Skip to main content

Cross-Cultural Factors in the Treatment of Trauma-Related Disorders: Overview

  • Chapter
  • First Online:
Handbook of Cultural Factors in Behavioral Health

Abstract

Decades of research on trauma and its accompanying effects have refined our conceptions of trauma, posttraumatic stress disorder (PTSD), and related symptoms, and the current DSM-5 recognizes trauma as the direct exposure, experience, or witnessing of a traumatic event. The symptoms of PTSD may range from intrusive recollections of the event to flashbacks that cause a reexperiencing of the trauma. It is common for trauma survivors to experience disruptions in sleep and appetite, along with a general sense of being on guard and distressed when exposed to cues that resemble the initial trauma (APA, 2013). Epidemiological data indicates that 6.8% of adults meet criteria for a diagnosis of PTSD (APA, 2013), although it is likely that many more are suffering but not presenting for diagnosis or treatment.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Abe-Kim, J., Takeuchi, D. T., Hong, S., Zane, N., Sue, S., Spencer, M. S., … Alegría, M. (2007). Use of mental health–related services among immigrant and US-born Asian Americans: results from the National Latino and Asian American study. American Journal of Public Health, 97(1), 91–98.

    Article  PubMed  PubMed Central  Google Scholar 

  • Abouguendia, M., & Noels, K. A. (2001). General and acculturation-related daily hassles and psychological adjustment in first-and second-generation South Asian immigrants to Canada. International Journal of Psychology, 36(3), 163–173.

    Article  Google Scholar 

  • Akinsulure-Smith, A. (2007). The use of interpreters with survivors of war, torture & refugee trauma. In Smith, Keller and Lhewa (Eds.) “… Like a Refugee Camp on First Avenue”: Insights and Experiences from the Bellevue/NYU Program for Survivors of Torture (pp. 83-105). New York, NY: The Jacob and Valeria Langeloth Foundation.

    Google Scholar 

  • Alcántara, C., & Lewis-Fernández, R. (2016). Latinas’ and Latinos’ risk for PTSD after trauma exposure: A review of sociocultural explanations. In D. E. Hinton & B. J. Good (Eds.), The ethnography of political violence. Culture and PTSD: Trauma in global and historical perspective (p. 275–306). University of Pennsylvania Press. https://doi.org/10.9783/9780812291469-009

  • Alegría, M., Canino, G., Shrout, P. E., Woo, M., Duan, N., Vila, D., & Meng, X.-L. (2008). Prevalence of mental illness in immigrant and non-immigrant U. S. Latino groups. American Journal of Psychiatry, 165(3), 356–369. PMC2712949.

    Google Scholar 

  • Alegría, M., Fortuna, L. R., Lin, J. Y., Norris, F. H., Gao, S., Takeuchi, D. T., … Valentine, A. (2013). Prevalence, risk, and correlates of posttraumatic stress disorder across ethnic and racial minority groups in the United States. Medical care, 51(12), 1114–1123. https://doi.org/10.1097/MLR.0000000000000007

    Article  PubMed  PubMed Central  Google Scholar 

  • Alegría, M., & Woo, M. (2009). Conceptual issues in Latino mental health. In F. A. Villarruel, G. Carlo, J. M. Grau, M. Azmitia, N. J. Cabrera, & T. J. Chahin (Eds.), Handbook of US Latino psychology: Developmental and community-based perspectives (pp. 15–30). Thousand Oaks, CA: Sage.

    Google Scholar 

  • Alex-Assensoh, Y. M. (2009). African immigrants and African-Americans: An analysis of voluntary African immigration and the evolution of Black ethnic politics in America. African & Asian Studies, 8(1/2), 89–124. https://doi.org/10.1163/156921009X413171

    Article  Google Scholar 

  • Altarriba, J. (2016). Does cariño equal “liking”? International Journal of Bilingualism, 7(3), 305–322.

    Article  Google Scholar 

  • American Psychiatric Association. (1994). Diagnostic And Statistical Manual of Mental Disorders (DSM-IV). Washington, DC: APA.

    Google Scholar 

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.). Text Revision-DSM-IV-TR). Washington, DC: APA.

    Google Scholar 

  • American Psychological Association, Presidential Task Force on Immigration. (2012). Crossroads: The psychology of immigration in the new century. Retrieved from http://www.apa.org/topics/immigration/report.aspx

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

    Book  Google Scholar 

  • Baker, D., Hayes, R., & Puebla-Fortier, J. (1998). Interpreter use and satisfaction with interpersonal aspects of care for Spanish-speaking patients. Medical Care, 10, 1461–1470.

    Google Scholar 

  • Benish, S., Quintana, S., & Wampold, B. (2011). Culturally adapted psychotherapy and the legitimacy of myth: A direct-comparison meta-analysis. Journal of Counseling Psychology, 58(3), 279–289. https://doi.org/10.1037/a0023626

    Article  PubMed  Google Scholar 

  • Bernal, G., & Adames, C. (2017). Cultural Adaptations: Conceptual, Ethical, Contextual, and Methodological Issues for Working with Ethnocultural and Majority-World Populations. Prevention Science, 18(6), 681–688. https://doi.org/10.1007/s11121-017-0806-0

    Article  PubMed  Google Scholar 

  • Betancourt, J. R., Green, A. R., Carrillo, J. E., & Owusu Ananeh-Firempong, I. I. (2016). Defining cultural competence: a practical framework for addressing racial/ethnic disparities in health and health care. Public health reports.

    Google Scholar 

  • Breslau, N. (2002). Epidemiologic Studies of Trauma, Posttraumatic Stress Disorder, and other Psychiatric Disorders. The Canadian Journal of Psychiatry, 47(10), 923–929. https://doi.org/10.1177/070674370204701003

    Article  PubMed  Google Scholar 

  • Briere, J. (2011). Trauma Symptom Inventory-2 (TSI-2) Professional Manual. Odessa, FL: Psychological Assessment Resources.

