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首页> 外文期刊>The British journal of psychiatry : >International and indigenous diagnoses of mental disorder among Vietnamese living in Vietnam and Australia.
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International and indigenous diagnoses of mental disorder among Vietnamese living in Vietnam and Australia.

机译：在越南和澳大利亚居住的越南人中，国际和本地对精神障碍的诊断。

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BACKGROUND: Whether the prevalence rates of common mental disorders can be compared across countries depends on the cultural validity of the diagnostic measures used. AIMS: To investigate the prevalence of Western and indigenously defined mental disorders among Vietnamese living in Vietnam and in Australia, comparing the data with an Australian-born sample. METHOD: Comparative analysis of three multistage population surveys, including samples drawn from a community living in the Mekong Delta region of Vietnam (n=3039), Vietnamese immigrants residing in New South Wales, Australia (n=1161), and an Australian-born population (n=7961). Western-defined mental disorders were assessed by the Composite International Diagnostic Interview (CIDI) 2.0 and included DSM-IV anxiety, mood and substance use disorders as well as the ICD-10 category of neurasthenia. The Vietnamese surveys also applied the indigenously based Phan Vietnamese Psychiatric Scale (PVPS). Functional impairment and service use were assessed. RESULTS: The prevalence of CIDI mental disorders for Mekong Delta Vietnamese was 1.8% compared with 6.1% for Australian Vietnamese and 16.7% for Australians. Inclusion of PVPS mental disorders increased the prevalence rates to 8.8% for Mekong Delta Vietnamese and 11.7% for Australian Vietnamese. Concordance was moderate to good between the CIDI and the PVPS for Australian Vietnamese (area under the curve (AUC)=0.77) but low for Mekong Vietnamese (AUC=0.59). PVPS- and CIDI-defined mental disorders were associated with similar levels of functional impairment. CONCLUSIONS: Cultural factors in the expression of mental distress may influence the prevalence rates of mental disorders reported across countries. The findings have implications for assessing mental health needs at an international level.
机译：背景：能否在各个国家之间比较常见精神障碍的患病率取决于所用诊断措施的文化有效性。目的：调查居住在越南和澳大利亚的越南人中西方人和当地人定义的精神障碍的患病率，并将其与澳大利亚出生的样本进行比较。方法：对三个多阶段人口调查的比较分析，包括从居住在越南湄公河三角洲地区的一个社区（n = 3039），居住在澳大利亚新南威尔士州的越南移民（n = 1161）和一个澳大利亚出生的样本中进行的抽样调查人口（n = 7961）。西方定义的精神障碍已通过《综合国际诊断访谈》（CIDI）2.0进行了评估，其中包括DSM-IV焦虑症，情绪和物质使用障碍以及ICD-10类神经衰弱。越南人的调查还使用了土著人的“越南人越南精神病量表”（PVPS）。评估功能障碍和服务使用情况。结果：湄公河三角洲越南人的CIDI精神障碍患病率为1.8％，而澳大利亚越南人为6.1％，澳大利亚人为16.7％。包括PVPS精神障碍的患病率使湄公河三角洲越南人的患病率上升到8.8％，澳大利亚越南人的患病率达到11.7％。澳大利亚越南人（曲线下面积（AUC）= 0.77）在CIDI和PVPS之间的一致性为中等到良好，而湄公河越南人（AUC = 0.59）则为低。 PVPS和CIDI定义的精神障碍与相似程度的功能障碍相关。结论：精神困扰表达的文化因素可能会影响各国报告的精神障碍患病率。这些发现对评估国际上的精神卫生需求具有重要意义。

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