PMID: 11924748Apr 2, 2002Paper

Causal explanations of distress and general practitioners' assessments of common mental disorder among punjabi and English attendees

Social Psychiatry and Psychiatric Epidemiology
Kamaldeep BhuiDavid Goldberg

Abstract

The literature on the primary care assessment of mental distress among Indian subcontinent origin patients suggests frequent presentations to general practitioner, but rarely for recognisable psychiatric disorders. This study investigates whether cultural variations in patients' causal explanatory models account for cultural variations in the assessment of non-psychotic mental disorders in primary care. In a two-phase survey, 272 Punjabi and 269 English subjects were screened. The second phase was completed by 209 and 180 subjects, respectively. Causal explanatory models were elicited as explanations of two vignette scenarios. One of these emphasised a somatic presentation and the other anxiety symptoms. Psychiatric disorder was assessed by GPs on a Likert scale and by a psychiatrist on the Clinical Interview Schedule. Punjabis more commonly expressed medical/somatic and religious beliefs. General practitioners were more likely to assess any subject giving psychological explanations to vignette A and English subjects giving religious explanations to vignette B as having a significant psychiatric disorder. Where medical/somatic explanations of distress were most prevalent in response to the somatic vignette, psychological, relig...Continue Reading

Citations

Apr 22, 2009·Social Psychiatry and Psychiatric Epidemiology·Samrad GhanePaul M G Emmelkamp
Nov 9, 2007·Journal of Cross-cultural Gerontology·Daniel W L Lai, Shireen Surood
Jun 1, 2009·Asian Journal of Psychiatry·Om PrakashGirish Nagarajarao
Apr 15, 2008·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Dagmar M HallerGeorge Patton
Nov 1, 2006·Journal of Affective Disorders·Bernadette PereiraVikram Patel
Dec 18, 2008·International Journal of Geriatric Psychiatry·Keng Chuan SohTze Pin Ng
Aug 6, 2015·The British Journal of Psychiatry : the Journal of Mental Science·Kamaldeep S BhuiAla Szczepura
Nov 2, 2002·Addiction·Shane Darke, Joanne Ross
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Jan 22, 2011·The International Journal of Social Psychiatry·Mathew Mathews
Oct 26, 2021·Public Health Reviews·Héllyda de Souza BezerraIsabelle R Barbosa

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