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Acculturation, psychiatric comorbidity and posttraumatic stress disorder in a Taiwanese aboriginal population
Chau-Shoun Lee1, Jung-Chen Chang, Chia-Yih Liu
1Department of Psychiatry, Lo-Tung Poh-Ai Hospital, Yilan, Taiwan.
Background:
This study investigates acculturation and other antecedent psychiatric and socio-environmental risk factors for posttraumatic stress disorder (PTSD) in one aboriginal group (the Bunun) exposed to an earthquake disaster in Taiwan.
Method:
Respondents (n = 196) were assessed 5 months after the disaster, using a Chinese version of the Schedules for Clinical Assessment in Neuropsychiatry and the Taiwan Aboriginal Acculturation Scale.
Result:
Four risk factors exerted independent effect on the risk of PTSD, including magnitude of the earthquake, subsequent traumas, antecedent major depressive disorder and acculturation status.
Conclusion:
Public mental health programs need to consider the liability to PTSD in populations with different ethnicity and socio-cultural environments.
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