Cultural psychiatry: beyond DSM-5.
Competencia cultural
Cultural competence
Cultural factors
Factores culturales
Psiquiatría
Psychiatry
Review
Revisión
Journal
Revista Colombiana de psiquiatria (English ed.)
ISSN: 2530-3120
Titre abrégé: Rev Colomb Psiquiatr (Engl Ed)
Pays: Spain
ID NLM: 101778593
Informations de publication
Date de publication:
Historique:
received:
19
03
2018
accepted:
04
06
2019
entrez:
8
6
2021
pubmed:
9
6
2021
medline:
29
10
2021
Statut:
ppublish
Résumé
Cultural psychiatry evaluates manifestations, symptoms of emotional distress and mental disorders in diverse cultural contexts; it also addresses social problems such as poverty, violence, inequalities between groups or social classes. To present a narrative review of the most relevant cultural aspects in the context of clinical practice in psychiatry and to suggest some alternatives to improve the cultural competence of health care professionals. A narrative review was carried out of the most relevant articles in the area. Usually, the cultural argument is used to explain differences in observed prevalences in some mental disorders according to gender and geographical location. Cultural differences modify the expression of emotional distress and this can reduce the accuracy and affect the reliability and validity of the current diagnostic classification used in psychiatry. The American Psychiatric Association, in the most recent classification, revised cultural syndromes but only included a limited number of situations. Consequently, medical education and psychiatry must respond to diverse populations and provide quality care through the development of trans-cultural competence in the curriculum. It should be considered that cultural differences modify the expression of distress and thereby undermine the validity and reliability for diagnoses in distinct cultural contexts. In an increasingly globalised world, future classifications may completely omit 'cultural syndromes'.
Sections du résumé
BACKGROUND
BACKGROUND
Cultural psychiatry evaluates manifestations, symptoms of emotional distress and mental disorders in diverse cultural contexts; it also addresses social problems such as poverty, violence, inequalities between groups or social classes.
OBJECTIVE
OBJECTIVE
To present a narrative review of the most relevant cultural aspects in the context of clinical practice in psychiatry and to suggest some alternatives to improve the cultural competence of health care professionals.
METHOD
METHODS
A narrative review was carried out of the most relevant articles in the area.
RESULTS
RESULTS
Usually, the cultural argument is used to explain differences in observed prevalences in some mental disorders according to gender and geographical location. Cultural differences modify the expression of emotional distress and this can reduce the accuracy and affect the reliability and validity of the current diagnostic classification used in psychiatry. The American Psychiatric Association, in the most recent classification, revised cultural syndromes but only included a limited number of situations. Consequently, medical education and psychiatry must respond to diverse populations and provide quality care through the development of trans-cultural competence in the curriculum.
CONCLUSIONS
CONCLUSIONS
It should be considered that cultural differences modify the expression of distress and thereby undermine the validity and reliability for diagnoses in distinct cultural contexts. In an increasingly globalised world, future classifications may completely omit 'cultural syndromes'.
Identifiants
pubmed: 34099250
pii: S2530-3120(21)00028-X
doi: 10.1016/j.rcpeng.2019.06.004
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
spa
Sous-ensembles de citation
IM
Pagination
138-145Informations de copyright
Copyright © 2019 Asociación Colombiana de Psiquiatría. Published by Elsevier España, S.L.U. All rights reserved.