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Megha Nagaswami
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Department of Psychology

University of California, Los Angeles



Depressed Chinese Americans present predominantly psychological symptoms: A new trend or different outcomes due to methodological differences?


Journal article


A. Yeung, Richard Norton, Taquesha Dean, Megha Nagaswami, A. Yeung, Catherine Vuky, D. Mischoulon, C. Borba
Asian Journal of Psychiatry, 2021

Semantic Scholar DOI PubMed
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APA   Click to copy
Yeung, A., Norton, R., Dean, T., Nagaswami, M., Yeung, A., Vuky, C., … Borba, C. (2021). Depressed Chinese Americans present predominantly psychological symptoms: A new trend or different outcomes due to methodological differences? Asian Journal of Psychiatry.


Chicago/Turabian   Click to copy
Yeung, A., Richard Norton, Taquesha Dean, Megha Nagaswami, A. Yeung, Catherine Vuky, D. Mischoulon, and C. Borba. “Depressed Chinese Americans Present Predominantly Psychological Symptoms: A New Trend or Different Outcomes Due to Methodological Differences?” Asian Journal of Psychiatry (2021).


MLA   Click to copy
Yeung, A., et al. “Depressed Chinese Americans Present Predominantly Psychological Symptoms: A New Trend or Different Outcomes Due to Methodological Differences?” Asian Journal of Psychiatry, 2021.


BibTeX   Click to copy

@article{a2021a,
  title = {Depressed Chinese Americans present predominantly psychological symptoms: A new trend or different outcomes due to methodological differences?},
  year = {2021},
  journal = {Asian Journal of Psychiatry},
  author = {Yeung, A. and Norton, Richard and Dean, Taquesha and Nagaswami, Megha and Yeung, A. and Vuky, Catherine and Mischoulon, D. and Borba, C.}
}

Abstract

People of Asian cultural origin have been reported to emphasize somatic rather than psychological symptoms when they are depressed. However, a recent study investigated 190 Chinese immigrants with depression in a primary care clinic and reported that they were more likely to report depressed mood, rather than physical symptoms. We performed a qualitative analysis of the chief complaint narratives of 57 Chinese immigrants with major depressive disorder who were referred to a behavioral health clinic. These patients' chief complaints included insomnia, sadness, anxiety, cognition issues, being irritated/annoyed, having low energy/motivation, and stress. Among this population, 70.18 % presented psychological symptoms, 5.26 % presented somatic symptoms, and the remaining 15.8 % presented only neutral symptoms (e.g. 'low energy', 'loss of appetite', and 'insomnia'). Our findings show that depressed Chinese Americans at outpatient clinics present predominantly psychological and not somatic symptoms. This may reflect a new trend of symptoms reporting among Asian Americans with depression.


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