Hostname: page-component-77c89778f8-n9wrp Total loading time: 0 Render date: 2024-07-18T06:45:36.088Z Has data issue: false hasContentIssue false

A community study of mental disorders among four aboriginal groups in Taiwan

Published online by Cambridge University Press:  09 July 2009

Tai Ann Cheng*
Affiliation:
Department of Psychiatry, National Taiwan University and Institute of Ethnology, Academia Sinica, Taipei, Taiwan, ROC
Mutsu Hsu
Affiliation:
Department of Psychiatry, National Taiwan University and Institute of Ethnology, Academia Sinica, Taipei, Taiwan, ROC
*
1 Address for correspondence: Dr T. A. Cheng, Department of Psychiatry, National Taiwan University, I, Chang-Te Street, Taipei, Taiwan, ROC.

Synopsis

In this paper background, objectives, methodology and a few preliminary findings of a comparative epidemiological study of mental disorders among four aboriginal groups in Taiwan are presented. The study includes both a cross-sectional sample survey (N = 993) and prospective cohort studies involving psychoses, minor psychiatric morbidity, alcoholism, suicide, and accidental death. The total response rate to the sample survey was 98·3%; respondents were found to be representative. A preliminary analysis found very high rates of death from suicide, accidents and chronic liver and lung disease with a previous history of alcoholism in many of these deaths. Implications of these findings and studies of risk factors of all these health problems and their relationships are discussed.

Type
Preliminary Communication
Copyright
Copyright © Cambridge University Press 1992

