« うつ病考(3) | Main | 広汎性発達障害:説明のむずかしさ »

うつ病考・番外編

去年の終わりに、ある出版社からの依頼である雑誌に投稿するため原稿を書きました。(出版はまだ先です)その中身で、うつの文化や男女による差があるのかどうかということについて、多少触れました。

私の意見としては、全体的な差はあまりないような気がします。
ただ、うつの症状や周囲の対応については、確かに差があるように思います。

東洋人は、気分よりも体の症状が先に出やすいようです。
うつ病の前ぶれとして、頭痛や疲労感を訴える人が特に多い気がします。
この現象は、韓国などでも同じだそうです。

欧米文化圏では、体の症状も出ますが、気分の落ち込みの訴えがはっきりしているという違いがあるようです。

男女差は、専門家の間では1:2といわれますが、現実には差がないと思います。ただ、気分の落ち込みや体の症状は、女性の方が訴えやすく、男性よりは社会的に受け入れやすいので、治療を受けに来るのは女性が多いのではないかという意見もあります。

実際に病院では、治療を受けに来る男性の方も多いですが、周囲の理解が得にくいため、治療がより長引くようです。

年齢による差はあまり感じませんが、子供のうつは大人と出方が違うので、見つけにくいです。

最後に、抗うつ薬は、実は精神科や心療内科より、内科で出される方が多いんですよ。体の不調や不眠でまず内科を訪れる人が多いからなんです。また、もともと糖尿病や高血圧などの病気を持っている人で、同じ病院で抗うつ薬ももらう例も少なくないです。

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