How Iranian lay people in three ethnic groups conceptualize a case of a depressed woman: an explanatory model.

OBJECTIVE(S): Although depression is a major public health problem, little is known about lay people's views of this subject in Iran. The aim of this study was to explore how depression in women is viewed among lay people in three major ethnic groups--Kurd, Turk, and Fars. DESIGN: Participants were...

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Publicado en:Ethnicity & Health Vol. 15; no. 5; pp. 475 - 494
Autores principales: Dejman M, Forouzan AS, Assari S, Rasoulian M, Jazayery A, Malekafzali H, Eftekhari MB, Falahat K, Ekblad S
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Oct2010
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2010
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      pub: Taylor & Francis Ltd
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        atl: How Iranian lay people in three ethnic groups conceptualize a case of a depressed woman: an explanatory model.
      aug:
        au:
          Dejman M
          Forouzan AS
          Assari S
          Rasoulian M
          Jazayery A
          Malekafzali H
          Eftekhari MB
          Falahat K
          Ekblad S
        affil: Section of Psychiatry, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden,Department for Research, University of Social Welfare and Rehabilitation Sciences, Tehran, Islamic Republic of Iran
      sug:
        subj:
          Depression Psychosocial Factors
          Public Opinion Evaluation
          Adult
          Audiorecording
          Conceptual Framework
          Content Analysis
          Counseling
          Data Analysis Software
          Data Analysis, Statistical
          Depression Etiology
          Depression Symptoms
          Descriptive Statistics
          Exploratory Research
          Female
          Focus Groups
          Funding Source
          Human
          Interviews
          Iran
          Male
          Purposive Sample
          Qualitative Studies
          Stigma
          Support, Psychosocial
          Vignettes
          Adult: 19-44 years
          Female
          Male
      ab: OBJECTIVE(S): Although depression is a major public health problem, little is known about lay people's views of this subject in Iran. The aim of this study was to explore how depression in women is viewed among lay people in three major ethnic groups--Kurd, Turk, and Fars. DESIGN: Participants were selected from public urban healthcare centers. Four focus group discussions were conducted for each of the three ethnic groups and classified by level of education from three locations, in the capital city (Tehran), west (Ilam), and the northwest (Tabriz) of Iran. Twelve focus groups; 38 men and 38 women have been conducted by using a case vignette describing a woman with major depression. RESULTS: Depression symptoms were perceived as a temporary phenomenon. It was regarded as a colloquial term for feeling blue, mostly related to external stressors (social model). The common terms used in all ethnic groups were depression, and nerve/soul distress. Environmental cause and war were considered as external causes of the symptoms, and emotional factors, cognition distortion, and biological reasons, as internal factors. The participants believed it was necessary to seek help from religion, family and friends, positive thinking, and distraction from social problems, besides consultations with psychologists as counselors. Medication was often seen as the last resort. Stigma was mentioned as an important factor that makes people avoid visiting psychiatrists. CONCLUSION: These data may have implications for mental healthcare practice, especially for the approach to diagnosis of depression. Moreover, there is a need for developing and integrating gender-relevant and cultural indicators in the existing national mental health systems in Iran.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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