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Chapter 9 - Transcultural Issues in Mood Disorders

Published online by Cambridge University Press:  16 May 2024

By
Shanaya Rathod ,
Elizabeth Graves  and
Peter Phiri
Edited by
Allan Young ,
Marsal Sanches ,
Jair C. Soares  and
Mario Juruena
Allan Young
Affiliation:
Institute of Psychiatry, King's College London
Marsal Sanches
Affiliation:
Baylor College of Medicine, Texas
Jair C. Soares
Affiliation:
McGovern Medical School, The University of Texas
Mario Juruena
Affiliation:
King's College London
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Summary

Cultural background influences multiple aspects of human experience, including perceptions of mental illness and symptom expression. Incidence and prevalence of mood disorders appear to differ between cultures, with higher rates reported for developing compared to developed areas, although this is limited by differences diagnostic classification, as well as methodological inconsistencies in epidemiological studies. Social constructs about the self and others, beliefs, norms, and customs may affect not only the occurrence but also shape the profile of mood disorders and the extent of help seeking. The impact of culture on illness presentation may even extend to treatment selection and service use. Culture plays an important role in treatment outcomes, with racial disparities in antidepressant efficacy and fewer talking therapy referrals for minorities being prominent examples. Access to health services may also vary between cultural groups, even within regions and countries. A personalised approach matching patients with clinicians may provide a framework for shared understanding and experiences of illness to improve provided care.

Keywords

culturemood disordersprofileillness presentationtreatment outcomesservices
Type
Chapter
Information
Clinical Textbook of Mood Disorders , pp. 95 - 102
Publisher: Cambridge University Press
Print publication year: 2024

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