The Australian and New Zealand journal of psychiatry · 2007
Reflections on masculinity, culture and the diagnosis of depression.
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Mellsop Graham, Smith Barry
Аннотация
OBJECTIVE: To inform the debate on the relationship between gender and depression by examining clinicians' ratings on selected HoNos items in two cultural groups.
METHOD: Scores on items 1 (overactivity/aggression) and 2 (depression) as recorded by clinicians in the CAOS study of more than 12,000 unselected New Zealand psychiatric service users were analysed by gender and self identified ethnicity.
RESULTS: The lowest ratings for depression and highest for overactivity/agression were assigned to Māori males. Female Māori, were rated next, followed by male non-Māori. Female non-Māori were rated highest on depression and lowest on overactivity/agression.
CONCLUSIONS: Amongst the hypotheses to explain these findings are those relating to service utilization, rater bias, criteria bias, and cultural pathoplastic effects. These questions need answers.
METHOD: Scores on items 1 (overactivity/aggression) and 2 (depression) as recorded by clinicians in the CAOS study of more than 12,000 unselected New Zealand psychiatric service users were analysed by gender and self identified ethnicity.
RESULTS: The lowest ratings for depression and highest for overactivity/agression were assigned to Māori males. Female Māori, were rated next, followed by male non-Māori. Female non-Māori were rated highest on depression and lowest on overactivity/agression.
CONCLUSIONS: Amongst the hypotheses to explain these findings are those relating to service utilization, rater bias, criteria bias, and cultural pathoplastic effects. These questions need answers.