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From culture to symptom: Testing a structural model of “Chinese somatization”


From culture to symptom: Testing a structural model of “Chinese somatization”

Zhou, Xiaolu, Peng, Yunshi ORCID: https://orcid.org/0000-0003-4859-6213, Zhu, Xiongzhao ORCID: https://orcid.org/0000-0002-7573-0740, Yao, Shuqiao ORCID: https://orcid.org/0000-0002-7310-7760, Dere, Jessica ORCID: https://orcid.org/0000-0001-7545-6131, Chentsova-Dutton, Yulia E. ORCID: https://orcid.org/0000-0002-2974-0550 and Ryder, Andrew G. ORCID: https://orcid.org/0000-0003-3041-7168 (2015) From culture to symptom: Testing a structural model of “Chinese somatization”. Transcultural Psychiatry, 53 (1). pp. 3-23. (In Press)

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Official URL: https://doi.org/10.1177%2F1363461515589708


“Chinese somatization” has been frequently discussed over the past three decades of cultural psychiatry, and has more recently been demonstrated in cross-national com- parisons. Empirical studies of potential explanations are lacking, however. Ryder and Chentsova-Dutton (2012) proposed that Chinese somatization can be understood as a cultural script for depression, noting that the literature is divided on whether this script primarily involves felt bodily experience or a stigma-avoiding communication strategy. Two samples from Hunan province, China - one of undergraduate students (n = 213) and one of depressed psychiatric outpatients (n = 281) - completed the same set of self-report questionnaires, including a somatization questionnaire developed in Chinese. Confirmatory factor analysis demonstrated that Chinese somatization could be under-stood as two correlated factors: one focusing on the experience and expression of distress, the other on its conceptualization and communication. Structural equation modeling demonstrated that traditional Chinese cultural values are associated with both of these factors, but only bodily experience is associated with somatic depressive symptoms. This study takes a first step towards directly evaluating explanations for Chinese somatization, pointing the way to future multimethod investigations of this cultural script.

Divisions:Concordia University > Faculty of Arts and Science > Psychology
Item Type:Article
Authors:Zhou, Xiaolu and Peng, Yunshi and Zhu, Xiongzhao and Yao, Shuqiao and Dere, Jessica and Chentsova-Dutton, Yulia E. and Ryder, Andrew G.
Journal or Publication:Transcultural Psychiatry
Digital Object Identifier (DOI):10.1177/1363461515589708
Keywords:cultural scripts, culture, depression, somatization, symptoms, values
ID Code:989989
Deposited By: Julie Quadrio
Deposited On:22 Dec 2021 22:06
Last Modified:22 Dec 2021 22:06
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