    Google Scholar 

  • Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and design. Cambridge, MA: Harvard University Press. ISBN:0-674-22457-4.

    Google Scholar 

  • Brown, L. S. (2008). Cultural competence in trauma therapy: Beyond the flashback. Washington, DC: American Psychological Association.

    Book  Google Scholar 

  • Bryant-Davis, T., & Ocampo, C. (2005). The Trauma of Racism: Implications for Counseling, Research, and Education. The Counseling Psychologist, 33(4), 574–578. https://doi.org/10.1177/0011000005276581

    Article  Google Scholar 

  • Bryant, R. A. (2006). Recovery after the tsunami: Timeline for rehabilitation. Journal of Clinical Psychiatry, 67(2), S50–S55.

    Google Scholar 

  • Canino, G., & Bravo, M. (1994). The adaptation and testing of diagnostic and outcome measures for cross-cultural research. International Review of Psychiatry, 6(4), 281–287.

    Article  Google Scholar 

  • Caplan, S., Paris, M., Whittemore, R., Desai, M., Dixon, J., Alvidrez, J., … Scahill, L. (2011). Correlates of religious, supernatural and psychosocial causal beliefs about depression among Latino immigrants in primary care. Mental Health, Religion & Culture, 14(6), 589–611. https://doi.org/10.1080/13674676.2010.497810

    Article  Google Scholar 

  • Carter, R. T. (2016). Racism and Psychological and Emotional Injury. The Counseling Psychologist, 35(1), 13–105. https://doi.org/10.1177/0011000006292033

    Article  Google Scholar 

  • Carter, R. T., Forsyth, J. M., Mazzula, S. L., & Williams, B. (2005). Racial discrimination and race-based traumatic stress: An exploratory investigation. In R. T. Carter (Ed.), Handbook of Racial-cultural Psychology and Counseling (Vol. 2:. Training and practice, pp. 447–476). Hoboken, NJ: John Wiley.

    Google Scholar 

  • Carter, R. T., Johnson, V. E., Roberson, K., Mazzula, S. L., Kirkinis, K., & Sant-Barket, S. (2017). Race-based traumatic stress, racial identity statuses, and psychological functioning: An exploratory investigation. Professional Psychology: Research and Practice, 48(1), 30–37. https://doi.org/10.1037/pro0000116

    Article  Google Scholar 

  • Carter, R. T., Mazzula, S., Victoria, R., Vazquez, R., Hall, S., Smith, S., … Williams, B. (2013). The development of the race-based traumatic stress symptom scale. Psychological Trauma: Theory, Policy, Research, and. Practice, 5(1), 1–9.

    Google Scholar 

  • Carter, R. T., & Sant-Barket (2015). Assessment of the impact of racial discrimination and racism: How to use the Race-Based Traumatic Stress Symptom Scale in practice, Traumatology, (On-Line 12.1.14), 21(1), 32–39.

    Google Scholar 

  • Casey Foundation. (2018, March). Racial disproportionality in the child welfare system. Presentation at the Conference for Law Guardians. Hamilton, NJ: Race and the Child Welfare System.

    Google Scholar 

  • Center for Disease Control (CDC) (2017). Youth Violence: Facts at a Glance. Retrieved from https://www.cdc.gov/violenceprevention/pdf/yv-datasheet.pdf

  • Cervantes, R., Salgado de Snyder, V. N., & Padilla, A. (1989). Posttraumatic Stress in Immigrants From Central America and Mexico. Hospital & Community Psychiatry, 40(6), 615–619. https://doi.org/10.1176/ps.40.6.615

    Article  Google Scholar 

  • Cervantes, R. C., Fisher, D. G., Padilla, A. M., & Napper, L. E. (2015). The Hispanic Stress Inventory Version 2: Improving the assessment of acculturation stress. Psychological Assessment, 28, 509–522.

    Article  PubMed  PubMed Central  Google Scholar 

  • Chan, W., & Mendoza-Denton, R. (2008). Status-based rejection sensitivity among Asian Americans: Implications for psychological distress. Journal of Personality, 76(5), 1317–1346.

    Article  PubMed  Google Scholar 

  • Chester, B., & Holten, N. (1992). Cross-Cultural Medicine a Decade Later: Working With Refugee Survivors of Torture. Western Journal of Medicine, 157(3), 301–302.

    PubMed  PubMed Central  Google Scholar 

  • DeArellano, M. (2006, November). Trauma Among Hispanic/Latino populations. Paper presented for the National Child Traumatic Stress Network.

    Google Scholar 

  • DeGruy Leary, J. (2005). Post traumatic slave syndrome: America’s legacy of enduring injury and healing. Milwaukie, OR: Uptone Press.

    Google Scholar 

  • Denson, T. F., Marshall, G. N., Schell, T. L., & Jaycox, L. H. (2007). Predictors of posttraumatic distress 1 year after exposure to community violence: The importance of acute symptom severity. Journal of Consulting and Clinical Psychology, 75(5), 683–692. https://doi.org/10.1037/0022-006x.75

    Article  PubMed  Google Scholar 

  • Detlaff, A., Rivaux, S. L., Baumann, D., & James, J. (2011). Disentangling substantiation: The influence of race, income, and risk on the substantiation decision in child welfare. Children and Youth Services Review, 33(9), 1630–1637. https://doi.org/10.1016/j.childyouth.2011.04.005

    Article  Google Scholar 

  • Diala, C., Muntaner, C., Walrath, C., Nickerson, K. J., LaVeist, T. A., & Leaf, P. J. (2000). Racial differences in attitudes toward professional mental health care and in the use of services. American Journal of Orthopsychiatry, 70, 455–464. https://doi.org/10.1037/h0087736

    Article  PubMed  Google Scholar 

  • Eisenman, D., Gelberg, L., Liu, H., & Shapiro, M. (2003). Mental health and health-related quality of life among adult Latino primary care patients living in the United States with previous exposure to political violence. Journal of the American Medical Association, 290(5), 627–634.

