Original Article

Cultural Aspects of Social Anxiety Disorder: A Qualitative Analysis of Anxiety Experiences and Interpretation

Abstract

Objective: Anxiety is a complex phenomenon on which culture has a prominent influence. The present study aimed to investigate the cultural aspects of social anxiety disorder (SAD) in an Iranian population.
Method: A qualitative content analysis research was done to answer the study question. A total of 16 individuals with social anxiety disorder (six men and 10 women) were selected using purposeful sampling method (M = 24.43, SD = 4.56). The study was conducted in Tehran, Urmia, and Sanandaj- Iran. Participants were from different ethnic backgrounds (LOR, FARS, TURK, and KURD). Data were analyzed by thematic analysis using an inductive method.
Results: Analysis of participants’ records yielded five distinct categories with some subcategories, which are as follow: (1) anxiety experiences; (2) core beliefs; (3) reasons of being anxious; (4) effects of SAD on life aspects; and (5) coping strategies.
Conclusion: It seems that symptoms of social anxiety and its underlying beliefs, causes and effects and coping strategies are almost experienced and interpreted in a way that could be the same as DSM-5 clinical presentation of social anxiety, with the exception that somatic symptoms are experienced by almost all participants.

 

Remes O, Brayne C, Linde R, Lafortune L. A systematic review of reviews on the prevalence of anxiety disorders in adult populations. Brain and behavior. 2016;6(7).

Essau CA, Conradt J, Petermann F. Frequency, comorbidity, and psychosocial impairment of anxiety disorders in German adolescents. Journal of anxiety disorders. 2000;14(3):263-79.

McLean CP, Asnaani A, Litz BT, Hofmann SG. Gender differences in anxiety disorders: prevalence, course of illness, comorbidity and burden of illness. Journal of psychiatric research. 2011;45(8):1027-35.

Stein DJ, Williams D. Cultural and social aspects of anxiety disorders. Textbook of Anxiety Disorders Washington, DC: American Psychiatric Publishing. 2002:463-74.

Kirmayer LJ. Culture and anxiety: a clinical and research agenda. Cultural issues in the treatment of anxiety New York: Guilford. 1997:225-51.

Asnaani A, Gutner CA, Hinton DE, Hofmann SG. Panic Disorder, Panic Attacks and Panic Attack Symptoms across Race‐Ethnic Groups: Results of the Collaborative Psychiatric Epidemiology Studies. CNS Neuroscience & Therapeutics. 2009;15(3):249-54.

Cho MJ, Kim J-K, Jeon HJ, Suh T, Chung I-W, Hong JP, et al. Lifetime and 12-month prevalence of DSM-IV psychiatric disorders among Korean adults. The Journal of nervous and mental disease. 2007;195(3):203-10.

Varela RE, Hensley-Maloney L. The influence of culture on anxiety in Latino youth: A review. Clinical child and family psychology review. 2009;12(3):217-33.

Selim N. Cultural dimensions of depression in Bangladesh: a qualitative study in two villages of Matlab. Journal of health, population, and nutrition. 2010;28(1):95.

Lewis‐Fernández R, Hinton DE, Laria AJ, Patterson EH, Hofmann SG, Craske MG, et al. Culture and the anxiety disorders: recommendations for DSM‐V. Depression and anxiety. 2010;27(2):212-29.

Hofmann SG, Asnaani A, Hinton DE. Cultural aspects in social anxiety and social anxiety disorder. Depression and anxiety. 2010;27(12):1117-27.

Regier DA, Kuhl EA, Kupfer DJ. The DSM‐5: Classification and criteria changes. World Psychiatry. 2013;12(2):92-8.

Zarean M, Shahidi S, van de Vijver FJ, Dehghani M, Asadollahpour A, Sohrabi R. Reflections from Indigenous Psychology on Emotional Disorders: A Qualitative Study from Iran. International Journal of Applied Behavioral Sciences. 2014;1(2):19-26.

Hoge EA, Tamrakar SM, Christian KM, Mahara N, Nepal MK, Pollack MH, et al. Cross-cultural differences in somatic presentation in patients with generalized anxiety disorder. The Journal of nervous and mental disease. 2006;194(12):962-6.

Lee S, Tsang A, Chui H, Kwok K, Cheung E. A community epidemiological survey of generalized anxiety disorder in Hong Kong. Community mental health journal. 2007;43(4):305-19.

Richerson PJ. Cultural Evolution and Gene–Culture Coevolution. Evolutionary Studies in Imaginative Culture. 2018;1(1):89-92.

Dressler WW, Balieiro MC, de Araújo LF, Silva WA, dos Santos JE. Culture as a mediator of gene-environment interaction: Cultural consonance, childhood adversity, a 2A serotonin receptor polymorphism, and depression in urban Brazil. Social Science & Medicine. 2016;161:109-17.

Hayes N. Doing psychological research: Taylor & Francis Group Abingdon; 2000.

Association AP. Diagnostic and statistical manual of mental disorders (DSM-5®): American Psychiatric Pub; 2013.

Dinnel DL, Kleinknecht RA, Tanaka-Matsumi J. A cross-cultural comparison of social phobia symptoms. Journal of Psychopathology and Behavioral Assessment. 2002;24(2):75-84.

Dejman M. Cultural explanatory model of depression among Iranian women in three ethnic groups (Fars, Kurds and Turks): Institutionen för klinisk neurovetenskap/Department of Clinical Neuroscience; 2010.

Kirmayer LJ, Young A. Culture and somatization: clinical, epidemiological, and ethnographic perspectives. Psychosomatic medicine. 1998;60(4):420-30.

Beck JS. Cognitive behavior therapy: Basics and beyond: Guilford press; 2011.

Andrew G, Cohen A, Salgaonkar S, Patel V. The explanatory models of depression and anxiety in primary care: a qualitative study from India. BMC research notes. 2012;5(1):499.

Barrera TL, Norton PJ. Quality of life impairment in generalized anxiety disorder, social phobia, and panic disorder. Journal of anxiety disorders. 2009;23(8):1086-90.

Rasic D, Robinson JA, Bolton J, Bienvenu OJ, Sareen J. Longitudinal relationships of religious worship attendance and spirituality with major depression, anxiety disorders, and suicidal ideation and attempts: Findings from the Baltimore epidemiologic catchment area study. Journal of psychiatric research. 2011;45(6):848-54.

Files
IssueVol 14 No 1 (2019) QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/ijps.v14i1.420
Keywords
Anxiety Culture Qualitative Research Social Anxiety Disorder

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Mohammadi A, Abasi I, Soleimani M, Moradian ST, Yahyavi T, Zarean M. Cultural Aspects of Social Anxiety Disorder: A Qualitative Analysis of Anxiety Experiences and Interpretation. Iran J Psychiatry. 2018;14(1):33-39.