Do you let me symptomatize? The potential role of cultural values in cross-national variability of mental disorders' prevalence.
Int J Soc Psychiatry
; 64(8): 756-766, 2018 Dec.
Article
en En
| MEDLINE
| ID: mdl-30417725
ABSTRACT
BACKGROUND:
Mental disorders may show inherent cross-national variability in their prevalence. A considerable number of meta-analyses attribute this heterogeneity to the methodological diversity in published epidemiological studies. Cultural values are characteristically not assessed in meta-regression models as potential covariates.AIM:
Our aim was to conduct a meta-regression analysis to explore to what extent certain cultural values and immigration rates (as indicator of cultural diversity) might be associated with the cross-national heterogeneity of prevalence rates.METHOD:
To minimize methodological differences that may exert a confounding effect, prevalence rates were obtained from the World Health Organization's (WHO) World Mental Health Survey Initiative. Cultural indices (overall emancipative values; overall secular values) were collected from the World Value Survey, while immigration rates were registered by utilizing the data of the United Nations' World Population Policies 2005 report.RESULTS:
Meta-regression analysis indicated that overall emancipative values (i.e. promoting self-expression, non-violent protest) showed significant connection with lifetime and last year prevalence of any mood disorders (Z = 4.71, p = .001; Z = 2.35, p = .02) and any internalizing disorders (a merged category that combined mood and anxiety disorders; Z = 2.82, p = .004; Z = 2.34, p = .02). Overall secular values (i.e. rejecting authority and obedience) were negatively associated with last year prevalence of depression (Z = -2.75, p = .06). Multistep regression analysis indicated that immigration rate moderated the connection between cultural values and mental disorders. Countries with higher immigration rates showed higher emancipative and secular values.CONCLUSION:
Our findings might function as potential foundation for formulating hypotheses regarding the cultural context's influence on the population's mental health.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Valores Sociales
/
Salud Mental
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Diversidad Cultural
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Emigrantes e Inmigrantes
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Trastornos Mentales
Tipo de estudio:
Diagnostic_studies
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Prevalence_studies
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Prognostic_studies
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Risk_factors_studies
Límite:
Adult
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Female
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Humans
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Male
Idioma:
En
Revista:
Int J Soc Psychiatry
Año:
2018
Tipo del documento:
Article
País de afiliación:
Hungria