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Multicultural
Understanding of Child and Adolescent Psychopathology
Most
research and theory regarding psychopathology have been limited
to a handful of societies. To advance understanding of psychopathology
beyond these few societies, it is necessary to systematically
assess the relevant phenomena across many societies. Such
assessment requires that the same standardized procedures
be applied to representative samples of populations from multiple
societies. When the same standardized procedures are applied
to representative samples from many societies, the findings
can be viewed in terms of multicultural variations along continua
comprising variables such as scale scores and prevalence rates.
In Multicultural
Understanding of Child and Adolescent Psychopathology: Implications
for Mental Health Assessment, Achenbach and Rescorla
(2007) applied multicultural perspectives to findings from
empirically based and diagnostically based assessment of children
and adolescents in many societies. When standard sets of problem
items were rated by parents, teachers, and youths in many
societies, confirmatory factor analyses supported a common
set of syndromes. Problem scale scores from many societies
clustered around the "omnicultural mean" of scores
obtained by averaging all societies, although scores from
a few societies were substantially higher or lower than the
scores for the large middle group. Comparisons of prevalence
findings for DSM diagnoses in various societies showed much
greater differences than were found for empirically based
measures. However, major methodological differences in diagnostic
procedures, sources of data, methods for combining multisource
data, sampling, and analyses make it hard to draw conclusions
about differences in rates of disorders defined in terms of
diagnostic criteria. Assessment methods that are similarly
applicable in many societies and contexts are needed to help
the millions of immigrant and minority children who are immersed
in mental health, educational, and welfare systems around
the world. Such assessment methods are also needed to identify
correlates of particular kinds of problems. Studies reviewed
by Achenbach and Rescorla have identified numerous correlates
of empirically based scales in many societies, including referral
for mental health services, diagnoses, gender, age, genetic
factors, and socioeconomic status. The findings to date demonstrate
how multicultural research can contribute to understanding,
assessing, preventing, and treating psychopathology.
Reference:
Achenbach, T.M., & Rescorla, L.A. (2007). Multicultural
Understanding of Child and Adolescent Psychopathology: Implications
for Mental Health Assessment. New York: Guilford Press.
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