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• W1763471514 startingPage "170" @default.
• W1763471514 abstract "Idioms of distress communicate suffering via reference to shared ethnopsychologies, and better understanding of idioms of distress can contribute to effective clinical and public health communication. This systematic review is a qualitative synthesis of thinking too much idioms globally, to determine their applicability and variability across cultures. We searched eight databases and retained publications if they included empirical quantitative, qualitative, or mixed-methods research regarding a thinking too much idiom and were in English. In total, 138 publications from 1979 to 2014 met inclusion criteria. We examined the descriptive epidemiology, phenomenology, etiology, and course of thinking too much idioms and compared them to psychiatric constructs. Thinking too much idioms typically reference ruminative, intrusive, and anxious thoughts and result in a range of perceived complications, physical and mental illnesses, or even death. These idioms appear to have variable overlap with common psychiatric constructs, including depression, anxiety, and PTSD. However, thinking too much idioms reflect aspects of experience, distress, and social positioning not captured by psychiatric diagnoses and often show wide within-cultural variation, in addition to between-cultural differences. Taken together, these findings suggest that thinking too much should not be interpreted as a gloss for psychiatric disorder nor assumed to be a unitary symptom or syndrome within a culture. We suggest five key ways in which engagement with thinking too much idioms can improve global mental health research and interventions: it (1) incorporates a key idiom of distress into measurement and screening to improve validity of efforts at identifying those in need of services and tracking treatment outcomes; (2) facilitates exploration of ethnopsychology in order to bolster cultural appropriateness of interventions; (3) strengthens public health communication to encourage engagement in treatment; (4) reduces stigma by enhancing understanding, promoting treatment-seeking, and avoiding unintentionally contributing to stigmatization; and (5) identifies a key locally salient treatment target." @default.
• W1763471514 created "2016-06-24" @default.
• W1763471514 creator A5017386511 @default.
• W1763471514 creator A5027779665 @default.
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• W1763471514 creator A5060075254 @default.
• W1763471514 creator A5079576502 @default.
• W1763471514 creator A5085075770 @default.
• W1763471514 date "2015-12-01" @default.
• W1763471514 modified "2023-10-17" @default.
• W1763471514 title "“Thinking too much”: A systematic review of a common idiom of distress" @default.
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