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A Quantitative Systematic Review to Evaluate the Favorability of the DSM-5 Cultural Formulation Interview (CFI) on the Acceptability, Feasibility, and Clinical Utility for Clinicians, Patients, and Relatives 定量系统综述:评估 DSM-5 文化表述访谈 (CFI) 对临床医生、患者和亲属的可接受性、可行性和临床实用性的有利程度
IF 3 3区 心理学 Q2 PSYCHOLOGY, SOCIAL Pub Date : 2024-09-14 DOI: 10.1177/00220221241269994
Rony Kayrouz, Eyal Karin, Lauren Staples, Olav Nielssen, Shane Cross, Blake F. Dear, Nickolai Titov
The Cultural Formulation Interview (CFI) is a semi-structured interview in the DSM-5 comprised of three parts: a core-16-item questionnaire, an informant version for relatives or relevant others, and 12 supplementary modules placing culture and context at the center of patient assessment and treatment to clarify diagnosis and treatment and ensure patients feel understood. The paper aims to synthesize the current quantitative evidence on CFI’s favorability (i.e., whether it is feasible, acceptable, and valuable) for patients, clinicians, and relatives. A mixed-methods synthesis methodology was used to assess the impact of the favorability of the CFI for patients, clinicians and relatives, and clinicians’ cultural competence. The synthesis included 10 studies on the clinician’s competency, attitudes, training, and diagnosis, three studies on the views of the patients and clinicians about the CFI, and five studies with 34 estimates ( n = 581) on the favorability of the CFI for patients, clinicians and relatives. Clinicians reported that the CFI increased their cultural knowledge across research, training, and practice settings. Patients reported that the CFI prioritized their perspective and increased rapport-building. A quantitative estimate from the five studies on the acceptability, utility, and feasibility of CFI from patients, relatives, and clinicians was favorable, suggesting that patients, relatives, and clinicians were satisfied with using the CFI. A protocol for standardizing CFI training and practice to inform future research using mixed-methods designs that include randomized control trials (RCTs) to examine the effect of the CFI on the clinician’s cultural competence, working alliance, and patient’s level of functioning was recommended.
文化表述访谈(CFI)是 DSM-5 中的一种半结构化访谈,由三部分组成:16 个项目的核心问卷、供亲属或相关人员使用的线人版本以及 12 个补充模块,将文化和背景置于患者评估和治疗的中心,以明确诊断和治疗,确保患者感到被理解。本文旨在综合目前有关 CFI 对患者、临床医生和亲属有利性(即是否可行、可接受和有价值)的定量证据。本文采用混合方法综合法来评估 CFI 对患者、临床医生和亲属的有利程度以及临床医生文化能力的影响。综述包括 10 项关于临床医生能力、态度、培训和诊断的研究,3 项关于患者和临床医生对 CFI 的看法的研究,以及 5 项关于 CFI 对患者、临床医生和亲属的好感度的研究(34 项估计值,n = 581)。临床医生表示,CFI 增加了他们在研究、培训和实践环境中的文化知识。患者表示,CFI 优先考虑了他们的观点并增进了关系的建立。五项研究对患者、亲属和临床医生对 CFI 的可接受性、实用性和可行性进行了量化评估,结果表明患者、亲属和临床医生对使用 CFI 表示满意。建议制定 CFI 培训和实践标准化方案,为今后采用混合方法设计(包括随机对照试验 (RCT))的研究提供参考,以检验 CFI 对临床医生的文化能力、工作联盟和患者功能水平的影响。
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引用次数: 0
Studying Culture, a Methodological Endeavor 研究文化,一种方法论的努力
IF 3 3区 心理学 Q2 PSYCHOLOGY, SOCIAL Pub Date : 2024-08-31 DOI: 10.1177/00220221241273917
Deborah L. Best
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引用次数: 0
Exploring Professional and Carer Stakeholder Conceptualizations of Child and Adolescent Mental Health in Malawi Using a Contextual Co-Design Methodology: The Interplay of Pathology, the Supernatural, and a Pathway to Healing 利用情境共同设计方法探索马拉维专业人员和照护者利益相关者对儿童和青少年心理健康的概念:病理学、超自然现象和治疗途径的相互作用
IF 3 3区 心理学 Q2 PSYCHOLOGY, SOCIAL Pub Date : 2024-08-12 DOI: 10.1177/00220221241249461
