interventions (Yeung et al., 2010).
Evidence Rating
• This article was rated as a level 1 good quality study due to sufficient
sample size, randomized control group and reasonable consistent
results. However, there were some limitations, which included low
response rate and limited generalizability to other setting (John
Hopkins Hospital, 2012).
7. Author: Hwang et al. (2015)
Study Design
• Sample size: 50 Chinese Americans met criteria ( 145 Pre-Screening at
intake)
• Participants: 27 participants were randomized into culturally adapted
CBT (CA-CBT) and 23 participants were computer randomized into
cognitive behavioral health (CBT) (Hwang et al., 2015).
Study Results
• Results clearly presented that participants in both CBT and CA-CBT
significantly decreased in depressive symptoms (Hwang et al., 2015).
Study Conclusion
• Author suggested that more intensive and longer treatments may be
needed for severe depression and also cultural adaptations may
increase additional treatment benefits.
• It is unclear how the results might have been different if the sample
size was larger (Hwang et al., 2015).
Evidence Rating
• This article is a level 1 low quality study because of insufficient
sample (John Hopkins Hospital, 2012).
8. Author: Kwong et al. (2011)
Study Design
• Sample size: 6,065 Chinese Americans were screened for depression,
57 participated.
• Participants: participants were randomly assigned to receive either
enhanced physician care with care management or enhanced
physician care only (Kwong et al., 2011).
Study Results
• Result clearly states that both groups resulted in significant reduction
of depressive symptoms, so there was no difference between the two
groups (Kwong et al., 2011).
Study Conclusion
• Both physician care model and physician care with care management
models are not based on cultural interventions.
• The findings of the study may be related to high refusal rates and
small sample size (Kwong et al., 2011).
Evidence Rating
• This article is a level 1 low quality study due to some control - RCT
but insufficient sample size (John Hopkins Hospital, 2012).
9. Author: Chao et al. (2014)
Study Design
• The sample included 137 elderly, cognitively impaired and cognitively
normal Chinese Americans and 140 Caucasians with and without
cognitive impairment.
• Demographic variables and clinical variables were compared across
both groups (Chao et al., 2014).
Study Results
• The results clearly showed depression was more common in
cognitively impaired Chinese Americans (35%) versus cognitively
impaired Caucasians (15%); Chinese Americans were less likely to be
treated for depression (12%) than Caucasians (37%) (Chao et al.,
2014).
Study Conclusion
• Increased depression among cognitively impaired Chinese Americans,
but they are less likely to be treated (Chao et al., 2014).
Evidence Rating
• This article is a level 2 good quality study due to sufficient sample,
some control and reasonably consistent results, The limitation of the
article is a lack of randomized controlled group (John Hopkins
Hospital, 2012).
10. Author: Zhang et al. (2013)
Study Design
• Sample size: 600 participants
• The study analyzed the immigration related depression among
Chinese Americans and used Stata Software 10.0 to analyze data for
controlling age, education level or marital status, and other related
factors (Zhang et al., 2013).
Study Results
• The depression rates were 23.20% (vs. 8.25% for China born),
compared with those who immigrated to the United States at different
ages (<18 vs. Q18 years), the lifetime prevalence rates of depressive
disorder (17.95% vs. 7.14%) (Zhang et al., 2013).
Study Conclusion
• The conclusion stated the study found United States–born immigrants
at young age (<18 years old) had higher depression rates than
Chinese-born immigrates (Zhang et al., 2013).
Evidence Rating
• This article is a level 3 good quality study based on some control and
reasonably consistent results (John Hopkins Hospital, 2012).
11. Author: Hsieh and Bean (2014)
Study Design
• The article by Hsieh and Bean (2014) discussed a culturally-
competent treatment for working with Chinese American Families.
• This is a qualitative study
Study Results
• The article explained and analyzed the effect of cultural factors,
collectivism, gender factors, family hierarchy, acculturation and sexual
development on Chinese adolescent depression (Hsieh & Bean, 2014).
