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Somatization of psychiatric illness in mediterranean migrants in Belgium

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Abstract

Mediterranean migrants with acute psychiatric problems show a predominance of dramatic somatization in their symptom patterns, when compared with Belgian patients with similar psychiatric problems and admitted after identical recruiting and referral procedures. D.S.M. III diagnoses of the Mediterranean patients, however, reveal neither a correspondingly high incidence of somatoform disorders nor histrionic personalities. Adult and adolescent Mediterranean migrants appear to convey psychological problems through contrasting forms of somatization. Adolescents somatize mainly through self-inflicted symptoms, whereas adults express somatization in a more ‘natural’ way — insubjective bodily sensations, psychophysiological symptoms or psychosomatic syndromes. The main reason for acute psychiatric admission among Belgian adolescents is outward aggressive behaviour. In Mediterranean adolescents in Belgium it is a combination of somatization and aggression in self-inflicted physical symptoms.

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References

  • Ahmeida, Z 1975 Les Perturbations Mentales Chez les Migrants. Informations Psychiatriques 51: 249–281

    Google Scholar 

  • American Psychiatric Association 1980 Diagnostic and Statistical Manual III Third Edition (D.S.M. III). Washington D.C.: American Psychiatric Association.

    Google Scholar 

  • Barsky, A. J. and G. L. Klerman 1983 Overview: Hypochondriasis, Bodily Complaints and Somatic Styles. American Journal of Psychiatry 140: 273–283.

    Google Scholar 

  • Bebbington, P. E. 1978 The Epidemiology of Depressive Disorder. Culture, Medicine and Psychiatry 2: 297–341.

    Google Scholar 

  • Berner, P. 1967 Psychopathologie des Migrations. Encyclopédie Médico-Chirurgicale 5. Paris: Editions Techniques.

    Google Scholar 

  • Binder, J. and M. Simoes 1978 Sozialpsychiatrie der Gastarbeiter. Fortschritte der Neurologie Psychiatrie und ihre Grensgebiete 46: 342–359.

    Google Scholar 

  • Blacking, J. 1977 The Anthropology of the Body. London: Academic Press.

    Google Scholar 

  • Carpenter, L. and I. F. Brockington 1980 A Study of Mental Illness in Asians, West Indians and Africans Living in Manchester. British Journal of Psychiatry 137: 201–205.

    Google Scholar 

  • Debout, M. 1981 Passage, Rite et Tentative de Suicide chez l'Adolescent. In J. P. Soubrier & J. Védrinene, (eds.), Dépression et Suicide. Paris: Pergamon Press.

    Google Scholar 

  • DelVecchio Good, M. J. 1980 Of Blood and Babies: the Relationship of Popular Islamic Physiology to Fertility. Social Science and Medicine 14B: 147–156.

    Google Scholar 

  • Ellenberger, H. E. 1965 Ethno-Psychiatrie. Encyclopédie Medico-Chirurgicale 5. Paris: Editions Techniques.

    Google Scholar 

  • Favazza, A. Z. and M. Oman 1978 Overview: Foundations of Cultural Psychiatry. American Journal of Psychiatry 135: 293–303.

    Google Scholar 

  • Figueiredo, J. M. and P. V. Lemkau 1978 The Prevalence of Psychosomatic Symptoms in a Rapidly Changing Bilingual Culture: An Explanatory Study. Social Psychiatry 13: 125–133.

    Google Scholar 

  • Foster, G. M. and B. G. Anderson 1978 Medical Anthropology. New York: John Wiley and Sons.

    Google Scholar 

  • Gailly, A., Ph. Hermans and J. Leman 1980 Mediterrane Dorpskulturen. Kultuurleven 9: 820–840.

    Google Scholar 

  • Gailly, A. 1982 Etnogeneeskunde en Psychiatrie bij Turken, Kultuurleven 1, 67–80.

    Google Scholar 

  • Gaines, A. D. and P. E. Farmer 1986 Visible Saints. Culture, Medicine and Psychiatry 4: 295–331.

    Google Scholar 

  • Good, B. 1977 The Heart of What's the Matter: The Semantics of Illness in Iran. Culture, Medicine and Psychiatry 1: 25–58.

    Google Scholar 

  • Good, B. and A. M. Kleinman 1985 Culture and Anxiety: Cross-cultural Evidence for the Patterning of Anxiety Disorders. In A. Hussain Tuma and Jack D. Maser (eds.), Anxiety and the Anxiety Disorders. Hillsdale NJ: Lawrence Earlbaum Associate.

    Google Scholar 

  • Good, B., M. Good, and R. Moradi 1985 The Interpretation of Iranian Depressive Illness and Dysphoric Affect. In A. Kleinman and B. Good, (eds.), Culture and Depression. Los Angeles: University of California Press.

