Alzheimer's disease (AD) does not respect the boundaries of ethnicity or culture. Diverse ethnocultural groups adapt to the stresses of AD in their own unique fashion. As the attitudes, values, help-seeking and coping behaviors vary from one individual to another, so also does variation exist among the diverse ethnocultural groups. This paper will review current literature regarding several ethnocultural groups, as well as common attitudes, values, helpseeking and coping behaviors. Skills, values, and knowledge for the ethnoculturally-sensitive practitioner are discussed. Finally, case examples are cited.
References
1.
Kaplan HI , Sadock BJ: Synopsis of Psychiatry(8th ed.). Baltimore: Williams & Wilkins. 1998.
2.
Baker FM : Psychiatric treatment of older African-Americans. Hospital & Community Psychiatry. 1994; 45(1): 32-37.
3.
Biegel DE , Farkas KJ, Song L: Barriers to the use of mental health services by African-Americans and Hispanic Elderly Persons. Journal of Gerontological Social Work. 1997; 29(1): 23-44.
4.
Broman CL : Coping with personal problems. In HW Neighbors, JS Jackson (eds.): Mental Health in Black America. Thousand Oaks, CA: Sage Publications. 1996: 117-129.
5.
Caldwell CH : Predisposing, enabling, and need factors related to patterns of help-seeking among African-American women. In HW Neighbors, JS Jackson (eds.): Mental Health in Black America. Thousand Oaks, CA: Sage Publications. 1996: 146-160.
6.
Jackson M , Kolody B, Wood JL: To be old and black: The case for double jeopardy on income and health. In RC Manuel (ed.): Minority Aging: Sociological and Social Psychological Issues. Westport, CT: Greenwood Press. 1982: 77-82.
7.
Jackson JS , Neighbors HW: Changes in African-American resources and mental health: 1979-1992. In HW Neighbors, JS Jackson (eds.): Mental Health in Black America. Thousand Oaks, CA: Sage Publications. 1996: 189-212.
8.
Jackson JS , Wolford ML: Changes from 1980 to 1987 in mental health status and help-seeking among African-Americans. Journal of Geriatric Psychiatry. 1992; 25(1): 15-67.
9.
Mays VM , Caldwell CH, Jackson JS: Mental health symptoms and service utilization patterns of help-seeking among African-American women. In HW Neighbors, JS Jackson (eds.): Mental Health in Black America. Thousand Oaks, CA: Sage Publications. 1996: 161-176.
10.
Neighbors HW : Professional help use among Black Americans: Implications for unmet need. American Journal of Community Psychology. 1984; 12(5): 551-566.
11.
Neighbors HW : Seeking professional help for personal problems: Black Americans's use of health and mental health services. Community Mental Health Journal. 1985; 21(3): 156-166.
12.
Neighbors HW , Jackson JS: Mental health in Black America: Psychosocial problems and help-seeking behavior. In HW Neighbors, JS Jackson (eds.): Mental Health in Black America. Thousand Oaks, CA: Sage Publications. 1996: 1-13.
13.
Taylor SP : Mental health and successful coping among aged black women. In RC Manuel (ed.): Minority aging: Sociological and social psychological issues. Westport, CT: Greenwood Press. 1982: 95-100.
14.
Taylor RJ , Chatters LM: Church-based informal support among elderly blacks. Gerontologist. 1986; 26(6): 637-642.
15.
Taylor RJ , Hardison CB, Chatters LM: Kin and nonkin as sources of informal assistance. In HW Neighbors, JS Jackson (eds.): Mental Health in Black America. Thousand Oaks, CA: Sage Publications. 1996: 130-145.
16.
Andrews JW , Lyons B, Rowland D: Life satisfaction and peace of mind: A comparative analysis of elderly Hispanic and other elderly Americans. Clinical Gerontologist. 1992; 11(3/4): 21-44.
17.
Aranda MP , Miranda MR: Hispanic aging, social support, and mental health: Does acculturation make a difference? In KS Markides, MR Miranda (eds.): Minorities, Aging, and Health. Thousand Oaks, CA: Sage Publications. 1997: 271-294.
18.
Cox C , Monk A: Minority caregivers of dementia victims: A comparison of Black and Hispanic families. Journal of Applied Gerontology. 1990; 9(3): 340-354.
19.
Cox C , Monk A: Hispanic culture and family care of Alzheimer's patients. Health and Social Work. 1993; 18(2): 92-100.
20.
Henderson JN , Gutierrez-Mayka M: Ethnocultural themes in caregiving to Alzheimer's disease patients in Hispanic families. Clinical Gerontologist. 1992; 11(3/4): 59-74.
21.
Hernandez GG : The family and its aged members: The Cuban experience. Clinical Gerontologist. 1992; 11(3/4): 45-58.
22.
