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Health Care Issues among Asian Americans

Implications of Somatization

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Handbook of Diversity Issues in Health Psychology

Part of the book series: The Plenum Series in Culture and Health ((PSCH))

Abstract

Asian Americans (including Pacific Islander Americans) represent a significant part of the population. They are, in terms of percentage increase, the fastest growing ethnic group in the United States. In 1980, the population of Asian Americans exceeded 3.7 million, easily doubling the 1.5 million figure in 1970 (U. S. Bureau of the Census, 1988). The 1990 population of Asian Americans is about 7.3 million, nearly double that of 1980. Projections are that by the year 2020, the population will be 20 million (Ong & Hee, 1993). The Asian-American population is not only the fastest growing but also the most diverse ethnic group in terms of cultural backgrounds, countries of origin, and circumstances for coming to the United States. For example, the broad Asian-American category includes more than 50 different subgroups, which may primarily speak one of more than 30 different languages. The three largest subgroups in the Asian-American category are Chinese, Japanese, and Filipinos; significant numbers of Asian Indians, Koreans, Southeast Asians (e.g., Vietnamese, Cambodians, Laotians, and Hmong), and Pacific Islanders are also included in the Asian-American category.

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References

  • American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders 3rd ed., Rev. ed. Washington, DC: American Psychiatric Association.

    Google Scholar 

  • Barsky, A. J., Geringer, E., & Wool, C. A. (1988). A cognitive-educational treatment for hypochondriasis. General Hospital Psychiatry, 10, 322–327.

    Article  PubMed  Google Scholar 

  • Beiser, M., & Fleming, J. A. E. (1986). Measuring psychiatric disorder among southeast Asian refugees. Psychological Medicine, 16, 627–639.

    Article  PubMed  Google Scholar 

  • Bourne, P. G., & Nguyen, D. S. (1967). A comparative study of neuropsychiatric caualties in the United States army and the army of the republic of Vietnam. Military Medicine, 132, 904–909.

    PubMed  Google Scholar 

  • Bridges, K., & Goldberg, D. P. (1985). Somatic presentation of DSM III psychiatric disorders in primary care. Journal of Psychosomatic Research, 29, 563–569.

    Article  PubMed  Google Scholar 

  • Cadoret, R., Widmer, R. B., & Troughton, E. P. (1980). Somatic complaints: Harbinger of depression in primary care. Journal of Affective Disorder, 2, 61–70.

    Article  Google Scholar 

  • Cheng, T. A. (1989). Symptomatology of minor psychiatric morbidity: A crosscultural comparison. Psychological Medicine, 19, 697–708.

    PubMed  Google Scholar 

  • Cheung, F. M. (1982). Psychological symptoms among Chinese in urban Hong Kong. Social Science and Medicine, 16, 1339–1344.

    Article  PubMed  Google Scholar 

  • Cheung, F. M. (1984). Preferences in help-seeking among Chinese students. Culture, Medicine and Psychiatry, 8, 371–380.

    Article  PubMed  Google Scholar 

  • Cheung, F. M. (1987). Conceptualization of psychiatric illness and help-seeking behavior among Chinese. Culture, Medicine and Psychiatry, 11, 97–106.

    Article  PubMed  Google Scholar 

  • Cheung, F. M. (in press). Facts and myths about somatization among the Chinese. In T. Y. Lin, W. S. Tseng, & E. K. Yeh (Eds.), Culture and mental health: Chinese experiences. Hong Kong: Oxford University Press.

    Google Scholar 

  • Cheung, F. M., & Lau, B. W. K. (1982). Situational variations of help-seeking behavior among Chinese patients. Comprehensive Psychiatry, 23(3), 252–262.

    Article  PubMed  Google Scholar 

  • Cheung, F. M., Lau, B. W. K., & Waldmann, E. (1980–81). Somatization among Chinese depressives in general practice. International Journal of Psychiatry in Medicine, 10, 361–374.

    Article  PubMed  Google Scholar 

  • Cheung, F. M., Lee, S., & Chan, Y. Y. (1983). Variations in problem conceptualizations and intended solutions among Hong Kong students. Culture, Medicine and Psychiatry, 7, 263–278.

    Article  PubMed  Google Scholar 

  • Edwards, J. W. (1984). Indigenous koro, a genital retraction syndrome of insular Southeast Asia: A critical review. Culture, Medicine and Psychiatry, 8, 1–24.

    Article  PubMed  Google Scholar 

  • Engel, G. L. (1977). The need for a new medical model: A challenge for biomedicine. Science, 196, 129–136.

    Article  PubMed  Google Scholar 

  • Gardner, R. (1994). Mortality. In N. W. S. Zane, D. T. Takeuchi, & K. N. J. Young (Eds.), Confronting critical health issues of Asian and Pacific islander Americans (pp. 53–104). Thousand Oaks, CA: Sage.

