Monday, November 3, 2003

This presentation is part of : Transcultural Nursing

Presentation and Perception of Depression among Korean-American Family Caregivers

Jin H. Kim, PhD, RN, Deicke Center for Nursing Education, Deicke Center for Nursing Education, Elmhurst College, Elmhurst, IL, USA
Learning Objective #1: Understand the prevalence and presentation of depressive symptoms among Korean-American caregivers
Learning Objective #2: Understand the "Hwa-Byung", the Korean cultural-bound syndrome, as a somatic presentation of depression as well as understand the perception of depression based on the disease concept of shamanism

Purpose: To examine the presentation and perception of depression and Korean cultural-bound illness, known as "Hwa-Byung" as somatic presentation of depression under the shamnistic disease concept among Korean-American family caregivers. Design: Descriptive study with triangulated design Procedure: Convenience sample of 30 Korean-American female caregivers were interviewed face-to-face using semi-structured interview guide in conjunction with a standardized instruments. The "translation-back translation" process was utilized for data collection and analysis including quantitative and qualitative data analyses. Results: The Korean-American caregivers scored higher on the CES-D scale. The caregivers with high CES-D scores were suffering from "Hwa-Byung" prior to their current caregiving situations. The Korean-American caregivers seem to have different subjective meaning for depression and were not fully aware of the clinical signs and symptoms of depression Discussion: The Korean traditional cultural norm of filial obligation plays a significant role for emotional distress, depression.

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