    Article  PubMed  Google Scholar 

  • Ellis, E. (2017). In the Media: The Collapse of Venezuela and Its Impact on that Region. Retrieved from https://theglobalamericans.org/2017/07/collapse-venezuela-impact-region

  • Escobar, J., Randolph, E., Puente, G., Spiwak, F., Asamen, J., Hill, M., & Hough, R. (1983). Post-traumatic stress disorder in Hispanic Vietnam veterans. Clinical phenomenology and sociocultural characteristics. American Journal of Psychiatry, 142, 585–596.

    Google Scholar 

  • Farooq, S., & Fear, C. (2003). Working through interpreters. Advances in Psychiatric Treatment, 9, 104–109.

    Google Scholar 

  • Fisher, M., & Taub, A. (2017, May). How Venezuela went from the richest economy in South America to the brink of financial ruin. Independent. Retrieved from https://www.independent.co.uk/news/long_reads/how-venezuela-went-from-the-richest-economy-in-south-america-to-the-brink-of-financial-ruin-a7740616.html

  • Flaherty, J., Gavirigia, F. M., Pathak, D., Mitchell, T., Wintrob, R., Richman, J., & Birz, S. (1988). Developing instruments for cross-cultural psychiatric research. Journal of Nervous and Mental Disease, 176(5), 260–263.

    Article  Google Scholar 

  • Font, S. A. (2013). Service Referral Patterns among Black and White Families Involved with Child Protective Services. Journal of Public Child Welfare, 7(4), 370–391.

    Article  Google Scholar 

  • Franklin, J. H., & Moss, A. A. (2010). From Slavery to Freedom: A History of African Americans, 1st ed. New York: A.A. Knopf, 1947. Last update with Evelyn Brooks Higginbotham, 9th edn. McGraw-Hill Education, 2010.

    Google Scholar 

  • Frueh, C., Brady, K., & de Arellano, M. (1998). Racial differences in combat-related PTSD: Empirical findings and conceptual issues. Clinical Psychology Review, 18(3), 287–305. https://doi.org/10.1016/S0272-7358(97)00087-1

    Article  PubMed  Google Scholar 

  • Galea, S., Vlahov, D., Tracy, T., Hoover, D. R., Resnick, H., & Kilpatrick, D. (2004). Hispanic ethnicity and post-traumatic stress disorder after a disaster: Evidence from a general population survey after September 11, 2001. Annals of Epidemiology, 14, 520–531.

    Article  PubMed  Google Scholar 

  • Garcia-Preto, N. (2005). Latino families: An overview. In G. J. McGoldrick & J. K. Pearce (Eds.), Ethnicity & family therapy (3rd ed.). New York, NY: Guilford Press.

    Google Scholar 

  • Gee, G., Ro, A., Shariff-Marco, S., & Chae, D. (2009). Racial discrimination and health among Asian Americans: Evidence, assessment, and directions for future research. Epidemiologic Reviews, 31(1), 130–151.

    Google Scholar 

  • Geisinger, K. F. (1994). Cross-cultural normative assessment: Translation and adaptation issues influencing the normative interpretation of assessment instruments. Psychological Assessment, 6(4), 304–312.

    Article  Google Scholar 

  • George Washington University (GWU). (2018). Ascertainment of the Estimated Excess Mortality from Hurricane Maria in Puerto Rico. In Retrieved from. https://prstudy.publichealth.gwu.edu/

  • Gim, R. H., Atkinson, D. R., & Whiteley, S. (1990). Asian-American acculturation, severity of concerns, and willingness to see a counselor. Journal of Counseling Psychology, 37(3), 281–285. https://doi.org/10.1037/0022-0167.37.3.281

    Article  Google Scholar 

  • Gone, J. P. (2013). Redressing First Nations historical trauma: Theorizing mechanisms for indigenous culture as mental health treatment. Transcultural Psychiatry, 50(5), 683–706.

    Article  PubMed  Google Scholar 

  • Griner, D., & Smith, T. (2006). Culturally adapted mental health interventions: A meta-analytic review. Psychotherapy: Theory, Research, Practice, Training, 43(4), 531–548. https://doi.org/10.1037/0033-3204.43.4.531

    Article  Google Scholar 

  • Guarnaccia, P. J., Rivera, M., Franco, F., & Neighbors, C. (1996). The experiences of ataques de nervios: Towards an anthropology of emotion in Puerto Rico. Culture Medicine and Psychiatry, 20, 343–367.

    Google Scholar 

  • Guarnaccia, P. J., Martinez, I., & Acosta, H. (2005). Mental health in the Hispanic immigrant community: An overview. Journal of Immigrant and Refugee Services, 3(1-2), 21–46. https://doi.org/10.1300/J191v03n01_02

    Article  Google Scholar 

  • Guarnaccia, P., Lewis-Fernandez, R., Martinez, I., Shrout, P., Guo, J., Torres, M., … Alegria, M. (2010). Ataque de Nervios as a marker of social and psychiatric vulnerability: Results from NLAAS. International Journal of Social Psychiatry, 56(3), 298–309. https://doi.org/10.1177/0020764008101636

    Article  PubMed  Google Scholar 

  • Gupta, A., Szymanski, D. M., & Leong, F. T. (2011). The “model minority myth”: Internalized racialism of positive stereotypes as correlates of psychological distress, and attitudes toward help-seeking. Asian American Journal of Psychology, 2(2), 101.

