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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">“Thinking too much”: A Systematic review of a common idiom of distress</title><author><name sortKey="Kaiser, Bonnie N" sort="Kaiser, Bonnie N" uniqKey="Kaiser B" first="Bonnie N." last="Kaiser">Bonnie N. Kaiser</name><affiliation><nlm:aff id="A1">Department of Anthropology and Department of Epidemiology, Emory University, 1557 Dickey Drive, Atlanta, GA 30322, USA</nlm:aff></affiliation></author><author><name sortKey="Haroz, Emily E" sort="Haroz, Emily E" uniqKey="Haroz E" first="Emily E." last="Haroz">Emily E. Haroz</name><affiliation><nlm:aff id="A2">Center for Refugee and Disaster Response and Applied Mental Health Research Group, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21205, USA</nlm:aff></affiliation></author><author><name sortKey="Kohrt, Brandon A" sort="Kohrt, Brandon A" uniqKey="Kohrt B" first="Brandon A." last="Kohrt">Brandon A. Kohrt</name><affiliation><nlm:aff id="A3">Department of Psychiatry & Behavioral Sciences and Duke Global Health Institute, Duke University, 310 Trent Drive, Durham, NC 27710, USA</nlm:aff></affiliation></author><author><name sortKey="Bolton, Paul A" sort="Bolton, Paul A" uniqKey="Bolton P" first="Paul A." last="Bolton">Paul A. Bolton</name><affiliation><nlm:aff id="A2">Center for Refugee and Disaster Response and Applied Mental Health Research Group, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21205, USA</nlm:aff></affiliation></author><author><name sortKey="Bass, Judith K" sort="Bass, Judith K" uniqKey="Bass J" first="Judith K." last="Bass">Judith K. Bass</name><affiliation><nlm:aff id="A4">Department of Mental Health and Applied Mental Health Research Group, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Room 861, Baltimore, MD 21205, USA</nlm:aff></affiliation></author><author><name sortKey="Hinton, Devon E" sort="Hinton, Devon E" uniqKey="Hinton D" first="Devon E." last="Hinton">Devon E. Hinton</name><affiliation><nlm:aff id="A5">Department of Psychiatry, Massachusetts General Hospital, 15 Parkman Street, WACC 812, Boston, MA 02114, USA</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26584235</idno><idno type="pmc">4689615</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4689615</idno><idno type="RBID">PMC:4689615</idno><idno type="doi">10.1016/j.socscimed.2015.10.044</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">001C71</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001C71</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">“Thinking too much”: A Systematic review of a common idiom of distress</title><author><name sortKey="Kaiser, Bonnie N" sort="Kaiser, Bonnie N" uniqKey="Kaiser B" first="Bonnie N." last="Kaiser">Bonnie N. Kaiser</name><affiliation><nlm:aff id="A1">Department of Anthropology and Department of Epidemiology, Emory University, 1557 Dickey Drive, Atlanta, GA 30322, USA</nlm:aff></affiliation></author><author><name sortKey="Haroz, Emily E" sort="Haroz, Emily E" uniqKey="Haroz E" first="Emily E." last="Haroz">Emily E. Haroz</name><affiliation><nlm:aff id="A2">Center for Refugee and Disaster Response and Applied Mental Health Research Group, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21205, USA</nlm:aff></affiliation></author><author><name sortKey="Kohrt, Brandon A" sort="Kohrt, Brandon A" uniqKey="Kohrt B" first="Brandon A." last="Kohrt">Brandon A. Kohrt</name><affiliation><nlm:aff id="A3">Department of Psychiatry & Behavioral Sciences and Duke Global Health Institute, Duke University, 310 Trent Drive, Durham, NC 27710, USA</nlm:aff></affiliation></author><author><name sortKey="Bolton, Paul A" sort="Bolton, Paul A" uniqKey="Bolton P" first="Paul A." last="Bolton">Paul A. Bolton</name><affiliation><nlm:aff id="A2">Center for Refugee and Disaster Response and Applied Mental Health Research Group, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21205, USA</nlm:aff></affiliation></author><author><name sortKey="Bass, Judith K" sort="Bass, Judith K" uniqKey="Bass J" first="Judith K." last="Bass">Judith K. Bass</name><affiliation><nlm:aff id="A4">Department of Mental Health and Applied Mental Health Research Group, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Room 861, Baltimore, MD 