Institute of Mental Health, University of Birmingham, Birmingham, UK.
Birmingham Women's and Children's NHS Foundation Trust, Birmingham, UK.
Child Adolesc Ment Health. 2023 May;28(2):344-346. doi: 10.1111/camh.12649. Epub 2023 Mar 20.
Most mental health research largely ignores or minimises gender and age differences in depression. In 'Don't mind the gap: Why do we not care about the gender gap in mental health?', Patalay and Demkowicz identify a dearth of research on the causal factors of depression in young women. They attribute this to an over-reliance on biological accounts of gender differences in depression. Patalay and Demkowicz conclude that a person-centred approach that meaningfully engages with the reports of young women with depression is more likely to expose the social drivers of depression that impact this group. This commentary focuses on Patalay and Demkowicz's call to examine the patient's lived experience. We argue that there is an urgent need to reflect upon the methodologies involved in examining lived experience and how they can be best utilised. Ultimately, we advocate for an approach known as 'phenomenological psychopathology', through a phenomenological investigation of depression in young women, we can go some way towards closing the gender gap.
大多数心理健康研究在很大程度上忽略或最小化了抑郁症中的性别和年龄差异。在“不要介意差距:为什么我们不关心心理健康方面的性别差距?”一文中,Patalay 和 Demkowicz 指出,关于年轻女性抑郁的因果因素的研究很少。他们将这归因于过度依赖于生物学对抑郁症中性别差异的解释。Patalay 和 Demkowicz 得出结论,一种以个人为中心的方法,即认真对待有抑郁症状的年轻女性的报告,更有可能揭示影响这一群体的抑郁的社会驱动因素。这篇评论集中讨论了 Patalay 和 Demkowicz 呼吁检查患者的生活体验。我们认为,迫切需要反思检查生活体验所涉及的方法以及如何最好地利用这些方法。最终,我们倡导一种称为“现象学精神病学”的方法,通过对年轻女性抑郁的现象学研究,我们可以在一定程度上缩小性别差距。