Abstract
Background
Depression is a major public health problem in both China and Australia. To improve services, we need to ensure health professionals have an appropriate understanding of depression and its treatments. This study compares the level of awareness of depression between Chinese and Australian medical students.
Methods
The International Depression Literacy Survey assessing the public health impact, recognition and treatment of depression was completed by pre-psychiatric training medical students in China (n = 220) and Australia (n = 177).
Results
Chinese students were far less likely to consider mental health conditions and depression as major public health problems (P < 0.001). Depression symptom recognition was similar with four of the top five symptoms of depression the same in both groups of students. Chinese students were more likely to consider some psychological symptoms such as “thinking life is not worth living”, but less likely to consider somatic features such as “sleep disturbance” as typical for people with depression. Chinese students were more likely to claim that they would seek help from mental health professionals if experiencing depression whilst Australian students were more likely to seek help from a general or family doctor.
Conclusions
Chinese medical students recognise depression similarly to Australian students but do not consider it a major public health problem. These results challenge the stereotype that depression is characterised by somatic symptoms in China. Increasing awareness of the public health impact of depression should be incorporated into the medical curriculum in China.
Similar content being viewed by others
References
Andrews G, Carter GL (2001) What people say about their general practitioners’ treatment of anxiety and depression. Med J Aust 175 (Suppl 2):48–51
Angermeyer MC, Dietrich S (2006) Public beliefs about and attitudes towards people with mental illness: a review of population studies. Acta Psychiatr Scand 113:163–179
Australian Institute of Health, Welfare (1999) The burden of disease and injury in Australia. Australian Institute of Health and Welfare, Canberra
Chew-Graham CA, Rogers A, Yassin N (2003) ‘I wouldn’t want it on my CV or their records’: medical students’ experiences of help-seeking for mental health problems. Med Educ 37(10): 873–880
Disease Control Priorities Project (2006) Burden of disease in China in 2001 http://www.dcp2.org/file/53/BurdenDiseaseChina.pdf Accessed 22 Apr 2008
Farrer L, Leach L, Griffiths KM, Christensen H, Jorm AF (2008) Age differences in mental health literacy. BMC Public Health 8
Hickie IB, Davenport TA, Luscombe GM, Rong Y, Hickie ML, Bell MI (2007) The assessment of depression awareness and help-seeking behaviour: experiences with the international depression literacy survey. BMC Psychiatry 7
Hickie IB, Davenport TA, Naismith SL, Scott EM, Hadzi-Pavlovic D, Koschera A (2001) Treatment of common mental disorders in Australian general practice. Med J Aust 175 (Suppl 2):25–30
Hickie IB, Pirkis JE, Blashki GA, Groom GL, Davenport TA (2004) General practitioners’ response to depression and anxiety in the Australian community: a preliminary analysis. Med J Aust 181 (7 Suppl):S15–S20
Higgins LT (2006) Understanding of psychiatry and psychiatrists in England and China. Psychol Dev Soc J 18:215–226
Highet NJ, Luscombe GM, Davenport TA, Burns JM, Hickie IB (2006) Positive relationships between public awareness activity and recognition of the impacts of depression in Australia. Aust NZ J Psychiatry 40(1):55–58
Jorm AF, Christensen H, Griffiths KM (2006) Changes in depression awareness and attitudes in Australia: the impact of beyondblue: the national depression initiative. Aust NZ J Psychiatry 40(1):42–46
Jorm AF, Wright A, Morgan AJ (2007) Where to seek help for a mental disorder? National survey of the beliefs of Australian youth and their parents. Med J Aust 187(10):556–560
Lee S, Kleinman A (2007) Are somatoform disorders changing with time? The case of neurasthenia in China. Psychosom Med 69:846–849
Lin N (1989) Measuring depressive symptomatology in China. J Nerv Ment Dis 177:121–131
McGorry PD, Tanti C, Stokes R, Hickie IB, Carnell K, Littlefield LK, Moran J (2007) Headspace: Australia’s National Youth Mental Health Foundation—where young minds come first. Med J Aust 187(7 Suppl):S68–S70
Murray CJ, Lopez AD (1997) Alternative projections of mortality and disability by cause 1990–2020: global burden of disease study. Lancet 349(9064):1498–1504
Parker G, Gladstone G, Chee KT (2001) Depression in the planet’s largest ethnic group: the Chinese. Am J Psychiatry 158(6):857–864
Paykel ES, Hart D, Priest RG (1998) Changes in public attitudes to depression during the defeat depression campaign. Br J Psychiatry 173:519–522
Phillips MR, Shen Q, Liu X, Pritzker S, Streiner D, Conner K, Yang G (2007) Assessing depressive symptoms in persons who die of suicide in mainland China. J Affect Disord 98(1/2):73–82
Pirkis J, Hickie IB, Young L, Burns J, Highet N, Davenport TA (2005) An evaluation of beyondblue, Australia’s national depression initiative. Int J Ment Health Promot 7(2):35–53
SEBoD (2004) “Reducing the social and economic burdens of depression (SEBoD) in Asia”. Australias Psychiatry 12 (Suppl 1)
Sartorius N (2004) Reducing the social and economic burdens of depression (SEBoD) in Asia. Australas Psychiatry 12 (Suppl 1):1–3
World Health Organisation (2005) Atlas: psychiatric education and training across the world 2005. World Health Organisation, Geneva
World Health Organisation (2005) Mental health atlas 2005. World Health Organisation, Geneva
World Health Organisation (2006) The world health report 2006—working together for health, chapter two. World Health Organisation, Geneva
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Rong, Y., Luscombe, G.M., Davenport, T.A. et al. Recognition and treatment of depression. Soc Psychiat Epidemiol 44, 636–642 (2009). https://doi.org/10.1007/s00127-008-0471-5
Received:
Revised:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00127-008-0471-5