This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Authors who publish in this journal agree to the following terms:
Acta Colombiana de Psicología complies with international intellectual property and copyright laws, and particularly with Article No. 58 of the Political Constitution of Colombia, Law No. 23 of 1982, and the Agreement No. 172 of September 30, 2010 (Universidad Católica de Colombia Intellectual Property Regulation).
Authors retain their copyright and grant to the Acta Colombiana de Psicología the right of first publication, with the work registered under Creative Commons attribution license, which allows third parties to use the published material, provided they credit the authorship of the work and the first publication in this Journal.
Abstract
The aim of this study was to examine the dynamics of depressive symptoms in the Peruvian population according to ethnic identity and identify the central symptom by network analysis. For this purpose, the database of the Demographic and Family Health Survey (ENDES) 2020 was analyzed. The sample was random and consisted of 32.634 participants who were administered the Patient Health Questionnaire 9. A network analysis was performed to find out the core symptoms of depression according to their ethnic identity. The findings indicated that, in all ethnic groups, the central symptom was depressed mood, with the exception of the Aymara population, in whom sleep problems were central. In addition, the least interaction between symptoms was found in those who identified themselves as Amazonian natives. It is concluded that depression may manifest itself differently among ethnic groups, especially in the Aymara population, where a more somatic expression was found, such as sleep problems.
References
Abdulhamed, R., Lonka, K., Hietajärvi, L., Ikonen, R., & Klemetti, R. (2022). Anxiety and depression symptoms and their association with discrimination and a lack of social support among first -and second- generation immigrant adolescents. International Journal of Intercultural Relations, 87, 193-205. https://doi. org/10.1016/j.ijintrel.2022.03.001
Antiporta, D. A., Cutipé, Y. L., Mendoza, M., Celentano, D. D., Stuart, E. A., & Bruni, A. (2021). Depressive symptoms among Peruvian adult residents amidst a National Lockdown during the COVID-19 pandemic. BMC Psychiatry, 21(1), 111. https://doi.org/10.1186/s12888-021-03107-3
Ato, M., López, J. J., & Benavente, A. (2013). Un sistema de clasificación de los diseños de investigación en psicología. Anales de Psicología, 29(3), 1038-1059. https://doi.org/10.6018/analesps.29.3.178511
Bailey, R., Mokonogho, J., & Kumar, A. (2019). Racial and ethnic differences in depression: Current perspectives. Neuropsychiatric Disease and Treatment, 15, 603-609. https://doi.org/10.2147/NDT.S128584
Basta, M., Micheli, K., Koutra, K., Fountoulaki, M., Dafermos, V., Drakaki, M., Faloutsos, K., Soumaki, E., Anagnostopoulos, D., Papadakis, N., & Vgontzas, A. N. (2022). Depression and anxiety symptoms in adolescents and young adults in Greece: Prevalence and associated factors. Journal of Affective Disorders Reports, 8, Article 100334. https://doi.org/10.1016/j.jadr.2022.100334
Beck, A. T. (2008). The evolution of the cognitive model of depression and its neurobiological correlates. American Journal of Psychiatry, 165(8), 969-977. https://doi.org/10.1176/appi.ajp.2008.08050721
Berganza, C. E., Mezzich, J. E., & Jorge, M. R. (2002). Latin American Guide for Psychiatric Diagnosis (GLDP). Psychopathology, 35(2-3), 185-190. https://doi.org/10.1159/000065143
Borsboom, D., & Cramer, A. O. J. (2013). Network analysis: An integrative approach to the structure of psychopathology. Annual Review of Clinical Psychology, 9(1), 91-121. https://doi.org/10.1146/annurev-clinpsy-050212-185608
Cjuno, J., Figueroa-Quiñones, J., Marca-Dueñas, G. G., & Carranza-Esteban, R. F. (2021). Producción científica sobre depresión en poblaciones quechua hablantes: una revisión narrativa. Terapia Psicológica, 39(2), 163- 174. https://doi.org/10.4067/s0718-48082021000200163
Contreras, A., Nieto, I., Valiente, C., Espinosa, R., & Vázquez, C. (2019). The study of psychopathology from the network analysis perspective: A systematic review. Psychotherapy and Psychosomatics, 88(2), 71-83. https:// doi.org/10.1159/000497425