Starrett RA , Rogers D, Decker JT: The self-reliance behavior of the Hispanic elderly in comparison to their use of formal mental health helping networks. Clinical Gerontologist. 1992; 11(3/4): 157-169.
23.
Urdaneta ML , Saldana DH, Winkler A: Mexican-American perceptions of severe mental illness. Human Organization. 1995; 54(1): 70-77.
24.
Braun KL , Takamura JC, Forman SM, et al: Developing and testing outreach materials on Alzheimer's Disease for Asian and Pacific Islander Americans. Gerontologist. 1995; 35(1): 122-126.
25.
Elo IT : Adult mortality among Asian Americans and Pacific Islanders: A review of the evidence. In KS Markides, MR Miranda (eds.): Minorities, Aging, and Health. Thousand Oaks, CA: Sage Publications. 1997: 41-78.
26.
Holmes ER , Holmes LD: Other cultures, elder years(2nd ed.). Thousand Oaks, CA: Sage Publications. 1995.
27.
Kitano HH , Shibusawa T, Kitano KJ: Asian American elderly mental health. In KS Markides, MR Miranda (eds.): Minorities, Aging, and Health. Thousand Oaks, CA: Sage Publications. 1997: 295-315.
28.
Broken Nose MA : Working with the Oglala Lakota: An outsider's perspective. Families in society: The Journal of Contemporary Human Services. 1992; June: 380-384.
29.
Chapleski EE : Long-term care among American Indians: A broad lens perspective on service preference and use. In KS Markides, MR Miranda (eds.): Minorities, Aging, and Health. Thousand Oaks, CA: Sage Publications. 1997: 367-394.
30.
John R : Aging and mortality among American Indians: Concerns about the reliability of a crucial indicator of health status. In KS Markides, MR Miranda (eds.): Minorities, Aging, and Health. Thousand Oaks, CA: Sage Publications. 1997: 79-104.
31.
Lewis ID , Ausberry MSC: African-American families: Managed of demented elders. In G Yeo, D Gallagher-Thompson (eds.): Ethnicity & the Dementias. Washington DC: Taylor & Francis. 1996: 167-174.
32.
Yeo G , Gallagher-Thompson D, Lieberman M: Variations in dementia characteristics by ethnic category. In G Yeo, D Gallagher-Thompson (eds.): Ethnicity & the Dementias. Washington DC: Taylor & Francis. 1996: 21-30.
33.
Johnson EH , Gant LM: The association of anger-hostility and hypertension. In HW Neighbors, JS Jackson (eds.): Mental Health in Black America. Thousand Oaks, CA: Sage Publications. 1996: 95-116.
34.
Kumanyika SK : Aging, diet, and nutrition in African-Americans. In KS Markides, MR Miranda (eds.): Minorities, Aging, and Health. Thousand Oaks, CA: Sage Publications. 1997: 205-234.
35.
Ballard EL , Nash F, Raiford K, Harrell LE: Recruitment of Black elderly for clinical research studies of dementia: The CERAD experience. Gerontologist. 1993; 33(4): 561-565.
36.
Henderson JN , Gutierrez-Mayka M, Garcia J, Boyd S: A model for Alzheimer's disease support group development in African-American and Hispanic populations. Gerontologist. 1993; 33(3): 409-414.
37.
Dungee-Anderson D , Beckett JO: Alzheimer's disease in African-American and White families: A clinical analysis. Smith College Studies in Social Work. 1992; 62(2): 155-168.
38.
Cox C : Comparing the experiences of black and white caregivers of dementia patients. Social Work. 1995; 40(3): 343-350.
39.
Martin JM , Martin EP: The helping tradition in the Black family and community. Silver Spring, MD: National Association of Social Workers. 1985.
40.
Segall M , Wykle M: The Black family's experience with dementia. Journal of Applied Social Sciences. 1988-1989; 13(1): 170-191.
41.
Gallagher-Thompson D , Talamantes M, Ramirez R, Valverde I: Service delivery issues and recommendations for working with Mexican American family caregivers. In G Yeo, D Gallagher-Thompson (eds.): Ethnicity and the Dementias. Washington DC: Taylor & Francis. 1996: 137-152.
42.
Henderson JN : Cultural dynamics of dementia in a Cuban and Puerto Rican population in the United States. In G Yeo, D Gallagher-Thompson (eds.): Ethnicity and the Dementias. Washington DC: Taylor & Francis. 1996: 153-166.
43.
Ho MK : Family therapy with ethnic minorities. Newbury Park, CA: Sage Publications. 1987.
44.
Takamura JC : Asian and Pacific Islander elderly. In N. Mokuau (ed.): Handbook of social services for Asian and Pacific Islander Americans. New York: Greenwood Press. 1991: 185-202.
45.
Elliott KS , Di Minno M, Lam D, Tu AM: Working with Chinese families in the context of dementia. In G Yeo, D Gallagher-Thompson (eds.): Ethnicity & the Dementias. Washington DC: Taylor & Francis. 1996: 89-108.
