The cultural shaping of depression
Somatic symptoms in China, psychological symptoms in North America?
Bibliographic Data
| ID | 23338232 |
|---|---|
| Authors | Andrew G Ryder (0000-0003-3041-7168, Concordia University), Jian Yang (0000-0003-2001-2474, University Health Network), Xiongzhao Zhu (0000-0002-7573-0740, Central South University), Shuqiao Yao (0000-0001-6681-6844, Central South University), Jinyao Yi (0000-0002-1092-7446, Central South University), Steven J Heine (0000-0002-5622-4172, University of British Columbia), R Michael Bagby (0000-0001-9967-2648, Centre for Addiction and Mental Health) |
| Year | 2008 |
| Volume | 117 |
| Issue | 2 |
| Pages | 300-313 |
| Publication date | 2008-05-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Journal of Abnormal Psychology (JOURNAL) |
| Journal identifiers | ISSN: 0021-843X • E-ISSN: 1939-1846 |
| Publisher | American Psychological Association (APA) (PUBLISHER) |
| DOI | 10.1037/0021-843x.117.2.300 |
| PMID | 18489206 |
| OpenAlex | W2086862270 |
| Language | EN |
| Citations received | 140 |
| References cited | 29 |
The expectation that Chinese people present distress somatically is a central prediction of cultural psychopathology and has been the subject of considerable theoretical speculation. At the same time, empirical studies have been infrequent and have yielded mixed results. The authors examined symptom presentation in Chinese (n=175) and Euro-Canadian (n=107) outpatients, using spontaneous problem report, structured clinical interview, and symptom questionnaire methods. All 3 methods yielded cross-culturally equivalent somatic and psychological symptom subscales. Chinese outpatients reported more somatic symptoms on spontaneous problem report and structured clinical interview compared with Euro-Canadians, who in turn reported more psychological symptoms on all 3 methods. The relation between culture and somatic symptom presentation was mediated by a tendency toward externally oriented thinking. Difficulties with identifying emotions or describing them to others did not differ significantly across cultures, supporting a nonpathological interpretation of observed differences. Psychological symptom effects were larger and more consistent than somatic symptom effects; because other studies have confirmed the ubiquity of somatic presentations worldwide, these results suggest that Western psychologization may be more culturally specific than is Chinese somatization.
Anxiety · China · Depression (economics) · Distress · Psychiatry · Psychopathology · Somatic cell · Somatization · Clinical Psychology · Cultural Differences and Values · Psychology · Psychosomatic Disorders and Their Treatments · Social Representations and Identity
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| Unique citing works | 140 |
|---|---|
| Citations per year | 8,75 |
| Citation span | 2010 - 2026 (17) |
| Citation velocity | current |
| Highly cited | Yes |
| Citation types | Neutral: 127 |