The "Thinking a Lot" Idiom of Distress and PTSD: An Examination of Their Relationship among Traumatized Cambodian Refugees Using the "Thinking a Lot" Questionnaire

Medical Anthropology Quarterly
Devon E HintonJoop de Jong

Abstract

"Thinking a lot" (TAL)—also referred to as "thinking too much"—is a key complaint in many cultural contexts, and the current article profiles this idiom of distress among Cambodian refugees. The article also proposes a general model of how TAL generates various types of distress that then cause PTSD-type psychopathology, a model we refer to as the TAL-PTSD model. As tested in this Cambodian refugee sample, the model is supported by the following: (1) the close connection of TAL to PTSD as shown by odds ratio (OR = 19.6), correlation (r = .86), and factor loading; and (2) the mediation of most of the effect of TAL on PTSD by TAL-caused somatic symptoms, catastrophic cognitions, trauma recall, insomnia, and irritability. The questionnaire used in the present study is provided and can be used to examine TAL in other cultural and global contexts to advance the study of this commonly encountered distress form.

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Citations

Nov 20, 2015·Social Science & Medicine·Bonnie N KaiserDevon E Hinton
May 26, 2017·Transcultural Psychiatry·Andrew RileyCourtney Welton-Mitchell
Sep 5, 2015·Transcultural Psychiatry·Andrew R Hatala, James B Waldram
Oct 22, 2015·Culture, Medicine and Psychiatry·T N den HertogR Reis
Dec 6, 2018·Culture, Medicine and Psychiatry·Carol A Kidron, Laurence J Kirmayer
Jul 15, 2020·Culture, Medicine and Psychiatry·Bridget M Haas
Apr 28, 2018·Trauma, Violence & Abuse·Lynn Murphy MichalopoulosPaul Bolton
Jan 24, 2019·Transcultural Psychiatry·Emily MendenhallVictoria Mutiso
Sep 22, 2016·SpringerPlus·Alberta Engelbrecht, Laura Jobson
Jan 3, 2021·Culture, Medicine and Psychiatry·Emma Louise BackeEmily Mendenhall
Mar 25, 2021·Transcultural Psychiatry·William AffleckDevon Hinton

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