The project described in this application is a comparative study of the cognitive representation of medically unexplained illness across two disparate cultural groups: a community of traditional, first generation, South Asian women, and a group of European American women. Though many years of cross cultural research in anthropology, psychology, and psychiatry have found wide-spread differences in illness behavior across cultures, particularly in areas such as mental health care utilization and symptom presentation in primary care settings, very little is understood of the ways in which cultural differences in the internal representations of illness may generate these observed behavioral differences. Drawing on illness vignette, health history, and symptom checklist data, the study is designed to investigate a series of interrelated research questions about differences in illness representation between westernized, psychologically minded individuals and individuals from traditional, hierarchical, familistic societies. The study utilizes a cognitive model of illness representation developed by Leventhal and his colleagues to uncover detailed systematic differences in areas such as symptom attribution, symptom salience, perceptions of chronicity, management strategies, and patterns of lay referral. The study is conceptualized as a pilot study which will serve to develop a coding scheme for the health history and vignette response data and to generate hypotheses about pertinent cultural differences in representation which will be tested later on in a larger scale study.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Small Research Grants (R03)
Project #
5R03MH062914-02
Application #
6392926
Study Section
Special Emphasis Panel (ZRG1-SNEM-1 (01))
Program Officer
Otey, Emeline M
Project Start
2000-05-01
Project End
2004-04-30
Budget Start
2001-05-01
Budget End
2004-04-30
Support Year
2
Fiscal Year
2001
Total Cost
$83,750
Indirect Cost
Name
Albert Einstein College of Medicine
Department
Family Medicine
Type
Schools of Medicine
DUNS #
009095365
City
Bronx
State
NY
Country
United States
Zip Code
10461
Karasz, Alison; Dempsey, Kara (2008) Health seeking for ambiguous symptoms in two cultural groups: a comparative study. Transcult Psychiatry 45:415-38
Karasz, Alison; Dempsey, Kara; Fallek, Ronit (2007) Cultural differences in the experience of everyday symptoms: a comparative study of South Asian and European American women. Cult Med Psychiatry 31:473-97
Karasz, Alison; McKinley, Paula S (2007) Cultural differences in conceptual models of everyday fatigue: a vignette study. J Health Psychol 12:613-26
Karasz, Alison (2005) Cultural differences in conceptual models of depression. Soc Sci Med 60:1625-35