Mojtabai Ramin
Johns Hopkins University, Baltimore, MD, USA
J Aging Health. 2016 Feb;28(1):95-117. doi: 10.1177/0898264315585506. Epub 2015 May 7.
OBJECTIVE: To compare self-ratings of depressed mood in middle-aged and older adults in the United States and nine European countries after adjustment by anchoring vignettes. METHOD: Samples were drawn from three large surveys of middle-aged and older adults: the U.S. Health and Retirement Study, the English Longitudinal Study of Aging (ELSA), and the Survey of Health, Ageing and Retirement in Europe. Self-ratings of depressed mood were compared across countries before and after adjustment by anchoring vignettes depicting cases with different levels of depressed mood. RESULTS: Compared with Europeans as a group, Americans rated both the cases presented in the vignettes and themselves as more depressed. However, after adjustment by vignette ratings, Americans appeared to be less depressed than their counterparts in all but two European countries. DISCUSSION: Cultural differences in mental health norms reflected in vignette rating may partly explain between-country differences in self-reported depressive symptoms and perhaps other psychiatric complaints.
目的:通过锚定 vignettes 进行调整后,比较美国和九个欧洲国家中年及老年成年人的抑郁情绪自评情况。 方法:样本取自三项针对中年及老年成年人的大型调查:美国健康与退休研究、英国老龄化纵向研究(ELSA)以及欧洲健康、老龄化与退休调查。通过描绘不同抑郁情绪水平案例的锚定 vignettes,比较各国在调整前后的抑郁情绪自评情况。 结果:与欧洲人群总体相比,美国人对 vignettes 中呈现的案例以及对自身的抑郁程度评价更高。然而,经 vignette 评分调整后,除两个欧洲国家外,美国人的抑郁程度似乎低于其他欧洲国家的同龄人。 讨论:vignette 评分所反映的心理健康规范方面的文化差异,可能部分解释了各国在自我报告的抑郁症状以及或许其他精神疾病主诉方面的差异。