    Article  Google Scholar 

  • Hardy, K. V. (2013). Healing the hidden wounds of racial trauma. Reclaiming Children Journal, 22(1). Retrieved from https://www.marypendergreene.com/bookshelf/docs/Ken_Hardy_Racial_Trauma.pdf

  • Hinton, D., & Lewis-Fernández, R. (2010). Idioms of distress among trauma survivors: Subtypes and clinical utility. Cultural Medical Psychiatry, 34(2), 209–218. https://doi.org/10.1007/s11013-010-9175-x

    Article  Google Scholar 

  • Hinton, D., Hinton, S., Um, K., Chea, A., & Sak, S. (2002). The Khmer ‘weak heart’syndrome: Fear of death from palpitations. Transcultural Psychiatry, 39(3), 323–344.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hinton, D. E., & Good, B. J. (2018). Culture and PTSD: Trauma in Global and Historical Perspective (The Ethnography of Political Violence). Philadelphia: University of Pennsylvania Press.

    Google Scholar 

  • Hinton, D. E., & Good, B. J. (Eds.). (2015). Culture and PTSD: Trauma in global and historical perspective. Philadelphia, PA: University of Pennsylvania Press.

    Google Scholar 

  • Ho, J. (2008). Community Violence Exposure of Southeast Asian American Adolescents. Journal of Interpersonal Violence, 23(1), 136–146.

    Article  PubMed  Google Scholar 

  • Hook, J. N., Farrell, J. E., Davis, D. E., DeBlaere, C., Van Tongeren, D. R., & Utsey, S. O. (2016). Cultural humility and racial microaggressions in counseling. Journal of Counseling Psychology, 63(3), 269–277. https://doi.org/10.1037/cou0000114

    Article  PubMed  Google Scholar 

  • Hough, R., Canino, G., Abueg, F., & Gusman, F. (1996). PTSD and related stress disorders among Hispanics. In A. Marsella, M. Friedman, E. Gerrity, & R. Scurfield (Eds.), Ethnocultural aspects of posttraumatic stress disorder: Issues, research and clinical applications (pp. 301–340). Washington, DC: American Psychological Association.

    Chapter  Google Scholar 

  • Ima, K., & Hohm, C. (1991). Child maltreatment among Asian and Pacific Islander refugees and immigrants. Journal of Interpersonal Violence, 6, 267–285.

    Article  Google Scholar 

  • Inman, A. G., & Yeh, C. J. (2007). Asian American Stress and Coping. In F. T. L. Leong, A. Ebreo, L. Kinoshita, A. G. Inman, L. H. Yang, & M. Fu (Eds.), Handbook of Asian American psychology (pp. 323–339). Inc: Sage Publications.

    Google Scholar 

  • Institute for Economics and Peace. (2017). Global peace index. Retrieved from http://visionofhumanity.org/app/uploads/2017/06/GPI-2017-Report-1.pdf

  • Interian, A., & Diaz-Martinez, A. M. (2007). Considerations for culturally competent cognitive-behavioral therapy for depression with Hispanic patients. Cognitive and Behavioral Practice, 14, 87–97.

    Article  Google Scholar 

  • Jernigan, M. M. (2009). Using a Sankofa intervention to influence Black girls’ racial identity development and school-related experiences. Dissertation Abstracts International Section A: Humanities and Social Sciences, 70(2-A), 472.

    Google Scholar 

  • Jernigan, M. M., & Henderson Daniel, J. (2011). Racial Trauma in the Lives of Black Children and Adolescents: Challenges and Clinical Implications. Journal of Child & Adolescent Trauma, 4(2), 123–141.

    Article  Google Scholar 

  • Jha, A. K., Orav, E. J., & Epstein, A. M. (2011). Low-quality, high-cost hospitals, mainly in south, care for sharply higher shares of elderly black, hispanic, and medicaid patients. Health Affairs, 30(10), 1904–1911. https://doi.org/10.1377/hlthaff.2011.0027.

    Article  PubMed  Google Scholar 

  • Karasz, A., Raghavan, S., Patel, V., Zaman, M., Akhter, L., & Kabita, M. (2015). ASHA: Using participatory methods to develop an asset-building mental health intervention for Bangladeshi immigrant women. Progress in Community Health Partnerships: Research, Education, and Action, 9(4), 501–512.

    Google Scholar 

  • Keller, A., Leviss, J., Levy, N., & Dyson, D. (2007). Medical Evaluation and Care for Survivors of Torture/Refugee. Trauma.. Retrieved from https://www.healtorture.org/sites/healtorture.org/files/Medical%20Evaluation%20and%20Care%20forSurvivors%20of%20Torture%20and%20Refugee%20Trauma.pdf

  • Kendi, I. X. (2016). Post-Traumatic Slave Syndrome is a Racist Idea. Black Perspectives. Published by AAIHS. Retrieved from https://www.aaihs.org/post-traumatic-slave-syndrome-is-a-racist-idea/

  • Kenny, M. C., & McEachem, A. G. (2000). Racial, ethnic, and cultural factors of childhood sexual abuse: A selected review of the literature. Clinical Psychology Review, 20(7), 905–922.

    Google Scholar 

  • Khaylis, A., Waelde, L., & Bruce, E. (2007). The Role of Ethnic Identity in the Relationship of Race-Related Stress to PTSD Symptoms Among Young Adults. Journal of Trauma & Dissociation, 8(4), 91–105. https://doi.org/10.1300/J229v08n04_06

    Article  Google Scholar 

  • Kim, S. C. (1985). Family therapy for Asian Americans: A strategic-structural framework. Psychotherapy: Theory, Research, Practice, Training, 22(2S), 342–348.

    Article  Google Scholar 

  • Kinzie, J. D. (1985). Cultural aspects of psychiatric treatment with Indochinese refugees. American Journal of Social Psychiatry, 5(1), 47–53.

    Google Scholar 

  • Kirmayer, L. J. (2001). Cultural variations in the clinical presentation of depression and anxiety: implications for diagnosis and treatment. Journal of Clinical Psychiatry, 62(13), 22–30.

    PubMed  Google Scholar 

  • Kleinman, A. (1997). Triumph or Pyrrhic Victory? The Inclusion of Culture in DSM-IV. Harvard Review of Psychiatry, 4(6), 343–344.

