CHAN Yik Chun Anson
LEUNG Yat Long Ansel
YUEN Jethro

About Depression
關於抑鬱症

Common Depression Subtypes:
抑鬱症常見種類:
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Persistent depressive disorder (Dysthymia)
輕鬱症
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Recurrent Depression
復發性抑鬱症
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Psychotic Depression
精神病性抑鬱症
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Atypical Depression
非典型抑鬱症
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Disruptive Mood Dysregulation Disorder
侵擾性情緒失調症
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Seasonal Affective Disorder
季節性抑鬱症
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Premenstrual Dysphoric Disorder
經前期不悅症
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Postpartum Disorder
產後抑鬱症
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Bipolar Disorder
躁狂抑鬱症
Depression in Hong Kong:
抑鬱症在香港的情況:
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In 2018, 68.5 % of Hong Kong university students showed mild to severe depressive symptoms, 9% of which showed moderately severe to severe depressive symptoms
2018年,68.5% 香港大學生反映有輕微至嚴重抑鬱症徵狀,當中有9%大學生反映有中度嚴重至嚴重抑鬱症徵狀
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In 2019, 48.8% of Hong Kong citizens showed mild to severe depressive symptoms, 7% of which showed moderately severe to severe depressive symptoms
2019年,48.8% 香港市民反映有輕微至嚴重抑鬱症徵狀,當中有7%香港市民反映有中度嚴重至嚴重抑鬱症徵狀
Prevention and Common Treatments for Depression:
抑鬱症的預防及常見治療方法:
1. Medication 藥物
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Antidepressants
抗抑鬱藥
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Selective serotonin reuptake inhibitors (SSRIs) are the most used nowadays E.g., Fluoxetine
現時最常用的藥物為 選擇性血清素再攝取抑制劑 (如:氟西汀)
2. Cognitive-behavioral therapy 認知行為療法:
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A type of talking therapy
是一種以對話為主的療法
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Focus on irrational beliefs that affect feelings and behaviors
集中於會影響情緒和行為的不合理想法
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Set and implement behavioral modification plan to solve problems
設計及實行改變行為的計劃以解決問題
3. Electroconvulsive therapy 電痙攣療法
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Applies electricity to induce seizure activity
這種療法以電擊引致痙孿
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Tackle neurobiological features of MDD
針對重鬱症的神經科學症狀
4. Interpersonal Therapy 人際關系療法
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Focus on one or two problem areas
主要集中於一至兩個問題領域
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Address the patient's past and present social roles and interpersonal interactions
處理患者於過去及現在的社會角色和人際互動
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Examines social relationships with important people in your life
審視和生活中重要的人的關係
5. Adjustingife Style 調整生活方式
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Healthy diet
均衡飲食
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Regular exercise
恆常運動
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Regular self-care activities, e.g., yoga, meditation, etc.
定期進行自我照顧活動,例如:瑜珈、冥想等
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Sufficient Sleep
充足睡眠
Stigmatization of Depression
抑鬱症污名化
Depression stigmatization is the behavior of marking or discrediting patients of depression or reducing an individual with depression from being a whole person to being a stereotype or labeled as a collection of symptoms. Major types of depression stigma include self-stigma, public stigma, and institutional stigma.
抑鬱症污名化,是指對抑鬱症患者進行標記或抹黑,又或是以刻板印象、病徵替抑鬱症患者貼上標籤,認定他們是擁有某些特質的族群。抑鬱症污名的主要類別包括:自我污名、公眾污名以及結構性污名。

Examples of Depression Stigmatization:
抑鬱症污名化的例子:
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"You should not have kids, you would just pass on your issue, so selfish!"
「你沒有資格生小孩,因為你會將你的問題遺傳到下一代,你不應該這麼自私!」
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"Therapy and medications are just scams, you don’t need all that."
「所謂治療和藥物都只是詐騙,你根本不需要這些東西。」
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"Depression is an excuse for being lazy."
「抑鬱症只是懶惰的藉口。」
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"Just get over it. There is always a time when one feels sad."
「別再這麼執著吧。每個人都有不開心的時候。」
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"People with depression are less capable and less productive than 'normal people'."
「抑鬱症患者能力和生產力較平常人低。」
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"It is like you are not even trying. Why do you always want to seek help from those so-called professions?"
「你根本沒有自己努力過。你為什麼總是要想著尋求哪些所謂專業人士幫助?」
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"You are just overthinking. Your symptoms are not that serious. People with depression are those who…"
「你想多了而已,你的病徵根本不嚴重,那些真正有抑鬱症的是會...」
Reducing Stigma:
去除污名化:
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Increase or initiate discussions about mental health openly, such as through social media
增加或者主動公開談論心理健康,例如在社交媒體上分享等
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Education: Respond to misperceptions or negative comments by sharing facts and experiences
教育:透過分享個人經驗和事實、數據回應對抑鬱症的誤解和負面留言
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Be conscious of language: Remind people of the use of words, and avoid using words with negative meanings
留意用語:提醒身邊的人注意用詞,盡量避免帶有負面意思的詞語
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Encourage equality between physical and mental illness: Compare the difference between how individuals treat patients with mental illness and how they treat patients with physical illness
鼓勵平等對待身體的疾病和精神疾病:比較大眾對精神疾病患者和對身體疾病患者的待遇區別
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Show compassion for those with mental illness
對受精神病困擾的人表示關懷和理解
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De-demonize mental health treatment: Normalize mental health treatment as other health care treatment
將精神疾病去妖魔化:將精神疾病療法和其他健康服務治療看齊
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Acknowledge media about their stigmatizing language when presenting stories of mental illness 當傳媒錯誤地使用污名化精神疾病的描述講述精神疾病時,作出善意替提醒及更正

References:
參考文獻:
American Psychiatric Association. (2013). Major Depressive Disorder. In Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596.
Choi, E. P. H., Hui, B. P. H., & Wan, E. Y. F. (2020). Depression and anxiety in Hong Kong during COVID-19. International journal of environmental research and public health, 17(10), 3740. https://doi.org/10.3390/ijerph17103740.
Eduhk. (2023). 社會資源.https://eduhk.hk/sao/upload/custompage_article/556/self/62d8e86c1a00a.pdf.
Lun, K. W., Chan, C. K., Ip, P. K., Ma, S. Y., Tsai, W. W., Wong, C. S., ... & Yan, D. (2018). Depression and anxiety among university students in Hong Kong. Hong Kong Medical Journal, 24(5), 466-472. https://www.nami.org/blogs/nami-blog/october-2017/9- ways-to-fight-mental-health-stigma.
MindCare. (2023). List of Crisis Lines. https://www.mindcarehk.com/en/self-help-counselling-resources/list-of-crisis-lines/.
MindHK. (2020). The Landscape of Mental Health in Hong Kong - Research Report.
Greenstein, L. (2017, October 11). 9 Ways to Fight Mental Health Stigma. https://www.nami.org/blogs/nami-blog/october-2017/9-ways-to-fight-mental-health-stigma.
Oexle, N., Müller, M., Kawohl, W., Xu, Z., Viering, S., Wyss, C., ... & Rüsch, N. (2018). Self-stigma as a barrier to recovery: a longitudinal study. European Archives of Psychiatry and Clinical Neuroscience, 268, 209-212. https://link.springer.com/article/10.1007/s00406-017-0773-2.