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

Doris F. Chang, Hector F. Myers, Albert Yeung, Yalin Zhang, Jingping Zhao, Shunying yu

    Research output: Contribution to journalArticle

    Abstract

    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.

    Original languageEnglish (US)
    Pages (from-to)204-218
    Number of pages15
    Journaltranscultural psychiatry
    Volume42
    Issue number2
    DOIs
    StatePublished - Jan 1 2005

    Fingerprint

    Diagnostic and Statistical Manual of Mental Disorders
    Somatoform Disorders
    Primary Health Care
    Neurasthenia
    disability
    complaint
    pain
    diagnostic
    International Classification of Diseases
    Anxiety Disorders
    anxiety
    Interviews
    interview
    Equipment and Supplies
    Group

    Keywords

    • diagnosis
    • neurasthenia
    • neurosis
    • somatoform disorders

    ASJC Scopus subject areas

    • Health(social science)
    • Psychiatry and Mental health

    Cite this

    Shenjing Shuairuo and the DSM-IV : DiagnosiS, Distress, and Disability in a Chinese Primary Care Setting. / Chang, Doris F.; Myers, Hector F.; Yeung, Albert; Zhang, Yalin; Zhao, Jingping; yu, Shunying.

    In: transcultural psychiatry, Vol. 42, No. 2, 01.01.2005, p. 204-218.

    Research output: Contribution to journalArticle

    Chang, Doris F. ; Myers, Hector F. ; Yeung, Albert ; Zhang, Yalin ; Zhao, Jingping ; yu, Shunying. / Shenjing Shuairuo and the DSM-IV : DiagnosiS, Distress, and Disability in a Chinese Primary Care Setting. In: transcultural psychiatry. 2005 ; Vol. 42, No. 2. pp. 204-218.
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