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Disease Management & Health Outcomes

, Volume 16, Issue 6, pp 411–419 | Cite as

Health Beliefs and Culture

Essential Considerations for Outcome Measurement
  • Kamaldeep Bhui
  • Sokratis Dinos
Review Article

Abstract

Culture is linked to the way emotions, mental distress, social problems, and physical illness are perceived, experienced, and expressed. Beliefs about what constitutes illness and what can be done about it vary considerably across cultures. Defining mental health and measuring mental health outcomes have been the focus of academics and mental health professionals across a number of disciplines from psychiatry and psychology to anthropology and sociology.

Mental health diagnostic constructs and subsequent treatment practices designed in developed countries are often used in the provision of care in the developing world and in care practices for ethnic minorities, asylum seekers, and refugees. However, there are concerns about the limitations of using mono-cultural outcome measures in these culturally diverse contexts. This article reviews the role of health beliefs and culture in the development and use of mental health outcome measures. Suggestions are made for criteria to improve the reliability and validity of mental health outcome measures used in multicultural contexts. In particular, the role of language in describing salience and severity of symptoms is discussed alongside a number of methodological approaches to improve the development of mental health outcomes in cross-cultural contexts.

Keywords

Mental Health Ethnic Minority Mental Health Outcome Health Belief Asylum Seeker 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Acknowledgments

No sources of funding were used to assist in the preparation of this review.

Professor K. Bhui is Principal Investigator on related projects on an outcomes compendium development for the Department of Health, UK, and Principal Investigator of MSc Transcultural Mental Healthcare. Professor Bhui and Dr Dinos have received a UK Department of Health grant to develop a compendium of outcomes measures. The authors have no other conflicts of interest that are directly relevant to the content of this review.

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Copyright information

© Adis Data Information BV 2008

Authors and Affiliations

  1. 1.Centre for Psychiatry, Barts and the London School of Medicine and DentistryQueen Mary University of LondonLondonUK

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