Styles of verbal expression of emotional and physical experiences: A study of depressed patients and normal controls in China
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Sixty depressed patients and 52 normal controls completed three selfreport inventories: the Symptom Checklist-90 (SCL-90), the Beck Depression Inventory (BDI) and a new Verbal Style Investigation Schedule (VESIS) developed by the first author. The VESIS uses 16 key emotional and physical terms from Western inventories and identified the words and phrases most commonly used by Chinese patients to express these feeling states. Chinese subjects commonly used the key term itself for only 3 or the 16 key terms; they usually preferred to use other words or phrases to express the feeling state. We categorized these Chinese expressions into four styles of verbal expression: Psychological, Somatic, Neutral (i.e., a mixture of psychological and somatic) and Deficient (i.e., lack of expression because of denial or suppression). Three of the 12 key emotional terms of the VESIS (depressed, fearful, and anxiousness) were more commonly expressed in a somatic or neutral mode than the other key emotional terms. The key terms “suicidal interest” and “being punished” were more commonly expressed in a deficient style than other key emotional terms. The somatic factor score of the SCL-90 was not correlated with increased somatic expression of emotional states; thus patients who have multiple somatic complaints are not more likely to express emotions somatically. The hypothesis of somatization is discussed in light of this study.
- Good, B. J., and A. M. Kleinman 1984 Culture and Anxiety: Cross-cultural Evidence for the Patterning of Anxiety Disorders. In J. Maser and A. H. Tuma (eds.), Anxiety and the Anxiety Disorders. New York: Erlbaum.
- Kagan, J., et al. 1983 Recall Memory and Maternal Attitude. unpublished paper
- Kinzie, J. D., et al. 1982 Development and Validation of a Vietnamese-Language Depression Rating Scale. Am J Psychiatry 139: 1276–1281.
- Kleinman, A. 1984 Somatization. Foreign Referential Journal of Psychiatry 11(2): 66–68. (in Chinese)
- Lorr, M., and J. Klett 1968 Major Psychotic Disorders: A Cross-cultural Study. Arch Gen Psychiatry 19:652–658.
- Lutz, C. 1983 Depression and the Translation of Emotional Worlds. In A. Kleinman and B. Good (eds), Culture and Depression. Berkley, CA: University of California Press.
- Marsella, A. J. 1980 Depression: Depressive Experience and Disorder across Cultures. In H. Triandis and J. Dragus (eds.), Handbook of Cross-cultural Psychology. Vol. 6: Psychopathology. pp. 237–290. Boston: Allyn and Bacon.
- Marsella, A. J., et al. 1980 Cross-Validation of Self-Report Measures of Depression among Normal Populations of Japanese, Chinese and Caucasian Ancestry. unpublished paper.
- Nunnally, J. C. 1978 Psychometric Theory. 2nd ed. New York: McGraw-Hill.
- Tanaka-Matsume, J., and A. J. Marsella 1976 Cross-cultural Variation in the Phenomenological Experience of Depression: Word Association. J Cross-cultural Psychology 7: 379–396.
- Triandis, H. C. 1980 Reflections on Trends in Cross-cultural Research. J of Cross-cultural Psychology 11(1): 35–58.
- Xu, Y. X. 1984 Somatization and its Problems in Diagnosis. Foreign Referential Journal of Psychiatry 11(3): 129–131. (in Chinese)
- Zung, W. O. 1969 A Cross-cultural Survey of Symptoms in Depressions. Am J Psychiatry 126: 116–121.
- Styles of verbal expression of emotional and physical experiences: A study of depressed patients and normal controls in China
Culture, Medicine and Psychiatry
Volume 10, Issue 3 , pp 231-243
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