Contreras-Pulache, H., Pérez-Campos, P., Huapaya-Huertas, O., Chacón-Torrico, H., Champin-Mimbela, D., Freyre-Adrianzén, L., Arévalo-León, C., Torres-Llaque, S., & Black-Tam, C. (2014). La salud en las comunidades nativas amazónicas del Perú. Revista Peruana de Epidemiología, 18(1), 1-5. https://www.redalyc.org/ pdf/2031/203131355012.pdf
Earle, R. (2008). Algunos pensamientos sobre “El indio borracho“ en el imaginario criollo. Revista de Estudios Sociales, 29, 18-27. https://journals.openedition.org/revestudsoc/pdf/18383
Epskamp, S. (2023). Bootnet: Bootstrap methods for various network estimation routines. Bootnet citation info. https://cran.r-project.org/package=bootnet
Epskamp, S., Cramer, A. O. J., Waldorp, L. J., Schmittmann, V. D., & Borsboom, D. (2012). qgraph: Network visualizations of relationships in psychometric data. Journal of Statistical Software, 48(4), 1-18. https://doi. org/10.18637/jss.v048.i04
Epskamp, S., & Fried, E. I. (2018). A tutorial on regularized partial correlation networks. Psychological Methods, 23(4), 617-634. https://doi.org/10.1037/met0000167
Franco-Díaz, K. L., Fernández-Niño, J. A., & Astudillo-García, C. I. (2017). Prevalencia de síntomas depresivos e invarianza factorial de la Escala de Depresión del Centro de Estudios Epidemiológicos (CES-D) en población indígena mexicana. Biomédica. Revista del Instituto Nacional de Salud, 38(1), 127-140. https://doi. org/10.7705/biomedica.v38i0.3681
Fonseca-Pedrero, E. (2018). Análisis de redes en psicología. Papeles del Psicólogo, 39(1), 1-12. https://doi.org/10.23923/pap.psicol2018.2852
Gałecki, P., Samochowiec, J., Mikułowska, M., & Szulc, A. (2022). Treatment-resistant depression in Poland— Epidemiology and treatment. Journal of Clinical Medicine, 11(3), 1-16. https://doi.org/10.3390/jcm11030480
Geraei, E., Shakibaei, F., & Mazaheri, E. (2018). Depression: Detecting the historical roots of research on depression prevention with reference publication year spectroscopy. International Journal of Preventive Medicine, 9(1), 53. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6028989/pdf/IJPVM-9-53.pdf
García, P., & Pintor, L. (2021). Análisis de las relaciones entre depresión y enfermedad cardiovascular: una revisión de la literatura. Psicosomática y Psiquiatría, 17, 56-67. https://doi.org/10.34810/PsicosomPsiquiatrnum1705
Guillén, H., Cueto, R. M., & Olano, G. (2018). Bases psicosociales del prejuicio étnico en el Perú: el caso de las categorías afroperuanos, peruanos andinos y peruanos blancos. Summa Psicológica UST, 15(2), 123-133. https:// dialnet.unirioja.es/descarga/articulo/7009164.pdf
Hernández-Vásquez, A., Vargas-Fernández, R., Bendezu-Quispe, G., & Grendas, L. N. (2020). Depression in the Peruvian population and its associated factors: Analysis of a national health survey. Journal of Affective Disorders, 273, 291-297. https://doi.org/10.1016/j.jad.2020.03.100
Hollweg, M. G. (2003). Trastornos afectivos en las culturas bolivianas. Un enfoque etnopsiquiátrico transcultural. Investigación en Salud, 5(1), 1-14. https://www.redalyc.org/pdf/142/14200106.pdf
Isvoranu, A.-M., & Epskamp, S. (2021). Which estimation method to choose in network psychometrics? Deriving Guidelines for applied researchers [Preprint]. PsyArXiv. https://doi.org/10.31234/osf.io/mbycn
Juhasz, G., Eszlari, N., Pap, D., & Gonda, X. (2012). Cultural differences in the development and characteristics of depression. Neuropsychopharmacologia Hungarica: A Magyar Pszichofarmakologiai Egyesulet Lapja = Official Journal of the Hungarian Association of Psychopharmacology, 14(4), 259-265. http://epa.niif.hu/02400/02454/00048/pdf/EPA02454_neurohun_2012_259-265.pdf
Karasz, A. (2005). Cultural differences in conceptual models of depression. Social Science & Medicine, 60(7), 1625- 1635. https://doi.org/10.1016/j.socscimed.2004.08.011
Kohn, R., & Rodríguez, J. (2009). La salud mental de las poblaciones indígenas. En J. Rodríguez, R. Kohn & S. Aguilar-Garxiola (Eds.), Epidemiología de los trastornos mentales en América Latina y el Caribe (Publicación Científica y Técnica No. 632, pp. 223-233). Organización Panamericana de la Salud.
