Dhadphale M, Cooper G, Cartwright-Taylor L
Department of Psychiatry, University of Nairobi, Kenya.
Am J Psychiatry. 1989 May;146(5):659-61. doi: 10.1176/ajp.146.5.659.
Using a two-stage screening procedure, ICD-9 diagnostic criteria, and the Hamilton Rating Scale for Depression, the authors diagnosed depressive disorders in 81 (9.2%) of 881 patients in a primary care setting in Kenya. All depressed patients had somatic symptoms, and all of the 27 depressed patients assessed with the Hamilton scale scored higher than 2 on the work and activities item. These findings contradict the earlier reports that Africans do not admit to being depressed. Nearly one-third of the depressed patients were moderately or severely ill and would have benefited from psychiatric assessment and treatment.
通过两阶段筛查程序、国际疾病分类第九版（ICD - 9）诊断标准以及汉密尔顿抑郁量表，作者在肯尼亚一家初级保健机构的881名患者中诊断出81例（9.2%）患有抑郁症。所有抑郁症患者均有躯体症状，且在接受汉密尔顿量表评估的27例抑郁症患者中，所有人在工作和活动项目上的得分均高于2分。这些发现与早期关于非洲人不承认自己患有抑郁症的报道相矛盾。近三分之一的抑郁症患者病情为中度或重度，本可从精神科评估和治疗中获益。
