Culturally-sensitive complaints of depressions and anxieties in women

University of Santiago, Chile, CiudadSantiago, Santiago Metropolitan, Chile
Journal of Affective Disorders (Impact Factor: 3.71). 10/2007; 102(1-3):159-76. DOI: 10.1016/j.jad.2006.09.033
Source: PubMed

ABSTRACT Current classifications of Mental Disorders are centered on Westernized concepts and constructs. "Cross-cultural sensitivity" emphasizes culturally-appropriate translations of symptoms and questions, assuming that concepts and constructs are applicable.
Groups and individual psychiatrists from various cultures from Asia, Latin America, North Africa and Eastern Europe prepared descriptions of main symptoms and complaints of treatment-seeking women in their cultures, which are interpreted by clinicians as a manifestation of a clinically-relevant dysphoric disorder. They also transliterated the expressions of DSM IV criteria of main dysphoric disorders in their cultures.
In many non-western cultures the symptoms and constructs that are interpreted and treated as dysphoric disorders are mostly somatic and are different from the Western-centered DSM or ICD systems. In many cases the DSM and ICD criteria of depression and anxieties are not even acknowledged by patients.
The descriptive approach reported here is a preliminary step which involved local but Westernized clinicians-investigators following a biomedical thinking. It should be followed by a more systematic-comprehensive surveys in each culture.
Westernized concepts and constructs of mental order and disorders are not necessarily universally applicable. Culturally-sensitive phenomena, treatments and treatment responses may be diversified. Attempts at their cross-cultural harmonization should take into consideration complex interactional multi-dimensional processes.

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    • "Therefore, in these societies, indirect expressions of distress through bodily sensations and other somatic symptoms can be appropriate means of communicating psychological problems (e.g., Kleinman & Kleinman, 1985). Accordingly, somatic symptoms of depression have been frequently reported in some Asian (Ryder et al., 2008), African (Binitie, 1981), Latin American, and Indian populations (Halbreich et al., 2007). Although studies on depression among Somalis are lacking, there is some evidence that Somali refugees commonly express psychological distress through somatic complaints (Bhui et al., 2003; Silveira & Ebrahim, 1995). "
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    Journal of Cross-Cultural Psychology 08/2014; 45(9). DOI:10.1177/0022022114543519 · 1.42 Impact Factor
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    • "dos somáticos (Marsella, 1985). Halbreich et al. (2007) citam que, em culturas não ocidentais, os sintomas que são tratados como distúrbios disfóricos são, sobretudo, somáticos, diferentemente do sistema ocidental centrado nos manuais diagnósticos. Em muitos casos, os critérios destes manuais não são sequer reconhecidos pelos pacientes. Pereira et al. (2007), estudando mulheres de Goa, na Índia, diagnosticadas como deprimidas, identificaram que elas expressam seus problemas de saúde mental especialmente através de uma série de queixas somáticas; localizam a sua angústia na vida através das desvantagens sociais que experimentam em seu dia a dia, e só procuram ajuda médica para queixas somáti"
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    Interface - Comunicação Saúde Educação 12/2012; 16(43):885-899. DOI:10.1590/S1414-32832012000400003
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    • "The World Health Report 2001). Cultural influences on the presentation of depression can be significant and the clinician should be aware of differences in the expression of psychological distress in patients from other countries or cultures (Halbreich et al. 2007). "
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