Somatization in Chinese American clients: Implications for psychotherapeutic services

Hong, George K.; Lee, Bom S.; Lorenzo, May Kwan

doi:10.1007/bf02306684

Cited by 19 publications

(11 citation statements)

References 8 publications

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“…The second area is how well the PHQ-15 performs in non-Western settings. Historically, there has been a popular belief that Asians manifest a lower prevalence of mood and anxiety disorders than their Western counterparts because they are more prone to experiencing and/or manifesting distress in somatic terms [12][13][14]. This claim about "somatization" notwithstanding, there has been no populationbased and cross-nationally comparable study of the distribution and severity of somatic symptoms in Chinese people.…”

Section: Introductionmentioning

confidence: 93%

“…The PHQ-15 asks respondents to rate how much they have been bothered by each of the 15 symptoms during the past 4 weeks on a "0" (not bothered at all) to "2" (bothered a lot) scale. The total score ranges from 0 to 30, representing the grading of somatic symptom severity from minimal (0-4), mild (5-9), moderate (10)(11)(12)(13)(14) to severe (15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30) [18].…”

Section: Instrumentsmentioning

confidence: 99%

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Psychometric properties of the Chinese 15-item Patient Health Questionnaire in the general population of Hong Kong

Lee

Ling

Tsang

2011

Journal of Psychosomatic Research

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Section: Introductionmentioning

confidence: 93%

Section: Instrumentsmentioning

confidence: 99%

Psychometric properties of the Chinese 15-item Patient Health Questionnaire in the general population of Hong Kong

Lee

Ling

Tsang

2011

Journal of Psychosomatic Research

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“…Similarly, because collectivists value the appraisal of their lives by close others (Suh, Diener, & Updegraff, 2008), future investigators may wish to consider using alternative measures of life satisfaction that include asking collectivist participants how close others (e.g., family members) would evaluate their lives instead of merely asking how they themselves evaluate their own lives (as we did in the current study). Furthermore, it has also been suggested that researchers who study emotions in members of Asian cultures inquire about psychosomatic symptoms, which might allow Asians to convey their emotions indirectly and thus minimize disruption to relational harmony (Shin & Lyubomirsky, 2016;e.g., see the literature on somatization : Hong, Lee, & Lorenzo, 1995;Kleinman, 1982;Park & Bernstein, 2008;Parker, Cheah, & Roy, 2001;Zhou et al, 2015).…”

Section: Limitations and Future Directionsmentioning

confidence: 99%

Good for self or good for others? The well-being benefits of kindness in two cultures depend on how the kindness is framed

Shin

Layous

Choi

et al. 2019

The Journal of Positive Psychology

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Good for self or good for others? The well-being benefits of kindness in two cultures depend on how the kindness is framed Permalink https://escholarship.org/uc/item/3g5449hf ABSTRACT In light of cultural differences in conceptions of happiness, we investigated whether members of independent (vs. interdependent) cultures would benefit from prosocial behavior when self-focus is highlighted (vs. when other-focus is highlighted). In a 1-week randomized controlled intervention, U.S. (N = 280) and South Korean (N = 261) participants were randomly assigned to read a news article that described kind acts as good for oneself or good for others, or to read a control article. All participants then performed kind acts throughout the week, and completed pre-and postmeasures of subjective well-being, connectedness, competence, and autonomy. Consistent with independent self-construals, U.S. participants who read that kindness was good for themselves showed greater increases in positive affect, satisfaction with life, and feelings of connectednessand greater decreases in negative affectthan those who read the control article. Future research is needed to continue developing culturally-sensitive designs of positive activities. ARTICLE HISTORY

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“…Complaints of physical symptoms can be seen in any population; however Asian groups from many countries describe their distress in somatic forms (Draguns, Phillips, Broverman & Caudill, 1970; Gureje, Simon, Ustun & Goldberg, 1997; Hinton & Hinton, 2002; Hong, Lee & Lorenzo, 1995; N. Iwata & Roberts, 1996; Kanno, 1981; Kawanishi, 1992; Kirmayer, Dao & Smith, 1998; Kirmayer & Groleau, 2001; Lock, 1987a; Maeno et al, 2002; Pang, 1998; Parsons & Wakeley, 1991; Simon et al, 1999).…”

Section: Cdhs Theory and Practice With Asiansmentioning

confidence: 99%

Cultural Determinants of Help Seeking: A Model for Research and Practice

Arnault¹

2009

Res Theory Nurs Pract

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Increasing access to, and use of, health promotion strategies and health care services for diverse cultural groups is a National priority. While theories about the structural determinants of help seeking have received empirical testing, studies about cultural determinants have been primarily descriptive, making theoretical and empirical analysis difficult. This article synthesizes concepts and research by the author and others from diverse disciplines to develop the mid-range theoretical model called the Cultural Determinants of Help Seeking (CDHS). The multidimensional construct of culture, which defines the iterative dimensions of ideology, political-economy, practice and the body, is outlined. The notion of cultural models of wellness and illness as cognitive guides for perception, emotion and behavior; as well as the synthesized concept of idioms of wellness and distress, are introduced. Next, the CDHS theory proposes that sign and symptom perception, the interpretation of their meaning and the dynamics of the social distribution of resources, are all shaped by cultural models. Then, the CDHS model is applied to practice using research with Asians. Lastly, implications for research and practice are discussed. KeywordsAsian Immigrants; Cultural Models; Help Seeking; Cross Cultural Mental Health; Theoretical ModelsThe analysis and elimination of health disparities has reached the National priority level. Calls for multilevel, multidisciplinary studies that integrate biological, small group and system-level processes are common across the National Institutes of Health (National Institutes of Health, 2000; OBSSR, 2001). Research such as this is challenging because it is difficult to grasp the mechanisms by which the phenomenon of culture (which is system-level processes) becomes incorporated into community, family and individual-level patterning of illness experience and help seeking. To further complicate this integration, these multiple levels are examined from different fields of study. One recent initiative has suggested a new field called Clinical Social Science (Kleinman, Eisenberg & Good, 2006), that synthesizes and translates social science concepts into clinical strategies with direct application in practice and teaching. Until that time, nursing science can synthesize developed concepts from diverse literatures, identify their linkages, and assemble them into theory that can guide research and practice in health care.In this article, theoretical concepts are synthesized from divergent disciplines to formulate the Cultural Determinants of Help Seeking (CDHS) theoretical model. Help seeking is an appropriate outcome variable for this mid-range theory because the adoption of health promotion strategies and the effective and satisfying use of health care services by culturallyCorrespondence to: Denise Saint Arnault. NIH Public AccessAuthor Manuscript Res Theory Nurs Pract. Author manuscript; available in PMC 2009 December 21. NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscri...

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Somatization in Chinese American clients: Implications for psychotherapeutic services

Cited by 19 publications

References 8 publications

Psychometric properties of the Chinese 15-item Patient Health Questionnaire in the general population of Hong Kong

Psychometric properties of the Chinese 15-item Patient Health Questionnaire in the general population of Hong Kong

Good for self or good for others? The well-being benefits of kindness in two cultures depend on how the kindness is framed

Cultural Determinants of Help Seeking: A Model for Research and Practice

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