Attention to cultural variability in mental health symptoms could inform intervention targets; however, this is currently a neglected area of study. This study examined whether the associations between common mental health disorder (CMD) symptoms and predictors of CMDs varied cross-culturally. Participants were 290 refugees from three geocultural regions (Afghanistan, Great Lakes region of Africa, and Iraq and Syria) who recently resettled in the United States and completed assessments of CMD symptoms and predictors. Multilevel generalized linear modeling was used to examine the interactions between correlates of depressive, anxiety, and posttraumatic stress disorder (PTSD) symptoms and each of the three cultural reference groups. Relative to refugees from other regions, Iraqi and Syrian participants demonstrated stronger associations between the number of reported traumatic experiences and both depressive, B = 0.01, SE = .003, p = .003, and anxiety symptoms, B = 0.01, SE = .003, p < .001; Afghan participants showed a stronger association between physical quality of life and PTSD symptoms, B = 0.02, SE = .011, p = .037; and African participants demonstrated stronger associations between gender and symptoms of all three CMDs, Bs = 0.11–.020, SEs = .04–.06, ps = .005-.008, and weaker associations between traumatic event exposure and CMD symptoms, Bs = -0.01–-0.02, SEs = .003–.006, ps = .000–.002. CMD symptoms likely present differently across cultures, with various predictors more salient depending on cultural backgrounds and differential experiences that vary based on context. These findings have implications for cross-cultural assessment research and mental health.

中文翻译：

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在美国重新安置的难民心理困扰相关性的地理文化差异

注意心理健康症状的文化差异可以为干预目标提供信息；然而，这是目前一个被忽视的研究领域。本研究检查了常见精神健康障碍 (CMD) 症状与 CMD 预测因子之间的关联是否因跨文化而异。参与者是来自三个地理文化区域（阿富汗、非洲大湖区以及伊拉克和叙利亚）的 290 名难民，他们最近在美国重新定居并完成了对 CMD 症状和预测因素的评估。使用多级广义线性模型来检查抑郁、焦虑和创伤后应激障碍 (PTSD) 症状的相关因素与三个文化参照组中的每一个之间的相互作用。相对于其他地区的难民，B = 0.01，SE = .003，p = .003，以及焦虑症状，B = 0.01，SE = .003，p < .001；阿富汗参与者在生活质量和 PTSD 症状之间表现出更强的关联，B = 0.02，SE = .011，p = .037；和非洲参与者在所有三种 CMD 的性别和症状之间表现出更强的关联，B s = 0.11–.020，SE s = .04–.06，ps = .005-.008，而创伤事件暴露与 CMD 症状之间的关联较弱, B = -0.01–-0.02 ,SE s = .003–.006，p s = .000–.002。CMD 症状可能在不同文化中呈现不同，各种预测因素更加突出，具体取决于文化背景和因背景而异的不同经历。这些发现对跨文化评估研究和心理健康具有重要意义。