    Google Scholar 

  • Gaw, A. C. (1976). An integrated approach in the delivery of health care to a Chinese community in America: The Boston experience. In A. Kleinman, P. Kunstadter, E. R. Alexander, & J. L. Gale (Eds.), Medicine in Chinese cultures: Comparative studies of health care in Chinese and other societies. Bethesda, MD: Fogarty International Center, National Institute of Health.

    Google Scholar 

  • Hann, R. S. (1994). Hepatitis B. In N. W. S. Zane, D. T. Takeuchi, & K. N. J. Young (Eds.), Confronting critical health issues of Asian and Pacific islander Americans (pp. 148–173). Thousand Oaks, CA: Sage.

    Google Scholar 

  • Hann, H. W. L. (1994). Tuberculosis. In N. W. S. Zane, D. T. Takeuchi, & K. N. J. Young (Eds.), Confronting critical health issues of Asian and Pacific islander Americans (pp. 302–315). Thousand Oaks, CA: Sage Publications.

    Google Scholar 

  • Jenkins, C. N. H., & Kagawa-Singer, M. (1994). Cancer. In N. W. S. Zane, D.T. Takeuchi, & K. N. J. Young (Eds.), Confronting critical health issues of Asian and Pacific islander Americans. Thousand Oaks, CA: Sage.

    Google Scholar 

  • Jenkins, R. (1985). Sex difference in minor psychiatric morbidity. Psychological Medicine Monograph (Suppl. 7). Cambridge, UK: Cambridge University Press.

    Google Scholar 

  • Katon, W. (1982). Depression: Somatic symptoms and medical disorders in primary care. Comprehensive Psychiatry, 23, 274–287.

    Article  PubMed  Google Scholar 

  • Katon, W., Kleinman, A., & Rosen, G. (1982). Depression and somatization: A review, part I. American Journal of Medicine, 72, 127–135.

    Article  PubMed  Google Scholar 

  • Katon, W., Ries, R. K., & Kleinman, A. (1984). The prevalence of somatization in primary care. Comprehensive Psychiatry, 25, 208–215.

    Article  PubMed  Google Scholar 

  • Kellner, R. (1990). Somatization: Theories and research. Journal of Nervous and Mental Disease, 178, 150–160.

    Article  PubMed  Google Scholar 

  • Kirmayer, L. J. (1984). Culture, affect and somatization. Transcultural Psychiatric Research Review, 21, 159–217.

    Article  Google Scholar 

  • Kleinman, A. (1977). Depression, somatization and the “new cross-cultural psychiatry”. Social Science & Medicine, 11, 3–10.

    Article  Google Scholar 

  • Kleinman, A. (1980). Patients and healers in the context of culture. Berkeley: University of California Press.

    Google Scholar 

  • Kleinman, A. (1982). Neurasthenia and depression: A study of somatization and culture in China. Culture, Medicine and Psychiatry, 6, 117–190.

    Article  PubMed  Google Scholar 

  • Kleinman, A., & Kleinman, J. (1985). Somatization: The interconnections in Chinese society among culture, depressive experiences, and the meanings of pain. In A. Kleinman & B. Good (Eds.), Culture and Depression (pp. 429–490). Berkeley: University of California Press.

    Google Scholar 

  • Leff, J. P. (1981). Psychiatry around the globe: A transcultural view. New York: Marcel Dekker.

    Google Scholar 

  • Lin, K. M. (1983). Hwa-byung: A culture-bound syndrome? American Journal of Psychiatry, 140, 105–107.

    PubMed  Google Scholar 

  • Lin, K. M., Lau, J. K. C., Yamamoto, J., Zheng, Y. P., Kim, H. S., Cho, K. H., & Nagasaki, G. (1992). Hwa-byung: A community study of Korean Americans. Journal of Nervous and Mental Disease, 180, 386–391.

    Article  PubMed  Google Scholar 

  • Lin, K. M., Masuda, M., & Tazuma, L. (1982). Adaptational problems of Vietnamese refugees: Part III. Case studies in clinic and field: Adaptive and maladaptive. Psychiatric Journal of the University of Ottawa, 7, 173–183.

    PubMed  Google Scholar 

  • Lin, T. Y. (1953). A study of the incidence of mental disorder in Chinese and other cultures. Psychiatry, 16, 313–336.

    PubMed  Google Scholar 

  • Lin, T. Y. (1982). Culture and psychiatry: A Chinese perspective. Australian and New Zealand Journal of Psychiatry, 16, 313–336.

    Article  Google Scholar 

  • Lin, T. Y. (1989). Neurasthenia in Asian cultures [Special issue]. Culture, Medicine and Psychiatry, 13.

    Google Scholar 

  • Lipowski, Z. J. (1988). Somatization: The concept and its clinical application. American Journal of Psychiatry, 145, 1358–1368.