Khama Chibwana, Mark Hoelterhoff, Paul Kawale, Cristóbal Guerra, Charles Marley, Action Amos, Paul Mekani, Susannah Johnston, Alinafe Chibwana, Emily P. Taylor, Clara Calia, Corinne Reid
In Malawi, there is a high prevalence of mental disorders in children and adolescents. However, access to specialized care is scarce due to a lack of public policies, resources, and cultural factors. In this context, the aim of this research is to understand how child and adolescent mental health is conceptualized by key stakeholders in Malawi. The participants were 117 stakeholders (59 female and 58 male) involved with children’s mental health from different roles. They participated in workshops, focus groups, and open interviews. The data were processed following the steps of thematic analysis. The results show agreement between the different stakeholders in conceptualizations of child and adolescent mental health in Malawi, where symptoms and signs are not necessarily related to the Western vision, as well as the interaction between natural and supernatural sources in the genesis of mental disorders. Likewise, a pattern of help-seeking is described in which traditional healers stand out over hospitals. Finally, the results allow us to highlight the suggestions made by practitioners, policymakers, community leaders, and academics to improve access to and provision of mental health for children and adolescents in Malawi.
在马拉维,儿童和青少年精神障碍的发病率很高。然而,由于缺乏公共政策、资源和文化因素,获得专业护理的机会很少。在这种情况下,本研究旨在了解马拉维的主要利益相关者是如何看待儿童和青少年心理健康问题的。117 名利益相关者(59 名女性和 58 名男性)以不同的角色参与了儿童心理健康研究。他们参加了研讨会、焦点小组和公开访谈。数据按照专题分析的步骤进行了处理。结果表明,不同的利益相关者在马拉维儿童和青少年心理健康的概念上达成了一致,即症状和体征并不一定与西方的观点相关,而且在精神障碍的成因上,自然和超自然的因素之间存在相互作用。同样,研究还描述了一种求助模式,在这种模式中,传统医治者比医院更受青睐。最后,研究结果使我们能够强调从业人员、政策制定者、社区领袖和学术界提出的建议,以改善马拉维儿童和青少年获得心理健康的机会,并为他们提供心理健康服务。
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引用次数: 0
Cutting Cultural Ties? Reasons Why Ukrainians Terminate or Continue to Interact With Russian Culture Despite the Ongoing Russian-Ukrainian War 切断文化联系?尽管俄乌战争仍在持续,乌克兰人终止或继续与俄罗斯文化互动的原因
IF 3 3区 心理学 Q2 PSYCHOLOGY, SOCIAL Pub Date : 2024-06-01 DOI: 10.1177/00220221241256322
Anton Kurapov, Oleksandra Balashevych, Christoph Bamberg, Pawel Boski
The study investigates the factors related to Ukrainian nationals’ engagement or disengagement with Russian culture amid Russian-Ukrainian war. It explores the predictors of both continued engagement and reasons for terminating interaction, considering demographic, emotional, and circumstantial factors. A cross-sectional correlational design was used, involving 935 participants (305 continuing and 630 ceasing interaction with Russian culture). Participants completed questionnaires and detailed their engagement with Russian culture across various cultural items. Multiple linear and logistic regressions were conducted for analysis. The study found that factors like spoken language and coping strategies play a significant role in the decision to cut cultural ties. For those continuing interaction, language and emotional attachment were influential, alongside practical necessities like work/study requirements and the absence of Ukrainian alternatives. The study highlights a complex interplay of emotion, language, and age in shaping Ukrainians’ interaction with Russian culture during the war. It suggests future research should include additional sociopolitical and sociocultural factors, and a broader demographic representation to gain more nuanced perspectives.
