Cross-cultural aspects of anxiety disorders
- PMID: 24744049
- PMCID: PMC4037698
- DOI: 10.1007/s11920-014-0450-3
Cross-cultural aspects of anxiety disorders
Abstract
A person's cultural background influences the experience and expression of emotions. In reviewing the recent literature on cross-cultural aspects of anxiety disorders, we identified some culturally related ethnopsychology/ethnophysiology factors (the culture's conceptualizations of how the mind and body function) and contextual factors that influence anxiety disorders. Ethnopsychology/ethnophysiology factors include the person's ideas about the mental and bodily processes (and their interaction), whereas contextual factors are associated with the social norms and rules that may contribute to anxiety, including individualism vs. collectivism and self-construals. From the perspective of ethnopsychology/ethnophysiology and contextual factors, we will discuss "khyâl cap" ("wind attacks"), taijin kyofusho, and ataques de nervios, three prominent examples of culture-specific expressions of anxiety disorders that have all been included in the DSM-5 list of cultural concepts of distress.
Conflict of interest statement
Stefan G. Hofmann and Devon E. Hinton declare that they have no conflict of interest.
References
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Hinton DE. Multicultural challenges in the delivery of anxiety treatment. Depress Anxiety. 2012;29:1–3. Reviews how the culturally specific experiencing of distress, particulary anxiety-type distress, must be understood in order to design effective treatments for diverse populations.
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Hofmann SG, Asnaani A, Hinton DE. Cultural aspects in social anxiety and social anxiety disorder. Depress Anxiety. 2010;27:1117–1127. Reviews the factors that contribute to the differences in social anxiety different cultures, including individualism/collectivism, perception of social norms, self-construal, gender roles, and gender role identification.
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Asnaani A, Richey JA, Dimaite R, Hinton DE, Hofmann SG. A cross-ethnic comparison of lifetime prevalence rates of anxiety disorders. Journal of Nervous and Mental Disease. 2010;198:551–555. Reports the results of a large epidemiological study comparing White Americans, African Americans, Hispanic Americans, and Asian Americans in the prevalence rates of anxiety disorders.
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