Culture and the anxiety disorders: recommendations for DSM-V.
Culture and the anxiety disorders: recommendations for DSM-V.
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DOI：
10.1002/da.20647
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发表时间：
2010-02
影响因子：
7.4
通讯作者：
Liao, Betty
中科院分区：
文献类型：
--
作者：
Lewis-Fernandez, Roberto;Hinton, Devon E.;Laria, Amaro J.;Patterson, Elissa H.;Hofmann, Stefan G.;Craske, Michelle G.;Stein, Dan J.;Asnaani, Ann;Liao, Betty
在《诊断和统计手册》（DSM-IV-TR）第四版（文本修订版）中规定的焦虑症在人类社会中被普遍识别，并且在患病率和患病率方面也显示出实质性的文化特殊性。对观察到的流行病学变异性的可能解释包括缺乏测量等效性、患病率的真实差异以及诊断标准的有效性或精确度有限。一个中心问题是，通过无意中的“过度规范”的疾病，后DSM-III疾病分类学错过了相关的，但有点不同的表现相同的疾病，因为他们不完全符合指定的标准集。本文综述了精神卫生文献中DSM-IV-TR焦虑障碍标准的跨文化局限性的证据。对心理健康文献进行了分析，特别是自1994年以来，关于可能限制六种焦虑症诊断标准普遍适用性的文化或种族/民族相关因素。DSM的标准和当地的现象学的障碍，在特定的文化背景下，可能不匹配的三个焦虑症，特别是被发现。这些措施包括恐慌症的意外和10分钟渐强标准;社交焦虑症中社交焦虑和社交参照群体的定义;以及广泛性焦虑症中优先考虑担心的心理症状。在整个研究中发现了有限的证据，特别是在神经生物学标志物、遗传风险因素、治疗反应和其他DSM-V验证者方面，这些都有助于澄清标准的跨文化适用性。在现有数据的基础上，提出了DSM-V的选择和初步建议，应进一步评估和测试。
The anxiety disorders specified in the fourth edition, text revision, of The Diagnostic and Statistical Manual (DSM-IV-TR) are identified universally in human societies, and also show substantial cultural particularities in prevalence and symptomatology. Possible explanations for the observed epidemiological variability include lack of measurement equivalence, true differences in prevalence, and limited validity or precision of diagnostic criteria. One central question is whether, through inadvertent “over-specification” of disorders, the post-DSM-III nosology has missed related but somewhat different presentations of the same disorder because they do not exactly fit specified criteria sets. This review canvases the mental health literature for evidence of cross-cultural limitations in DSM-IV-TR anxiety disorder criteria. Searches were conducted of the mental health literature, particularly since 1994, regarding cultural or race/ethnicity-related factors that might limit the universal applicability of the diagnostic criteria for six anxiety disorders. Possible mismatches between the DSM criteria and the local phenomenology of the disorder in specific cultural contexts were found for three anxiety disorders in particular. These involve the unexpectedness and 10-minute crescendo criteria in Panic Disorder; the definition of social anxiety and social reference group in Social Anxiety Disorder; and the priority given to psychological symptoms of worry in Generalized Anxiety Disorder. Limited evidence was found throughout, particularly in terms of neurobiological markers, genetic risk factors, treatment response, and other DSM-V validators that could help clarify the cross-cultural applicability of criteria. On the basis of the available data, options and preliminary recommendations for DSM-V are put forth that should be further evaluated and tested.
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DOI：
10.1176/appi.ajp.2008.08020320
发表时间：
2008-12
期刊：
The American journal of psychiatry
影响因子：
--
作者：
Bloch MH;Landeros-Weisenberger A;Rosario MC;Pittenger C;Leckman JF
通讯作者：
Leckman JF
影响因子：
4.1
作者：
Arrindell, WA;Eisemann, M;Hatzichristou, C
通讯作者：
Hatzichristou, C
影响因子：
1.9
作者：
Cho, Maeng Je;Kim, Jang-Kyu;Hahm, Bong-Jin
通讯作者：
Hahm, Bong-Jin
影响因子：
3.1
作者：
Alegria, Margarita;Shrout, Patrick E.;Canino, Glorisa
通讯作者：
Canino, Glorisa
影响因子：
4.7
作者：
El-Rufaie, OEF;Al-Sabosy, MMA;Abuzeid, MSO
通讯作者：
Abuzeid, MSO