本研究调查了乌克兰国民在俄乌战争期间接触或脱离俄罗斯文化的相关因素。研究考虑了人口、情感和环境因素,探讨了继续参与的预测因素和终止互动的原因。本研究采用横截面相关性设计,共有 935 名参与者(其中 305 人继续与俄罗斯文化互动,630 人停止与俄罗斯文化互动)参与研究。参与者填写了调查问卷,并详细描述了他们在不同文化项目中与俄罗斯文化的互动情况。研究采用多元线性回归和逻辑回归进行分析。研究发现,口语和应对策略等因素在决定切断文化联系方面起着重要作用。对于那些继续交往的人来说,语言和情感依恋以及工作/学习要求等实际需要和没有乌克兰替代品等因素都有影响。这项研究强调了情感、语言和年龄在战争期间影响乌克兰人与俄罗斯文化互动的复杂相互作用。研究建议未来的研究应包括更多的社会政治和社会文化因素以及更广泛的人口代表性,以获得更细致入微的视角。
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引用次数: 0
Self or Non-Self? Self-Essentialism and Well-Being in Tibetan Buddhist Monks 自我还是非我?藏传佛教僧侣的自我本质主义与福祉
IF 3 3区 心理学 Q2 PSYCHOLOGY, SOCIAL Pub Date : 2024-05-18 DOI: 10.1177/00220221241252629
Youlim Kim, Ellen Dulaney, Gelek Wangchuk, Kyunghee Kim, Verena Graupmann
In monastic Tibetan Buddhists, we explored the psychological construct of self-essentialism, looking at links to satisfaction with life and meaning in life. We selected this population due to their deep commitment to teachings that emphasize the notion of “non-self.” We further explored the role of self-construal in the association between self-essentialism and psychological well-being. Finally, we explored how differences between the formal learning stages in Tibetan Buddhism affected our outcome variables. Replicating findings with other samples, there was small positive endorsement of self-essentialism, and a positive association between psychological essentialism and psychological well-being in this Tibetan Buddhist sample. Those on the highest learning stage in Tibetan Buddhism indicated greater self-essentialism, satisfaction with life, and search for life-meaning compared with the other stages. Interdependent self-construal moderated the association of self-essentialism with satisfaction with life. Contextualizing these findings within Tibetan Buddhist doctrine, it appears that Tibetan Buddhist monks utilize self-essentialism to clearly identify their path from the self toward “non-self.”
在藏传佛教僧侣中,我们探索了自我本质主义的心理结构,研究了自我本质主义与生活满意度和人生意义之间的联系。我们之所以选择这一人群,是因为他们笃信强调 "无我 "概念的教义。我们进一步探讨了自我概念在自我本质主义与心理健康之间的关联中的作用。最后,我们探讨了藏传佛教正式学习阶段之间的差异对结果变量的影响。与其他样本的研究结果相同,在这个藏传佛教样本中,对自我本质主义的认可度较小,心理本质主义与心理健康之间存在正相关。与其他阶段的人相比,藏传佛教最高学习阶段的人表现出更强的自我本质主义、对生活的满意度和对生命意义的追求。相互依存的自我结构调节了自我本质主义与生活满意度之间的关系。将这些发现与藏传佛教教义相结合,藏传佛教僧侣似乎利用自我本质主义来明确他们从自我走向 "非我 "的道路。
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引用次数: 0
Checking Multiple Boxes: Themes Associated With Bicultural Identities 勾选多个框:与双文化身份有关的主题
IF 3 3区 心理学 Q2 PSYCHOLOGY, SOCIAL Pub Date : 2024-05-10 DOI: 10.1177/00220221241249999
Merrisa Lin, Nairán Ramírez-Esparza
Multicultural individuals frequently feel they must check multiple boxes when responding to identity questions. In this investigation, we collected narratives from 402 bicultural individuals about their experiences with multicultural identities and used automated text-analytic tools to examine the valence of the narratives (sentiment analysis) and the most prevalent themes used (Meaning Extraction Method). In addition, we examined the relationships between the narratives and the two dimensions of Bicultural Identity Integration (BII) scales, Harmony and Blendedness. Findings suggested that the narratives were more emotionally positive than negative, and there were six most common themes. Furthermore, themes were significantly associated with BII scales. Our analyses provide deeper insights into the nature of bicultural identity using naturalistic language data.
