Majodina M Z, Johnson F Y
Br J Psychiatry. 1983 Nov;143:442-6. doi: 10.1192/bjp.143.5.442.
A study on the Standardized Assessment of Depressive Disorders (SADD) in collaboration with WHO Headquarters, Geneva, is reported in this paper. The instruments used for the study were screening forms and the SADD schedule, both of which were supplied by WHO. Fifty depressed patients were selected from the outpatients and inpatients of the Accra psychiatric hospital by experienced specialist psychiatrists using the screening forms. The two investigators then carried out a clinical assessment on each selected patient using the SADD schedule. The data collected were subjected to computer analysis. Findings were similar to those from previous WHO/SADD studies in different cultures. Specifically, the investigators found a "core" of depressive symptomatology among African patients in Ghana. An interesting finding was the change in the presentation of depression in African patients over the past 30 years. Broad diagnostic groupings like endogenous depression and psychogenic depression could easily be applied to the study patients. There is a great need for more SADD studies in Africa.
本文报道了一项与日内瓦世界卫生组织总部合作开展的抑郁症标准化评估（SADD）研究。该研究使用的工具是筛查表和SADD日程表，均由世界卫生组织提供。经验丰富的专科精神科医生使用筛查表从阿克拉精神病院的门诊患者和住院患者中挑选出50名抑郁症患者。然后，两位研究人员使用SADD日程表对每位选定患者进行临床评估。收集到的数据进行了计算机分析。研究结果与世界卫生组织/抑郁症标准化评估先前在不同文化背景下的研究结果相似。具体而言，研究人员在加纳的非洲患者中发现了一组“核心”抑郁症状。一个有趣的发现是，过去30年来非洲患者抑郁症的表现有所变化。像内源性抑郁症和心因性抑郁症这样的广泛诊断分类很容易应用于本研究患者。非洲非常需要开展更多的抑郁症标准化评估研究。
