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- Title
Beurteilung depressiver und somatischer Symptome mittels des PHQ-9 und PHQ-15 bei ambulanten vietnamesischen und deutschen Patientinnen.
- Authors
Hahn, Eric; Burian, Ronald; Dreher, Annegret; Schomerus, Georg; Dettling, Michael; Diefenbacher, Albert; von Poser, Anita; Thi Minh Tam Ta
- Abstract
Studies in the general population have reported inconclusive results regarding higher rates of somatization in migrants compared to native populations. Overall, cross-cultural studies show, that patients in East-Asia with major depressive episodes report fewer psychological and more often somatic symptoms. Since mental health care utilization of Vietnamese migrants in Germany has been low, comparative studies on symptom presentation and somatization for depressed Vietnamese patients are lacking. The Patient Health Questionnaire (PHQ) is an internationally available, valid and easy to use self-report instrument for assessing common psychiatric disorders. Recent studies have shown that cross-cultural comparisons between migrants and native-German populations of PHQ mean values, severity and PHQ single items are possible. In this study 66 female Vietnamese and 83 female German outpatients were assessed for symptoms of depression (PHQ-9) and somatic symptoms (PHQ-15), using the Vietnamese- or German language versions of the PHQ respectively. Differences in PHQ-9 and PHQ-15 total score, severity of depression and somatization and single item differences were analyzed using either MANOVAs or chi-square-tests. For both groups, PHQ-9 and PHQ-15 scales showed good internal consistency. Vietnamese outpatients reported depressive symptoms at similar severity levels as German outpatients matched for age and school education, but had a higher total score of somatic symptoms and a higher proportion of severe somatization according to PHQ-15. Since the differences in somatic symptoms was driven by a subset of PHQ-15 items, primary care physicians should keep in mind that somatic complains including headaches, chest pain, and pain in arms, legs, or joints, dizziness or fainting could be indicative of somatic symptoms of depression in female Vietnamese patients. However, increased awareness and emphasis on self-reported somatic symptoms did not reflect a minimization of PHQ-9 symptoms of depression in female Vietnamese patients.
- Publication
Zeitschrift für Psychiatrie, Psychologie und Psychotherapie, 2016, Vol 64, Issue 1, p25
- ISSN
1661-4747
- Publication type
Article
- DOI
10.1024/1661-4747/a000257