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对抑郁症的耐受性:是否存在文化和性别差异?

Tolerance for depression: are there cultural and gender differences?

作者信息

Loewenthal K M, Macleod A K, Lee M, Cook S, Goldblatt V

机构信息

Department of Psychology, Royal Holloway, University of London, Egham, Surrey, UK.

出版信息

J Psychiatr Ment Health Nurs. 2002 Dec;9(6):681-8. doi: 10.1046/j.1365-2850.2002.00530.x.

Abstract

This study examined tolerance for depression among Jewish and Protestant men and women in the United Kingdom. A measure of tolerance for depression was developed, which examined willingness to admit to and seek help for depression. More specifically, the items in the measure (developed from extended interviews) covered empathy towards sufferers, potential virtues of the illness, hopes for treatment, seeing the illness as 'normal', and telling other people about it. Existing evidence suggested that tolerance for depression might be greater amongst Jews compared with Protestants, and women compared with men. Also, Jewish men were expected to be more tolerant than Protestant men, whereas Protestant and Jewish women were not expected to differ from each other. It was found that tolerance for depression was greater amongst Jews than Protestants, and this is consistent with the elevated levels of depression amongst Jewish men as compared with Protestant men. However, findings relating to gender were mixed and were not always consistent with our expectations. The findings suggest that there may be some cultural variations in willingness to admit to and seek help for depression, and this may be worth examining in other cultural-religious groups. Individual variations in tolerance for depression may be clinically significant.

摘要

这项研究调查了英国犹太男性和女性以及新教男性和女性对抑郁症的容忍度。研究开发了一种抑郁症容忍度测量方法,该方法考察了承认患有抑郁症并寻求帮助的意愿。更具体地说,该测量方法中的项目(基于深入访谈制定)涵盖了对患者的同理心、疾病的潜在益处、对治疗的期望、将疾病视为“正常”以及向他人讲述疾病等方面。现有证据表明,与新教徒相比,犹太人对抑郁症的容忍度可能更高;与男性相比,女性对抑郁症的容忍度可能更高。此外,预计犹太男性比新教男性更宽容,而新教女性和犹太女性预计不会有差异。研究发现,犹太人对抑郁症的容忍度高于新教徒,这与犹太男性抑郁症水平高于新教男性的情况一致。然而,与性别相关的研究结果参差不齐,并不总是与我们的预期一致。研究结果表明,在承认患有抑郁症并寻求帮助的意愿方面可能存在一些文化差异,这可能值得在其他文化宗教群体中进行研究。个体对抑郁症容忍度的差异在临床上可能具有重要意义。

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