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S26 A. Heredia Montesinos et al. / European Psychiatry 27 (2012) / supplement n°2 /S22-S26<br />
to carefully and individually consider somatic and psychological<br />
symptoms in depressed patients regardless <strong>of</strong> assumened<br />
tendencies to ‘somatize’. Generalizing assumptions about people<br />
from certain cultural backgrounds like the tendency to ‘somatize’<br />
emotional distress because <strong>of</strong> fear <strong>of</strong> being stigmatized, can lead<br />
to misunderstandings, misdiagnosis, and fi nally - again- stigmatization.<br />
Also, these dynamics may lead to poor treatment and<br />
lack <strong>of</strong> acceptance <strong>of</strong> the treatment interventions. Ultimately,<br />
individual treatment <strong>of</strong> the person seeking help regardless <strong>of</strong><br />
the cultural background and assumptions about culture- specifi c<br />
characteristics is an eminent part <strong>of</strong> pr<strong>of</strong>essional attitudes<br />
towards all patients.<br />
Acknowledgements<br />
The study was funded by the German Federal Ministry <strong>of</strong><br />
Education Research (BMBF 01 EL0807).<br />
Confl ict <strong>of</strong> interest statement<br />
None.<br />
References<br />
[1] Beck AT, Steer RA, Brown GK. Manual <strong>for</strong> the Beck Depression Inventory- II.<br />
San Antonio, TX: Psychological Corporation; 1996.<br />
[2] Bhui K, Bhugra D, Goldberg D, Sauer J, Tylee A. Assessing the prevalence<br />
<strong>of</strong> depression in Punjabi and English primary care attenders: the role <strong>of</strong><br />
culture, physical illness and somatic symptoms. Transcult Psychiatry<br />
2004;41,307- 22.<br />
[3] Derogatis LR. Symptom Checklist- 90- Revised: Administration, scoring<br />
and procedures manual, 3rd edition. Minneapolis: National Computer<br />
Systems, Inc., MN 55440; 1994.<br />
[4] Diefenbacher A, Heim G. Somatic Symptoms in Turkish and German<br />
Depressed Patients. Psychosom Med 1994; 56,551- 6.<br />
[5] Hoge EA, Tamrakar SM, Christian KM, Mahara N, Nepal MK, Pollack MH<br />
et al. Cross- cultural differences in somatic presentation in patients with<br />
generalized anxiety disorder. J Nerv Ment Dis 2006;194(12):962- 6.<br />
[6] Karamustafalioğlu O. Major Depressive disorder, mental health care,<br />
and the use <strong>of</strong> guidelines in the Middle East. J Clin Psychiatry 2010;71(l)<br />
E1:e07.<br />
[7] Keyes CLM, Ryff CD. Somatization and mental health: A comparative<br />
study <strong>of</strong> the idiom <strong>of</strong> distress hypothesis. Soc Sci Med 2003;57:1833- 45.<br />
[8] Kirmayer LJ, Young A. Culture and somatization: Clinical, epidemiological,<br />
and ethnographic perspectives. Psychosom Med 1998;60(4):420- 30.<br />
[9] Kirmayer LJ. Cultural variations in the clinical presentation <strong>of</strong> depression<br />
and anxiety: implications <strong>for</strong> diagnosis and treatment. J Clin Psychiatry<br />
2001;62(13):22- 8<br />
[10] Kirmayer LJ. Culture, context and experience in psychiatric diagnosis.<br />
Psychopathology 2005;38:192–6.<br />
[11] Kirmayer LJ, Looper KJ. Abnormal illness behavior: physiological, psychological<br />
and social dimensions <strong>of</strong> coping with distress. Curr Opin<br />
Psychiatry 2006;19:54–60.<br />
[12] Kirmayer LJ, Sartorius N. Cultural models and somatic syndromes. In:<br />
Regier DA, editor. Somatic presentations <strong>of</strong> mental disorders: Refi ning<br />
the research agenda <strong>for</strong> DSM- V. (pp. 19- 39). Arlington, VA US: American<br />
Psychiatric Publishing, Inc.; 2009.<br />
[13] Kleinman A. Patients and healers in the context <strong>of</strong> culture. An Exploration<br />
<strong>of</strong> the borderland between Anthropology, Medicine, and Psychiatry.<br />
<strong>University</strong> <strong>of</strong> Cali<strong>for</strong>nia Press, Berkeley, Los Angeles: London; 1980.<br />
[14] Parker G, Gladstone G, Chee KT. Depression in the planet’s largest ethnic<br />
group: The Chinese. Am J Psych 2001;158:857–64.<br />
[15] Raguram R, Weiss MG, Channabasavanna SM, Devins GM. Stigma, depression,<br />
and somatization in South India. Am J Psych 1996;153:1043- 9.<br />
[16] Rao D, Young M, Raguram R. Culture, somatization, and psychological<br />
distress: symptom presentation in South Indian patients from a public<br />
psychiatric hospital. Psychopathology 2007;40:349–55.<br />
[17] Rief W, Hiller W, Heuser J. SOMS—Das Screening für Somato<strong>for</strong>me<br />
Störungen. Manual zum Fragebogen. [SOMS—The screening <strong>for</strong> somato<strong>for</strong>m<br />
symptoms]. Bern: Huber- Verlag; 1997.<br />
[18] Silveira ER, Ebrahim S. Social determinants <strong>of</strong> psychiatric morbidity and<br />
well- being in immigrant elders and whites in east London. Int J Geriatr<br />
Psychiatry 1998;13:801- 12.<br />
[19] Simon GE , Von Korff M , Piccinelli M , Fullerton C , Ormel J . An international<br />
study <strong>of</strong> the relation between somatic symptoms and depression.<br />
N Engl J Med 1999;341:1329- 35.<br />
[20] Ulusahin A, Basoglu M, Paykel ES. A cross- cultural comparative study<br />
<strong>of</strong> depressive symptoms in British and Turkish clinical samples. Soc<br />
Psychiatry Psychiatr Epidemiol 1994;29:31–9.<br />
[21] Van Brakel WH. Measuring health- related stigma—A literature review.<br />
Psychol Health Med 2006;11(3):307- 34.<br />
[22] Van Hook MP. Challenges to identifying and treating women with depression<br />
in rural primary care. Soc Work Health Care 1996;23:73- 92.<br />
[23] Weiss MG, Doongaji DR, Siddhartha S, Wypij D, Pathare S, Bhatawdekar<br />
M et al. The Explanatory Model Interview Catalogue (EMIC). Contribution<br />
to cross- cultural research methods from a study <strong>of</strong> leprosy and mental<br />
health. BJP 1992;160:819–30.<br />
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