Explanatory models of somatoform disorder patients attending a psychiatry outpatient clinic: A study from North India

Grover, Sandeep; Aneja, Jitender; Sharma, Akhilesh; Malhotra, Rama; Varma, Saurabh; Basu, Debasish

doi:10.1177/0020764013501484

Cited by 5 publications

(2 citation statements)

References 24 publications

(25 reference statements)

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“…Patients with somatic symptom disorders often indulge in doctor shopping, excessive self-medication, abuse of prescribed medications and frequent request for investigations (Grover et al, 2013;Reid et al, 2001;Sharpe & Mayou, 2004). Lockdown due to COVID-19 has brought down the health care services to stand still.…”

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confidence: 99%

Telephonic survey and psychological aid for patients with somatic symptom disorders for the impact of lockdown and COVID-19 pandemic

Naskar

Grover

Sharma

2020

Int J Soc Psychiatry

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confidence: 99%

Telephonic survey and psychological aid for patients with somatic symptom disorders for the impact of lockdown and COVID-19 pandemic

Naskar

Grover

Sharma

2020

Int J Soc Psychiatry

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“…If the treatment is not as effective as was anticipated, they will be even more likely to blame it on their doctor and turn to other types of informal (unconventional) treatment ( 29 , 30 ). It is therefore necessary for the students to understand the culture of their patients and the concepts of folk remedies in order to be aware that these concepts can influence the medical care-seeking behavior of the patients and adjust their thinking patterns, so that they can better understand their patients during doctor–patient communication ( 31 , 32 ). Factors that appeared to influence the process by which medical students accommodated cultural needs included lack of experience in cross-cultural encounters and insufficient training in cultural knowledge and skills.…”

Section: Discussionmentioning

confidence: 99%

An anthropological approach to teach and evaluate cultural competence in medical students – the application of mini-ethnography in medical history taking

Hsieh

Hsu

Wang

2016

Medical Education Online

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PurposeTo use mini-ethnographies narrating patient illness to improve the cultural competence of the medical students.MethodsBetween September 2013 and June 2015, all sixth-year medical students doing their internship at a medical center in eastern Taiwan were trained to write mini-ethnographies for one of the patients in their care. The mini-ethnographies were analyzed by authors with focus on the various aspects of cultural sensitivity and a holistic care approach.ResultsNinety-one students handed in mini-ethnographies, of whom 56 were male (61.5%) and 35 were female (38.5%). From the mini-ethnographies, three core aspects were derived: 1) the explanatory models and perceptions of illness, 2) culture and health care, and 3) society, resources, and health care. Based on the qualities of each aspect, nine secondary nodes were classified: expectations and attitude about illness/treatment, perceptions about their own prognosis in particular, knowledge and feelings regarding illness, cause of illness, choice of treatment method (including traditional medical treatments), prejudice and discrimination, influences of traditional culture and language, social support and resources, and inequality in health care.ConclusionsMini-ethnography is an effective teaching method that can help students to develop cultural competence. It also serves as an effective instrument to assess the cultural competence of medical students.

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Conceptualizing Culturally Infused Engagement and Its Measurement for Ethnic Minority and Immigrant Children and Families

Yasui

Pottick

Chen

2017

Clin Child Fam Psychol Rev

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Despite the central role culture plays in racial and ethnic disparities in mental health among ethnic minority and immigrant children and families, existing measures of engagement in mental health services have failed to integrate culturally specific factors that shape these families' engagement with mental health services. To illustrate this gap, the authors systematically review 119 existing instruments that measure the multi-dimensional and developmental process of engagement for ethnic minority and immigrant children and families. The review is anchored in a new integrated conceptualization of engagement, the culturally infused engagement model. The review assesses culturally relevant cognitive, attitudinal, and behavioral mechanisms of engagement from the stages of problem recognition and help seeking to treatment participation that can help illuminate the gaps. Existing measures examined four central domains pertinent to the process of engagement for ethnic minority and immigrant children and families: (a) expressions of mental distress and illness, (b) causal explanations of mental distress and illness, (c) beliefs about mental distress and illness, and (d) beliefs and experiences of seeking help. The findings highlight the variety of tools that are used to measure behavioral and attitudinal dimensions of engagement, showing the limitations of their application for ethnic minority and immigrant children and families. The review proposes directions for promising research methodologies to help intervention scientists and clinicians improve engagement and service delivery and reduce disparities among ethnic minority and immigrant children and families at large, and recommends practical applications for training, program planning, and policymaking.

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Explanatory models of somatoform disorder patients attending a psychiatry outpatient clinic: A study from North India

Abstract: Most of the patients with somatoform disorder attribute their symptoms to psychological factors. It also becomes imperative to understand the physical symptoms in somatoform disorders from the sociocultural aspects of patients.

Cited by 5 publications

References 24 publications

Telephonic survey and psychological aid for patients with somatic symptom disorders for the impact of lockdown and COVID-19 pandemic

Telephonic survey and psychological aid for patients with somatic symptom disorders for the impact of lockdown and COVID-19 pandemic

An anthropological approach to teach and evaluate cultural competence in medical students – the application of mini-ethnography in medical history taking

Conceptualizing Culturally Infused Engagement and Its Measurement for Ethnic Minority and Immigrant Children and Families

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