Cross-Cultural Awareness in Quality of Life Assessment

Scott M. Debb
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Abstract

Since many tools for clinical assessment are available to practitioners of all medical and psychiatric fields, when a healthcare professional assesses the mental health of an individual, the use of culturally appropriate assessment measures used becomes increasingly important. Since many quality of life (QOL) assessment measures utilize Likert scaled questions, awareness and understanding of potential bias can greatly aid in clinical interpretation of scores, case conceptualization and treatment planning. Mental health professionals need to be cognizant of cultural issues and sensitive to the idea that the categorization of symptoms that our culture has clustered into disorders is dependent on specific cultural values (Draguns, 1987). Ultimately, cultural bias can greatly affect the validity and interpretability of assessment data. Modifications to assessment measures must also be considered in light of cross-cultural concerns, primarily as related to content validity.
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生活质量评估中的跨文化意识
由于所有医学和精神病学领域的从业人员都可以使用许多临床评估工具,因此,当医疗保健专业人员评估个人的心理健康时,使用在文化上适当的评估措施变得越来越重要。由于许多生活质量(QOL)评估措施使用李克特量表问题,因此对潜在偏倚的认识和理解可以极大地帮助临床解释分数,病例概念化和治疗计划。心理健康专业人员需要认识到文化问题,并敏感地认识到,我们的文化已经聚集成障碍的症状分类依赖于特定的文化价值观(Draguns, 1987)。最终,文化偏见会极大地影响评估数据的有效性和可解释性。对评估措施的修改也必须考虑到跨文化问题,主要是与内容有效性有关。
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