The DOI matches its Crossref record; 10 of the 10 references it cites were found in a registry or an index.
The cultural shaping of depression: Somatic symptoms in China, psychological symptoms in North America?
Abstract
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.
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Cites
The CES-D Scale: A Self-Report Depression Scale for Research in the General Population
Radloff, L. S. (1977) · Applied Psychological Measurement · doi:10.1177/014662167700100306 · Cited by 53,267
Culture and the self: Implications for cognition, emotion, and motivation.
Markus, H. R., & Kitayama, S. (1991) · Psychological Review · doi:10.1037/0033-295x.98.2.224 · Cited by 21,995
Kessler, R. C. (1994) · Archives of General Psychiatry · doi:10.1001/archpsyc.1994.03950010008002 · Cited by 12,370
Bagby, R. M., Parker, J. D. A., & Taylor, G. J. (1994) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(94)90005-1 · Cited by 5,293
Self-citationCross-national epidemiology of major depression and bipolar disorder
Weissman, M. M. (1996) · JAMA: The Journal of the American Medical Association · doi:10.1001/jama.1996.03540040037030 · Cited by 2,302
An international study of the relation between somatic symptoms and depression
Simon, G. E., VonKorff, M., Piccinelli, M., Fullerton, C., & Ormel, J. (1999) · New England Journal of Medicine · doi:10.1056/nejm199910283411801 · Cited by 1,303
The 20-Item Toronto Alexithymia Scale
Parker, J. D. A., Taylor, G. J., & Bagby, R. M. (2003) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(02)00578-0 · Cited by 1,036
Self-citationNesse, R. M. (2000) · Archives of General Psychiatry · doi:10.1001/archpsyc.57.1.14 · Cited by 891
Alexithymia and personality in relation to dimensions of psychopathology
Grabe, H. J., Spitzer, C., & Freyberger, H. J. (2004) · American Journal of Psychiatry · doi:10.1176/appi.ajp.161.7.1299 · Cited by 193
Huppert, F. A., Walters, D. E., Day, N., & Elliott, B. J. (1989) · British Journal of Psychiatry · doi:10.1192/bjp.155.2.178 · Cited by 147
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Does low self-esteem predict depression and anxiety? A meta-analysis of longitudinal studies.
Sowislo, J. F., & Orth, U. (2013) · Psychological Bulletin · doi:10.1037/a0028931 · Cited by 2,123
Yan, C.-G., Chen, X., Li, L., Castellanos, F. X., Bai, T.-J., Bo, Q.-J., Cao, J., Chen, G.-M., Chen, N.-X., Chen, W., et al. (2019) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1900390116 · Cited by 895
Self-citationA Meta-Analysis of Cultural Adaptations of Psychological Interventions
Hall, G. C. N., Ibaraki, A. Y., Huang, E. R., Marti, C. N., & Stice, E. (2016) · Behavior Therapy · doi:10.1016/j.beth.2016.09.005 · Cited by 598
Ruscio, A. M., Hallion, L. S., Lim, C. C. W., Aguilar-Gaxiola, S., Al-Hamzawi, A., Alonso, J., Andrade, L. H., Borges, G., Bromet, E. J., Bunting, B., et al. (2017) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2017.0056 · Cited by 492
Gender differences in social anxiety disorder: A review
Asher, M., Asnaani, A., & Aderka, I. M. (2017) · Clinical Psychology Review · doi:10.1016/j.cpr.2017.05.004 · Cited by 457
Metadata
- Authors
- Ryder, A. G., Yang, J., Zhu, X., Yao, S., Yi, J., Heine, S. J., & Bagby, R. M.
- Venue
- Journal of Abnormal Psychology
- Published
- 2008-05
- Volume
- 117
- Issue
- 2
- Pages
- 300-313
- ISSN
- 0021-843X (ISSN-L)
- 1939-1846
- OpenAlex
- W2086862270
- Cited by
- 597
- References
- 10
- FWCI
- 9.19
- Type
- journal article
- Language
- en
- Open access
- closed
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- Ryder, A. G., Yang, J., Zhu, X., Yao, S., Yi, J., Heine, S. J., & Bagby, R. M. (2008). The cultural shaping of depression: Somatic symptoms in China, psychological symptoms in North America? Journal of Abnormal Psychology. https://doi.org/10.1037/0021-843x.117.2.300
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