Parker Gordon, Chan Bibiana, Tully Lucy
School of Psychiatry, University of New South Wales, and Black Dog Institute, Prince of Wales Hospital, Randwick 2031, Sydney, Australia.
J Affect Disord. 2006 Aug;94(1-3):239-42. doi: 10.1016/j.jad.2006.03.012. Epub 2006 May 18.
It is commonly reported that "the Chinese" have low rates of depression, partially reflecting a greater tendency to somatize and to be less likely to seek help.
To examine the impact of acculturation on depression reporting and help-seeking patterns.
We compared 50 highly acculturated Chinese with age and gender-matched non-Chinese control subjects in a western region on measures of state and lifetime depression, attributional interpretation of somatic cues and help-seeking.
The highly acculturated Chinese did not differ in state depression rates or tendency to 'somatize'. There were trends for the Chinese to be less likely to view any depressive episode as a 'disorder' and to seek help for a psychological problem.
Differences held to exist in the Chinese in acknowledging, reporting and seeking help for depression appear strongly culturally determined.
普遍报道称“中国人”的抑郁症发病率较低，这部分反映出他们更倾向于将症状躯体化，且寻求帮助的可能性较小。
研究文化适应对抑郁症报告及寻求帮助模式的影响。
我们在西部地区将50名文化适应程度高的中国人与年龄和性别匹配的非中国对照对象进行比较，比较内容包括状态性抑郁和终生抑郁的测量、对躯体线索的归因解释以及寻求帮助的情况。
文化适应程度高的中国人在状态性抑郁发病率或“躯体化”倾向上没有差异。中国人不太可能将任何抑郁发作视为一种“疾病”，也不太可能因心理问题寻求帮助，这存在一定趋势。
在承认、报告和寻求抑郁症帮助方面，中国人存在的差异似乎在很大程度上由文化决定。