    Article  PubMed  Google Scholar 

  • Ku, L., & Flores, G. (2005). Pay now or pay later: Providing interpreter services in health care. Health Affairs, 24(2), 435–444. https://doi.org/10.1377/hlthaff.24.2.435

    Article  PubMed  Google Scholar 

  • Kulka, R., Schlenger, W., Fairbank, J., Hough, R. L., Jordan, B. K., Marmar, C. R., & Weiss, D. S. (1990). Trauma and the Vietnam War Generation: Report of findings from the National Vietnam Veterans Readjustment Study. New York, NY: Brunner/Mazel.

    Google Scholar 

  • Le Meyer, O., Zane, N., Cho, Y. I., & Takeuchi, D. T. (2009). Use of specialty mental health services by Asian Americans with psychiatric disorders. Journal of Consulting and Clinical Psychology, 77(5), 1000.

    Article  PubMed  PubMed Central  Google Scholar 

  • Leong, F. T., & Lau, A. S. (2001). Barriers to providing effective mental health services to Asian Americans. Mental Health Services Research, 3(4), 201–214.

    Article  PubMed  Google Scholar 

  • Leong, F. T. L., Wagner, N. S., & Tata, S. P. (1995). Racial and ethnic variations in help-seeking attitudes. In J. G. Ponterotto, J. M. Casas, L. A. Suzuki, & C. M. Alexander (Eds.), Handbook of multicultural counseling (pp. 428–432). Thousand Oaks, CA: Sage.

    Google Scholar 

  • Lesser, G., & Batalova, J. (2017). Central American immigrants in the United States. Migration Policy Institute-The Online Journal. Retrieved from https://www.migrationpolicy.org/article/central-american-immigrants-united-states/

  • Lewis-Fernández, R., Gorritz, M., Raggio, G. A., Peláez, C., Chen, H., & Guarnaccia, P. J. (2010). Association of Trauma-Related Disorders and Dissociation with Four Idioms of Distress Among Latino Psychiatric Outpatients. Culture, Medicine, and Psychiatry, 34(2), 219–243. https://doi.org/10.1007/s11013-010-9177-8

    Article  PubMed  Google Scholar 

  • Lewis-Fernandez, R., Turner, J. B., Marshall, R., Turse, N., Neria, Y., & Dohrenwend, B. P. (2008). Elevated rates of current PTSD among Hispanic veterans in the NVVRS: True prevalence or methodological artifact? Journal of Traumatic Stress, 2, 123–132.

    Article  Google Scholar 

  • Lin, K. M. (1983). Hwa-Byung: A Korean culture-bound syndrome? American Journal of Psychiatry, 140, 105–107.

    Article  PubMed  Google Scholar 

  • Lipowski, Z. J. (1988). Somatization: the concept and its clinical application. American Journal of Psychiatry, 145, 1358–1368.

    Article  PubMed  Google Scholar 

  • Loo, C., Fairbank, J., Scurfield, R., Ruch, L., King, D., Adams, L., & Chemtob, C. (2001). Measuring exposure to racism: Development and validation of a Race-Related Stressor Scale (RRSS) for Asian American Vietnam Veterans. Psychological Assessment, 13(4), 503–520. https://doi.org/10.1037/1040-3590.13.4.503

    Article  PubMed  Google Scholar 

  • Loo, C. M., Fairbank, J. A., & Chemtob, C. M. (2005). Adverse race-related events as a risk factor for posttraumatic stress disorder in Asian American Vietnam veterans. Journal of Nervous Mental Disease, 193(7), 455–463. https://doi.org/10.1097/01.nmd.0000168239.51714.e6

    Article  PubMed  Google Scholar 

  • Lorenzo, M. K., & Adler, D. A. (1984). Mental health services for Chinese in a community health center. Social Casework, 65(10), 600–609.

    Article  PubMed  Google Scholar 

  • Manly, J. J. (2005). Advantages and Disadvantages of Separate Norms for African Americans. The Clinical Neuropsychologist, 19(2), 270–275.

    Article  PubMed  Google Scholar 

  • Marsella, A., Friedman, M., & Spain, E. (1996). Ethnocultural aspects of PTSD: An overview of issues and research directions. In A. Marsella, M. Friedman, E. Gerrity, & R. Scurfield (Eds.), Ethnocultural aspects of posttraumatic stress disorder: Issues, research and clinical applications (pp. 105–129). Washington, DC: American Psychological Association.

    Chapter  Google Scholar 

  • Marshall, G. N., Schell, T. L., Elliott, M. N., Berthold, S. M., & Chun, C.-A. (2005). Mental health of Cambodian refugees 2 decades after resettlement in the United States. JAMA: Journal of the American Medical Association, 294, 571–579. https://doi.org/10.1001/jama.294.5.571

    Article  PubMed  Google Scholar 

  • Martinez, R. (1996). Latinos and lethal violence: The impact of poverty and inequality. Social Problems, 43(2), 131–146.

    Google Scholar 

  • Mather, M. (2009). Reports on America: Children in Immigrant Families Chart New Path. Washington, DC: Population Reference Bureau.

    Google Scholar 

  • Matthews, H. F. (1987). Rootwork: Description of an ethnomedical system in the American South. Soirtheru hfedical Joitrno/, SO, 885–889.

    Google Scholar 

  • Michal, M., Adler, J., Wiltink, J., Reiner, I., Tschan, R., Wölfling, K., … Zwerenz, R. (2016). A case series of 223 patients with depersonalization-derealization syndrome. BMC Psychiatry, 16, 1–11. https://doi.org/10.1186/s12888-016-0908-4

  • Mitrushina, M., Boone, K. B., Razani, J., & D’Elia, L. F. (2005). Handbook of Normative Data for Neuropsychological Assessment. Oxford: Oxford University Press.