    Google Scholar 

  • Groen, J. J. 1970 Influence of Social and Cultural Patterns on Psychosomatic Diseases. Psychotherapy and Psychosomatics 18: 189–215.

    Google Scholar 

  • Gueye, M. R. et al. 1981 Evolution du Suicide et de la Depression au Sénégal et en Afrique. In J. P. Soubrier et J. Védrinne (eds.), Depression et Suicide. Paris: Pergamon Press.

    Google Scholar 

  • Guyot, J. 1978 Migrant Women Speak. London: Search Press Ltd.

    Google Scholar 

  • Häfrter, H., G. Moschel and M. Ozek 1977 Psychiatrische Störungen bei Türkischen Gastarbeitem. Nervenartz 48: 268–275.

    Google Scholar 

  • Häfner, H. 1980 Psychiatrische Morbidität von Gastarbeitem in Mannheim. Der Nervenarzt 51: 672–683.

    Google Scholar 

  • Hill, D. 1974 Non-Verbal Behaviour in Mental Illness. British Journal of Psychiatry 124: 221–230.

    Google Scholar 

  • Hitch, P. J. and P. H. Rack 1980 Mental Illness among Polish and Russian Refugees in Bradford. British Journal of Psychiatry 137: 206–211.

    Google Scholar 

  • Hsu, J. and W. S. Tseng 1972 Intercultural Psychotherapy. Archives of General Psychiatry 27: 700–705.

    Google Scholar 

  • Jacob, O. P. 1981 Self-Destructive Behaviour: Its Importance for our Culture, Some Questions and Consequences. In J. P. Soubrier et J. Védrinne (eds.), Depression & Suicide. Paris: Pergamon Press.

    Google Scholar 

  • Kabela, M. 1974 Kinderen van Spaanse Gastarbeiders. Maandblad voor Geestelijke Volksgezondheid 29: 296–304.

    Google Scholar 

  • Kacha, M. 1974 Le Suicide en Algérie. Thèse. Université d'Alger, Département de Psychiatrie.

  • Katon, W. et al. 1982 Depression and Somatization: A review. Parts I and II. American Journal of Medicine 72: 127–135, 241–247.

    Google Scholar 

  • Katz, M. M., J. O. Cole and H. A. Lowery 1969 Studies of the Diagnostic Process: The Influence of Symptom Perception, Past Experience, and Ethic Background on Diagnostic Decisions. American Journal of Psychiatry 125: 109–119.

    Google Scholar 

  • Kleinman, A. 1977 Depression, Somatization and the “New-Cross-Cultural Psychiatry”. Social Science and Medicine 11: 3–10.

    Google Scholar 

  • Kleinman, A. 1978 Clinical Relevance of Anthropological and Cross-Cultural Research: Concepts and Strategies. American Journal of Psychiatry 135: 427–1131.

    Google Scholar 

  • Kleinman, A. 1980 Editorial: Major Conceptual and Research Issues for Cultural (Anthropological) Psychiatry. Culture, Medicine and Psychiatry 4: 3–13.

    Google Scholar 

  • Kleinman, A. 1982 Neurasthenia and Depression: A Study of Somatization and Culture in China. Culture, Medicine and Psychiatry 6: 117–190.

    Google Scholar 

  • Leblhuber, F. et al. 1981 Study of Suicides Committed by Adolescents in Upper Austria, Covering a Period of Three Years. In J. P. Soubrier & J. Védrinne (eds.), Depression and Suicide. Pp. 652–655. Paris: Pergamon Press.

    Google Scholar 

  • Leff, J. P. 1977 International Variations in the Diagnosis of Psychiatric Illness. British Journal of Psychiatry 131: 229–238.

    Google Scholar 

  • Leighton, A. H. 1969 Changing Perspective in Mental Illness. New York: Holt, Rinehart & Winston.

    Google Scholar 

  • Littlewood, R. and M. Lipsedge 1982 Aliens and Alienists: Ethnic Minorities and Psychiatry. Harmondsworth: Penguin Books.

    Google Scholar 

  • Marsella, A. J. 1978 Thoughts on Cross-Cultural Studies on the Epidemiology of Depression. Culture, Medicine and Psychiatry 2: 343–359.

    Google Scholar 

  • Marty, P., de M'Uzan and Ch. David 1957 L'investigation Psychosomatique. Paris: Presses Universitaires.

    Google Scholar 

  • Matthew, R. J. et al. 1981 Physical Symptoms of Depression. British Journal of Psychiatry 139: 293–296.

    Google Scholar 

  • Morakinyo, O. 1985 Phobic States Presenting as Somatic Complaints Syndromes in Nigeria: Socio-Cultural Factors Associated with Diagnosis and Psychotherapy. Acta Psychiatrica Scandinavica 71: 356–365.

