Journal
CULTURAL DIVERSITY & ETHNIC MINORITY PSYCHOLOGY
Volume 14, Issue 1, Pages 10-18Publisher
EDUCATIONAL PUBLISHING FOUNDATION-AMERICAN PSYCHOLOGICAL ASSOC
DOI: 10.1037/1099-9809.14.1.10
Keywords
stigma; efficacy; psychiatric treatment; traditional Chinese medicine; Chinese
Categories
Funding
- NATIONAL HUMAN GENOME RESEARCH INSTITUTE [R01HG001859] Funding Source: NIH RePORTER
- NATIONAL INSTITUTE OF MENTAL HEALTH [K01MH073034] Funding Source: NIH RePORTER
- NHGRI NIH HHS [HG01859] Funding Source: Medline
- NIMH NIH HHS [K01 MH073034, K01 MH73034-01] Funding Source: Medline
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In this study we examined community attitudes of efficacy and shame to investigate the factors that may underlie mental health service underutilization among Chinese Americans. We administered an experimental vignette to assess beliefs of efficacy and shame toward using traditional Chinese medicine (TCM) as opposed to Western health services in a sample of 90 Chinese Americans obtained through a national telephone survey. Contrary to predictions, beliefs of efficacy for treating mental disorders were found to be greater for Western psychiatric services when compared with TCM. As predicted however, Chinese Americans perceived greater community attitudes of shame when accessing Western psychiatric services as opposed to TCM to treat a mental disorder. Furthermore, these differences in community attitudes of shame only occurred among respondents who received a psychiatric condition vignette, but not with respondents who were administered a vignette of a physical disorder. These findings suggest that perceived shame may play an important role in help seeking and that integration of TCM with Western psychiatric care may have implications for reducing shame for Chinese Americans.
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