The relationship between culture and illness is recognized as having distinct manifestations, especially in mental health. The American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), has replaced the diagnostic category of “culture-bound syndromes” with “cultural concepts of distress”. Cultural-concepts of distress is a broad classification that considers the ways that cultural groups experience and frame symptoms, ways of communicating the distress, and explanations of the symptoms. The new diagnostic category stems from a growing understanding that illness is, at least in part, socially and culturally constructed. The interaction of culture and illness extends into physical illnesses: A study of pain found different levels of pain tolerance between Italians, Swedes, and Saudis, suggesting the possible influence of cultural health disparities posit that they have multiple, interactive (i.e., not mutually exclusive) causes that are biological, socioeconomic, and cultural in nature.
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