多元文化人在回答身份认同问题时,经常会觉得自己必须勾选多个选项。在这项调查中,我们收集了 402 位具有两种文化背景的个人关于其多元文化身份经历的叙述,并使用自动文本分析工具来研究叙述的价值(情感分析)和最常用的主题(意义提取法)。此外,我们还研究了叙述与双文化身份整合(BII)量表的两个维度--和谐性和混合性--之间的关系。研究结果表明,叙述中正面情绪多于负面情绪,有六个最常见的主题。此外,这些主题与 BII 量表有明显关联。我们的分析利用自然语言数据对双文化认同的本质进行了更深入的了解。
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引用次数: 0
Experiences of Help-Seeking for Severe Mental Health Problems in Young Pakistani Women: A Preliminary Qualitative Study 巴基斯坦年轻女性因严重心理健康问题寻求帮助的经历:初步定性研究
IF 3 3区 心理学 Q2 PSYCHOLOGY, SOCIAL Pub Date : 2024-05-02 DOI: 10.1177/00220221241236944
Chiara Causier, Louise Johns, Jerica Radez, Hibah Hassan, Daniel Maughan, Felicity Waite
Almost three quarters of mental illnesses start by the age of 25, yet youth (18–25-year-olds) are often underrepresented in U.K. services. This is particularly true for those of ethnic minorities. In this study, we aimed to understand how young Pakistani women and their parents make decisions to seek help for severe mental health problems, and the barriers and facilitators to accessing professional help. Young Pakistani women with experience of severe mental health problems and their parents were recruited from a community sample. Semi-structured interviews were conducted with six young people and two parents. Data were analyzed using reflexive thematic analysis. Pakistani culture and its interplay with British culture strongly influenced the decisions and ability of young Pakistani women and their parents to help-seek, largely through the role of stigma. Low mental health literacy, stigma, and a lack of culturally informed services were identified as the most common barriers to accessing care. These barriers fed into the internalized stigma these young women experienced which, through fear of damaged reputation and personal prejudices, posed further barriers to seeking help. Participants highlighted recommendations for both individual-level (e.g., increased education and awareness) and service-level (e.g., greater choice over care) change to facilitate accessibility of professional help. Young Pakistani women face multiple culturally related challenges to accessing care for severe mental health problems at both the individual- and service-level. Novel suggestions to address these challenges, such as including youth peer support workers in services, may facilitate more inclusive and accessible services.
将近四分之三的精神疾病都是在 25 岁之前开始的,然而在英国的服务机构中,青少年(18-25 岁)的比例往往偏低。对于少数民族而言,情况尤其如此。在这项研究中,我们旨在了解巴基斯坦年轻女性及其父母是如何决定就严重的精神健康问题寻求帮助的,以及获得专业帮助的障碍和促进因素。我们从社区样本中招募了有过严重心理健康问题经历的巴基斯坦年轻女性及其父母。对六名年轻人和两名家长进行了半结构式访谈。采用反思性主题分析法对数据进行了分析。巴基斯坦文化及其与英国文化的相互作用在很大程度上通过污名化的作用,影响了巴基斯坦年轻女性及其父母寻求帮助的决定和能力。低心理健康素养、污名化以及缺乏有文化背景的服务被认为是获得护理最常见的障碍。这些障碍助长了这些年轻女性所经历的内在污名化,由于害怕名誉受损和个人偏见,这些污名化进一步阻碍了她们寻求帮助。与会者强调了个人层面(如加强教育和提高认识)和服务层面(如增加护理选择)的变革建议,以促进获得专业帮助。年轻的巴基斯坦女性在个人和服务层面上都面临着多种与文化相关的挑战,难以获得对严重精神健康问题的治疗。为应对这些挑战而提出的新建议,如在服务中加入青年同伴支持工作者,可能会促进服务的包容性和可及性。
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引用次数: 0
Mask On, Barriers Off: How Face Masks Enhance Social Connection and Responsibility in Different Cultural Context 戴上面具,消除隔阂:面具如何在不同文化背景下增强社会联系和责任感
IF 3 3区 心理学 Q2 PSYCHOLOGY, SOCIAL Pub Date : 2024-04-10 DOI: 10.1177/00220221241242442
Taiyang Zhao, Yan Lu, Wei Song, Yingxin Yao, Liying Zhou
Against the backdrop of the COVID-19 pandemic, wearing a mask not only serves a functional purpose in reducing the spread of the virus but also carries a symbolic value of social responsibility. There may be cultural differences in people’s understanding of such symbolic value. Results from three experimental studies have shown that wearing a medical mask increases other people’s willingness to have interpersonal contact with the mask-wearer. This is because people believe that the mask-wearer has a stronger sense of social responsibility (Experiment 1 and Experiment 2). However, such effect is moderated by cultural values of individualism/collectivism, and this moderating effect exhibits different patterns at the individual level and the group level of cultural values. Specifically, individuals with interdependent self-construal value the trait of social responsibility more in interpersonal communication than individuals with independent self-construal (Experiment 2), while groups with collectivistic values were further more able to recognize the social responsibility symbol value of wearing masks than those with individualistic values (Experiment 3). The research reveals how cultural values shape the mask’s symbolic value in group level and moderate people’s response in individual level.
