Karolinska Institutet, Department of Public Health Sciences, Tomtebodavägen 18A, 17165, Stockholm, Sweden.
Int J Ment Health Syst. 2013 May 6;7(1):15. doi: 10.1186/1752-4458-7-15.
Depression is among the most common psychiatric conditions in primary health care, and constitutes an important part of the global disease burden. However, it is difficult to obtain comparable data on depression worldwide and models for treatment and intervention need to be locally adapted. We conducted a narrative review of research literature on factors that influence depression screening, diagnosis and treatment among the Vietnamese population. This explorative approach included studies describing: a) culturally or contextually specific risk-factors for depression; b) any depression treatment seeking or treatment acceptability/adherence aspects or; c) depression screening among Vietnamese patients. We searched the PubMed and Cinahl databases, as well as relevant Vietnamese peer-reviewed journals and this produced 20 articles that were included in the review. Our findings indicate the importance of considering somatic symptoms when screening for depression in Vietnam as well as the use of culturally adapted and dimensional screening instruments. Our study confirms that depression reflects chronic social adversity, and thus an approach to mental health management that focuses solely on individual pathology will fail to address its important social causes. Further studies should elucidate whether neurasthenia is a commonly used illness label among Vietnamese patients that coincides with depression. The tendency among Vietnamese to seek traditional Vietnamese medicine and meditation practice when experiencing emotional distress was supported by our findings.
抑郁症是基层医疗保健中最常见的精神疾病之一，也是全球疾病负担的重要组成部分。然而，全球范围内很难获得可比的抑郁症数据，并且需要对治疗和干预模型进行本土化调整。我们对越南人群中影响抑郁症筛查、诊断和治疗的因素进行了叙述性文献综述。这种探索性方法包括描述以下内容的研究：a）文化或情境特异性的抑郁症风险因素；b）任何抑郁症治疗寻求或治疗可接受性/依从性方面；c）越南患者的抑郁症筛查。我们在 PubMed 和 Cinahl 数据库以及相关的越南同行评议期刊中进行了检索，共产生了 20 篇文章，这些文章被纳入了综述。我们的研究结果表明，在越南进行抑郁症筛查时，需要考虑躯体症状，以及使用文化适应性和维度筛查工具的重要性。我们的研究证实，抑郁症反映了慢性社会逆境，因此，仅关注个体病理的心理健康管理方法将无法解决其重要的社会原因。进一步的研究应阐明神经衰弱是否是越南患者中常用的疾病标签，是否与抑郁症一致。我们的研究结果支持了越南人在情绪困扰时寻求传统越南医学和冥想实践的倾向。
