Zhang Amy Y, Gary Faye, Zhu Hui
a Frances Payne Bolton School of Nursing and.
b School of Medicine, Case Western Reserve University , Cleveland , OH , USA.
J Ment Health. 2015 Dec;24(6):351-6. doi: 10.3109/09638237.2014.998806. Epub 2015 Jan 7.
Accurately assessing depression in African American cancer patients is difficult because of the similarities of physical symptoms observed in cancer and depression.
To identify universal and distinctive depressive symptoms in African American cancer patients.
Seventy-four cancer patients (34 depressed and 23 non-depressed African Americans, and 17 depressed Whites) were interviewed. Qualitative and quantitative analyses were conducted.
Compared to non-depressed African Americans, depressed African Americans reported irritability, social isolation, insomnia, fatigue and crying (p ≤ 0.05) more frequently over time. Compared to depressed Whites, they reported sadness, frustration and intrusive thoughts less frequently (p ≤ 0.05), but insomnia and fatigue more frequently (p ≤ 0.05) during cancer treatment. There was little racial difference at the time of interview.
Depressed African American cancer patients may benefit from more culturally sensitive depression measures that consider symptoms of irritability, social isolation and altered expressions of depressive mood.
由于在癌症患者身上观察到的身体症状与抑郁症症状相似，准确评估非裔美国癌症患者的抑郁症很困难。
确定非裔美国癌症患者普遍存在的和独特的抑郁症状。
对74名癌症患者（34名抑郁的非裔美国人、23名非抑郁的非裔美国人以及17名抑郁的白人）进行了访谈。进行了定性和定量分析。
随着时间的推移，与非抑郁的非裔美国人相比，抑郁的非裔美国人更频繁地报告易怒、社交隔离、失眠、疲劳和哭泣（p≤0.05）。与抑郁的白人相比，他们在癌症治疗期间较少报告悲伤、沮丧和侵入性思维（p≤0.05），但更频繁地报告失眠和疲劳（p≤0.05）。在访谈时种族差异不大。
抑郁的非裔美国癌症患者可能会受益于更具文化敏感性的抑郁症测量方法，这些方法考虑到易怒、社交隔离和抑郁情绪表达改变等症状。