在 COVID-19 大流行的背景下,佩戴口罩不仅具有减少病毒传播的功能性目的,还具有社会责任的象征意义。人们对这种象征意义的理解可能存在文化差异。三项实验研究结果表明,戴医用口罩会增加其他人与戴口罩者进行人际接触的意愿。这是因为人们认为戴口罩者有更强的社会责任感(实验 1 和实验 2)。然而,这种效应受到个人主义/集体主义文化价值观的调节,而且这种调节效应在文化价值观的个人层面和群体层面表现出不同的模式。具体来说,在人际交往中,具有相互依存自我建构的个体比具有独立自我建构的个体更重视社会责任特质(实验 2),而具有集体主义价值观的群体比具有个人主义价值观的群体更能认识到戴口罩的社会责任象征价值(实验 3)。研究揭示了文化价值观如何在群体层面塑造面具的象征价值,并在个体层面调节人们的反应。
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引用次数: 0
Conservatism Negatively Predicts Creativity: A Study Across 28 Countries 保守主义对创造力的负面预测:一项横跨 28 个国家的研究
IF 3 3区 心理学 Q2 PSYCHOLOGY, SOCIAL Pub Date : 2024-04-03 DOI: 10.1177/00220221241238321
Agata Groyecka-Bernard, Piotr Sorokowski, Maciej Karwowski, S. Craig Roberts, Toivo Aavik, Grace Akello, Charlotte Alm, Naumana Amjad, Kelly Asao, Chiemezie S. Atama, Derya Atamtürk Duyar, Richard Ayebare, Carlota Batres, Aicha Bensafia, Anna Bertoni, Boris Bizumic, Mahmoud Boussena, David M. Buss, Marina Butovskaya, Seda Can, Antonin Carrier, Hakan Cetinkaya, Daniel Conroy-Beam, Marco Antonio Correa Varella, Ilona Croy, Rosa María Cueto, Marta Czerwonka, Marcin Czub, Silvia Donato, Daria Dronova, Seda Dural, Izzet Duyar, Berna Ertugrul, Agustín Espinosa, Carla Sofia Esteves, Tomasz Frackowiak, Aleksandra Gajda, Marta Galewska-Kustra, Jorge Contreras Graduño, Farida Guemaz, Ivana Hromatko, Chin-Ming Hui, Iskra Herak, Raffaella Iafrate, Jas Laile Jaafar, Dorota M. Jankowska, Feng Jiang, Konstantinos Kafetsios, Tina Kavčič, Nicolas O. Kervyn, Nils C. Köbis, Izabela Lebuda, Georgina R. Lennard, Ernesto León, Torun Lindholm, Mohammad Madallh Alhabahba, Zoi Manesi, Sarah L. McKerchar, Girishwar Misra, Conal Monaghan, Emanuel C. Mora, Alba Moya-Garófano, Bojan Musil, Jean Carlos Natividade, George Nizharadze, Elisabeth Oberzaucher, Anna Oleszkiewicz, Mohd Sofian Omar Fauzee, Ike E. Onyishi, Baris Özener, Farid Pazhoohi, Mariia Perun, Annette Pisanski, Katarzyna Pisanski, Edna Lúcia Tinoco Ponciano, Camelia Popa, Pavol Prokop, Muhammad Rizwan, Svjetlana Salkičević, Susanne Schmehl, Oksana Senyk, Shivantika Sharad, Franco Simonetti, Meri Tadinac, Karina Ugalde González, Olha Uhryn, Christin-Melanie Vauclair, Diego Vega, Ewa Weremczuk-Marczyńska, Dwi Ajeng Widarini, Gyesook Yoo, Maja Zupančič, Afifa Anjum, Anam Shahid, Agnieszka Sorokowska
Previous studies have found a negative relationship between creativity and conservatism. However, as these studies were mostly conducted on samples of homogeneous nationality, the generalizability of the effect across different cultures is unknown. We addressed this gap by conducting a study in 28 countries. Based on the notion that attitudes can be shaped by both environmental and ecological factors, we hypothesized that parasite stress can also affect creativity and thus, its potential effects should be controlled for. The results of multilevel analyses showed that, as expected, conservatism was a significant predictor of lower creativity, adjusting for economic status, age, sex, education level, subjective susceptibility to disease, and country-level parasite stress. In addition, most of the variability in creativity was due to individual rather than country-level variance. Our study provides evidence for a weak but significant negative link between conservatism and creativity at the individual level (β = −0.08, p < .001) and no such effect when country-level conservatism was considered. We present our hypotheses considering previous findings on the behavioral immune system in humans.
