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Hwa-byung: Recommendations for Culturally Sensitive Diagnosis and Care
Hwa-byung refers to a suppressed anger syndrome that is specific to Korean culture and is found predominantly in middle-aged and older women. Because hwa-byung involves a complex mechanism of long-standing subjective anger that forms differently in Western cultures, an understanding of cultural dyna...
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| Published in: | Journal for nurse practitioners 2022-02, Vol.18 (2), p.195-199 |
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| cites | cdi_FETCH-LOGICAL-c334t-38697016c81642f204a21151feed6bc93c570d375352c08b533ebc0f910ddbc63 |
| container_end_page | 199 |
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| container_title | Journal for nurse practitioners |
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| creator | Cheon, Heesook Cesario, Sandra K. |
| description | Hwa-byung refers to a suppressed anger syndrome that is specific to Korean culture and is found predominantly in middle-aged and older women. Because hwa-byung involves a complex mechanism of long-standing subjective anger that forms differently in Western cultures, an understanding of cultural dynamics and etiology is warranted for health care providers to diagnose and treat this condition accurately. The cultural formulation interview developed by the American Psychiatric Association is an excellent tool to discover and discuss this culturally sensitive health condition. This study examines hwa-byung’s disease etiology, characteristics, assessment, differential diagnosis, treatment options, and prognosis.
•Hwa-byung is a Korean culture-related syndrome associated with suppressed anger.•Somatic and behavioral symptoms are common in patients with hwa-byung.•Excessive and persistent anger is expressed in culturally acceptable ways.•Hwa-byung treatment options include pharmacotherapy with or without psychotherapy. |
| doi_str_mv | 10.1016/j.nurpra.2021.10.024 |
| format | article |
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•Hwa-byung is a Korean culture-related syndrome associated with suppressed anger.•Somatic and behavioral symptoms are common in patients with hwa-byung.•Excessive and persistent anger is expressed in culturally acceptable ways.•Hwa-byung treatment options include pharmacotherapy with or without psychotherapy.</description><identifier>ISSN: 1555-4155</identifier><identifier>EISSN: 1878-058X</identifier><identifier>DOI: 10.1016/j.nurpra.2021.10.024</identifier><language>eng</language><publisher>Philadelphia: Elsevier Inc</publisher><subject>Anger ; anger disorder ; Anxiety ; Behavior ; Collectivism ; Cultural sensitivity ; Etiology ; Health care ; hwa-byung ; Korean culture ; Korean culture syndrome ; Medical diagnosis ; Medical personnel ; Medical prognosis ; Mental depression ; Mental disorders ; Middle age ; Older people ; Older women ; Palpitations ; Patients ; Personality ; Psychopathology ; Sex roles ; Socioeconomic factors ; somatoform disorder ; suppressed anger syndrome ; Womens health</subject><ispartof>Journal for nurse practitioners, 2022-02, Vol.18 (2), p.195-199</ispartof><rights>2021 Elsevier Inc.</rights><rights>2021. Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c334t-38697016c81642f204a21151feed6bc93c570d375352c08b533ebc0f910ddbc63</citedby><cites>FETCH-LOGICAL-c334t-38697016c81642f204a21151feed6bc93c570d375352c08b533ebc0f910ddbc63</cites><orcidid>0000-0003-0774-8786 ; 0000-0002-2804-0878</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2626260928/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2626260928?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,12846,21394,21395,27924,27925,30999,33611,34530,43733,44115,74221,74639</link.rule.ids></links><search><creatorcontrib>Cheon, Heesook</creatorcontrib><creatorcontrib>Cesario, Sandra K.</creatorcontrib><title>Hwa-byung: Recommendations for Culturally Sensitive Diagnosis and Care</title><title>Journal for nurse practitioners</title><description>Hwa-byung refers to a suppressed anger syndrome that is specific to Korean culture and is found predominantly in middle-aged and older women. Because hwa-byung involves a complex mechanism of long-standing subjective anger that forms differently in Western cultures, an understanding of cultural dynamics and etiology is warranted for health care providers to diagnose and treat this condition accurately. The cultural formulation interview developed by the American Psychiatric Association is an excellent tool to discover and discuss this culturally sensitive health condition. This study examines hwa-byung’s disease etiology, characteristics, assessment, differential diagnosis, treatment options, and prognosis.
