Recognition of depression in people of different cultures

February 2017

General Practitioners

Country of origin: Sweden

Many minority group patients who attend primary health care are depressed. To identify a depressive state when GPs see patients from other cultures than their own can be difficult because of cultural and gender differences in expressions and problems of communication. The aim of a recent study was to explore and analyse how GPs think and deliberate when seeing and treating patients from foreign countries who display potential depressive features.

The data were collected in focus groups and through individual interviews with GPs in northern Sweden and analysed by qualitative content analysis.

In the analysis three themes, based on various categories, emerged; "Realizing the background", "Struggling for clarity" and "Optimizing management". Patients' early life events of importance were often unknown which blurred the accuracy. Reactions to trauma, cultural frictions and conflicts between the new and old gender norms made the diagnostic process difficult. The patient-doctor encounter comprised misconceptions, and social roles in the meetings were sometimes confused. GPs based their judgement mainly on clinical intuition and the established classification of depressive disorders was discussed. Tools for management and adequate action were diffuse.

The report concludes that dialogue about patients' illness narratives and social context are crucial. There is a need for tools for multicultural, general practice care in the depressive spectrum. It is also essential to be aware of GPs' own conceptions in order to avoid stereotypes and not to under- or overestimate the occurrence of depressive symptoms

Resources

Healthy Ageing: A Challenge for Europe June 2017 Co-funded by the European Commission, the three-year (2004 - 2007) Healthy Ageing project aims to promote healthy aging...
Self-Assessment Tool for Improving the Quality of Services to Children and Young People June 2017 A self-assessment tool has been designed to assist in assessing their knowledge and capability to commission children?s and...
Assistive technologies website launched June 2017 www.atdementia.org.uk launched by the charity Trent Dementia Services Development Centre to raise awareness of how...
Supporting Survivors Of Childhood Sexual Abuse June 2017 A Scottish Government booklet offers advice on understanding the needs of people who have experienced childhood sexual...
NIH website for child health and human development June 2017 The component of the National Institutes of Health that conducts and supports research on human development, medical...
The Prevention And Treatment Of Head Lice June 2017 A leaflet providing information about head lice including detection, and treatment options has been published.

The...
Hepatitis A Vaccine May 2017 CDC posted an updated hepatitis A VIS that takes into account the licensing of hepatitis A vaccines for children 12 months...
Patient opinion database May 2017 Patient Opinion is a service that tells the public what people are saying about local health services and allows people to...
Hyperhidrosis Society website May 2017 The International Hyperhidrosis Society (IHHS) recently launched a website targeting teenagers who suffer from excessive...
Website helps children prep for hospital experience May 2017 Lucile Packard Children?s Hospital recently launched a new interactive website for children ages 5 to 12 to learn what to...
Search by Keyword