Alemi Qais, Weller Susan C, Montgomery Susanne, James Sigrid
Department of Social Work and Social Ecology, School of Behavioral Health.
Department of Family Medicine, University of Texas Medical Branch, Galveston.
Med Anthropol Q. 2017 Jun;31(2):177-197. doi: 10.1111/maq.12296. Epub 2016 Jun 30.
Relatively little empirical attention has been paid to understanding how refugees conceptualize depression and how this concept varies between genders. The purpose of this study was to explore beliefs about depression among Afghans residing in San Diego County, California, using cultural consensus analysis. Using the prescribed mixed-method approach, we employed results from in-depth interviews to develop a culturally meaningful questionnaire about depression. Consensus analysis of responses to questionnaire items from 93 Afghans (50 men, 43 women) indicates shared beliefs that associates depression causality with mild traumatic experiences and post-resettlement stressors, symptomatology to include culturally salient idioms of distress, and treatment selections ranging from lay techniques to professional care. Divergence between genders occurred most in the symptoms subdomain, with women associating depression with more somatic items. This study contributes to understanding the etiology of and cultural responses to depression among this population, which is critical to improving culturally sensitive intervention for Afghan refugees.
相对而言，很少有实证研究关注难民如何理解抑郁症以及这一概念在不同性别之间如何变化。本研究的目的是通过文化共识分析，探索居住在加利福尼亚州圣地亚哥县的阿富汗人对抑郁症的看法。采用规定的混合方法，我们利用深入访谈的结果编制了一份关于抑郁症的具有文化意义的问卷。对93名阿富汗人（50名男性，43名女性）对问卷项目的回答进行的共识分析表明，他们共同认为抑郁症的病因与轻度创伤经历和重新安置后的压力源有关，症状包括具有文化显著性的痛苦表述，治疗选择范围从非专业方法到专业护理。性别差异主要出现在症状子领域，女性将抑郁症与更多躯体症状联系在一起。本研究有助于理解这一人群中抑郁症的病因和文化反应，这对于改善针对阿富汗难民的文化敏感干预至关重要。
