Abstract Views :191 |
Authors
Source
NIMHANS Journal, Vol 11, No 1 (1993), Pagination: 1-10
Abstract
The Explanatory Model Interview Catalogue (EMIC) was adapted, standardized, and translated into Kannada for a cultural study of depression. The Structured Clnical Interview for DSM-III - R (SCID) and Combined Hamilton Rating Scale for Depression and Anxiety (HDARS ) were also translated and used. The interrater reliability of all three was good. The clinical ethnographic database generated by the EMIC integrates quantitative and qualitative data with respect to patterns of distress, perceived causes, help seeking and general illness beliefs. The majority of patients studied emphasized somatic complaints and were concerned about personal and family stigma. "Nerves" were most frequently cited as most important perceived cause. Few patients were satisfied with the allopathic help most had received previously. Questions about madness, considered distinctly different from their own problems, elicited a pattern of responses resembling their own problems. Complementary use of the EMIC and instruments like SCID and HDARS provides a method for cross-cultural research that integrates personal experience and professional concepts of illness.
Keywords
EMIC, Cross-cultural Psychiatry, Reliability, Depression, Somatization, SCID