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Cultural differences in depression-related stigma in late-life: a comparison between the USA, Russia, and South Korea

Published online by Cambridge University Press:  25 May 2012

Carolyn L. Turvey ,
Gerald Jogerst ,
Mee Young Kim  and
Elena Frolova
Carolyn L. Turvey*
Affiliation:
Department of Psychiatry, University of Iowa, Iowa City, Iowa, USA
Gerald Jogerst
Affiliation:
University of Iowa College of Medicine, Iowa City, Iowa, USA
Mee Young Kim
Affiliation:
Hallym University Medical Center, Seoul, South Korea
Elena Frolova
Affiliation:
Medical Academy of Postgraduate Studies, St. Petersburg, Russia
*
Correspondence should be addressed to: Carolyn L. Turvey, PhD, Psychiatry Research-MEB, University of Iowa, 500 Newton Road, 2-204 MEB, Iowa City, IA 52242-1000, USA. Phone: +1 319-353-5312; Fax: +1 319-353-3003. Email: [email protected].
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Abstract

Background: Depression is a common and treatable illness in late-life. However, many do not seek treatment and may suffer from the stigma of the illness, which may vary across cultures. The aim of this study was to compare attitudes about depression in primary care practices in South Korea, Russia, and the USA.

Methods: A cross-sectional study was undertaken using a self-administered questionnaire and PHQ-9 diagnostic survey with 1,094 patients aged 60–93 years who attended a primary care clinic in Korea, Russia, or the USA.

Results: The mean age of participants was 71 years, with 61% being female. US patients were older and had higher education levels. Russian participants were more likely to be widowed and had lower self-rated health. The majority of participants agreed that depression is a kind of disease (Korea 77%, Russia 61%, USA 79%). Only 6% of US patients believed depression means a person is weak, compared to 78% (Korea) and 61% (Russia). Fewer US patients endorsed depression as a normal part of aging (29% vs. Korea at 42% and Russia at 54%). Among participants in the USA, age correlated negatively with endorsement of a medical model of depression (p = <0.001).

Conclusions: Though there was wide variation between countries in attitudes about depression, the majority of each endorsed items reflected a medical model of depression. Korean and Russian participants endorsed the view of depression as a personal weakness more than participants in the USA. Demographic correlates of negative attitudes about depression were moderate to weak.

Keywords

depressionstigmageriatriccross-cultural comparison
Type
Research Article
Information
International Psychogeriatrics , Volume 24 , Issue 10 , October 2012 , pp. 1642 - 1647
Copyright
Copyright © International Psychogeriatric Association 2012

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References

Arean, P. A. and Cook, B. L. (2002). Psychotherapy and combined psychotherapy/pharmacotherapy for late life depression. Biological Psychiatry, 52, 293–303.CrossRefGoogle ScholarPubMed
Brohan, E., Gauci, D., Sartorius, N. and Thornicroft, G. (2011). Self-stigma, empowerment and perceived discrimination among people with bipolar disorder or depression in 13 European countries: the GAMIAN-Europe study. Journal of Affective Disorders, 129, 56–63.CrossRefGoogle ScholarPubMed
Conner, K. O. et al. (2010a). Mental health treatment seeking among older adults with depression: the impact of stigma and race. American Journal of Geriatric Psychiatry, 18, 531–543.CrossRefGoogle ScholarPubMed
Conner, K. O. et al. (2010b). Barriers to treatment and culturally endorsed coping strategies among depressed African-American older adults. Aging & Mental Health, 14, 971–983.CrossRefGoogle ScholarPubMed
Cronbach, L. J. (1951). Coefficient alpha and the internal structure of tests. Psychometrika, 16, 297–333.CrossRefGoogle Scholar
Griffiths, K. M., Christensen, H. and Jorm, A. F. (2008). Predictors of depression stigma. BMC Psychiatry, 8, 25.CrossRefGoogle ScholarPubMed
Jogerst, G. J., Zheng, S., Frolova, E. F. and Kim, M. Y. (2011). Late-life depressive symptoms: an international study. Family Practice. Epublished ahead of print, doi: 10.1093/fampra/cmr116.Google ScholarPubMed
Kessler, R. C. et al. (2001). The prevalence and correlates of untreated serious mental illness. Health Series Research, 36, 987–1007.Google ScholarPubMed
Kirmayer, L. J. (2001). Cultural variations in the clinical presentation of depression and anxiety: implications for diagnosis and treatment. Journal of Clinical Psychiatry, 62, 22–28; discussion 29–30.Google ScholarPubMed
Kroenke, K., Spitzer, R. L. and Williams, J. B. (2001). The PHQ-9: validity of a brief depression severity measure. Journal of General Internal Medicne, 16, 606–613.CrossRefGoogle ScholarPubMed
Maidment, R., Livingston, G. and Katona, C. (2002). Just keep taking the tablets: adherence to antidepressant treatment in older people in primary care. International Journal of Geriatric Psychiatry, 17, 752–757.CrossRefGoogle ScholarPubMed
Meyers, B. S. and Jeste, D. V. (2010). Geriatric psychopharmacology: evolution of a discipline. Journal of Clinical Psychiatry, 71, 1416–1424.CrossRefGoogle ScholarPubMed
Nelson, J. C., Delucchi, K. and Schneider, L. S. (2008). Efficacy of second generation antidepressants in late-life depression: a meta-analysis of the evidence. American Journal of Geriatric Psychiatry, 16, 558–567.CrossRefGoogle ScholarPubMed
Reynolds, C. F. 3rd, et al. (2010). Treating depression to remission in older adults: a controlled evaluation of combined escitalopram with interpersonal psychotherapy versus escitalopram with depression care management. International Journal of Geriatric Psychiatry, 25, 1134–1141.CrossRefGoogle ScholarPubMed
Sheikh, S. and Furnham, A. (2000). A cross-cultural study of mental health beliefs and attitudes towards seeking professional help. Social Psychiatry and Psychiatric Epidemiology, 35, 326–334.CrossRefGoogle ScholarPubMed
Sirey, J. A. et al. (2001). Perceived stigma as a predictor of treatment discontinuation in young and older outpatients with depression. Amerian Journal of Psychiatry, 158, 479–481.CrossRefGoogle Scholar
Weiss, M. G., Jadhav, S., Raguram, R., Vounatsou, P. and Littlewood, R. (2001). Psychiatric stigma across cultures: local validation in Bangalore and London. Anthropology and Medicine, 8, 71–87.CrossRefGoogle Scholar
Yap, M. B., Wright, A. and Jorm, A. F. (2011). The influence of stigma on young people's help-seeking intentions and beliefs about the helpfulness of various sources of help. Social Psychiatry and Psychiatric Epidemiology, 46, 1257–1265.CrossRefGoogle Scholar