Chen I G, Roberts R E, Aday L A
Department of Behavioral Sciences, School of Public Health, The University of Texas-Houston Health Science Center 77225, USA.
J Nerv Ment Dis. 1998 Oct;186(10):623-30. doi: 10.1097/00005053-199810000-00006.
This paper is concerned with whether an instrument developed in the U.S. may identify lower rates of major depression among Chinese, because its content may not cover culture-specific symptoms of depression. Data were obtained from approximately 952 Anglo and Chinese American middle school students, aged 10 to 17 years, in the Teen Life Changes Survey conducted in the spring of 1994. We investigated the hypothesis that rates of missing values would be higher, the mean score for total depression items would be lower, and internal consistency reliability and construct validity of the DSM Scale for Depression (DSD) would be lower for Chinese American adolescents compared with Anglo American adolescents. We also examined whether response functions on the DSD item would differ for these two groups. Only the latter was observed. Five of 26 items in the DSD exhibited differential functioning between Anglo and Chinese students. The results suggest that the lower prevalence of depression was not due to the ethnocentric character of the instrument in the Chinese sample. Stronger immunity to depression or other cultural factors may contribute to the lower rate of depression for the Chinese American adolescents in the Teen Life Changes study.
本文关注的是美国研发的一种工具是否会在中国人群中识别出较低的重度抑郁症发病率，因为其内容可能未涵盖抑郁症的特定文化症状。数据来自1994年春季进行的青少年生活变化调查中约952名年龄在10至17岁之间的英裔和华裔美国中学生。我们调查了这样一个假设：与英裔美国青少年相比，华裔美国青少年的缺失值发生率会更高，抑郁项目总分的平均分更低，《精神疾病诊断与统计手册》抑郁量表（DSD）的内部一致性信度和结构效度会更低。我们还研究了这两组在DSD项目上的反应函数是否存在差异。结果仅观察到了后者。DSD的26个项目中有5个在英裔和华裔学生之间表现出差异功能。结果表明，抑郁症发病率较低并非由于该工具在华裔样本中的文化中心主义特征。更强的抑郁症免疫力或其他文化因素可能导致了青少年生活变化研究中华裔美国青少年抑郁症发病率较低。