    Google Scholar 

  • Murphy, H. B. M. 1965 Méthodologie de Recherche en Socio-Psychiatrie et en Ethnopsychiatrie. Encyclopédie Médico-Chirurgicale 5. Paris: Editions Techniques.

    Google Scholar 

  • Nicolas, M. 1972 Croyances et Pratiques Populaires Turques Concernant les Naissances. Paris: Publications Orientalistes de France.

    Google Scholar 

  • Obzek, A. and K. D. Volkan 1979 Psychiatric Problems within the Satellite Extended Families of Turkey, American Journal of Psychotherapy 30: 574–582.

    Google Scholar 

  • Pancic, I. et al. 1981 Is the Suicidal Bringing Up the Social Peculiarity of the Most Suicidal Town of Yugoslavia? In J. P. Soubrier & J. Vedrinne (eds.), Depression and Suicide. Pp. 183–188. Paris: Pergamon Press.

    Google Scholar 

  • Pfeiffer, W. M. and W. Schoene 1980 Psychopathologie im Kulturvergleich. Klinische Psychologie and Psychopathologie 14. Stuttgart: Ferdinand Enke Verlag.

    Google Scholar 

  • Pierloot, R. A. 1961 Phénomènes Psychosomatiques et Signification du Corps pour la Personne. Acta Psychotherapeutica 9: 295–303.

    Google Scholar 

  • Poustka, F. 1984 Psychiatrische Störungen bei Kindern ausländischer Arbeitnehmer. Eine Epidemiologische Untersuchung. 27 Stuttgart: Ferdinand Enke Verlag.

    Google Scholar 

  • Racy, J. 1980 Somatization in Saudi Women: A Therapeutic Challenge. British Journal of Psychiatry 137: 212–216.

    Google Scholar 

  • Ross, R. R. 1981 Adolescent Self-Mutilators. In J. P. Soubrier & J. Védrinne (eds.), Depression et Suicide. Pp. 599–603. Paris: Pergamon Press.

    Google Scholar 

  • Santiago, M. 1981 Transcultural Aspects of Depression and Suicide in Mexico. In J. P. Soubrier & Vedrinne (eds.), Depression et Suicide. Pp. 49–52. Paris: Pergamon Press.

    Google Scholar 

  • Sarro, B. 1981 Annotations sur la Conduite Suicidaire en Espagne. In J. P. Soubrier & J. Vedrinne (eds.), Depression et Suicide. Pp. 53–60. Paris: Pergamon Press.

    Google Scholar 

  • Schoolar 1973 Current Issues in Adolescent Psychiatry. New York: Brunner, Mazel.

    Google Scholar 

  • Serpell, R. 1976 Culture's Influence on Behaviour. London: Methuen & Co.

    Google Scholar 

  • Stoker, D. H. and A. Meadow 1984 Cultural Differences in Child Guidance Clinic Patients. In J. E. Mezzich and C. E. Berganaza (eds.), Culture and Psychopathology. Pp. 400–426. New York: Columbia University Press.

    Google Scholar 

  • Van der Meer, Ph. 1978 Psychische Ziekten bij Marokkaanse Migranten. Nederlands Tijdscchrift voor Geneeskunde 41: 122–126.

    Google Scholar 

  • Van Mol, M. 1977 Marokkaanse Zieken Tegenover Europese Artsen. Streven 2: 401–410.

    Google Scholar 

  • Verdonk, A. 1979 Van Gastarbeiders Tot Immigranten. De Problemen van de Tweede Generatie. Maandblad voor Geestelijke Volksgezondheid 6/1: 444–458.

    Google Scholar 

  • Westermeyer, J. 1985 Psychiatric Diagnosis across Cultural Boundaries. American Journal of Psychiatry 142: 798–805.

    Google Scholar 

  • Wittkower, E. D. and R. Prince 1978 A Review of Transcultural Psychiatry. In S. Arieti (ed.), American Handbook of Psychiatry, 2nd ed. New York: Basic Books.

    Google Scholar 

  • Wong, R. and A. Matus 1981 Concepts of Child and Adolescent Suicide in Two Contrasting Cultures, U.S.A. and China. In J. P. Soubrier & J. Vedrinne (eds.), Depression et Suicide. Pp. 638–643. Paris: Pergamon Press.

    Google Scholar 

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Authors and Affiliations

  1. Department of Psychiatry, State University of Ghent, 9000, Ghent

    Myriam Van Moffaert

  2. Psychiatrische Kliniek, 9900, Eeklo, Belgium

    André Vereecken

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  1. Myriam Van Moffaert
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  2. André Vereecken
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Van Moffaert, M., Vereecken, A. Somatization of psychiatric illness in mediterranean migrants in Belgium. Cult Med Psych 13, 297–313 (1989). https://doi.org/10.1007/BF00054340

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