Prevalence and distribution of major depressive disorder in African Americans, Caribbean blacks, and non-Hispanic whites -: Results from the National Survey of American Life
Prevalence and distribution of major depressive disorder in African Americans, Caribbean blacks, and non-Hispanic whites -: Results from the National Survey of American Life
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DOI：
10.1001/archpsyc.64.3.305
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发表时间：
2007-03-01
影响因子：
--
通讯作者：
Jackson, James S.
中科院分区：
文献类型：
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作者：
Williams, David R.;Gonzalez, Hector M.;Jackson, James S.
内容：关于种族/民族与美国黑人抑郁症之间的关系知之甚少。目的：在美国生活全国调查中，估计非裔美国人、加勒比黑人和非西班牙裔白人抑郁症的患病率、持续性、治疗和残疾。设计：对世界卫生组织世界精神卫生版本的复合国际诊断访谈稍作修改。设置：2001年2月2日至2003年6月30日期间，在美国进行的非制度化非洲裔美国人、加勒比黑人和非西班牙裔白人的全国家庭概率样本。共有3570名非裔美国人、1621名加勒比黑人和891名18岁及以上的非西班牙裔白人（N=6082）。终身和12个月的DSM-IV重度抑郁症（MDD）诊断，12个月的精神卫生服务使用，以及使用Sheehan残疾量表和世界卫生组织残疾评估计划II量化的MDD残疾。白人的MDD终生患病率估计值最高（17.9%），其次是加勒比黑人（12.9%）和非洲裔美国人（10.4%）;然而，各组的12个月MDD估计值相似。两个黑人组（非裔美国人为56.5%，加勒比黑人为56.0%）的MDD慢性化率均高于白人（38.6%）。不到一半的非洲裔美国人（45.0%）和不到四分之一（24.3%）的加勒比黑人谁符合标准接受任何形式的MDD治疗。此外，相对于白人，这两个黑人群体更有可能率他们的MDD为严重或非常严重，更disabling.Conclusions：当MDD影响非洲裔美国人和加勒比黑人，它通常是未经治疗的，是更严重和禁用相比，在非西班牙裔白人。精神障碍的负担，特别是抑郁症，在美国黑人中可能高于美国白人。
Context: Little is known about the relationship between race/ethnicity and depression among US blacks.Objective: To estimate the prevalence, persistence, treatment, and disability of depression in African Americans, Caribbean blacks, and non-Hispanic whites in the National Survey of American Life.Design: A slightly modified adaptation of the World Health Organization World Mental Health version of the Composite International Diagnostic Interview.Setting: National household probability samples of non-institutionalized African Americans, Caribbean blacks, and non-Hispanic whites in the United States conducted between February 2, 2001, and June 30, 2003.Participants: A total of 3570 African Americans, 1621 Caribbean blacks, and 891 non-Hispanic whites aged 18 years and older (N=6082).Main Outcome Measures: Lifetime and 12-month diagnoses of DSM-IV major depressive disorder (MDD), 12-month mental health services use, and MDD disability as quantified using the Sheehan Disability Scale and the World Health Organization's Disability Assessment Schedule II.Results: Lifetime MDD prevalence estimates were highest for whites (17.9%), followed by Caribbean blacks (12.9%) and African Americans (10.4%); however, 12-month MDD estimates across groups were similar. The chronicity of MDD was higher for both black groups (56.5% for African Americans and 56.0% for Caribbean blacks) than for whites (38.6%). Fewer than half of the African Americans (45.0%) and fewer than a quarter (24.3%) of the Caribbean blacks who met the criteria received any form of MDD therapy. In addition, relative to whites, both black groups were more likely to rate their MDD as severe or very severe and more disabling.Conclusions: When MDD affects African Americans and Caribbean blacks, it is usually untreated and is more severe and disabling compared with that in non-Hispanic whites. The burden of mental disorders, especially depressive disorders, may be higher among US blacks than in US whites.