Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Click here for FREE ACCESS to this landmark database

Sign In to gain access to subscriptions and/or personal tools.
Transcultural Psychiatry
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Chang, D. F.
Right arrow Articles by Yu, S.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Chang, D. F.
Right arrow Articles by Yu, S.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?

Shenjing Shuairuo and the DSM-IV: Diagnosis, Distress, and Disability in a Chinese Primary Care Setting

Doris F. Chang

Ohio University and New School University, changd{at}newschool.edu

Hector F. Myers

University of California, Los Angeles

Albert Yeung

Massachusetts General Hospital and South Cove Community Health Center

Yalin Zhang

Central South University, China

Jingping Zhao

Central South University, China

Shunying Yu

Shanghai Mental Health Center

This study examines diagnostic concordance, symptomatology and disability among Chinese patients with shenjing shuairuo, ICD-10 neurasthenia, and DSM-IV diagnoses. Patients (N = 139) with unexplained somatic complaints completed the Structured Clinical Interview for DSM-III (SCID), the Brief Symptom Inventory (BSI), and the Short Form 36 (SF-36). Shenjing shuairuo could be reclassified as DSM-IV undifferentiated somatoform disorder (30.6%) and somatoform pain disorder (22.4%); however, 44.9% did not qualify for a core DSM-IV diagnosis. Concordance of neurasthenia and shenjing shuairuo was significant (p < .001). Symptom distress and disability was similar to that reported by patients with somato-form and anxiety disorders. Within the Chinese context, shenjing shuairuo describes a heterogeneous group with clinically significant levels of disturbance and disability.

Key Words: diagnosis • neurasthenia • neurosis • somatoform disorders

Transcultural Psychiatry, Vol. 42, No. 2, 204-218 (2005)
DOI: 10.1177/1363461505052660
Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 PsychosomaticsHome page
Y. Cao, Y. Zhang, D. F. Chang, G. Wang, and X. Zhang
Psychosocial and Immunological Factors in Neurasthenia
Psychosomatics, January 1, 2009; 50(1): 24 - 29.
[Abstract] [Full Text] [PDF]