Recognition of depression in people of different cultures: a qualitative study
Abstract Background 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...
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ftdoajarticles:oai:doaj.org/article:8340ae0cb36f4c78bca1045e84872974 2023-05-15T17:44:51+02:00 Recognition of depression in people of different cultures: a qualitative study Mattsson Bengt Hammarström Anne Lehti Arja 2009-07-01T00:00:00Z https://doi.org/10.1186/1471-2296-10-53 https://doaj.org/article/8340ae0cb36f4c78bca1045e84872974 EN eng BMC http://www.biomedcentral.com/1471-2296/10/53 https://doaj.org/toc/1471-2296 doi:10.1186/1471-2296-10-53 1471-2296 https://doaj.org/article/8340ae0cb36f4c78bca1045e84872974 BMC Family Practice, Vol 10, Iss 1, p 53 (2009) Medicine (General) R5-920 article 2009 ftdoajarticles https://doi.org/10.1186/1471-2296-10-53 2022-12-31T03:04:40Z Abstract Background 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 this study was to explore and analyse how GPs think and deliberate when seeing and treating patients from foreign countries who display potential depressive features. Methods The data were collected in focus groups and through individual interviews with GPs in northern Sweden and analysed by qualitative content analysis. Results 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. Conclusion 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 Article in Journal/Newspaper Northern Sweden Directory of Open Access Journals: DOAJ Articles BMC Family Practice 10 1 |
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Medicine (General) R5-920 |
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Medicine (General) R5-920 Mattsson Bengt Hammarström Anne Lehti Arja Recognition of depression in people of different cultures: a qualitative study |
topic_facet |
Medicine (General) R5-920 |
description |
Abstract Background 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 this study was to explore and analyse how GPs think and deliberate when seeing and treating patients from foreign countries who display potential depressive features. Methods The data were collected in focus groups and through individual interviews with GPs in northern Sweden and analysed by qualitative content analysis. Results 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. Conclusion 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 |
format |
Article in Journal/Newspaper |
author |
Mattsson Bengt Hammarström Anne Lehti Arja |
author_facet |
Mattsson Bengt Hammarström Anne Lehti Arja |
author_sort |
Mattsson Bengt |
title |
Recognition of depression in people of different cultures: a qualitative study |
title_short |
Recognition of depression in people of different cultures: a qualitative study |
title_full |
Recognition of depression in people of different cultures: a qualitative study |
title_fullStr |
Recognition of depression in people of different cultures: a qualitative study |
title_full_unstemmed |
Recognition of depression in people of different cultures: a qualitative study |
title_sort |
recognition of depression in people of different cultures: a qualitative study |
publisher |
BMC |
publishDate |
2009 |
url |
https://doi.org/10.1186/1471-2296-10-53 https://doaj.org/article/8340ae0cb36f4c78bca1045e84872974 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_source |
BMC Family Practice, Vol 10, Iss 1, p 53 (2009) |
op_relation |
http://www.biomedcentral.com/1471-2296/10/53 https://doaj.org/toc/1471-2296 doi:10.1186/1471-2296-10-53 1471-2296 https://doaj.org/article/8340ae0cb36f4c78bca1045e84872974 |
op_doi |
https://doi.org/10.1186/1471-2296-10-53 |
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BMC Family Practice |
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10 |
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1 |
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1766147146607755264 |