    Google Scholar 

  • Mollica, R.F., Caspi-Yavin, Y., Bollini, P., Truong, T., Tor, S., & Lavelle, J. (1992). The Harvard Trauma Questionnaire: Validating a cross-cultural instrument for measuring torture, trauma, and post-traumatic stress disorder in refugees. Journal of Nervous and Mental Disorders, 180, 111–116.

    Google Scholar 

  • National Academies of Sciences, Engineering, and Medicine (NASEM). (2015). The integration of immigrants into American society. In Mary C. Waters & Marisa Gerstein Pineau (Eds.), Washington, DC: National Academies Press.

    Google Scholar 

  • National Child Traumatic Stress Network. (2007). Preliminary adaptations for working with traumatized Latino/Hispanic children and their families. Culture and Trauma Brief, 2(3), 1–8.

    Google Scholar 

  • Nellis, A. (2016). The color of justice: Racial and ethnic disparity in state prisons. Washington, DC: The Sentencing Project.

    Google Scholar 

  • Nicolas, G., Helms, J. E., Jernigan, M. M., Sass, T., Skrzypek, A., & DeSilva, A. M. (2008). A conceptual framework for understanding the strengths of black youths. Journal of Black Psychology, 34, 261–280.

    Google Scholar 

  • Nishio, K., & Blimes, M. (1978). Psychotherapy with Southeast Asian American clients. Professional Psychology: Research and Practice, 18, 342–346.

    Article  Google Scholar 

  • Nogueira, B. L., De Jesus Mari, J., & Razzouk, D. (2015). Cultural -bound syndromes in Spanish speaking Latin America: The case of Nervios, Susto and Ataque de Nervios. Archives of Clinical Psychiatry, 42(6).

    Google Scholar 

  • Norris, F., Perilla, J., & Murphy, A. (2001). Postdisaster stress in the United States and Mexico: A cross-cultural test of the multicriterion conceptual model of posttraumatic stress disorder. Journal of Abnormal Psychology, 110, 553–563.

    Article  PubMed  Google Scholar 

  • Oppedal, B., Røysamb, E., & Heyerdahl, S. (2005). Ethnic group, acculturation, and psychiatric problems in young immigrants. Journal of Child Psychology and Psychiatry, 46(6), 646–660.

    Article  PubMed  Google Scholar 

  • Orozco, E., Chin, E., Restrepo, A., & Tamayo, M. (2001). Transcending barriers: Implementing a culturally sensitive assessment with Latinos. New Jersey Advisor, 6, 3–8.

    Google Scholar 

  • Ortega, A., & Rosenheck, R. (2000). Posttraumatic stress disorder among Hispanic Vietnam veterans. The American Journal of Psychiatry, 157(4), 615–619.

    Article  PubMed  Google Scholar 

  • Paniagua, F. A. (1994). Assessing and treating culturally diverse clients A practical guide. Thousand Oaks, CA: Sage.

    Google Scholar 

  • Park, Y. S., & Kim, B. S. (2008). Asian and European American cultural values and communication styles among Asian American and European American college students. Cultural Diversity and Ethnic Minority Psychology, 14(1), 47.

    Article  PubMed  Google Scholar 

  • Perreira, K. M., & Ornelas, I. (2013). Painful Passages: Traumatic Experiences and Post-Traumatic Stress among Immigrant Latino Adolescents and their Primary Caregivers. The International Migration Review, 47 (4), 10.1111/imre.12050. https://doi.org/10.1111/imre.12050

    Article  Google Scholar 

  • Pew Research Center. (2016). Roughly half of Hispanics have experienced discrimination. Retrieved from https://www.pewresearch.org/fact-tank/2016/06/29/roughly-half-of-hispanics-have-experienced-discrimination/

  • Pew Research Center. (2017). Facts on US Immigrants, 2017 [Data file and code book]. Retrieved from http://www.pewresearch.org

  • Pole, N., Best, S. R., Metzler, T., & Marmar, C. R. (2005). Why Are Hispanics at Greater Risk for PTSD? Cultural Diversity and Ethnic Minority Psychology, 11(2), 144–161.

    Google Scholar 

  • Pole, N., Best, S., Metzler, T., & Marmar, C. (2005). Why are Hispanics at greater risk for PTSD? Culture, Ethnicity and Minority Psychology, 11(2), 144–161.

    Article  Google Scholar 

  • Pole, N., Best, S., Weiss, D., Metzler, T., Ligerman, A., Fagan, J., & Marmar, C. (2001). Effects of gender and ethnicity on duty-related posttraumatic stress symptoms among urban police officers. Journal of Nervous and Mental Disease, 189, 442–448.

    Article  PubMed  Google Scholar 

  • Pole, N., Gone, J., & Kulkarni, M. (2008). Posttraumatic Stress Disorder among Ethnoracial Minorities in the United States. Clinical Psychology: Science and Practice, 15, 35–61.

    Google Scholar 

  • Prado-Perez, R. E. (2018). Web of Violence in Central America’s Northern Triangle and the Maras. Sociológica, 33(93), 213–246.

    Google Scholar 

  • Pribilsky, J. (2001). Nervios and `Modern Childhood’: Migration and Shifting Contexts of Child Life in the Ecuadorian Andes. Childhood, 8(2), 251–273. https://doi.org/10.1177/0907568201008002007

    Article  Google Scholar 

  • Putnam-Hornstein, E., Needell, B., King, B., & Johnson-Motoyama (2013). Race, poverty, and maternal nativity: an examination of risk and protective factors for involvement with child protective services. Child Abuse & Neglect, 37(1–3), 33–46.

    Google Scholar 

  • Qin, D. B., Way, N., & Mukherjee, P. (2008). The other side of the model minority story: The familial and peer challenges faced by Chinese American adolescents. Youth & Society, 39(4), 480–506.

    Article  Google Scholar 

  • Radloff, L. S. (1977). The CES-D scale: a self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.

