“…However, a substantial challenge is of course the wide variety of cultural and linguistic differences in conceptions and meanings of mental health. Another challenge is to distinguish whether a particular group-level effect is related to a specific cultural factor or social context (externally provided for individuals), or to a genetic resilience resource (internally retrieved by individuals) in ethnically homogeneous groups (Voracek & Loibl, 2008;Wiltermuth & Heath, 2009;McCormick, Frey, Lee, Gajic, Stamatovic-Gajic, & Maksimovic, 2009): for example Japanese women experiencing relatively few physical and emotional symptoms in the peri-menopausal period (Steiner, Dunn, & Born, 2003). It has thus been proposed that these findings may not only indicate cultural differences but also may reflect the influence of biological, genetic and nutritional/dietary factors (Lock, 1994;Nagata, Takatsuka, Inaba, Kawakami, & Shimizu, 1998).…”