Symptomatology of minor psychiatric morbidity: a crosscultural comparison

Cheng, Tai Ann

doi:10.1017/s0033291700024296

Cited by 85 publications

(66 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…When Kadir and Bifulco (2010) examined a community sample of Malaysian women, they found that both somatic and psychological symptoms of depression were expressed by these participants. Although this study was qualitative in nature, it is consistent with other community-based studies (e.g., Cheng, 1989;Cheung, 1982) that suggest that the high prevalence of somatization in people of Asian background is not likely observed in community samples.…”

supporting

confidence: 89%

The expression of depression in Asian Americans and European Americans.

Kim¹,

López²

2014

Journal of Abnormal Psychology

View full text Add to dashboard Cite

Past studies of the expression of depression in people of Asian descent have not considered whether observed ethnic differences in somatization or psychologization are a function of differences in the expression of the disorder or of group differences in the degree of depressive symptomatology. In the present study, we carried out χ(2) and Item Response Theory (IRT) analyses to examine ethnic differences in symptoms of Major Depressive Disorder in a nationally representative community sample of noninstitutionalized Asian Americans (n = 310) and European Americans (n = 1,763). IRT analyses were included because they can help discern whether there are differences in the expression of depressive symptoms, regardless of ethnic differences in the degree of depressive symptomatology. In general, although we found that Asian Americans have lower rates of depression than European Americans, when examining specific symptoms, there were more similarities (i.e., symptoms with no ethnic differences) than differences. An examination of the differences using both χ(2) and IRT analyses revealed that when there were differences, Asian Americans were less likely to endorse specific somatic and psychological symptoms than European Americans, even when matched in degree of depressive symptomatology. Together, these community-based findings indicate that depression among Asian Americans is more similar than different to that of European Americans. When differences do occur, they are not an artifact of the degree of depressive symptomatology but instead a true difference in the expression of the disorder, specifically a lesser likelihood of expressing specific somatic and psychological symptoms in Asian Americans compared with European Americans.

show abstract

supporting

confidence: 89%

The expression of depression in Asian Americans and European Americans.

Kim¹,

López²

2014

Journal of Abnormal Psychology

View full text Add to dashboard Cite

show abstract

“…These culturebound syndromes signify spiritual imbalance, nerve weakness, or degenerating nerves (shenjing shuairo); anger, resentment, somatic illness, and neurotic symptoms (hwabyung); and fatigue, anxiety, headache, impotence, and neuralgia (neurasthenia). These culture-bound syndromes have also been empirically linked to classic symptoms of depression based on using both DSM and ICD criteria (Cheng, 1989;Kleinman, 1982;Kim, 2002;Lee & Wong, 1995;Pang, 2000;Yan, 1989;Zhang, 1989). For instance, researchers have found that some 40% to 90% of patients diagnosed as having neurasthenia actually met the criteria for depression and showed marked improvement when treated with antidepressants (Kleinman, 1982).…”

Section: Asiansmentioning

confidence: 99%

Ethnic/Racial Differences in Depression among U.S. Primary Care Patients: Cultural Considerations in Screening and Detection

Noël

Whaley

2012

Journal of Ethnic And Cultural Diversity in Social Work

View full text Add to dashboard Cite

Screening and detection are essential building blocks for prevention and early treatment of depression. Despite their critical role in early identification and treatment, primary care physicians fail to recognize depression in about half of their patients. Because depressed patients of color tend to seek treatment in primary care settings, the need for greater attention to, and understanding of, ethnic and racial disparities in general practitioners' ability to detect cases of depression is compelling. The purpose of this article is to discuss the screening and detection of depression among patients from different U.S. ethnic/racial and cultural groups. Specifically, the objective is to identify withinand between-culture factors that may impact on symptom presentation for African-Americans, Asians, Hispanic/Latinos, and Native Americans, and subsequently on the diagnosis of depression in primary care settings. Implications for the role of allied health professionals, especially social workers, in enhancing the cultural competence of primary care doctors are discussed.

show abstract

“…Studies from Japan and Taiwan [67,68] report lower frequency of depressive symptomatology in the elderly population compared with studies from Western Europe and the US. The authors attributed these discrepancies to differences in the structure of the family (larger families with stronger bonds in Japan) and to the increased activity of the Japanese elderly.…”

Section: Clinical Symptomatologymentioning

confidence: 99%