    Article  Google Scholar 

  • Raghavan, S. S. (2018). Cultural considerations in the assessment of survivors of torture. Journal of Immigrant and Minority Health, 1–10.

    Google Scholar 

  • Reardon, S., Fox, L., & Townshend, J. (2015). Neighborhood Income Composition by Household Race and Income, 1990–2009. Annals of the American Academy of Political and Social Science, 660, 78–97. https://doi.org/10.1177/0002716215576104

    Article  Google Scholar 

  • Rhoades, G. F., Jr., & Sar, V. (Eds.). (2005). Trauma and dissociation in a cross-cultural perspective: Not just a north American phenomenon. Binghamton, NY: Haworth Press.

    Google Scholar 

  • Ridley, C., Tracy, M., Pruitt-Stephens, L., Wimsatt, M., & Beard, J. (2008). Multicultural assessment validity: The preeminent ethical issue in psychological assessment. In L. Suzuki & J. Ponterotto (Eds.), Handbook of multicultural assessment: Clinical, psychological and educational applications (pp. 22–33). San Francisco, CA: John Wiley & Sons.

    Google Scholar 

  • Ritsner, M., Ponizovsky, A., Kurs, R., & Modai, I. (2000). Somatization in an immigrant population in Israel: A community survey of prevalence, risk factors, and help-seeking behavior. American Journal of Psychiatry, 157, 385–392.

    Article  PubMed  Google Scholar 

  • Roberts, A. L., Gilman, S. E., Breslau, J., Breslau, N., & Koenen, K. C. (2011). Race/ethnic differences in exposure to traumatic events, development of post-traumatic stress disorder, and treatment-seeking for post-traumatic stress disorder in the United States. Psychological Medicine, 41, 71–83.

    Google Scholar 

  • Ruef, A., Litz, B., & Schlenger, W. (2000). Hispanic ethnicity and risk for combat-related posttraumatic stress disorder. Cultural Diversity and Ethnic Minority Psychology, 6(3), 235–251. https://doi.org/10.1037/1099-9809.6.3.235

    Article  PubMed  Google Scholar 

  • Santa-Maria, M. L., & Cornille, T. (2007). Traumatic stress, family separations, and attachment among Latin American immigrants. Traumatology, 13(2), 26–31.

    Article  Google Scholar 

  • Schechter, D. S., Marshall, R., Salman, E., Goetz, D., Davies, S., & Liebowitz, M. R. (2000). Ataque de nervios and history of childhood trauma. Journal of Traumatic Stress, 13, 529–534.

    Article  PubMed  Google Scholar 

  • Schell, T., & Marshall, G. (2008). Survey of individuals previously deployed for OEF/OIF. In T. Taniellian & L. Jaycox (Eds.), Invisible wounds of war: Psychological and cognitive injuries, their consequences, and services to assist recovery (pp. 87–115). Santa Monica, CA: The RAND Corporation.

    Google Scholar 

  • Schhneider, B., Martinez, S., & Ownes, A. (2006). Barriers to educational opportunities for hispanics in the United States. In M, Tienda & F, Mitchell (Eds.), National Research Council (US) Panel on Hispanics in the United States. Hispanics and the Future of America. Washington, DC: National Academies Press (US). Available from: https://www.ncbi.nlm.nih.gov/books/NBK19909/

  • Seaton, E. K., Caldwell, C. H., Sellers, R. M., & Jackson, J. S. (2008). The prevalence of perceived discrimination among African American and Caribbean Black youth. Developmental Psychology, 44(5), 1288–1297. https://doi.org/10.1037/a0012747

    Article  PubMed  PubMed Central  Google Scholar 

  • Shihadeh, E. S., & Flynn, N. (1996). Segregation and Black urban homicide. Social Forces, 74, 1325–1352.

    Google Scholar 

  • Silove, D. (1999). The psychosocial effects of torture, mass human rights violations and refugee trauma: towards an integrated conceptual framework. Journal Nervous Mental Disease., 187, 200–207. https://doi.org/10.1097/00005053-199904000-00002

    Article  Google Scholar 

  • Silove, D., Momartin, S., Marnane, C., Steel, Z., & Manicavasagar, V. (2010). Adult separation anxiety disorder among war-affected Bosnian refugees: Comorbidity with PTSD and associations with dimensions of trauma. Journal of Traumatic Stress, 23(1), 169–172. https://doi.org/10.1002/jts.20490

    Article  PubMed  Google Scholar 

  • Smith, T. B., Domenech Rodríguez, M., & Bernal, G. (2011). Culture. Journal of Clinical Psychology, 67, 166–175. https://doi.org/10.1002/jclp.20757

    Article  PubMed  Google Scholar 

  • Smith, H., & Keller, A. (2007). The context in which treatment takes place: The multi-faceted stressors facing survivors of torture and refugee trauma. In Smith, Keller and Lhewa (Eds.) “… Like a Refugee Camp on First Avenue”: Insights and Experiences from the Bellevue/NYU Program for Survivors of Torture (pp. 1-37). New York, NY: The Jacob and Valeria Langeloth Foundation.

    Google Scholar 

  • Steel, Z., Chey, T., Silove, D., Marnane, C., Bryant, R., & van Ommeren, M. (2009). Association of torture and other potentially traumatic events with mental health outcomes among populations exposed to mass conflict and displacement: a systematic review and meta-analysis. JAMA, 302(5), 537–549. https://doi.org/10.1001/jama.2009.1132

    Article  PubMed  Google Scholar 

  • Stepler, R. (2016). Hispanic, black parents see college degree as key for children’s success.. Pew Research Center. https://www.pewresearch.org/fact-tank/2016/02/24/hispanic-black-parents-see-college-degree-as-key-for-childrens-success/

  • Sue, S. (1977). Community mental health services to minority groups: Some optimism, some pessimism. American Psychologist, 32(8), 616–624.

