Khambaty Maherra, Parikh Rajesh M
Department of Psychiatry, Jaslok Hospital and Research Center, Mumbai, India.
Dialogues Clin Neurosci. 2017 Jun;19(2):117-126. doi: 10.31887/DCNS.2017.19.2/rparikh.
Cultural factors have influenced the presentation, diagnoses, and treatment of anxiety disorders in India for several centuries. This review covers the antecedents, prevalence, phenomenology, and treatment modalities of anxiety disorders in the Indian cultural context. It covers the history of the depiction of anxiety in India and the concept of culture in the classification of anxiety disorders, and examines the cultural factors influencing anxiety disorders in India. We review the prevalence and phenomenology of various disorders, such as generalized anxiety disorder, panic disorder, social anxiety, and phobic disorder, as well as culture-specific syndromes such as dhat and koro in India. Finally, the review examines the wide range of therapeutic modalities practiced in India, such as faith healing, psychotherapy, ayurveda, psychopharmacology, Unani medicine, homeopathy, yoga, meditation, and mindfulness. We conclude by emphasizing the significance of cultural factors in making relevant diagnoses and offering effective and holistic treatments to individuals with anxiety disorders.
几个世纪以来，文化因素一直影响着印度焦虑症的表现、诊断和治疗。本综述涵盖了印度文化背景下焦虑症的成因、患病率、现象学和治疗方式。它涵盖了印度焦虑症描绘的历史以及焦虑症分类中的文化概念，并审视了影响印度焦虑症的文化因素。我们回顾了各种病症的患病率和现象学，如广泛性焦虑症、惊恐障碍、社交焦虑和恐惧症，以及印度特定文化综合征如“达特”和“缩阳症”。最后，本综述考察了印度所采用的广泛治疗方式，如信仰疗法、心理治疗、阿育吠陀医学、精神药理学、尤纳尼医学、顺势疗法、瑜伽、冥想和正念。我们在结论中强调文化因素对于为焦虑症患者做出相关诊断并提供有效且全面治疗的重要性。
