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Psychosomatics 1989; 30:34-43
Copyright © 1989 by Academy of Psychosomatic Medicine
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ORIGINAL RESEARCH REPORTS |
Somatization among refugees: an epidemiologic study
J Westermeyer, M Bouafuely, J Neider and A Callies
Somatization has been widely reported among refugee psychiatric patients
since World War II, and some psychological theorists have viewed
somatization as an alternative to depression. These and other theories were
tested in a population survey of 97 Hmong refugees who had lived in the
U.S. for several years. Four different measures of somatization were
employed, including a 12-item self-rating scale, a single-item global
rating based on the total interview, and somatic subscales of the two
Hamilton interview-rating scales. These data demonstrate that somatization
accompanies certain demographic characteristics that are associated with
failure to acculturate. Somatization in this non-patient, refugee
population was associated with treatment seeking and self-identified
"medical problems" and with psychiatric symptoms and disorders, but not
with objective evidence of medical disorder.
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