Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Champaign, Illinois, USA.
Department of Human Development and Family Studies, University of Illinois at Urbana-Champaign, Urbana, Illinois, USA.
J Womens Health (Larchmt). 2020 Oct;29(10):1273-1282. doi: 10.1089/jwh.2019.7975. Epub 2020 May 12.
Racial and ethnic minority women in the United States have an elevated risk of depression or depressive symptoms compared with White women. There is evidence to suggest that these women are more likely to report somatic symptoms. The objective of this systematic review was to determine whether there are racial and ethnic differences in somatization in women with depression or depressive symptoms. The study focused on peer-reviewed, English-written publications of adult women that compared two or more racial or ethnic women and used reliable measures. Quantitative studies conducted in the United States were considered. Articles were reviewed from March 2017 to April 2019, with no publication start date. Seven studies met the inclusion criteria. Results suggest that African American women were more likely to endorse somatic symptoms compared with White women and, in one instance Hispanic/Latinas. Three of four studies found that Hispanic/Latinas were significantly more likely to endorse somatic symptoms compared with White women; one study found that White women were significantly more likely to report somatic symptoms than Hispanic women. Another study found that White women endorsed significantly higher somatic symptoms than Chinese American women. One study did not find significant differences. A pattern emerged with African American and Hispanic/Latina women with depression or depressive symptoms more likely to report somatic symptoms compared with White women. However, it is not clear whether differences were a function of culturally acceptable presentation of symptoms or if the stress of being depressed increased somatization in minority women. Future studies should assess how depression/depressive symptoms affect racial and ethnic minority women to identify mechanisms involved in increased somatization.
美国的少数族裔女性（尤其是非裔美国女性和西班牙裔/拉丁裔女性）比白人女性更容易出现抑郁或抑郁症状。有证据表明，这些女性更有可能报告躯体症状。本系统评价的目的是确定抑郁或抑郁症状女性中是否存在躯体化的种族和民族差异。本研究主要关注比较了两种或多种不同种族或族裔女性、并使用可靠测量方法的同行评审、以英文撰写的成年女性的出版物。考虑了在美国进行的定量研究。从 2017 年 3 月到 2019 年 4 月审查了文章，没有起始日期。有 7 项研究符合纳入标准。结果表明，与白人女性相比，非裔美国女性更有可能出现躯体症状，而在一个实例中，西班牙裔/拉丁裔女性也是如此。四项研究中有三项发现，与白人女性相比，西班牙裔/拉丁裔女性更有可能出现躯体症状；一项研究发现，白人女性比西班牙裔女性更有可能报告躯体症状。另一项研究发现，与华裔美国女性相比，白人女性出现的躯体症状明显更高。一项研究未发现显著差异。出现了一个模式，即患有抑郁或抑郁症状的非裔美国女性和西班牙裔/拉丁裔女性比白人女性更有可能报告躯体症状。然而，尚不清楚这些差异是否是由于文化上可接受的症状表现所致，或者是否是抑郁对少数族裔女性增加躯体化的压力所致。未来的研究应评估抑郁/抑郁症状如何影响少数族裔女性，以确定涉及躯体化增加的机制。
