Cultural influences on the prevalence of common mental disorder, general practitioners' assessments and help-seeking among Punjabi and English people visiting their general practitioner
Cultural influences on the prevalence of common mental disorder, general practitioners' assessments and help-seeking among Punjabi and English people visiting their general practitioner
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DOI：
10.1017/s0033291701003853
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发表时间：
2001-07-01
影响因子：
6.9
通讯作者：
Desai, M
中科院分区：
文献类型：
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作者：
Bhui, K;Bhugra, D;Desai, M
背景文化影响症状表现和寻求帮助，并可能影响全科医生的评估。我们招募了旁遮普语和英语GP参加了一个两阶段的调查在伦敦（英国）使用阿姆利则抑郁量表和一般健康问卷作为筛选工具。临床访谈时间表是标准措施。全科医生完成李克特评估。第二阶段由209名旁遮普语和180名英语受试者完成。常见精神障碍的患病率不受文化的影响。旁遮普病例更常出现“注意力和记忆力差”和“抑郁的想法”，但不太可能出现躯体症状。全科医生更有可能评估旁遮普人与常见的精神障碍有'身体和躯体'症状或'亚临床疾病'。与英语病例相比，旁遮普语病例中有抑郁想法的病例不太可能被发现。与英国男性相比，亚洲全科医生对英国女性的检测不足。寻求帮助的英语被试更容易被正确识别为个案。常见精神障碍和躯体症状的患病率在不同文化中没有差异。在英语科目中，全科医生更有可能正确识别纯精神疾病和混合病理，但旁遮普语科目与常见的精神疾病更经常被评估为“亚临床疾病”和“身体和躯体”的障碍。英国女性比英国男性更容易被发现。英语求助者更容易被发现。
Background. Culture influences symptom presentation and help-seeking and may influence the general practitioner's assessment.Methods. We recruited Punjabi and English GP attenders to a two-phase survey in London (UK) using the Amritsar Depression Inventory and the General Health Questionnaire as screening instruments. The Clinical Interview Schedule was the criterion measure. General practitioners completed Likert assessments.Results. The second phase was completed by 209 Punjabi and 180 English subjects. The prevalence of common mental disorders was not influenced by culture. Punjabi cases more often had 'poor concentration and memory' and 'depressive ideas' but were not more likely to have somatic symptoms. General practitioners were more likely to assess Punjabis with common mental disorder as having 'physical and somatic' symptoms or 'sub-clinical disorders'. Punjabi cases with depressive ideas were less likely to be detected compared with English ones. In comparison to English men, English women were under-detected by Asian general practitioners. Help-seeking English subjects were more likely to be correctly identified as cases.Conclusions. The prevalence of common mental disorders and somatic symptoms does not differ across cultures. Among English subjects, general practitioners were more likely to identify correctly pure psychiatric illness and mixed pathology; but Punjabi subjects with common mental disorders were more often assessed as having 'sub-clinical disorders' and 'physical and somatic' disorders. English women were less well detected than English men. English help-seeking cases were more likely to be detected.