TY - JOUR
KW - Anxiety Disorders/diagnosis/epidemiology/ethnology
KW - Attitude to Health
KW - Canada/epidemiology
KW - Communication Barriers
KW - Cross-Cultural Comparison
KW - Cultural Characteristics
KW - Depressive Disorder/diagnosis/epidemiology/ethnology
KW - Ethnic Groups/psychology/statistics & numerical data
KW - Humans
KW - Medicine, Traditional
KW - Physician-Patient Relations
KW - Physicians, Family
KW - Practice Guidelines as Topic
KW - Primary Health Care/methods/statistics & numerical data
KW - Somatoform Disorders/diagnosis/epidemiology
KW - Syndrome
KW - Terminology as Topic
KW - Treatment Refusal
KW - United States/epidemiology
AU - L. J. Kirmayer
A1 - 
AB - This article reviews cultural variations in the clinical presentation of depression and anxiety. Culture-specific symptoms may lead to underrecognition or misidentification of psychological distress. Contrary to the claim that non-Westerners are prone to somatize their distress, recent research confirms that somatization is ubiquitous. Somatic symptoms serve as cultural idioms of distress in many ethnocultural groups and, if misinterpreted by the clinician, may lead to unnecessary diagnostic procedures or inappropriate treatment. Clinicians must learn to decode the meaning of somatic and dissociative symptoms, which are not simply indices of disease or disorder but part of a language of distress with interpersonal and wider social meanings. Implications of these findings for the recognition and treatment of depressive disorders among culturally diverse populations in primary care and mental health settings are discussed.
BT - The Journal of clinical psychiatry
C5 - Healthcare Disparities; Medically Unexplained Symptoms
CY - United States
JF - The Journal of clinical psychiatry
N2 - This article reviews cultural variations in the clinical presentation of depression and anxiety. Culture-specific symptoms may lead to underrecognition or misidentification of psychological distress. Contrary to the claim that non-Westerners are prone to somatize their distress, recent research confirms that somatization is ubiquitous. Somatic symptoms serve as cultural idioms of distress in many ethnocultural groups and, if misinterpreted by the clinician, may lead to unnecessary diagnostic procedures or inappropriate treatment. Clinicians must learn to decode the meaning of somatic and dissociative symptoms, which are not simply indices of disease or disorder but part of a language of distress with interpersonal and wider social meanings. Implications of these findings for the recognition and treatment of depressive disorders among culturally diverse populations in primary care and mental health settings are discussed.
PP - United States
PY - 2001
SN - 0160-6689; 0160-6689
SP - 22
EP - 30
EP - 
T1 - Cultural variations in the clinical presentation of depression and anxiety: Implications for diagnosis and treatment
T2 - The Journal of clinical psychiatry
TI - Cultural variations in the clinical presentation of depression and anxiety: Implications for diagnosis and treatment
U1 - Healthcare Disparities; Medically Unexplained Symptoms
U2 - 11434415
VL - 62 Suppl 13
VO - 0160-6689; 0160-6689
Y1 - 2001
ER -