    Article  PubMed  Google Scholar 

  • Sue, S., Cheng, J. K. Y., Saad, C. S., & Chu, J. P. (2012). Asian American mental health: A call to action. American Psychologist, 67(7), 532.

    Article  PubMed  Google Scholar 

  • Sue, S., & Morishima, J. K. (1982). The mental health of Asian-Americans. San Francisco: Jossey-Bass.

    Google Scholar 

  • Sue, S., Zane, N., & Young, K. (1994). Research on psychotherapy with culturally diverse populations. In A. E. Bergin & S. L. Garfield (Eds.), Handbook of psychotherapy and behavior change (p. 783–817). John Wiley & Sons.

    Google Scholar 

  • Summerfield, D. (2005). What exactly is emergency or disaster” mental health”? Bulletin of the World Health Organization, 83(1), 76–77.

    Google Scholar 

  • Tabora, B. L., & Flaskerud, J. H. (1997). Mental health beliefs, practices, and knowledge of Chinese American immigrant women. Issues in Mental Health Nursing, 18(3), 173–189.

    Article  PubMed  Google Scholar 

  • Tafur, M. M., Crowe, T. K., & Torres, E. (2009). A review of curanderismo and healing practices among Mexicans and Mexican Americans. Occupational Therapy International, 16(1), 82–88. https://doi.org/10.1002/oti.265

    Article  PubMed  Google Scholar 

  • Tanaka-Matsumi, J., Seiden, D. Y., & Lam, K. N. (1996). The Culturally Informed Functional Assessment (CIFA) Interview: A strategy for cross-cultural behavioral practice. Cognitive and Behavioral Practice, 3(2), 215–233.

    Article  Google Scholar 

  • Tao, K. W., Owen, J., Pace, B. T., & Imel, Z. E. (2015). A meta-analysis of multicultural competencies and psychotherapy process and outcome. Journal of Counseling Psychology, 62, 337–350. https://doi.org/10.1037/cou0000086

    Article  PubMed  Google Scholar 

  • Taylor, P., Lopez, M. H., Martinez, J., & Velasco, G. (2012). When Labels Don’t Fit: Hispanics and Their Views of Identity. Pew Research Center: Hispanic Trends. Retrieved from https://www.pewresearch.org/hispanic/2012/04/04/when-labels-dont-fit-hispanics-and-their-views-of-identity/

    Google Scholar 

  • Torres, A., & Maldonado, M. (2017). Tools for Treating Trauma-Related Disorders Among Latinos. In L. Benuto (Ed), Toolkit for Counseling Spanish-Speaking Clients. Springer Publishing Company: NY. https://doi.org/10.1007/978-3-319-64880-4_3

    Chapter  Google Scholar 

  • Torres, A., & Mercedes, E. (2018, October). Immigration-related psychological assessments: Improving practice by increasing knowledge. Workshop presentation at the National Latinx Psychological Association, San Diego, CA.

    Google Scholar 

  • Triandis, H. C. (1972). The Analysis of Subjective Culture. New York: Wiley.

    Google Scholar 

  • Triandis, H. (1988). Collectivism v. individualism: A reconceptualisation of a basic concept in cross-cultural social psychology. In Cross-cultural studies of personality, attitudes and cognition (pp. 60–95). London: Palgrave Macmillan.

    Chapter  Google Scholar 

  • Udomratn, P. (2009). Mental health and the psychosocial consequences of natural disasters in Asia. International Review of Psychiatry, 20(5), 441–444.

    Article  Google Scholar 

  • Umbert, J. (2018). Natural Disasters in Latin America: A Look Back at, 2017. Retrieved from https://www.jdsupra.com/legalnews/natural-disasters-in-latin-america-a-90712/

  • U.S. Census Bureau. (2016). American Community Survey. Retrieved from https://www.census.gov/acs/www/data/data-tables-and-tools/data-profiles/2016/

  • Weeks, A., Swerissen, H., & Belfrage, J. (2007). Issues, challenges, and solutions in translating study instruments. Evaluation Review, 31(2), 153–165.

    Article  PubMed  Google Scholar 

  • Weiss, N. H., Dixon-Gordon, K. L., Duke, A. A., & Sullivan, T. P. (2015). The underlying role of posttraumatic stress disorder symptoms in the association between intimate partner violence and deliberate self-harm among African American women. Comprehensive Psychiatry, 59, 8–16.

    Article  PubMed  Google Scholar 

  • Williams, D. R., & Williams-Morris, R. (2000). Racism and Mental Health: The African American Experience. Ethnicity and Health, 5(3-4), 243–268.

    Article  PubMed  Google Scholar 

  • Yeh, C. J., Nguyen, W., & Lizarraga, Y. N. (2014). Assessing Culture-Bound Syndromes Among Asian-Americans. In L. Benuto, N. Thaler, & B. Leany (Eds.), Guide to Psychological Assessment with Asians. New York, NY: Springer. https://doi.org/10.1007/978-J-4939-0796-0_18.

    Chapter  Google Scholar 

  • Yule, W. (2001). Posttraumatic stress disorder in the general population and in children. Journal Clinical Psychiatry, 62(17), 23–28.

    Google Scholar 

  • Zane, N., & Sue, S. (1991). Culturally respective mental health services for Asian Americans: Treatment and training issues. In H. Myers, P. Wohlford, P. Guzman, & R. Echemendia (Eds.), Ethnic minority perspectives on clinical training and services in psychology (pp. 49–58). Washington, DC: American Psychological Association.

    Chapter  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Torres, A., Raghavan, S., Perera, A.K. (2020). Cross-Cultural Factors in the Treatment of Trauma-Related Disorders: Overview. In: Benuto, L.T., Gonzalez, F.R., Singer, J. (eds) Handbook of Cultural Factors in Behavioral Health. Springer, Cham. https://doi.org/10.1007/978-3-030-32229-8_18

Download citation

Publish with us

Policies and ethics