ArticleCulture, medicine and psychiatry2022
Tension and Other Idioms of Distress Among Slum Dwelling Young Men: A Qualitative Study of Depression in Urban Bangladesh.
Article in Culture, medicine and psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Assessing the Effectiveness of Multilevel Intervention Sequences on "Tension" Among Men Living with HIV: A Randomized-Control Trial.International journal of behavioral medicine · 2025Trial
- Structural equation modeling of associated factors and regional variations in major depressive disorders and generalized anxiety disorders among reproductive-age Bangladeshi women: a nationally representative study.Annals of general psychiatry · 2025Article
- "The world is not a safe place": Representations of emotional distress, coping, and survival among young adults in South Africa.PLOS mental health · 2025Article
- Cultural and contextual adaptation of the Solastalgia subscale of the Environmental Distress Scale in drought-affected Kilifi, Kenya.Global mental health (Cambridge, England) · 2025Article
- Identifying factors associated with mental health status following climate-related disasters: a nationwide longitudinal panel study in Korea.Epidemiology and health · 2025Article
- A qualitative study of cultural concepts of distress among Rohingya refugees in Cox's Bazar, Bangladesh.Conflict and health · 2024Article
- Barriers and facilitators to identifying depression in adolescents: A cross-cultural qualitative study in Brazil, Nepal, and Nigeria.PLOS mental health · 2024Article
- A global mental health opportunity: How can cultural concepts of distress broaden the construct of immobility?Global environmental change : human and policy dimensions · 2022Review
- Adolescent perspectives on depression as a disease of loneliness: a qualitative study with youth and other stakeholders in urban Nepal.Child and adolescent psychiatry and mental health · 2022Article
- Measuring mental health in humanitarian crises: a practitioner's guide to validity.Conflict and health · 2021Article
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5 authors.
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Abstract
In low- and middle-income countries (LMIC) it is vital to understand acceptable, comprehensive, and culturally appropriate ways of communicating about mental distress. Diagnostic terminology is rarely used, may be stigmatizing, and is subject to misinterpretation. Local terms, such as idioms of distress, can improve mental health literacy and service delivery. Our objective was to examine lived experience and coping connected to distress and depression in an under-researched population: young men from LMIC urban slums. We conducted 60 qualitative interviews with men (ages 18-29) in Bhashantek slum, Bangladesh. Themes were generated using thematic analysis and grounded theory techniques. The heart-mind (mon), mentality (manoshikota), mood (mejaj), head (matha or "brain"), and body (shorir) comprised the self-concept, and were related to sadness, hopelessness, anger, worry, and mental illness. The English word "tension" was the central idiom of distress. "Tension" existed on a continuum, from mild distress or motivational anxiety, to moderate distress including rumination and somatic complaints, to severe psychopathology including anhedonia and suicidality. Respondents connected "tension" to burnout experiences and mental illness which was summarized in an ethnopsychological model. These findings can inform culturally sensitive measurement tools and interventions that are acceptable to the community, potentially increasing engagement and enhancing therapeutic outcomes.
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