Abstract
Somatoform disorders and dissociative disorders are common presentations in rural health settings. They have been described conceptually as a method of expression of emotional distress or problems. In the rural health settings, presentations of somatic complaints to the health professionals are common. These symptoms might be due to underlying depression or anxiety and might be more acceptable forms for seeking help. Lack of availability of mental health services and stigma of mental illness label are some of the barriers for management of these conditions. Integrated care might be a better option of management where the health professionals are trained to detect and treat the conditions in the cultural milieu.
References
Allin M, Streeruwitz A, Curtis V (2005) Progress in understanding conversion disorder. Neuropsychiatr Dis Treat 1(3):205–209
Association, AP, Association, AP (2013) Diagnostic and statistical manual of mental disorders: DSM-5. American Psychiatric Association, Washington, DC
Chandrasekaran R, Goswami U, Sivakumar V, Chitralekha n (1994) Hysterical neurosis – a follow-up study. Acta Psychiatr Scand 89(1):78–80
Chaturvedi SK, Desai G, Shaligram D (2010) Dissociative disorders in a psychiatric institute in India – a selected review and patterns over a decade. Int J Soc Psychiatry 56(5):533–539. https://doi.org/10.1177/0020764009347335
Deary V, Chalder T, Sharpe M (2007) The cognitive behavioural model of medically unexplained symptoms: a theoretical and empirical review. Clin Psychol Rev 27(7):781–797
Deka K, Chaudhury PK, Bora K, Kalita P (2007) A study of clinical correlates and socio-demographic profile in conversion disorder. Indian J Psychiatry 49(3):205–207. https://doi.org/10.4103/0019-5545.37323
Gautam S, Jain N (2010) Indian culture and psychiatry. Indian J Psychiatry 52(Suppl1):S309–S313. https://doi.org/10.4103/0019-5545.69259
Geetha PR, Sekar K (1995) Alexithymia in rural health care. NIMHANS J 13:53
Gureje O, Simon GE, Ustun TB, Goldberg DP (1997) Somatization in cross-cultural perspective: a World Health Organization study in primary care. Am J Psychiatr 154(7):989–995
Haller H, Cramer H, Lauche R, Dobos G (2015) Somatoform disorders and medically unexplained symptoms in primary care. Dtsch Arztebl Int 112:279–287
Hoch ME (1977) Psychotherapy for the illiterate. In: Arieti S, Chrzanowski G (eds) A new dimension in psychiatry, a world view. Wiley, New York, pp 75–92
Kirmayer, L. J., & Young, A. (1996). Gaulbaud du Fort G, et al: Pathways and barriers to Mental Health Care: a community survey and ethnographic study. Montreal, Culture & Mental Health Research Unit, Institute of Community & Family Psychiatry, Sir Mortimer B. Davis-Jewish General Hospital
Kirmayer LJ, Young A (1998) Culture and somatization: clinical, epidemiological, and ethnographic perspectives. Psychosom Med 60(4):420–430
Kroenke K (2007) Efficacy of treatment for somatoform disorders: a review of randomized controlled trials. Psychosom Med 69(9):881–888
Ng B, Tomfohr LM, Camacho A, Dimsdale JE (2011) Prevalence and comorbidities of somatoform disorders in a rural California outpatient psychiatric clinic. J Prim Care Community Health 2(1):54–59
North CS (2015) The classification of hysteria and related disorders: historical and phenomenological considerations. Behav Sci 5(4):496–517. https://doi.org/10.3390/bs5040496
Pichot P (1986) DSM-III: the 3d edition of the diagnostic and statistical manual of mental disorders from the American Psychiatric Association. Rev Neurol 142(5):489–499
Rasmussen NH, Bernard ME, Harmsen WS (2008) Physical symptoms that predict psychiatric disorders in rural primary care adults. J Eval Clin Pract 14(3):399–406
Rief W, Barsky AJ (2005) Psychobiological perspectives on somatoform disorders. Psychoneuroendocrinology 30(10):996–1002
Robins LN, Regier DA (1991) Psychiatric disorders in America: the epidemiologic catchment area study. Free Press, New York
Srinath S, Bharat S, Girimaji S, Seshadri S (1993) Characteristics of a child inpatient population with hysteria in India. J Am Acad Child Adolesc Psychiatry 32(4):822–825. https://doi.org/10.1097/00004583-199307000-00017
Trujillo M (2001) Culture and the organization of psychiatric care. Psychiatr Clin North Am 24(3):539–552
Van Dessel N, Den Boeft M, van der Wouden JC, Kleinstäuber M, Leone SS, Terluin B, ... & van Marwijk H (2014) Non-pharmacological interventions for somatoform disorders and medically unexplained physical symptoms (MUPS) in adults. Cochrane Database of Systematic Reviews (11)
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Singapore Pte Ltd.
About this entry
Cite this entry
Nahar, A., Reddy, S.S., Desai, G. (2019). Somatoform and Dissociative Disorders in Rural Settings. In: Chaturvedi, S. (eds) Mental Health and Illness in Rural World. Mental Health and Illness Worldwide. Springer, Singapore. https://doi.org/10.1007/978-981-10-0751-4_7-1
Download citation
DOI: https://doi.org/10.1007/978-981-10-0751-4_7-1
Received:
Accepted:
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-10-0751-4
Online ISBN: 978-981-10-0751-4
eBook Packages: Springer Reference Behavioral Science and PsychologyReference Module Humanities and Social SciencesReference Module Business, Economics and Social Sciences