Korchia, T., Faugere, M., Suc, N., Garosi, A., Andrieu-Haller, C., Breyton, M., Godin, O., Aouizerate, B., Arbus, C., Bennabi, D., Bellivier, F., Bougerol, T., Camus, V., Courtet, P., Doumy, O., El-Hage, W., Genty, J.-B., Haffen, E., Holtzmann, J., … Fond, G. (2022). Recommendations of the treatment-resistant depression expert center network for promoting tobacco smoking cessation based on the results from the real-world FACE-TRD national cohort. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 114, Article 110479. https:// doi.org/10.1016/j.pnpbp.2021.110479
Lopera, J. S., & Rojas, S. (2012). Salud mental en poblaciones indígenas. Una aproximación a la problemática de salud pública. Medicina UPB, 31(1), 42-52. https://www.redalyc.org/pdf/1590/159024332007.pdf
Ministerio de Cultura. (2014). La diversidad cultural en el Perú. Ministerio de Cultura. Ministerio de Cultura. (2018). I Encuesta Nacional Percepciones y actitudes sobre diversidad cultural y discriminación étnico-racial. Principales resultados. Centro de Recursos Interculturales. https://centroderecursos.cultura.pe/
Ministerio de Cultura. (2018). I Encuesta Nacional Percepciones y actitudes sobre diversidad cultural y discriminación étnico-racial. Principales resultados. Centro de Recursos Interculturales. https://centroderecursos.cultura.pe/es/registrobibliografico/i-encuesta-nacional-percepciones-y-actitudes-sobre-diversidad-cultural-y
Ministerio de Salud. (2021, 2 de octubre). Ministerio de Salud atendió 813 426 casos de salud mental entre enero y agosto de 2021. https://www.gob.pe/institucion/minsa/noticias/542324-ministerio-de-salud-atendio-813-426-casos-de-saludmental-entre-enero-y-agosto-de-2021
Ministerio de Salud. (2022, 13 de enero). Minsa: más de 300 mil casos de depresión fueron atendidos durante el 2021. https://www.gob.pe/institucion/minsa/noticias/575899-minsa-mas-de-300-mil-casos-de-depresion-fueron-atendidos-durante-el-2021
Paradies, Y., Ben, J., Denson, N., Elias, A., Priest, N., Pieterse, A., Gupta, A., Kelaher, M., & Gee, G. (2015). Racism as a determinant of health: A systematic review and meta-analysis. PLOS ONE, 10(9), Artículo e0138511. https://doi.org/10.1371/journal.pone.0138511
Perreira, K. M., & Telles, E. E. (2014). The color of health: Skin color, ethnoracial classification, and discrimination in the health of Latin Americans. Social Science & Medicine, 116, 241-250. https://doi.org/10.1016/j.socscimed.2014.05.054
Raman, S., Hyland, P., & Coogan, A. N. (2022). Temporal associations between insomnia and depression symptoms in adults during the COVID-19 pandemic: A cross-lagged path modelling analysis. Psychiatry Research, 312, Article 114533. https://doi.org/10.1016/j.psychres.2022.114533
Smith, V. (2005). Discriminación percibida y autoestima en jóvenes de grupos minoritarios y mayoritarios en Costa Rica. Revista Interamericana de Psicología/Interamerican Journal of Psychology, 39(1), 93-106. https://www. redalyc.org/articulo.oa?id=28439110
Spitzer, R. L., Kroenke, K., Williams, J., & Patient Health Questionnaire Primary Care Study Group. (1999). Validation and utility of a self-report version of PRIME-MDThe PHQ primary care study. JAMA, 282(18), Article 1737. https://doi.org/10.1001/jama.282.18.1737
Stathopoulou, T., Avrami, L., Mouriki, A., Cavounidis, J., & Kostaki, A. (2018). Self-reported depression among migrant and native populations in Greece in times of crisis. European Journal of Public Health, 28(5), 32-37. https://doi.org/10.1093/eurpub/cky205
Telles, E., & Bailey, S. (2013). Understanding Latin American beliefs about racial inequality. American Journal of Sociology, 118(6), 1559-1595. https://doi.org/10.1086/670268
Villarreal-Zegarra, D., Copez-Lonzoy, A., Bernabé-Ortiz, A., Melendez-Torres, G. J., & Bazo-Alvárez, J. C. (2019). Valid group comparisons can be made with the Patient Health Questionnaire (PHQ-9): A measurement invariance study across groups by demographic characteristics. PLOS ONE, 14(9), Article e0221717. https:// doi.org/10.1371/journal.pone.0221717
Villaseñor, S., Rojas, M. C., Albarrán, A. J., & Gonzáles, A. G. (2006). Un enfoque transcultural de la depresión. Revista de Neuro-Psiquiatría, 69(1-4), 43-50. https://www.redalyc.org/pdf/3720/372039389004.pdf
Vyas, C. M., Reynolds, C. F., Donneyong, M., Mischoulon, D., Chang, G., Cook, N. R., Manson, J. E., & Okereke, O. I. (2021). Geographic Region, racial/ethnic disparities, and late-life depression: Results From a large US cohort of older adults. The American Journal of Geriatric Psychiatry, 30(6), 703-716. https://doi.org/10.1016/j. jagp.2021.11.010
Zhang, S. X., Miller, S. O., Xu, W., Yin, A., Chen, B. Z., Delios, A., Dong, R. K., Chen, R. Z., McIntyre, R. S., Wan, X., Wang, S., & Chen, J. (2022). Meta-analytic evidence of depression and anxiety in Eastern Europe during the COVID-19 pandemic. European Journal of Psychotraumatology, 13(1), Article 2000132. https://doi.org/10.108 0/20008198.2021.2000132