Study Conclusion
• The conclusion clearly states that be aware of these factors benefits
doctors and clinicians to treat this problem in a systemic perspective
(Hsieh & Bean, 2014).
Evidence Rating
• This article is a level 3 good quality study that identifies key concepts
and fairly definitive conclusions, the limitation of article is lacking of
data and compared group (John Hopkins Hospital, 2012).
12. Conclusion
Depression among Chinese Americans continues to be a constant issue. The findings of this
literature review support prior findings indicating high rates of depression among Chinese
Americans.
All selected articles found that the cultural barrier and culture-related factors may cause under-
recognition and under-utilization of the mental health services.
The research findings support that the effectiveness of utilizing culturally collaborative treatment
and overcoming the language and cultural barrier for depression among Chinese Americans.
13. Discussion
Cross-cultural barriers are often blocked the road to the treatment of mental health illness.
A culturally-based care model plays an important role in screening, treatment and intervention of
depression among Chinese population.
Also high refusal rate leaded to a smaller sample size which increased the difficulty for this issue
related research.
Future research is needed to focus on how to utilize the cultural-based model to make depression
screening, interventions and treatment more accessible for Chinese Americans.
14. Nursing Implications
• Utilize culturally collaborative model for
depression screening and intervention
• Overcome the language and cultural barrier
• Improve the patient-provider relationship
• Use risk factors to implement treatment
• Discuss concerns with patients
• Education
15. References
Chao, S. Z., Matthews, B. R., Yokoyama, J. S., Lai, N. B., Ong, H., Tse, M., & ... Rosen, H. J. (2014). Depressive symptoms in
Chinese-American subjects with cognitive impairment. American Journal of Geriatric Psychiatry, 22(7), 642-652.
doi:10.1016/j.jagp.2012.10.029
Hsieh, A. L., & Bean, R. A. (2014). Understanding familial/cultural factors in adolescent depression: A culturally-competent
treatment for working with Chinese American families. American Journal of Family Therapy, 42(5), 398-412.
doi:10.1080/01926187.2014.884414
Hwang, W., & Fujimoto, K. (2015). Culturally adapted cognitive-behavioral therapy for Chinese Americans with depression: A
randomized controlled trial. Psychiatric Services, 66(10), 1035-1042. doi:10.1176/appi.ps.201400358
Johns Hopkins Hospital/The Johns Hopkins University (2012). Research evidence appraisal tool. Johns Hopkins nursing
evidence-based practice: Model and guidelines (2nd ed., pp. 237-240). Indianapolis, IN: Sigma Theta Tau International Honor
Society of Nursing.
Kwong, K., Chung, H., Cheal, K., Chou, J., & Chen, T. (2013). Depression care management for Chinese Americans in primary care:
A feasibility pilot study. Community Mental Health Journal, 49(2), 157-165. doi:10.1007/s10597-011-9459-9
16. References
United States Census Bureau. (2015). Chinese American population. Retrieved from https://www.census.gov/newsroom/facts-for-
features/2015/cb15-ff07.html
Yeung, A., Shyu, I., Fisher, L., Wu, S., Yang, H., & Fava, M. (2010). Culturally sensitive collaborative treatment for depressed Chinese
Americans in primary care. American Journal of Public Health, 100(12), 2397–2402. http://doi.org/10.2105/AJPH.2009.184911
Zhang, J., Fang, L., Wu, Y.-W. B., & Wieczorek, W. F. (2013). Depression, anxiety, and suicidal ideation among Chinese Americans: A
study of immigration-related factors. The Journal of Nervous and Mental Disease, 201(1), 17–22.
http://doi.org/10.1097/NMD.0b013e31827ab2e2
Zornitsa Kalibatseva and Frederick T. L. Leong, “Depression among Asian Americans: Review and Recommendations,” Depression
Research and Treatment, vol. 2011, Article ID 320902, 9 pages, 2011. doi:10.1155/2011/320902