46.
Phillips MR : Strategies used by Chinese families coping with schizophrenia. In D Davis, S Harrell (eds.): Chinese families in the post-Mao era. Berkeley: University of California Press. 1993: 277-306.
47.
Tempo PM , Saito A: Techniques of working with Japanese American families. In G Yeo, D Gallagher-Thompson (eds.): Ethnicity & the Dementias. Washington DC: Taylor & Francis. 1996: 109-122.
48.
McBride MR , Parreno H: Filipino American families and caregiving. In G Yeo, D Gallagher-Thompson (eds.): Ethnicity & the Dementias. Washington DC: Taylor & Francis. 1996: 123-135.
49.
Kramer BJ : Dementia and American Indian populations. In G Yeo, D Gallagher-Thompson (eds.): Ethnicity & the Dementias. Washington, DC: Taylor & Francis. 1996: 175-181.
50.
John R , Hennessy CH, Roy LC, Salvini ML: Caring for cognitively impaired American Indian elders: Difficult situations, few options. In G Yeo, D Gallagher-Thompson (eds.): Ethnicity & the Dementias. Washington DC: Taylor & Francis. 1996: 187-203.
51.
Cross A : Working with American Indian elders in the city: Reflections of an American Indian social worker. In G Yeo, D Gallagher-Thompson (eds.): Ethnicity & the Dementias. Washington DC: Taylor & Francis. 1996: 183-185.
52.
Manson SM : Provider assumptions about long-term care in American Indian communities. Gerontologist. 1989; 29(3): 355-358.
53.
Voss RW , Douville V, Little Soldier A, Twiss G: Tribal and shamanic-based social work practice: A Lakota perspective. Social Work. 1999; 44(3): 228-241.
54.
Padgett DK : Consideration of the ethnic factor in aging research—The time has never been better. Gerontologist. 1990; 30(6): 723-724.
55.
Loewenstein DA , Ardila A, Rosselli M, et al: A comparative analysis of functional status among Spanish-and English-speaking patients with dementia. Journal of Gerontology. 1992; 47(6): P389-P394.
56.
Lopez SR , Taussig IM: Cognitive-intellectual functioning of spanish speaking impaired and nonimpaired elderly: Implications for culturally sensitive assessment. Psychological Assessment: A Journal of Consulting and Clinical Psychology. 1991; 3(3): 448-454.
57.
Black CH , Auerbach H, Mogensen F: A Danish version of the Geriatric Depression Scale. Clinical Gerontologist.1995; 16(2): 67-70.
58.
Chiu HFK , Chan CKY, Lam LCW, Pang AHT: The Chinese version of the international version of Mental Status Questionnaire: A preliminary study of validity. Clinical Gerontologist. 1996; 16(4): 75-79.
59.
Chiu HFK , Lam LCW, Pang AHT, Lee HCB: Chinese versions of international version of Mental Status Questionnaire and the Hypochondriasis Scale. Clinical Gerontologist. 1996; 16(4): 72-75.
60.
Loewenstein DA : The Fult OME as a more culture-fair memory test in the elderly. Clinical Gerontologist. 1995; 15(4): 52-54.
61.
Pang KY : A cross-cultural understanding of depression among elderly Korean immigrants: Prevalence, symptoms, and diagnosis. Clinical Gerontologist. 1995a; 15(4): 3-20.
62.
Pang KY : Korean translation of Geriatric Depression Scale. Clinical Gerontologist. 1995b; 16(1): 74-76.
63.
Yeh TL , Liao IC, Yang YK, et al: Geriatric depression scale (Taiwanese and Mandarin translations). Clinical Gerontologist. 1995; 15(3): 58-60.
64.
Valle R : Cultural and ethnic issues in Alzheimer's disease family research. In E Light, BD Lebowitz (eds.): Alzheimer's Disease Treatment and Family Stress: Directions for Research. Rockville, MD: US Department of Health and Human Services. 1989: 122-154.
65.
Folstein MF , Folstein SE, McHugh PR: Mini-mental state: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research. 1975; 12: 189-198.
66.
Davis LE , Proctor EK: Race, Gender, and Class: Guidelines for Practice with Individuals, Families, and Groups. Englewood Cliffs, NJ: Prentice Hall. 1989.
67.
Lum D : Social work practice & people of color: A process-stage approach(2nd ed.). Pacific Grove, CA: Brooks/Cole Publishing Company. 1992.
68.
Weaver HN : Indigenous people and the social work profession: Defining culturally competent services. Social Work. 1999; 44(3): 217-225.
69.
Richards M , Browne C, Broderick A: Strategies for teaching clinical social work practice with Asian and Pacific Islander elders. Gerontology & Geriatric Education. 1994; 14(3): 49-63.