Journal of Genetic Counseling

, Volume 22, Issue 5, pp 613–624 | Cite as

Exploring Culture-Specific Differences in Beliefs about Causes, Kinship and the Heritability of Major Depressive Disorder: The Views of Anglo-Celtic and Chinese-Australians

  • Mimi Xu
  • Lilian Zou
  • Alex Wilde
  • Bettina Meiser
  • Kristine Barlow-Stewart
  • Bibiana Chan
  • Philip B. Mitchell
  • Mariana S. Sousa
  • Peter R. Schofield
Original Research
  • 655 Downloads

Abstract

The aim of this study was to explore cultural differences in causal attributions and beliefs about heritability of major depressive disorder (MDD). Face-to-face interviews with Anglo-Celtic- and Chinese-Australians community members with a family history of MDD were conducted and subjected to a rigorous qualitative analysis, using the computer software NVivo. Sixteen Anglo-Celtic-Australians and 16 Chinese-Australians were interviewed. Both groups believed that a combination of genetic and environmental factors contributed to MDD, that stress was an important cause of MDD, and that coping factors were significant moderators of the impact of stress on MDD. Both cultural groups believed that the causes of MDD affecting multiple family members included a shared family environment and a “contagion effect”, in addition to genetics. Unique to the Chinese-Australian group was the beliefs that parental pressures to exceed academically contributed to MDD; this cultural group also reported beliefs that depression was due to God’s will or alternatively fate, which in turn was related to attributions to feng shui and auspicious dates. This study documented key culture-specific differences in beliefs about causes and inheritance of MDD; such differences have major implications for clinician-patient communication about genetic risk associated with having a family history of MDD.

Keywords

Cross-cultural Beliefs Causation Depression Chinese Anglo-Celtic 

Notes

Acknowledgments

We are very grateful to the people who participated in this study and so generously shared their views. This study was supported by the Faculty of Medicine, University of New South Wales. Associate Professor Bettina Meiser is supported by a Career Development Award Level 2 from the National Health and Medical Research Council of Australia.

Disclosure of Interest

The authors do not have any conflict of interests. The authors have full control of all primary data and agree to allow the journal to review their data if requested.

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Copyright information

© National Society of Genetic Counselors, Inc. 2013

Authors and Affiliations

  • Mimi Xu
    • 1
  • Lilian Zou
    • 1
  • Alex Wilde
    • 2
    • 3
  • Bettina Meiser
    • 4
    • 11
  • Kristine Barlow-Stewart
    • 5
    • 6
  • Bibiana Chan
    • 7
  • Philip B. Mitchell
    • 2
    • 3
    • 8
  • Mariana S. Sousa
    • 4
  • Peter R. Schofield
    • 8
    • 9
    • 10
  1. 1.School of MedicineUniversity of New South WalesSydneyAustralia
  2. 2.School of PsychiatryUniversity of New South WalesSydneyAustralia
  3. 3.Black Dog InstituteSydneyAustralia
  4. 4.Prince of Wales Clinical SchoolUniversity of New South WalesSydneyAustralia
  5. 5.Sydney Medical SchoolUniversity of SydneySydneyAustralia
  6. 6.Centre for Genetics Education NSW HealthRoyal North Shore HospitalSydneyAustralia
  7. 7.Centre for Primary Health Care and EquityUniversity of New South WalesSydneyAustralia
  8. 8.Brain SciencesUniversity of New South WalesSydneyAustralia
  9. 9.Neuroscience Research AustraliaSydneyAustralia
  10. 10.School of Medical SciencesUniversity of New South WalesSydneyAustralia
  11. 11.Psychosocial Research Group, Dickinson Building 3Prince of Wales HospitalRandwickAustralia

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