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Culture and Somatic Symptoms: Hwa-byung, a Culture-Related Anger Syndrome

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Somatization and Psychosomatic Symptoms

Abstract

Many psychiatric illnesses or symptoms are known to evolve in a sociocultural context. Culture may not only affect the labeling of certain illnesses or symptoms but also affect people’s belief on the occurrence of a certain illness or symptom according to their reaction pattern via modulation of sensitivity to a particular stressor as well as susceptibility to a particular organ [1]. Culture is closely related to the clinical history or the precipitants of a certain health problem. Accordingly, understanding the influence of culture on psychiatric disorders is critical to the biopsychosocial formulation and treatment planning for patients with such disorders.

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References

  1. Tseng, W. S. (2001). Handbook of cultural psychiatry. San Diego: Academic Press.

    Google Scholar 

  2. Kim, K.-L. (1977). A study on somatization tendency of Koreans. New Medicine, 15, 1440–1443.

    Google Scholar 

  3. Min, S. K. (1981). Psychodynamic in somatization. In Kang, S. H., et al. (Eds.), Tao and Human Science (pp. 413–428). Seoul, Korea: Samil-dang.

    Google Scholar 

  4. Min, S. K., & Kim, K. H. (1988). Somatic symptoms in depression. Journal of Korean Neuropsychiatric Association, 17, 149–154.

    Google Scholar 

  5. Min, S. K., & Lee, B. W. (1997). Laterality in somatization. Psychosomatic Medicine, 59, 236–240.

    PubMed  Google Scholar 

  6. Lee, H. Y., Namgoong, K., Lee, M. H., et al. (1989). The psychiatric epidemiological study of Kanghwa Island (III). The prevalence of major psychiatric disorders. Journal of Korean Neuropsychiatric Association, 28, 984–999.

    Google Scholar 

  7. Nakane, Y., Ohta, Y., Radford, M., Yan, H., Wang, X., Lee, H. Y., et al. (1991). Comparative study of affective disorders in three Asian Countries. II. Differences in prevalence rate and symptom presentation. Acta Psychiatrica Scandinavica, 84, 313–319.

    Article  PubMed  Google Scholar 

  8. Kim, K.-I., Li, D., & Kim, D.-H. (1999). Depressive symptoms in Koreans, Korean-Chinese and Chinese: A transcultural study. Transcultural Psychiatry, 36, 303–316.

    Article  Google Scholar 

  9. Min, S. K., & Suh, S. Y. (1979). A clinical study on hysterical neurosis and change of its symptom pattern for last 16 years in Korea. Journal of Korean Neuropsychiatric Association, 18, 75–81.

    Google Scholar 

  10. Min, S. K., Lee, M. H., Kang, H. C., & Lee, H. Y. (1987). A clinical study of hwa-byung. Journal of the Korean Medical Association, 30, 187–197.

    Google Scholar 

  11. Min, S. K., Namkoong, K., & Lee, H. Y. (1990). An epidemiological study of hwa-byung. Journal of Korean Neuropsychiatric Association, 29, 867–874.

    Google Scholar 

  12. Min, S. K., Suh, S. Y., Hur, J. S., & Song, K. J. (2009). Development of the hwa-byung scale and the research criteria of hwa-byung. Journal of Korean Neuropsychiatric Association, 48, 77–85.

    Google Scholar 

  13. Min, S. K., & Suh, S.Y. (2010). Anger syndrome, hwa-byung and its comorbidity. Journal of Affective Disorders, 124, 211–214.

    Article  PubMed  Google Scholar 

  14. Min, S. K. (2008). Clinical correlates of hwa-byung and a proposal of a new anger disorder. Psychiatry Investigation, 5, 125–141.

    Article  PubMed  Google Scholar 

  15. Lee, B. T., Paik, J. W., Kang, R. H., Chung, H. Y., Kwon, H. I., & Khang, H. S. (2008). The neural substrates of affective face recognition in patients with hwa-byung and healthy individuals in Korea. The World Journal of Biological Psychiatry, 10, 552–559.

    Google Scholar 

  16. Min, S. K. (1989). A study on the concept of hwa-byung. Journal of Korean Neuropsychiatric Association, 28, 604–615.

    Google Scholar 

  17. Min, S. K., Park, C. S., & Hahn, J. O. (1993). Defense mechanisms and coping strategies in hwa-byung. Journal of Korean Neuropsychiatric Association, 32, 506–516.

    Google Scholar 

  18. Roberts, M. E., Han, K. H., & Weed, N. C. (2006). Development of a scale to assess hwa-byung, a Korean culture bound syndrome, using the Korean MMPI-2. Transcultural Psychiatry, 43, 383–400.

    Article  PubMed  Google Scholar 

  19. Lee, J., Min, S. K., Kim, K. H., Kim, B., Cho, S. J., Lee, S. H., et al. (2012). Differences in temperament and character dimensions of personality between patients with hwa-byung, an anger syndrome, and patients with major depressive disorder. Journal of Affective Disorders, 138, 110–116.

    Article  PubMed  Google Scholar 

  20. Min, S. K. (2004). Treatment and prognosis of hwa-byung. Psychiatry Investigation, 1, 29–36.

    Google Scholar 

  21. Min, S. K., Suh, S. Y., Jeon, D. I., Hong, H. J., Park, S. J., & Song, K. J. (2009). Effects of paroxetine on symptoms of hwa-byung. Korean Journal of Psychopharmacology, 20, 90–97.

    Google Scholar 

  22. Min, S. K., & Kim, K. H. (1998). Symptoms of hwa-byung. Korean Journal of Psychopharmacology, 37, 1138–1145.

    Google Scholar 

  23. Min, S. K., Suh, S.Y., & Song, K. J. (2009). Symptoms to use for the diagnostic criteria of hwa-byung. Psychiatry Investigation, 6, 7–12.

    Article  PubMed  Google Scholar 

  24. Rhi, B. Y. (1970). The legend of won-ryung and psychology of haan. In H. K. Kim (Ed.), Traditional society and people’s art (pp. 95–107). Seoul, Korea: Min-um Sa.

    Google Scholar 

  25. Kim, L (1997, May). Haan and hwabyung. Presented at the 150th Annual Meeting of the American psychiatric Association, San Diego, pp. 14–17.

    Google Scholar 

  26. Han, W. S., & Kim, S. K. (1980). An essay on haan in popular sociological concept. Seoul, Korea: Hankil-sa.

    Google Scholar 

  27. Lee, H. J. (1978). Haan of Korean women. Seoul, Korea: Chungwoo-sa.

    Google Scholar 

  28. Chung, H. K. (1991). Struggle to be the sun again. Maryknoll, NY: Orbis Books.

    Google Scholar 

  29. Min, S. K. (1991). Hwa-byung and the psychology of haan. Journal of Korean Medical Association, 34, 1189–1198.

    Google Scholar 

  30. Min, S. K., Lee, J. S., & Hahn, J. O. (1997). A psychiatric study on haan. Journal of Korean Neuropsychiatric Association, 36, 603–611.

    Google Scholar 

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Correspondence to Sung Kil Min M.D., Ph.D. .

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Min, S.K. (2013). Culture and Somatic Symptoms: Hwa-byung, a Culture-Related Anger Syndrome. In: Koh, K. (eds) Somatization and Psychosomatic Symptoms. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7119-6_5

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