    PubMed  Google Scholar 

  • Mathew, R. J., Weinman, M. L., & Mirabi, M. (1981). Physical symptoms of depression. British Journal of Psychiatry, 139, 293–296.

    Article  PubMed  Google Scholar 

  • McHugh, S., & Vallis, T. M. (1986). Illness behavior: Operationalization of the biopsychosocial model. In S. McHugh & T. M. Vallis (Eds.), Illness behavior. New York: Plenum Press.

    Google Scholar 

  • Mechanic, D. (1972). Social psychologic factors affecting the presentation of bodily complaints. The New England Journal of Medicine, 286, 1132–1139.

    Article  PubMed  Google Scholar 

  • Mechanic, D. (1979). Development of psychological distress among young adults. Archives of General Psychiatry, 36, 1233–1239.

    PubMed  Google Scholar 

  • Meichenbaum, D. (1976). Toward a cognitive theory of self-control. Consciousness and Self-Regulation, 1, 1–66.

    Google Scholar 

  • Nguyen, S. D. (1982). Psychiatric and psychosomatic problems among southeast Asian refugees. Psychiatric Journal of the University of Ottawa, 7, 163–172.

    PubMed  Google Scholar 

  • Ong, P., & Hee, S. (1993). Losses in the Los Angeles civil unrest, April 19–May 1,1992: Lists of the damaged properties. Los Angeles: UCLA Center for Pacific Rim Studies.

    Google Scholar 

  • Raskin, A., Chien, C. P., & Lin, K. M. (1992). Elderly Chinese-and Caucasian-Americans compared on measures of psychic distress, somatic complaints and social competence. International Journal of Geriatric Psychiatry, 7, 191–198.

    Article  Google Scholar 

  • Rin, H., Schooler, C., & Caudill, W. A. (1973). Symptomatology and hospitalization. Journal of Nervous and Mental Disease, 157, 296–312.

    Article  PubMed  Google Scholar 

  • Schepank, H. (1988). Psychoneuroses and psychophysiological disorders: Prevalence, courses and strategies for prevention. Psychotherapy and Psychosomatics, 49, 187–196.

    Article  PubMed  Google Scholar 

  • Shepherd, M., Cooper, B., Brown, A. C., & Kalton, G. W. (1966). Psychiatric illness in general practice. London: Oxford University Press.

    Google Scholar 

  • Simon, G. E. (1991). Somatization and psychiatric disorders. In L. J. Kirmayer & J. M. Robbins (Eds.), Current concepts of somatization: Research and clinical perspectives (pp. 37–62). Washington, DC: American Psychiatric Association.

    Google Scholar 

  • Singer, K. (1975). Depressive disorders from a transcultural perspective. Social Science & Medicine, 9, 289–301.

    Article  Google Scholar 

  • Tongyonk, J. (1972). Depressions in Thailand in the perspective of comparative-transcultural psychiatry. Journal of Psychiatric Association of Thailand, 17, 44–50.

    Google Scholar 

  • Tseng, W. S. (1975). The nature of somatic complaints among psychiatric patients: The Chinese case. Comprehensive Psychiatry, 16, 237–245.

    Article  PubMed  Google Scholar 

  • Tseng, W. S., & Hsu, J. (1970). Chinese culture, personality formation and mental illness. International Journal of Social Psychiatry, 16, 5–14.

    Google Scholar 

  • Uba, L. (1994). Asian Americans: Personality patterns, identity, and mental health. New York: Guilford Press.

    Google Scholar 

  • U.S. Department of Commerce, Bureau of the Census (1988). Asian and Pacific islander population in the United States: 1980 (Report No. PC80-2-IE). Washington, DC: Government Printing Office.

    Google Scholar 

  • Ware, N. C., & Kleinman, A. (1992). Culture and somatic experience: The social course of illness in neurasthenia and chronic fatigue syndrome. Psychosomatic Medicine, 54, 546–566.

    PubMed  Google Scholar 

  • Woodruff, R., A., Murphy, G. E., & Herjanic, M. (1967). The natural history of affective disorders. 1. Symptoms of 72 patients at the time of index hospital admission. Journal of Psychiatric Research, 5, 255–263.

    Article  PubMed  Google Scholar 

  • Zheng, Y., Xu, L., & Shen, Q. (1986). Styles of verbal expression of emotional and physical experiences: A study of depressed patients and normal controls in China. Culture, Medicine and Psychiatry, 10, 231–243.

    Article  PubMed  Google Scholar 

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© 1996 Plenum Press, New York

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Chun, CA., Enomoto, K., Sue, S. (1996). Health Care Issues among Asian Americans. In: Kato, P.M., Mann, T. (eds) Handbook of Diversity Issues in Health Psychology. The Plenum Series in Culture and Health. Springer, Boston, MA. https://doi.org/10.1007/978-0-585-27572-7_18

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  • DOI: https://doi.org/10.1007/978-0-585-27572-7_18

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-0-306-45325-0

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