21205, USA</nlm:aff></affiliation></author><author><name sortKey="Hinton, Devon E" sort="Hinton, Devon E" uniqKey="Hinton D" first="Devon E." last="Hinton">Devon E. Hinton</name><affiliation><nlm:aff id="A5">Department of Psychiatry, Massachusetts General Hospital, 15 Parkman Street, WACC 812, Boston, MA 02114, USA</nlm:aff></affiliation></author></analytic><series><title level="j">Social science & medicine (1982)</title><idno type="ISSN">0277-9536</idno><idno type="eISSN">1873-5347</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="P2">Idioms of distress communicate suffering via reference to shared ethnopsychologies, and better understanding of idioms of distress can contribute to effective clinical and public health communication. This systematic review is a qualitative synthesis of “thinking too much” idioms globally, to determine their applicability and variability across cultures. We searched eight databases and retained publications if they included empirical quantitative, qualitative, or mixed-methods research regarding a “thinking too much” idiom and were in English. In total, 138 publications from 1979–2014 met inclusion criteria. We examined the descriptive epidemiology, phenomenology, etiology, and course of “thinking too much” idioms and compared them to psychiatric constructs. “Thinking too much” idioms typically reference ruminative, intrusive, and anxious thoughts and result in a range of perceived complications, physical and mental illnesses, or even death. These idioms appear to have variable overlap with common psychiatric constructs, including depression, anxiety, and PTSD. However, “thinking too much” idioms reflect aspects of experience, distress, and social positioning not captured by psychiatric diagnoses and often show wide within-cultural variation, in addition to between-cultural differences. Taken together, these findings suggest that “thinking too much” should not be interpreted as a gloss for psychiatric disorder nor assumed to be a unitary symptom or syndrome within a culture. We suggest five key ways in which engagement with “thinking too much” idioms can improve global mental health research and interventions: it (1) incorporates a key idiom of distress into measurement and screening to improve validity of efforts at identifying those in need of services and tracking treatment outcomes; (2) facilitates exploration of ethnopsychology in order to bolster cultural appropriateness of interventions; (3) strengthens public health communication to encourage engagement in treatment; (4) reduces stigma by enhancing understanding, promoting treatment-seeking, and avoiding unintentionally contributing to stigmatization; and (5) identifies a key locally salient treatment target.</p></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">8303205</journal-id><journal-id journal-id-type="pubmed-jr-id">7517</journal-id><journal-id journal-id-type="nlm-ta">Soc Sci Med</journal-id><journal-id journal-id-type="iso-abbrev">Soc Sci Med</journal-id><journal-title-group><journal-title>Social science & medicine (1982)</journal-title></journal-title-group><issn pub-type="ppub">0277-9536</issn><issn pub-type="epub">1873-5347</issn></journal-meta><article-meta><article-id pub-id-type="pmid">26584235</article-id><article-id pub-id-type="pmc">4689615</article-id><article-id pub-id-type="doi">10.1016/j.socscimed.2015.10.044</article-id><article-id pub-id-type="manuscript">NIHMS738484</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>“Thinking too much”: A Systematic review of a common idiom of distress</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Kaiser</surname><given-names>Bonnie N.</given-names></name><xref ref-type="aff" rid="A1">a</xref><xref rid="FN1" ref-type="author-notes">*</xref></contrib><contrib contrib-type="author"><name><surname>Haroz</surname><given-names>Emily E.</given-names></name><xref ref-type="aff" rid="A2">b</xref></contrib><contrib contrib-type="author"><name><surname>Kohrt</surname><given-names>Brandon A.</given-names></name><xref ref-type="aff" rid="A3">c</xref></contrib><contrib contrib-type="author"><name><surname>Bolton</surname><given-names>Paul A.</given-names></name><xref ref-type="aff" rid="A2">b</xref></contrib><contrib contrib-type="author"><name><surname>Bass</surname><given-names>Judith K.