Kalibatseva Zornitsa, Leong Frederick T L
Michigan State University, East Lansing, MI, USA.
Depress Res Treat. 2011;2011:320902. doi: 10.1155/2011/320902. Epub 2011 Sep 27.
This article presents a review of the prevalence and manifestation of depression among Asian Americans and discusses some of the existing issues in the assessment and diagnosis of depression among Asian Americans. The authors point out the diversity and increasing numbers of Asian Americans and the need to provide better mental health services for this population. While the prevalence of depression among Asian Americans is lower than that among other ethnic/racial groups, Asian Americans receive treatment for depression less often and its quality is less adequate. In addition, the previous belief that Asians somatize depression may become obsolete as more evidence appears to support that Westerners may "psychologize" depression. The cultural validity of the current DSM-IV conceptualization of depression is questioned. In the course of the review, the theme of complexity emerges: the heterogeneity of ethnic Asian American groups, the multidimensionality of depression, and the intersectionality of multiple factors among depressed Asian Americans.
本文综述了亚裔美国人中抑郁症的患病率及表现，并探讨了亚裔美国人抑郁症评估与诊断中存在的一些问题。作者指出亚裔美国人的多样性及数量不断增加，有必要为这一群体提供更好的心理健康服务。虽然亚裔美国人中抑郁症的患病率低于其他族裔/种族群体，但亚裔美国人接受抑郁症治疗的频率较低，且治疗质量欠佳。此外，随着越来越多的证据似乎支持西方人可能将抑郁症“心理化”，以前认为亚洲人将抑郁症躯体化的观点可能过时。当前《精神疾病诊断与统计手册》第四版（DSM-IV）中抑郁症概念的文化效度受到质疑。在综述过程中，复杂性这一主题浮现出来：亚裔美国人群体的异质性、抑郁症的多维度性以及抑郁的亚裔美国人中多种因素的交叉性。
