Characteristics of depressive patients contacting psychiatric services in four cultures
Characteristics of depressive patients contacting psychiatric services in four cultures
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四种文化中抑郁症患者接触精神科服务的特征
DOI：
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发表时间：
1981
影响因子：
6.7
通讯作者：
G. Ernberg
中科院分区：
文献类型：
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作者：
A. Jablensky;N. Sartorius;W. Gulbinat;G. Ernberg
这篇论文是关于在四个国家进行的抑郁症多中心国际研究过程中获得的结果的报告，该研究由世界卫生组织赞助和协调。开发并测试了筛选表，以便在精神病住院患者和门诊患者人群中选择抑郁症患者。以这种方式选择的患者由经验丰富的研究者使用WHO抑郁症标准化评估（SADD）时间表进行临床评估。在五个研究中心共评估了573名患者，并将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可以发现类似的抑郁症病例，描述其特征并确定诊断概念和分类类别在不同环境中的应用程度。研究结果表明，如果采用特定的选择标准，抑郁症的诊断学在不同文化中具有相当程度的相似性，并表明在不同文化中工作的临床医生可以始终如一地使用广泛的诊断分组，如“内源性”和“心因性”抑郁症。
The paper is a report on results obtained in the course of a multicentre 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 outpatient 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 573 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.