Abstract：
Asians are likely to experience a high burden of chronic conditions, including, but not limited to, diabetes, cardiovascular disease, and cancer, due to differences in biologic, genetic, and environmental factors across Asian ethnic groups. A diagnosis of any chronic condition can contribute to increased mental health burdens, including depression, psychological distress, and posttraumatic stress disorder (PTSD). However, few studies have examined these comorbid conditions across distinct Asian ethnic groups-an important limitation given the differences in social, cultural, and behavioral drivers of mental health burdens within and across Asian ethnicities. To understand the disparities in mental health burdens among Asians living with a chronic health condition, we conducted a systematic literature review of relevant, peer-reviewed publication databases to identify studies reporting on mental health burdens (e.g., depression, anxiety, distress, PTSD) in distinct Asian ethnic groups in North America. Thirteen studies met the inclusion criteria for this review and collectively demonstrated a high burden of depression, psychological distress, and PTSD among Asians living with chronic conditions. Moreover, there were distinct disparities in mental health burdens across chronic conditions and across Asian ethnic groups. Despite the detrimental impact of poor mental health on chronic disease-specific outcomes, such as death and poor quality of life, few data exist that characterize mental health outcomes among Asian ethnicities living in North America with chronic conditions. Future work should prioritize estimating the national prevalence of mental health outcomes among adults with chronic conditions, by Asian ethnicities, to inform culturally tailored interventions to address this public health burden.
摘要：
亚洲人可能会经历慢性疾病的高负担，包括但不限于,糖尿病,心血管疾病,和癌症，由于生物学的差异，遗传,以及亚洲各民族的环境因素。任何慢性疾病的诊断都会增加精神健康负担，包括抑郁症,心理困扰,和创伤后应激障碍（PTSD）。然而,很少有研究在不同的亚洲族裔群体中检查这些合并症，考虑到社会差异，这是一个重要的限制，文化,以及亚洲种族内外心理健康负担的行为驱动因素。为了了解患有慢性健康状况的亚洲人在心理健康负担方面的差异，我们对相关的同行评审数据库进行了系统的文献综述，以确定报告精神健康负担的研究(例如，抑郁症,焦虑,苦恼,和PTSD）在北美不同的亚洲种族群体中。13项研究符合本综述的纳入标准，并共同证明了抑郁症的高负担。心理困扰,和患有慢性病的亚洲人的PTSD。此外，在慢性病患者和亚裔人群中,心理健康负担存在明显差异.尽管精神健康状况不佳对慢性病的具体结局有不利影响，比如死亡率和生活质量差，在生活在北美患有慢性疾病的亚裔人群中,缺乏描述心理健康结果的数据.未来的工作应优先估计亚洲种族慢性病成年人的心理健康结果的全国患病率，以告知文化上定制的干预措施，以解决这一公共卫生负担。缩写:BDI-II,贝克的抑郁量表；BRFSSS，行为危险因素监测系统；CES-D，抑郁症流行病学研究中心；CHQ-9，9问题中国健康问卷；CINAHL，护理和相关健康文献的累积指数；DSM-IV-TR，精神疾病诊断和统计手册文本修订版第四版；ESAS，埃德蒙顿症状评估量表；GDS-SF，老年抑郁量表-简表；JBI，乔安娜·布里格斯研究所；NHANES，国家健康和营养检查调查；NHIS，国家健康访谈调查；NLAAS，国家拉丁裔和亚裔美国人研究；PHQ-9，9个问题的患者健康问卷；PHQ-9K，9问题韩国患者健康问卷；PRISMA，系统评价和荟萃分析的首选报告项目；PTSD，创伤后应激障碍；SD，标准偏差；T2D，2型糖尿病；美国，美国。
