Lunsky Y
Department of Psychiatry, University of Toronto, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
J Intellect Disabil Res. 2003 Sep;47(Pt 6):417-27. doi: 10.1046/j.1365-2788.2003.00516.x.
Gender issues remain largely unaddressed in the dual diagnosis arena, even in the area of depression where there is a 2:1 female to male ratio in the general population. This paper argues that women with intellectual disability (ID) report higher levels of depressive symptoms than men with ID and that risk factors for depression identified for women in the general population are relevant to this group.
Findings are based on structured interviews with 99 men and women with ID, with corroborative information provided from caregivers and casebook reviews.
Overall, women reported higher levels of depression than men. Individuals with higher depression scores were more lonely and had higher stress levels than individuals with lower scores. Women with higher depression scores were more likely to report coming from abusive situations, to have poor social support from family and to be unemployed when compared to women with lower scores, but similar differences were not found when comparing men with higher and lower depression scores.
Men and women who report experiencing these psychosocial correlates of depression should be a target group for future prevention efforts, taking gender specific concerns into consideration.
在双重诊断领域,性别问题在很大程度上仍未得到解决,即使在抑郁症领域也是如此,在普通人群中女性与男性的患病比例为2:1。本文认为,患有智力障碍(ID)的女性比患有智力障碍的男性报告的抑郁症状水平更高,并且在普通人群中确定的女性抑郁症风险因素与该群体相关。
研究结果基于对99名患有智力障碍的男性和女性进行的结构化访谈,并从照顾者和病例记录审查中获得了佐证信息。
总体而言,女性报告的抑郁水平高于男性。抑郁得分较高的个体比得分较低的个体更孤独,压力水平也更高。与抑郁得分较低的女性相比,抑郁得分较高的女性更有可能报告来自虐待环境,家庭社会支持较差且处于失业状态,但在比较抑郁得分较高和较低的男性时未发现类似差异。
报告经历这些抑郁症心理社会相关因素的男性和女性应成为未来预防工作考虑到性别特定问题的目标群体。