</given-names></name><xref ref-type="aff" rid="A4">d</xref></contrib><contrib contrib-type="author"><name><surname>Hinton</surname><given-names>Devon E.</given-names></name><xref ref-type="aff" rid="A5">e</xref></contrib></contrib-group><aff id="A1"><label>a</label>Department of Anthropology and Department of Epidemiology, Emory University, 1557 Dickey Drive, Atlanta, GA 30322, USA</aff><aff id="A2"><label>b</label>Center for Refugee and Disaster Response and Applied Mental Health Research Group, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21205, USA</aff><aff id="A3"><label>c</label>Department of Psychiatry & Behavioral Sciences and Duke Global Health Institute, Duke University, 310 Trent Drive, Durham, NC 27710, USA</aff><aff id="A4"><label>d</label>Department of Mental Health and Applied Mental Health Research Group, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Room 861, Baltimore, MD 21205, USA</aff><aff id="A5"><label>e</label>Department of Psychiatry, Massachusetts General Hospital, 15 Parkman Street, WACC 812, Boston, MA 02114, USA</aff><author-notes><corresp id="FN1"><label>*</label>Corresponding author: <email>bfullard@gmail.com</email>, Phone: 205-566-8434, Fax: 404-727-2860</corresp></author-notes><pub-date pub-type="nihms-submitted"><day>26</day><month>11</month><year>2015</year></pub-date><pub-date pub-type="epub"><day>21</day><month>10</month><year>2015</year></pub-date><pub-date pub-type="ppub"><month>12</month><year>2015</year></pub-date><pub-date pub-type="pmc-release"><day>01</day><month>12</month><year>2016</year></pub-date><volume>147</volume><fpage>170</fpage><lpage>183</lpage><pmc-comment>elocation-id from pubmed: 10.1016/j.socscimed.2015.10.044</pmc-comment>
<abstract><p id="P2">Idioms of distress communicate suffering via reference to shared ethnopsychologies, and better understanding of idioms of distress can contribute to effective clinical and public health communication. This systematic review is a qualitative synthesis of “thinking too much” idioms globally, to determine their applicability and variability across cultures. We searched eight databases and retained publications if they included empirical quantitative, qualitative, or mixed-methods research regarding a “thinking too much” idiom and were in English. In total, 138 publications from 1979–2014 met inclusion criteria. We examined the descriptive epidemiology, phenomenology, etiology, and course of “thinking too much” idioms and compared them to psychiatric constructs. “Thinking too much” idioms typically reference ruminative, intrusive, and anxious thoughts and result in a range of perceived complications, physical and mental illnesses, or even death. These idioms appear to have variable overlap with common psychiatric constructs, including depression, anxiety, and PTSD. However, “thinking too much” idioms reflect aspects of experience, distress, and social positioning not captured by psychiatric diagnoses and often show wide within-cultural variation, in addition to between-cultural differences. Taken together, these findings suggest that “thinking too much” should not be interpreted as a gloss for psychiatric disorder nor assumed to be a unitary symptom or syndrome within a culture. We suggest five key ways in which engagement with “thinking too much” idioms can improve global mental health research and interventions: it (1) incorporates a key idiom of distress into measurement and screening to improve validity of efforts at identifying those in need of services and tracking treatment outcomes; (2) facilitates exploration of ethnopsychology in order to bolster cultural appropriateness of interventions; (3) strengthens public health communication to encourage engagement in treatment; (4) reduces stigma by enhancing understanding, promoting treatment-seeking, and avoiding unintentionally contributing to stigmatization; and (5) identifies a key locally salient treatment target.</p></abstract><kwd-group><kwd>cultural concept of distress</kwd><kwd>idiom of distress</kwd><kwd>depression</kwd><kwd>anxiety</kwd><kwd>PTSD</kwd><kwd>ethnopsychology</kwd><kwd>global mental health</kwd><kwd>transcultural psychiatry</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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