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. 1995 Oct;163(4):341–345.

Screening for depression among newly arrived Vietnamese refugees in primary care settings.

D Buchwald 1, S M Manson 1, D L Brenneman 1, N G Dinges 1, E M Keane 1, J Beals 1, J D Kinzie 1
PMCID: PMC1303127  PMID: 7483590

Abstract

A brief, culture-specific, self-report screening measure for depression, the Vietnamese Depression Scale, was used to determine the prevalence of depressive symptoms among 1,998 consecutive adult Vietnamese refugees who presented at 10 public health clinics within 2 months of their arrival in the United States. Of these patients, 6% met the criterion for a probable case of depression ("positive"). Being divorced, separated, or widowed and poorly educated were strongly associated with a greater likelihood of screening positive. Somatic complaints were common and induced considerable anxiety about physical health status. Nearly a third of the patients reported sadness and dysphoria; culture-specific symptoms of depression also were prevalent. Our findings document the feasibility of screening for depression using the Vietnamese Depression Scale among Vietnamese refugees, particularly in primary care settings where they are first likely to be seen by health professionals after arrival in their host country.

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Selected References

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  1. Chow R. T., Krumholtz S., Landau C. Psychological screening of Cambodian refugees in a RI primary care clinic. R I Med J. 1989 Aug;72(8):279–281. [PubMed] [Google Scholar]
  2. Ebata K., Miyake Y. A mental health survey of the Vietnamese refugee in Japan. Int J Soc Psychiatry. 1989 Summer;35(2):164–172. doi: 10.1177/002076408903500204. [DOI] [PubMed] [Google Scholar]
  3. Felsman J. K., Leong F. T., Johnson M. C., Felsman I. C. Estimates of psychological distress among Vietnamese refugees: adolescents, unaccompanied minors and young adults. Soc Sci Med. 1990;31(11):1251–1256. doi: 10.1016/0277-9536(90)90132-c. [DOI] [PubMed] [Google Scholar]
  4. Flaskerud J. H., Anh N. T. Mental health needs of Vietnamese refugees. Hosp Community Psychiatry. 1988 Apr;39(4):435–437. doi: 10.1176/ps.39.4.435. [DOI] [PubMed] [Google Scholar]
  5. Hinton W. L., Chen Y. C., Du N., Tran C. G., Lu F. G., Miranda J., Faust S. DSM-III-R disorders in Vietnamese refugees. Prevalence and correlates. J Nerv Ment Dis. 1993 Feb;181(2):113–122. doi: 10.1097/00005053-199302000-00007. [DOI] [PubMed] [Google Scholar]
  6. Hinton W. L., Du N., Chen Y. C., Tran C. G., Newman T. B., Lu F. G. Screening for major depression in Vietnamese refugees: a validation and comparison of two instruments in a health screening population. J Gen Intern Med. 1994 Apr;9(4):202–206. doi: 10.1007/BF02600124. [DOI] [PubMed] [Google Scholar]
  7. Jacobson M. L., Crowson T. W. Screening for depression in Hmong refugees. Minn Med. 1983 Sep;66(9):573–574. [PubMed] [Google Scholar]
  8. Katon W. Depression: somatic symptoms and medical disorders in primary care. Compr Psychiatry. 1982 May-Jun;23(3):274–287. doi: 10.1016/0010-440x(82)90076-1. [DOI] [PubMed] [Google Scholar]
  9. Kinzie J. D., Fredrickson R. H., Ben R., Fleck J., Karls W. Posttraumatic stress disorder among survivors of Cambodian concentration camps. Am J Psychiatry. 1984 May;141(5):645–650. doi: 10.1176/ajp.141.5.645. [DOI] [PubMed] [Google Scholar]
  10. Kinzie J. D., Manson S. M., Vinh D. T., Tolan N. T., Anh B., Pho T. N. Development and validation of a Vietnamese-language depression rating scale. Am J Psychiatry. 1982 Oct;139(10):1276–1281. doi: 10.1176/ajp.139.10.1276. [DOI] [PubMed] [Google Scholar]
