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Influence of Cultural and Social Factors on the Epidemiology of Idiopathic Somatic Complaints and Syndromes

Influence of Cultural and Social Factors on the Epidemiology of Idiopathic Somatic Complaints and... Influence of Cultural and Social Factors on the Epidemiology of Idiopathic Somatic Complaints and Syndromes JAVIER I. ESCOBAR, MD, MS, AND OYE GUREJE,PHD, DSC, FRCPSYCH Objective: To review international research on somatic presentations often seen together with or attributed to psychopathology. For conceptual clarity, we refer to these presentations as “idiopathic somatic complaints and syndromes” (ISCS). This review will also pose specific questions on cultural issues affecting these somatic manifestations. Method: Selective review of the international literature dealing with the phenomenology, epidemiology, and cultural profile of ISCS focusing on papers published in refereed journals and written in English. Results: Major problems with much of the previous research in this area are the use of different definitions and ascertainment procedures. As currently conceptualized in the literature, ISCS are universal and seem closely related to psychological issues (stress) and psychopathological conditions such as depression worldwide. Although there are many similarities regarding the form and content of these somatic presentations across cultures, there is some evidence for cultural patterning of symptoms. Unfortunately, current classifications for ISCS are unsatisfactory. Conclusions: We outline specific recommendations for conducting future research and for improving the classification of ISCS of presumed psychological origin or import in future http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Psychosomatic Medicine Wolters Kluwer Health

Influence of Cultural and Social Factors on the Epidemiology of Idiopathic Somatic Complaints and Syndromes

Psychosomatic Medicine , Volume 69 (9) – Nov 1, 2007

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References (46)

ISSN
0033-3174
eISSN
1534-7796
DOI
10.1097/PSY.0b013e31815b007e
pmid
18040091
Publisher site
See Article on Publisher Site

Abstract

Influence of Cultural and Social Factors on the Epidemiology of Idiopathic Somatic Complaints and Syndromes JAVIER I. ESCOBAR, MD, MS, AND OYE GUREJE,PHD, DSC, FRCPSYCH Objective: To review international research on somatic presentations often seen together with or attributed to psychopathology. For conceptual clarity, we refer to these presentations as “idiopathic somatic complaints and syndromes” (ISCS). This review will also pose specific questions on cultural issues affecting these somatic manifestations. Method: Selective review of the international literature dealing with the phenomenology, epidemiology, and cultural profile of ISCS focusing on papers published in refereed journals and written in English. Results: Major problems with much of the previous research in this area are the use of different definitions and ascertainment procedures. As currently conceptualized in the literature, ISCS are universal and seem closely related to psychological issues (stress) and psychopathological conditions such as depression worldwide. Although there are many similarities regarding the form and content of these somatic presentations across cultures, there is some evidence for cultural patterning of symptoms. Unfortunately, current classifications for ISCS are unsatisfactory. Conclusions: We outline specific recommendations for conducting future research and for improving the classification of ISCS of presumed psychological origin or import in future

Journal

Psychosomatic MedicineWolters Kluwer Health

Published: Nov 1, 2007

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