Characteristics of Vietnamese Patients Attending an Anxiety Clinic in Australia and Perceptions of the Wider Vietnamese Community about Anxiety

Abstract

This article examined the causes underlying low utilization of mental health services by Vietnamese immigrants in Australia. Study 1 examined cases of Vietnamese patients who had attended an anxiety disorders clinic, while Study 2 surveyed Vietnamese people in the community on their knowledge and attitudes towards common mental problems. Results from Study 1 showed that Vietnamese patients had significantly higher attrition rates, and presented with a larger number of nonanxiety disorders than their Australian-born counterparts. Study 2 results indicated that many Vietnamese people did not differentiate clearly between the terms ‘stress’, ‘anxiety’ and ‘depression’. Additionally, many participants felt that there was a generally negative cultural attitude towards people suffering from these problems and the mental health system itself. These outcomes suggest the importance of education for ethnic communities regarding available mental health facilities and treatments offered, as well as specific information on mental illness to help remove stigma.

Keywords

anxiety disorders depression societal attitudes stress Vietnamese

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References

Abe, J. , Zane, N. , & Chun, K. (1994). Differential responses to trauma: Migrationrelated discriminants of post-traumatic stress disorder among Southeast Asian refugees . Journal of Community Psychology, 22(2), 121–135 .

Andrews, G. , Henderson, S. , & Hall, W. (2001). Prevalence, comorbidity, disability and service utilisation: Overview of the Australian National Mental Health Survey . British Journal of Psychiatry, 178, 145–153 .

Australian Bureau of Statistics . (2001). Census 2001. Canberra: Australian Bureau of Statistics .

Candilis, P. J. , & Pollack, M. H. (1997). The hidden costs of untreated anxiety disorders . Harvard Review of Psychiatry, 5(1), 40–42 .

Chiu, T. L. (1994). The unique challenges faced by psychiatrists and other mental health professionals working in a multicultural setting . International Journal of Social Psychiatry, 40(1), 61–74 .

Comino, E. J. , Harris, E. , Silove, D. , Manicavasagar, V. , & Harris, M. (2001). Identification of anxiety and depressive symptoms in general practise: the influence of ethnicity . Family Practice, 18, 71–77 .

First, M. , Spitzer, R. , Gibbon, M. , & Williams, J. (1997). Structured clinical interview for DSM-IV axis 1 disorders – clinical version (SCID-CV). Washington, DC: American Psychiatric Press .

Frye, B. A. (1995). Use of cultural themes in promoting health among Southeast Asian refugees . American Journal of Health Promotion, 9(4), 269–280 .

Gold, S. J. (1992). Mental health and illness in Vietnamese refugees . Journal of Medicine, 157(3), 290–294 .

10.

Hauff, E. , & Vaglum, P. (1995). Organised violence and the stress of exile: Predictors of mental health in a community cohort of Vietnamese refugees three years after resettlement . British Journal of Psychiatry, 166(3), 360–367 .

11.

Jenkins, C. N. H. , Le, T. , McPhee, S. J. , Stewart, S. , & Ha, N. T. (1996). Health care access and preventive care among Vietnamese immigrants: Do traditional beliefs and practices pose barriers? Social Sciences and Medicine, 43(7), 1049–1056 .

12.

Kinzie, J. D. , Boehnlein, J. K. , Leung, P. K. , Moore, L. J. , Riley, C. , & Smith, D. (1990). The prevalence of posttraumatic stress disorder and its clinical significance among South East Asian refugees . American Journal of Psychiatry, 147(7), 913–917 .

13.

Lam, A. P. , & Kavanagh, D. J. (1996). Help seeking by immigrant Indochinese psychiatry patients in Sydney, Australia . Psychiatric Services, 47(9), 993–995 .

14.

Lien, O. (1993). Attitudes of the Vietnamese community towards mental illness . Australasian Psychiatry, 1(3), 110–112 .

15.

Loo, C. , Tong, B. , & True, R. (1989). A bitter bean: Mental health status and attitudes in Chinatown . Journal of Community Psychology, 17(4), 283–296 .

16.

McDonald, B. , & Steel, Z. (1997). Immigrants and mental health: An epidemiological analysis (Vol. 2). Parramatta: Transcultural Mental Health Centre .

17.

McKelvey, R. S. , Baldassar, L. V. , Sang, D. L. , & Roberts, L. (1999). Vietnamese parental perceptions of child and adolescent mental illness . Journal of the American Academy of Child & Adolescent Psychiatry, 38(10), 1302–1309 .

18.

Phan, T. , & Silove, D. (1997). The influence of culture on psychiatric assessment: The Vietnamese refugee . Psychiatric Services, 48(1), 86–90 .

19.

Phan, T. , & Silove, D. (1999). An overview of indigenous descriptions of mental phenomena and the range of traditional healing practices amongst the Vietnamese . Transcultural Psychiatry, 36(1), 79–94 .

20.

Steel, Z. , Silove, D. , Phan, T. , & Bauman, A. (2002). Long-term effect of psychological trauma on the mental health of Vietnamese refugees resettled in Australia: A population-based study . Lancet, 360(9339), 1056–1062 .

21.

Stuart, G. , Klimidis, S. , & Minas, I. (1998). The treated prevalence of mental disorder amongst immigrants and the Australian-born community and primary-care rates . International Journal of Social Psychiatry, 44(1), 22–34 .