•Hwa-byung is a Korean culture-related syndrome associated with suppressed anger.•Somatic and behavioral symptoms are common in patients with hwa-byung.•Excessive and persistent anger is expressed in culturally acceptable ways.•Hwa-byung treatment options include pharmacotherapy with or without psychotherapy.</description><subject>Anger</subject><subject>anger disorder</subject><subject>Anxiety</subject><subject>Behavior</subject><subject>Collectivism</subject><subject>Cultural sensitivity</subject><subject>Etiology</subject><subject>Health care</subject><subject>hwa-byung</subject><subject>Korean culture</subject><subject>Korean culture syndrome</subject><subject>Medical diagnosis</subject><subject>Medical personnel</subject><subject>Medical prognosis</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Middle age</subject><subject>Older people</subject><subject>Older women</subject><subject>Palpitations</subject><subject>Patients</subject><subject>Personality</subject><subject>Psychopathology</subject><subject>Sex roles</subject><subject>Socioeconomic factors</subject><subject>somatoform disorder</subject><subject>suppressed anger syndrome</subject><subject>Womens health</subject><issn>1555-4155</issn><issn>1878-058X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>ALSLI</sourceid><sourceid>HEHIP</sourceid><sourceid>M2S</sourceid><recordid>eNp9UNtKxDAQDaLguvoHPhR8bs2l6cUHQarrCguCF_AtpMl0Semma9Ku7N-bUp9lYGYYzjkzcxC6JjghmGS3bWJHt3cyoZiSMEowTU_QghR5EWNefJ2GnnMepyGfowvvW4xZkbF0gVbrHxnXx9Fu76I3UP1uB1bLwfTWR03vomrshtHJrjtG72C9GcwBokcjt7b3xkfS6qiSDi7RWSM7D1d_dYk-V08f1TrevD6_VA-bWDGWDnFYWubhYlWQLKUNxamkhHDSAOisViVTPMea5ZxxqnBRc8agVrgpCda6VhlboptZd-_67xH8INp-dDasFDSbApe0CKh0RinXe--gEXtndtIdBcFicky0YnZMTI5N0-BYoN3PNAgfHAw44ZUBq0AbB2oQujf_C_wCXHl1lw</recordid><startdate>20220201</startdate><enddate>20220201</enddate><creator>Cheon, Heesook</creator><creator>Cesario, Sandra K.</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>ASE</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>HEHIP</scope><scope>K6X</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M2S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><orcidid>https://orcid.org/0000-0003-0774-8786</orcidid><orcidid>https://orcid.org/0000-0002-2804-0878</orcidid></search><sort><creationdate>20220201</creationdate><title>Hwa-byung: Recommendations for Culturally Sensitive Diagnosis and Care</title><author>Cheon, Heesook ; Cesario, Sandra K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c334t-38697016c81642f204a21151feed6bc93c570d375352c08b533ebc0f910ddbc63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Anger</topic><topic>anger disorder</topic><topic>Anxiety</topic><topic>Behavior</topic><topic>Collectivism</topic><topic>Cultural sensitivity</topic><topic>Etiology</topic><topic>Health care</topic><topic>hwa-byung</topic><topic>Korean culture</topic><topic>Korean culture syndrome</topic><topic>Medical diagnosis</topic><topic>Medical personnel</topic><topic>Medical prognosis</topic><topic>Mental depression</topic><topic>Mental disorders</topic><topic>Middle age</topic><topic>Older people</topic><topic>Older women</topic><topic>Palpitations</topic><topic>Patients</topic><topic>Personality</topic><topic>Psychopathology</topic><topic>Sex roles</topic><topic>Socioeconomic factors</topic><topic>somatoform disorder</topic><topic>suppressed anger syndrome</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cheon, Heesook</creatorcontrib><creatorcontrib>Cesario, Sandra K.</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection【Remote access available】</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>ProQuest Nursing & Allied Health Database</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Social Science Premium Collection</collection><collection>British Nursing Database</collection><collection>British Nursing Index</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Sociology Collection</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest sociology</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>Journal for nurse practitioners</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cheon, Heesook</au><au>Cesario, Sandra K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hwa-byung: Recommendations for Culturally Sensitive Diagnosis and Care</atitle><jtitle>Journal for nurse practitioners</jtitle><date>2022-02-01</date><risdate>2022</risdate><volume>18</volume><issue>2</issue><spage>195</spage><epage>199</epage><pages>195-199</pages><issn>1555-4155</issn><eissn>1878-058X</eissn><abstract>Hwa-byung refers to a suppressed anger syndrome that is specific to Korean culture and is found predominantly in middle-aged and older women. Because hwa-byung involves a complex mechanism of long-standing subjective anger that forms differently in Western cultures, an understanding of cultural dynamics and etiology is warranted for health care providers to diagnose and treat this condition accurately. The cultural formulation interview developed by the American Psychiatric Association is an excellent tool to discover and discuss this culturally sensitive health condition. This study examines hwa-byung’s disease etiology, characteristics, assessment, differential diagnosis, treatment options, and prognosis.
•Hwa-byung is a Korean culture-related syndrome associated with suppressed anger.•Somatic and behavioral symptoms are common in patients with hwa-byung.•Excessive and persistent anger is expressed in culturally acceptable ways.•Hwa-byung treatment options include pharmacotherapy with or without psychotherapy.</abstract><cop>Philadelphia</cop><pub>Elsevier Inc</pub><doi>10.1016/j.nurpra.2021.10.024</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0003-0774-8786</orcidid><orcidid>https://orcid.org/0000-0002-2804-0878</orcidid></addata></record> |
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| ispartof | Journal for nurse practitioners, 2022-02, Vol.18 (2), p.195-199 |
| issn | 1555-4155 1878-058X |
| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Elsevier; Sociology Collection; ProQuest Social Science Premium Collection |
| subjects | Anger anger disorder Anxiety Behavior Collectivism Cultural sensitivity Etiology Health care hwa-byung Korean culture Korean culture syndrome Medical diagnosis Medical personnel Medical prognosis Mental depression Mental disorders Middle age Older people Older women Palpitations Patients Personality Psychopathology Sex roles Socioeconomic factors somatoform disorder suppressed anger syndrome Womens health |
| title | Hwa-byung: Recommendations for Culturally Sensitive Diagnosis and Care |
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