Cultural Expression of Anxiety Symptoms in Kannada Language: A Qualitative Study

Background: In anxiety disorders, culture is important in symptom presentation and help-seeking. Most tools for anxiety disorders are not validated in India and thus might not capture culture-specific aspects of anxiety. This study aims to identify and generate culturally specific terms to describe...

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Main Authors: Sowmya H R, Sarah Ghani, Priya Sreedaran, Manoj K Sahu, Ashok Mysore, Pratap Sharan
Format: Article
Language:English
Published: SAGE Publishing 2023-09-01
Series:Indian Journal of Psychological Medicine
Online Access:https://doi.org/10.1177/02537176221140742
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author Sowmya H R
Sarah Ghani
Priya Sreedaran
Manoj K Sahu
Ashok Mysore
Pratap Sharan
author_facet Sowmya H R
Sarah Ghani
Priya Sreedaran
Manoj K Sahu
Ashok Mysore
Pratap Sharan
author_sort Sowmya H R
collection DOAJ
description Background: In anxiety disorders, culture is important in symptom presentation and help-seeking. Most tools for anxiety disorders are not validated in India and thus might not capture culture-specific aspects of anxiety. This study aims to identify and generate culturally specific terms to describe symptoms of anxiety as part of the development of the Kannada version of the Panic and Anxiety National Indian Questionnaire (PANIQ). The PANIQ is a tool under development to identify anxiety and panic in Indian settings. Methods: This study used qualitative methods like focus group discussions (FGDs) and in-depth interviews (IDIs) to identify and generate items related to anxiety and panic in Kannada from stakeholders like individuals with anxiety disorders, their caregivers, healthcare workers, and mental health professionals who treat individuals with anxiety and panic disorders. Five FGDs ( n = 28), one triad ( n = 3), and 34 IDIs ( n = 34) were conducted. Results: The mean age of the participants was 38.9 (standard deviation: 12.28) years; 57.1% were from rural areas. We generated 615 Kannada items. These were classified into 21 domains and facets. Items in domains like Somatic symptoms, Fear, and Impairment in day-to-day life were higher than those noted in existing tools for anxiety that focus more on cognitive symptoms of anxiety. Conclusions: This study generated culturally specific items of anxiety through a qualitative process of tool development incorporating subjective experiences of persons with anxiety disorders and other stakeholders. This is among the first steps toward the development of PANIQ.
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spelling doaj.art-829a5e6ba04c41e9a96ddc1f6184d8d62023-09-12T06:33:21ZengSAGE PublishingIndian Journal of Psychological Medicine0253-71760975-15642023-09-014510.1177/02537176221140742Cultural Expression of Anxiety Symptoms in Kannada Language: A Qualitative Study Sowmya H R0Sarah Ghani1Priya Sreedaran2Manoj K Sahu3Ashok Mysore4Pratap Sharan5 St. John’s Research Institute, Bangalore, Karnataka, India. Christ University, Bangalore, Karnataka, India. Dept. of Psychiatry, St. John’s Medical Hospital, Bangalore, Karnataka, India. Dept. of Psychiatry, Pt. J.N.M. Medical College, Raipur, Karnataka, India. Dept. of Psychiatry, St. John’s Medical Hospital, Bangalore, Karnataka, India. Dept. of Psychiatry, All India Institute of Medical Sciences, New Delhi, India.Background: In anxiety disorders, culture is important in symptom presentation and help-seeking. Most tools for anxiety disorders are not validated in India and thus might not capture culture-specific aspects of anxiety. This study aims to identify and generate culturally specific terms to describe symptoms of anxiety as part of the development of the Kannada version of the Panic and Anxiety National Indian Questionnaire (PANIQ). The PANIQ is a tool under development to identify anxiety and panic in Indian settings. Methods: This study used qualitative methods like focus group discussions (FGDs) and in-depth interviews (IDIs) to identify and generate items related to anxiety and panic in Kannada from stakeholders like individuals with anxiety disorders, their caregivers, healthcare workers, and mental health professionals who treat individuals with anxiety and panic disorders. Five FGDs ( n = 28), one triad ( n = 3), and 34 IDIs ( n = 34) were conducted. Results: The mean age of the participants was 38.9 (standard deviation: 12.28) years; 57.1% were from rural areas. We generated 615 Kannada items. These were classified into 21 domains and facets. Items in domains like Somatic symptoms, Fear, and Impairment in day-to-day life were higher than those noted in existing tools for anxiety that focus more on cognitive symptoms of anxiety. Conclusions: This study generated culturally specific items of anxiety through a qualitative process of tool development incorporating subjective experiences of persons with anxiety disorders and other stakeholders. This is among the first steps toward the development of PANIQ.https://doi.org/10.1177/02537176221140742
spellingShingle Sowmya H R
Sarah Ghani
Priya Sreedaran
Manoj K Sahu
Ashok Mysore
Pratap Sharan
Cultural Expression of Anxiety Symptoms in Kannada Language: A Qualitative Study
Indian Journal of Psychological Medicine
title Cultural Expression of Anxiety Symptoms in Kannada Language: A Qualitative Study
title_full Cultural Expression of Anxiety Symptoms in Kannada Language: A Qualitative Study
title_fullStr Cultural Expression of Anxiety Symptoms in Kannada Language: A Qualitative Study
title_full_unstemmed Cultural Expression of Anxiety Symptoms in Kannada Language: A Qualitative Study
title_short Cultural Expression of Anxiety Symptoms in Kannada Language: A Qualitative Study
title_sort cultural expression of anxiety symptoms in kannada language a qualitative study
url https://doi.org/10.1177/02537176221140742
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