  11. Kinzie J. D., Tran K. A., Breckenridge A., Bloom J. D. An Indochinese refugee psychiatric clinic: culturally accepted treatment approaches. Am J Psychiatry. 1980 Nov;137(11):1429–1432. doi: 10.1176/ajp.137.11.1429. [DOI] [PubMed] [Google Scholar]
  12. Kroll J., Habenicht M., Mackenzie T., Yang M., Chan S., Vang T., Nguyen T., Ly M., Phommasouvanh B., Nguyen H. Depression and posttraumatic stress disorder in Southeast Asian refugees. Am J Psychiatry. 1989 Dec;146(12):1592–1597. doi: 10.1176/ajp.146.12.1592. [DOI] [PubMed] [Google Scholar]
  13. Lin E. H., Ihle L. J., Tazuma L. Depression among Vietnamese refugees in a primary care clinic. Am J Med. 1985 Jan;78(1):41–44. doi: 10.1016/0002-9343(85)90459-0. [DOI] [PubMed] [Google Scholar]
  14. Lin K. M., Masuda M., Tazuma L. Adaptational problems of Vietnamese refugees. Part III. Case studies in clinic and field: adaptive and maladaptive. Psychiatr J Univ Ott. 1982 Sep;7(3):173–183. [PubMed] [Google Scholar]
  15. Lin K. M., Masuda M., Tazuma L. Problems of eastern refugees and immigrants: adaptational problems of Vietnamese refugees Part IV. Psychiatr J Univ Ott. 1984 Jun;9(2):79–84. [PubMed] [Google Scholar]
  16. Lin K. M., Tazuma L., Masuda M. Adaptational problems of Vietnamese refugees. I. Health and mental health status. Arch Gen Psychiatry. 1979 Aug;36(9):955–961. doi: 10.1001/archpsyc.1979.01780090041005. [DOI] [PubMed] [Google Scholar]
  17. Magruder-Habib K., Zung W. W., Feussner J. R., Alling W. C., Saunders W. B., Stevens H. A. Management of general medical patients with symptoms of depression. Gen Hosp Psychiatry. 1989 May;11(3):201–221. doi: 10.1016/0163-8343(89)90042-x. [DOI] [PubMed] [Google Scholar]
  18. Magruder-Habib K., Zung W. W., Feussner J. R. Improving physicians' recognition and treatment of depression in general medical care. Results from a randomized clinical trial. Med Care. 1990 Mar;28(3):239–250. doi: 10.1097/00005650-199003000-00004. [DOI] [PubMed] [Google Scholar]
  19. Nguyen S. D. Psychiatric and psychosomatic problems among Southeast Asian refugees. Psychiatr J Univ Ott. 1982 Sep;7(3):163–172. [PubMed] [Google Scholar]
  20. Regier D. A., Goldberg I. D., Taube C. A. The de facto US mental health services system: a public health perspective. Arch Gen Psychiatry. 1978 Jun;35(6):685–693. doi: 10.1001/archpsyc.1978.01770300027002. [DOI] [PubMed] [Google Scholar]
  21. Rucker L., Frye E. B., Cygan R. W. Feasibility and usefulness of depression screening in medical outpatients. Arch Intern Med. 1986 Apr;146(4):729–731. [PubMed] [Google Scholar]
  22. Schurman R. A., Kramer P. D., Mitchell J. B. The hidden mental health network. Treatment of mental illness by nonpsychiatrist physicians. Arch Gen Psychiatry. 1985 Jan;42(1):89–94. doi: 10.1001/archpsyc.1985.01790240091010. [DOI] [PubMed] [Google Scholar]
  23. Shapiro S., German P. S., Skinner E. A., VonKorff M., Turner R. W., Klein L. E., Teitelbaum M. L., Kramer M., Burke J. D., Jr, Burns B. J. An experiment to change detection and management of mental morbidity in primary care. Med Care. 1987 Apr;25(4):327–339. doi: 10.1097/00005650-198704000-00006. [DOI] [PubMed] [Google Scholar]
  24. Shapiro S., Skinner E. A., Kessler L. G., Von Korff M., German P. S., Tischler G. L., Leaf P. J., Benham L., Cottler L., Regier D. A. Utilization of health and mental health services. Three Epidemiologic Catchment Area sites. Arch Gen Psychiatry. 1984 Oct;41(10):971–978. doi: 10.1001/archpsyc.1984.01790210053007. [DOI] [PubMed] [Google Scholar]
  25. TYHURST L. Displacement and migration. A study in social psychiatry. Am J Psychiatry. 1951 Feb;107(8):561–568. doi: 10.1176/ajp.107.8.561. [DOI] [PubMed] [Google Scholar]

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