Depression in developing countries: lessons from Zimbabwe
Depression in developing countries: lessons from Zimbabwe
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DOI：
10.1136/bmj.322.7284.482
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发表时间：
2001-02-24
影响因子：
--
通讯作者：
Reeler, A
中科院分区：
文献类型：
--
作者：
Patel, V;Abas, M;Reeler, A
抑郁症是发展中国家发病和残疾的最重要原因之一。1津巴布韦与其他发展中国家一样，有绝对贫困、经济改革方案、有限的公共卫生服务、广泛的私营和传统医疗服务、内乱、文化多样性和性别不平等。我们在过去15年中对津巴布韦的抑郁症进行了研究，包括对一系列人口的人种学和流行病学研究。我们将我们的发现与其他发展中国家的研究和工业化国家的证据进行了比较。在发展中国家的背景下，我们研究了世界卫生组织的分类和抑郁症的医学概念的有效性，抑郁症的公共卫生影响，以及对临床实践和研究的影响。
Depression is one of the most important causes of morbidity and disability in developing countries. 1 Zimbabwe, in common with other developing nations, has absolute poverty, economic reform programmes, limited public health services, widespread private and traditional healthcare services, civil unrest, cultural diversity, and sex inequality. We have conducted research on depression in Zimbabwe over the past 15 years, covering ethnographic and epidemiological studies in a range of populations. We compared our findings with research from other developing countries and with evidence from industrialised countries. In the context of developing countries we examined the validity of World Health Organization classifications and medical concepts of depression, the public health implications of depression, and the implications for clinical practice and research.