西方与南亚国家的 Vitiligo 和抑郁症:应该考虑文化背景
Shahnawaz Towheed1, Zaakir Hamzavi2, Viktoria Eleftheriadou3
1Michael G. DeGroote School of Medicine, McMaster University, Hamilton, Canada.
The Journal of investigative dermatology
|October 24, 2025
概括
与西方国家相比,南亚地区的白风精神病患明显高于西方国家,受文化污名和信仰的影响. 解决这些差异对于全球治疗白风至关重要.
科学领域:
- 皮肤病学 皮肤病学
- 心理学 心理学 心理学
- 社会学 社会学 社会学
背景情况:
- 白风的心理社会结果表现出显著的地理和文化差异.
- 之前的研究还没有全面地比较不同地区之间的这些差异.
研究的目的:
- 审查和比较白风的心理和社会影响.
- 专注于南亚和西方国家的背景.
主要方法:
- 2000-2025年英语和法语出版物的叙事审查.
- 在PubMed,Scopus,Web of Science和PsycINFO进行的搜索.
- 证据分为心理,社会,皮肤类型,卫生系统和文化领域.
主要成果:
- 精神病发病率,包括抑郁症和焦虑症,在南亚人群中相比西方人群 (15-30%在欧洲,20-30%在北美/澳大利亚) 显著更高 (高达60%).
- 印度的耻辱感是由有关传染,污秽,业力和饮食限制的文化信仰加剧的,特别是对于更深色的皮肤类型.
- 西方患者报告了更多的自我形象和社会退缩问题,但与南亚患者相比,机构或人际障碍较少.
结论:
- Vitiligo 的心理社会影响在很大程度上受到区域文化框架和卫生系统因素的影响.
- 需要采取干预措施来缓解白风的社会残疾影响,特别是在南亚.
- 未来的研究应该专注于纵向,基于社区的研究,以告知有效的干预措施.
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