Jablensky A, Sartorius N, Gulbinat W, Ernberg G
Acta Psychiatr Scand. 1981 Apr;63(4):367-83. doi: 10.1111/j.1600-0447.1981.tb00685.x.
The paper is a report on results obtained in the course of a multi-centre international study on depressive disorders in four countries, which was sponsored and co-ordinated by the World Health Organization. A screen form was developed and tested in order to select depressive patients among psychiatric in-patient and out-patient populations. The patients selected in this way were assessed clinically by experienced investigators using the WHO schedule for Standardized Assessment of Depressive Disorders (SADD). A total of 53 patients were evaluated in the five research centres, and the data were utilized in uni- and multivariate statistical analyses aiming to establish whether similar cases of depression could be found in different cultures, to describe their characteristics and to ascertain the extent to which diagnostic concepts and classification categories could be applied in different settings. The results point to a considerable degree of similarity in depressive symptomatology across the cultures if particular selection criteria are applied, and suggest that broad diagnostic groupings such as 'endogenous' and 'psychogenic' depressions could be used consistently by clinicians working in different cultures.
本文是一项关于四个国家抑郁症的多中心国际研究结果的报告，该研究由世界卫生组织赞助和协调。为了在精神科住院和门诊患者中筛选出抑郁症患者，开发并测试了一种筛查表格。通过这种方式挑选出的患者由经验丰富的研究人员使用世界卫生组织抑郁症标准化评估日程表（SADD）进行临床评估。五个研究中心共评估了53名患者，数据用于单变量和多变量统计分析，旨在确定在不同文化中是否能找到相似的抑郁症病例，描述其特征，并确定诊断概念和分类类别在不同环境中的适用程度。结果表明，如果应用特定的选择标准，不同文化中的抑郁症状在很大程度上具有相似性，这表明“内源性”和“心因性”抑郁症等广泛的诊断分组可以被不同文化背景的临床医生一致使用。
