Cultural Syndromes and Idioms of Distress

Cultural syndromes and idioms of distress influence the expression of PTSD and the range of comorbid disorders in different cultures by providing behavioral and cognitive templates that link traumatic exposures to specific symptoms. For example, panic attack symptoms may be salient in PTSD among Cambodians and Latin Americans because of the association of traumatic exposure with panic-like khyâl attacks and ataque de nervios. Comprehensive evaluation of local expressions of PTSD should include assessment of cul­ tural concepts of distress

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