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Somatization among refugees: an epidemiologic study.

J Westermeyer, M Bouafuely, J Neider

    Psychosomatics
    |January 1, 1989
    PubMed
    Summary
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    Somatization, or experiencing psychological distress as physical symptoms, was studied in Hmong refugees. Findings show somatization links to acculturation challenges and seeking medical help, not actual medical conditions.

    Area of Science:

    • Psychiatry
    • Medical Sociology
    • Refugee Health

    Background:

    • Somatization is frequently observed in refugee populations.
    • Theorists propose somatization as an alternative expression of depression.
    • Understanding somatization's role in refugee mental health is crucial.

    Purpose of the Study:

    • To investigate somatization in Hmong refugees residing in the U.S.
    • To test theories linking somatization to depression and acculturation.
    • To explore associations between somatization and demographic factors, medical help-seeking, and psychiatric conditions.

    Main Methods:

    • A population survey of 97 Hmong refugees was conducted.
    • Four distinct measures of somatization were utilized, including self-rating scales and Hamilton rating scales.

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  • Data were analyzed to identify correlations between somatization and various factors.

    • Main Results:

    • Somatization was associated with demographic characteristics linked to poor acculturation.
    • In this refugee group, somatization correlated with seeking treatment and self-reported medical problems.
    • Somatization was linked to psychiatric symptoms and disorders but not objective medical evidence.

    Conclusions:

    • Somatization in Hmong refugees is related to acculturation difficulties and psychiatric distress.
    • It is associated with help-seeking behaviors and perceived health issues.
    • Somatization does not appear to be a direct indicator of underlying medical pathology in this population.