PMID: 7788127Mar 1, 1995

Cultural dimensions of psychiatric diagnosis. A comparison of DSM-III-R and illness explanatory models in south India

The British Journal of Psychiatry : the Journal of Mental Science
M G WeissS M Channabasavanna


Cross-cultural research to examine the cultural validity of diagnostic categories and underlying concepts requires methods that integrate epidemiological and anthropological frameworks. The Explanatory Model Interview Catalogue (EMIC) and Structured Clinical Interview for DSM-III-R (SCID) were used to study 80 psychiatric out-patients with depressive neurosis at a clinic in south India. Summary kappa values of 0.75 for the EMIC and 0.68 for the SCID confirmed interrater reliability. Comparison of patient explanatory models and SCID diagnoses showed that patients emphasised somatic experience while clinicians emphasised depressive diagnoses. More than half the patients (55%) received a non-specific or dual diagnosis. These findings raise questions about the distinctiveness of depressive, anxiety, and somatoform (DAS) disorders for this population.


Dec 1, 1992·The Journal of Nervous and Mental Disease·L H Rogler
Mar 1, 1992·General Hospital Psychiatry·D Goldberg
Jun 1, 1992·The British Journal of Psychiatry : the Journal of Mental Science·M G WeissR Fernandes
Aug 11, 1992·Archives of General Psychiatry·J B WilliamsB Rounsaville
Nov 1, 1991·The American Journal of Psychiatry·G E Simon, M VonKorff
Sep 1, 1989·Social Psychiatry and Psychiatric Epidemiology·V MavreasG Der
May 1, 1988·The Journal of Nervous and Mental Disease·J A FlahertyS Birz
Aug 1, 1988·The American Journal of Psychiatry·S SaxenaD Mohan
Jul 1, 1988·The Journal of Nervous and Mental Disease·H FabregaR Ulrich
Jan 1, 1986·Acta Psychiatrica Scandinavica·K SrinivasanN Janakiramaiah
Jul 1, 1985·Archives of General Psychiatry·E L Spitznagel, J E Helzer
Jan 1, 1970·The American Journal of Psychiatry·E Robins, S B Guze
May 1, 1993·Journal of Affective Disorders·K L WisnerB H Hanusa


Aug 25, 2001·Indian Journal of Pediatrics·S R BrillE MacDonald
Jul 16, 2008·Social Psychiatry and Psychiatric Epidemiology·Ajay D WasanGeetha Jayaram
Aug 23, 2008·Journal of Occupational Rehabilitation·Marie-France CoutuAnnick Rouleau
Oct 16, 1999·Clinical Psychology Review·J ThakkerK T Strongman
Mar 17, 2001·Tropical Medicine & International Health : TM & IH·Mitchell G WeissR Raguram
Sep 17, 2004·Ethnicity & Health·Dannette MarieLynden K Miles
Jan 22, 2009·Psychiatry and Clinical Neurosciences·Manote Lotrakul, Ratana Saipanish
Apr 2, 2009·Psychiatry and Clinical Neurosciences·Ratana SaipanishSutida Sumrithe
Jun 24, 2008·BMC Psychiatry·Manote LotrakulRatana Saipanish
Jan 1, 2010·Indian Journal of Psychiatry·Sandeep GroverAjit Avasthi
Jan 2, 2004·The British Journal of Psychiatry : the Journal of Mental Science·Dinesh Bhugra, Anastasia Mastrogianni
Jun 26, 2003·Journal of General Internal Medicine·Alison KaraszNerina Garcia
Aug 19, 2009·Journal of Psychosomatic Research·Christoph NikendeiGertraud Hanel
Sep 7, 2007·Lancet·Shekhar SaxenaHarvey Whiteford
Jul 23, 2004·Sociology of Health & Illness·Jennifer Burr, Tom Chapman
Dec 7, 2011·Journal of Traumatic Stress·Kaz de JongRolf J Kleber
Apr 27, 2016·Indian Journal of Psychological Medicine·Avin MuthuramalingamVir Singh Negi
Sep 18, 2012·Asian Journal of Psychiatry·Neil Krishan Aggarwal
Sep 18, 2012·Asian Journal of Psychiatry·Sandeep GroverAjit Avasthi
Dec 5, 2012·Medical Anthropology·Claudia Lang, Eva Jansen
May 5, 2006·Transcultural Psychiatry·James B Waldram
Jun 19, 2007·Journal of Interpersonal Violence·Páll Biering
Nov 27, 2001·British Medical Bulletin·V Patel
Dec 17, 1997·Movement Disorders : Official Journal of the Movement Disorder Society·M PoyurovskyA Weizman
Mar 17, 2007·Harvard Review of Psychiatry·Dominic T S LeeA Kleinman
May 2, 2003·The British Journal of Psychiatry. Supplement·IGDA Workgroup, WPA
Aug 27, 1999·The Journal of Nervous and Mental Disease·J E MezzichS M Manson
Jun 9, 1998·Journal of Clinical Psychopharmacology·M PoyurovskyA Weizman
Nov 1, 2008·The Journal of Nervous and Mental Disease·Thomas J CsordasMilton Strauss
Jun 17, 2003·Acta Psychiatrica Scandinavica·D JoelK S Jacob
Aug 26, 1998·Psychosomatic Medicine·L J Kirmayer, A Young
Dec 16, 1998·British Journal of Nursing : BJN·M Jukes, K O'Shea
Feb 3, 2005·The Journal of Nervous and Mental Disease·Peter HenningsenMitchell G Weiss

Related Concepts

Anxiety States, Neurotic
Transcultural Studies
Patient Care Team
Factor Construct Rating Scales (Fcrs)
Pain Disorder
Dual Diagnosis (Psychiatry)

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