Cross-Cultural Aspects of Anxiety Disorders
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A person’s cultural background influences the experience and expression of emotions. In reviewing the recent literature on cross-cultural aspects of anxiety disorders, we identified some culturally related ethnopsychology/ethnophysiology factors (the culture’s conceptualizations of how the mind and body function) and contextual factors that influence anxiety disorders. Ethnopsychology/ethnophysiology factors include the person’s ideas about the mental and bodily processes (and their interaction), whereas contextual factors are associated with the social norms and rules that may contribute to anxiety, including individualism vs. collectivism and self-construals. From the perspective of ethnopsychology/ethnophysiology and contextual factors, we will discuss “khyâl cap” (“wind attacks”), taijin kyofusho, and ataques de nervios, three prominent examples of culture-specific expressions of anxiety disorders that have all been included in the DSM-5 list of cultural concepts of distress.
KeywordsCulture Anxiety disorders DSM-5 Cross culture Taijin kyofusho Ataques de nervios
Dr. Hofmann’s work is supported by NIH grant R-1AT007257.
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Conflict of Interest
Stefan G. Hofmann and Devon E. Hinton declare that they have no conflict of interest.
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This article does not contain any studies with human or animal subjects performed by any of the authors.
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- 2.••Hinton DE. Multicultural challenges in the delivery of anxiety treatment. Depress Anxiety. 2012;29:1–3. Reviews how the culturally specific experiencing of distress, particularly anxiety-type distress, must be understood in order to design effective treatments for diverse populations.PubMedCrossRefGoogle Scholar
- 3.••Hofmann SG, Asnaani A, Hinton DE. Cultural aspects in social anxiety and social anxiety disorder. Depress Anxiety. 2010;27:1117–27. Reviews the factors that contribute to the differences in social anxiety different cultures, including individualism/collectivism, perception of social norms, self-construal, gender roles, and gender role identification.PubMedCentralPubMedCrossRefGoogle Scholar
- 4.•Asnaani A, Richey JA, Dimaite R, Hinton DE, Hofmann SG. A cross-ethnic comparison of lifetime prevalence rates of anxiety disorders. J Nerv Ment Dis. 2010;198:551–5. Reports the results of a large epidemiological study comparing White Americans, African Americans, Hispanic Americans, and Asian Americans in the prevalence rates of anxiety disorders.PubMedCentralPubMedCrossRefGoogle Scholar
- 6.•Lewis-Fernandez R, Hinton DE, Laria AJ, Patterson EH, Hofmann SG, Craske MG, et al. Culture and the anxiety disorders: Recommendations for DSM-V. Depress Anxiety. 2010;27:212–29. Reviews the literature of cultural or race-ethnic factors related to anxiety disorders and provides recommendations for the DSM-5.PubMedCrossRefGoogle Scholar
- 9.Hinton DE, Good BJ. Culture and panic disorder. Palo Alto: Stanford University Press; 2009.Google Scholar
- 10.Hofstede G. The cultural relativity of the quality of life concept. Acad Manag Rev. 1984;9:389–98.Google Scholar
- 14.Bem SL. Androgyny and gender schema theory: A conceptual and empirical integration. In: Nebraska symposium on motivation: Vol. 32. Lincoln: University of Nebraska Press; 1984. p. 180–26.Google Scholar
- 15.Hinton DE, Lewis-Fernandez R, Pollack MH. A model of the generation of ataque de dervios: The role of fear of negative affect and fear of arousal symptoms. CNS Neurosci Ther. 2009;15:266–75.Google Scholar