Culture shapes the perception and expression of distress. The occurrence of somatization varies across socio cultural groups and seems to be influenced by psychosocial factors. The study was conducted on somatization patients selected from outpatient unit of LGB Regional Institute of Mental Health, Tezpur, Assam. The data was collected in a period of three months from September to November, 2008. Subjects fulfilling the criteria of the study were evaluated for socio demographic variables and clinical presentation on semi structured proforma and thereafter the Bradford Somatic Inventory1, Satisfaction with Life Scale2, Multidimensional Scale of Perceived Social Support3, WHO Wellbeing Index (1998)4 and Perceived Stress Scale5 were administered. Women have consistently been shown to report more somatic symptoms than men. Perceived social supports and perceived stress was found to have a significant positive correlation with life satisfaction. Wellbeing was found to be poor in the most of the patients and was found to have a significant positive correlation with perceived stress. Somatization is common in all ethno cultural groups and societies studied to date. The importance of demographics, psychosocial functioning, perceived stress, availability of social support was emphasized in the explanation of somatization tendencies among the subjects in the present study.
Mumford, D.B., Bavington, J.T. & Bhatnagar, K.S. (1991). The Bradford Somatic Inventory: A multi-ethnic inventory of somatic symptoms reported by anxious and depressed patients in Britain and the lndo-Pakistan subcontinent. British Journal of Psychiatry, 158, 379-386.
Diener, E., Emmois, R.A., Larsen, R.J. & Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49, 15.
Zimet, S., Gregory, D. S., Powell, Farely, G. K., Werkman S. & Berkoff, K. A. (1988). Psychometric characteristic of multidimensional scale of perceived social support. Journal of Personality Assessment, 155, 610-617
WHO (Five) Well-Being Index (1998 version). Psychiatric Research Unit, W.H.O. Collaborating Centre for Mental Health, Fredericksburg General Hospital, DK-3400. Hillerod.
Cohen, S., Williamson, G., Spacapan, S. & Oskamp, S. (1988). Perceived stress in a probability sample of the United States: The social psychology of health. Newbery, C A: Sage; 1988.
U.S. Department of Health and Human Services. Mental health: A report of the Surgeon General. Rockville, MD: Author. 1999.
Kleinman, A.M. (1977). Depression, somatization and the “new cross cultural psychiatry.” Social Science Medicine, 11, 3-10.
Kirmayer, L.J. Culture, affect and somatization. Tran cultural Psychiatry Res Rev 1984;21:159-188; 237-262,
Isaac, M., Janca, A. & Orley J. (1996). Somatization - A culturebound oruniversal syndrome? Journal of Mental Health, 5, 219-222.
Kirmayer, L.J. & Sartorius, N. (2007). Cultural models and somatic syndromes. Psychosomatic Medicine, 69, 832-840.
Beiser, M., & Fleming, J.A.E. (1986). Measuring psychiatric disorder among Southeast Asian refugees. Psychological Medicine, 16, 627-639
Collyer, J. (1979). Psychosomatic illness in a solo family practice. Psychosomatics, 20, 762
Stoeckle, J.D., Zola, I.K. & Davidson, G.E. (1964). The quantity and significance of psychological distress in medical patients. Journal of Chronic Disease, 17, 959
Garfield, S.R., Colleen, M.G., Feldman, R., Soghikian, K., Richart, R.H. & Duncan, J.H. (1976). Evaluation of an ambulatory medical care delivery system. N Eng I J Med; 294, 426-431.
Barsky, A.J. & Klerman, G.L. (1983). Hypochondriasis and somatic styles. Am J Psychiatry, 140, 273-283.
Nakao, M., Fricchione, G., Zuttermeister, M.A., Myers, P., Barsky, A.J. & Benson, H. (2001). Effects of gender and marital status on somatic symptoms of patients attending a mind/body medicine clinic. Behavior Medicine, 26, 159-168.
Sluzki, C.E. (1987). Migration and family conflict. In Moos RH, ed. coping with life crisis-an integrated approach. Plenum Press, New York, 277-287.
Noyes, R., Holt, C.S. & Kathol, R. (1995). Somatization: Diagnosis and management. Archives of Family Medicine, 4, 790-795.
Al-Issa, I. (Ed.). Handbook of culture and mental illness: An international perspective. 1995. Madison, CT: International Universities Press.
Michalak, E.E., Yatham, L.N. & Kolesar, S. (2006). Bipolar disorder and quality of life: A patient-centered perspective. Journal of Quality of Life Research, 15, 25-37.