以往的研究发现,创造力与保守主义之间存在负相关关系。然而,由于这些研究大多是在同种国籍的样本中进行的,因此这种效应在不同文化中的普遍性尚不得而知。针对这一空白,我们在 28 个国家开展了一项研究。基于态度可由环境和生态因素共同塑造的理念,我们假设寄生虫压力也会影响创造力,因此应控制其潜在影响。多层次分析的结果表明,正如预期的那样,在调整了经济状况、年龄、性别、教育水平、对疾病的主观易感性和国家层面的寄生虫压力后,保守主义是创造力较低的重要预测因素。此外,创造力的大部分变异是由个人而非国家层面的变异造成的。我们的研究证明,在个人层面上,保守主义与创造力之间存在微弱但显著的负相关(β = -0.08, p <.001),而在考虑国家层面的保守主义时,则没有这种影响。考虑到之前对人类行为免疫系统的研究结果,我们提出了自己的假设。
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引用次数: 0
Do People From Different Cultures Vary in How Much Positive Emotions Resonate in Day-to-Day Social Interactions? Examining the Role of Relational Mobility 不同文化背景的人在日常社会交往中产生积极情绪共鸣的程度不同吗?研究关系流动性的作用
IF 3 3区 心理学 Q2 PSYCHOLOGY, SOCIAL Pub Date : 2024-03-19 DOI: 10.1177/00220221241235926
Jieni Zhou, Taylor N. West, Sung-Ha Lee, Incheol Choi, Hidefumi Hitokoto, Keiko Otake, Barbara L. Fredrickson, Cristina E. Salvador
Positivity resonance, defined as a co-experienced kind-hearted positive emotion, is commonly observed to strengthen relationships in the United States. However, it is unclear whether levels of positivity resonance differ across cultures. Prior research suggests that in cultures that are perceived as offering more freedom and choice in social ties (defined as high relational mobility cultures), individuals more frequently engage in adaptive strategies to build relationships. We hypothesized that positivity resonance, achieved via such adaptive strategies, might be similarly linked to cultural variation in relational mobility. Across two studies ( N = 5,711) we found supportive evidence for our prediction that, compared with European American participants, East Asian participants showed lower levels of positivity resonance with strong social ties. Such differences were in part explained by lower levels of perceived relational mobility among East Asian participants. Comparable effects were not present for weak social ties. Implications for theories of culture and emotion are discussed.
积极共鸣被定义为一种共同体验到的善意的积极情绪,在美国,人们普遍观察到这种共鸣会加强人际关系。然而,积极共鸣的水平在不同文化中是否存在差异尚不清楚。先前的研究表明,在那些被认为在社会关系中提供更多自由和选择的文化中(被定义为高关系流动性文化),个体会更频繁地采取适应性策略来建立关系。我们假设,通过这种适应性策略实现的积极性共鸣可能同样与关系流动性的文化差异有关。在两项研究中(研究人数=5711),我们发现了支持我们预测的证据:与欧美参与者相比,东亚参与者在强社会关系中表现出较低水平的积极共鸣。这种差异的部分原因是东亚参与者感知到的关系流动性较低。弱社会关系则不存在类似效应。本文讨论了文化和情感理论的意义。
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引用次数: 0
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Journal of Cross-Cultural Psychology
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