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Referemces

Barraclough, B. & Hughes, J. (1987). Suicide: Clinical and Epidemiological Studies. Croom Helm: London.Google Scholar
Beiser, M. & Fleming, J. A. E. (1986). Measuring psychiatric disorder among Southeast Asian refugees. Psychological Medicine 16, 627639.CrossRefGoogle ScholarPubMed
Cheng, T. A. (1988). A community study of minor psychiatric morbidity in Taiwan. Psychological Medicine 18, 953968.CrossRefGoogle ScholarPubMed
Cheng, T. A. (1989 a). Sex difference in prevalence of minor psychiatric morbidity in Taiwan. Acta Psychiatrica Scandinavica 80, 395407.CrossRefGoogle ScholarPubMed
Cheng, T. A. (1989 b). Psychosocial stress and minor psychiatric morbidity: a community study in Taiwan. Journal of Affective Disorders 17, 137152.CrossRefGoogle ScholarPubMed
Cheng, T. A. (1989 c). Symptomatology of minor psychiatric morbidity: a cross-cultural comparison. Psychological Medicine 19, 697708.CrossRefGoogle Scholar
Cheng, T. A. (1989 d). Urbanisation and minor psychiatric morbidity: a community study in Taiwan. Social Psychiatry and Psychiatric Epidemiology 24, 309316.CrossRefGoogle ScholarPubMed
Cheng, T. A. & Williams, P. (1986). The design and development of a screening questionnaire (CHQ) for use in community studies of mental disorders in Taiwan. Psychological Medicine 16, 415422.CrossRefGoogle ScholarPubMed
Cooper, J. & Sartorius, N. (1977). Cultural and temporal variations in schizophrenia: a speculation on the importance of industrialization. British Journal of Psychiatry 139, 5055.CrossRefGoogle Scholar
Endicott, J. & Spitzer, R. L. (1978). A diagnostic interview. Archives of General Psychiatry 35, 837844.CrossRefGoogle ScholarPubMed
Goldberg, D. P., Cooper, B., Eastwood, M. R., Kedward, H. B. & Shepherd, M. (1970). A standardized psychiatric interview for use in community surveys. British Journal of Preventive and Social Medicine 24, 1823.Google ScholarPubMed
Gordon, M. M. (1964). Assimilation in American Life. Oxford University Press: New York.Google Scholar
Hagnell, O., Lanke, J. & Rorsman, B. (1981). Suicide rates in the Lundby study: mental illness as a risk factor for suicide. Neuropsychiatry 7, 248253.Google ScholarPubMed
Hsu, M. (1987). Psychosocial Adaptation of two Malayo-Polynesian Cultures in Taiwan. Ph.D. thesis, University of California at Berkeley.Google Scholar
Hsu, M. (1991). Culture, Self, and Adaptation: The Psychological Anthropology of Two Malayo-Polynesian Groups in Taiwan. Institute of Ethnology, Academia Sinica: Taipei.Google Scholar
Kleinman, A. (1987). Anthropology and psychiatry: the role of culture in cross-cultural research on illness. British Journal of Psychiatry 151, 447454.CrossRefGoogle ScholarPubMed
Leff, J. P. (1990). The ‘new cross-cultural psychiatry’: a case of the baby and the bathwater. British Journal of Psychiatry 156, 305307.CrossRefGoogle ScholarPubMed
Littlewood, , (1990). From categories to contexts: a debate of the ‘new cross-cultural psychiatry’. British Journal of Psychiatry 156, 308327.CrossRefGoogle Scholar
Manson, S. M., Shore, J. H. & Bloom, J. D. (1985). The depressive experience in American Indian communities: a challenge for psychiatric theory and diagnosis. In Culture and Depression (ed. Kleinman, A. and Good, B.), pp. 331368. University of California Press: Berkeley.CrossRefGoogle Scholar
Mari, J. J., Sen, B. & Cheng, T. A. (1989). Case definition and case identification in cross-cultural perspective. In The Scope of Epidemiological Psychiatry (ed. Williams, P., Wilkinson, G. and Rawnsley, K.), pp. 489506. Routledge: London.Google Scholar
Mayfield, D., McCleod, G. & Hall, P. (1974). The CAGE questionnaire: validation of a new alcoholism screening questionnaire. American Journal of Psychiatry 131, 11211123.CrossRefGoogle Scholar
Monk, M. (1987). Epidemiology of suicide. Epidemiologic Review 9, 5169.CrossRefGoogle ScholarPubMed
Moser, J. (1974). Problems and Programmes Related to Alcohol and Drug Dependence in 33 Countries. World Health Organization: Geneva.Google Scholar
Murphy, H. B. M. (1982). Comparative Psychiatry: The International and Intercultural Distribution of Mental Illness. Springer-Verlag: Berlin.CrossRefGoogle ScholarPubMed
Rin, H. & Lin, T. Y. (1962). Mental illness among Formosan aborigines as compared with the Chinese in Taiwan. Journal of Mental Science 108, 134146.CrossRefGoogle ScholarPubMed
Robins, L. N., Helzer, J. E., Croughan, J. & Ratcliff, K. S. (1981). National Institute of Mental Health Diagnostic Interview Schedule. Its history, characteristics, and validity. Archives of General Psychiatry 38, 381388.CrossRefGoogle ScholarPubMed
Sainsbury, P. (1986). The epidemiology of suicide. In Suicide (ed. Roy, A.), pp. 1740. Williams & Wilkins: Baltimore.Google Scholar
Selzer, M. L. (1971). Michigan Alcoholism Screening Test (MAST): the quest for a new diagnostic instrument. American Journal of Psychiatry 127, 16531658.CrossRefGoogle Scholar
Singer, K. (1975). Depressive disorders from a transcultural perspective. Social Science & Medicine 9, 289301.CrossRefGoogle ScholarPubMed
Wender, P. H., Kety, S. S., Rosenthal, D., Schulsinger, F., Ortmann, J. & Lunde, I. (1986). Psychiatric disorders in the biological and adoptive families of adopted individuals with affective disorders. Archives of General Psychiatry 43, 923929.CrossRefGoogle ScholarPubMed
Yap, P. M. (1965). Phenomenology of affective disorder in Chinese and other cultures. In Transcultural Psychiatry (ed. Rueck, A. and Porter, R.), pp. 84114. Little, Brown & Co.: Boston.Google Scholar
Yeh, Y. L., Wang, J. D., Hwu, H. G. & Yeh, E. K. (1988). Drinking patterns and alcohol related problems among aborigines in Taiwan. Annual Report, Taipei City Psychiatric Center: Taipei (in Chinese).Google Scholar