Language

English

Publication Date

12-1-2023

Journal

Journal of Mood & Anxiety Disorders

DOI

10.1016/j.xjmad.2023.100030

PMID

40656970

PMCID

PMC12244107

PubMedCentral® Posted Date

9-29-2023

PubMedCentral® Full Text Version

Post-print

Abstract

Objectives: We examined providers' perspectives about how culture affects diagnosing and recognizing anxiety.

Methods: We interviewed providers about diagnosing anxiety ("How do you think culture impacts expression and diagnosis of anxiety?") and used inductive analysis, with open coding, to allow themes to emerge organically.

Results: We identified three themes: (1) Impartiality toward Culture: downplaying culture in recognizing or diagnosing anxiety and not acknowledging necessary cultural diagnostic considerations; (2) Acknowledgment of Cultural Impact: detailed variations across different cultural communities in how patients present with and describe anxiety, with differing levels of stigma associated with expressing and treating anxiety; (3) Culturally Integrated Practice: implement culturally informed diagnosis and treatment, with training and self-directed processing on culture and bias.

Conclusions: While most providers acknowledge that culture impacts accurate diagnosis of anxiety, they vary in how they integrate cultural information. It is important to deliver culturally informed care.

Keywords

Anxiety, Culture, Diagnosis, Veterans, Qualitative

Published Open-Access

yes

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