title: A sociocultural study of koro epidemics in Guangdong, China.
abstract: Koro, a culture-related psychiatric disorder characterized by panic due to fear of genital retraction, occurred as the rare phenomenon of koro epidemics in a remote region of Guangdong, China, in 1984-1985 and 1987. The sociocultural and historical backgrounds of the area are described. The life pattern and attitudes toward supernatural beings and the commonly shared folk belief of evil-induced genital retraction were considered grounds for the panic, while the community's anxious reaction and hysterical atmosphere facilitated the intensification and recurrence of the episodes. Geographic seclusion associated with localism in folk beliefs and practices may have kept the epidemics confined to the region.
authors.affiliation: Department of Psychiatry, University of Hawaii School of Medicine, Honolulu 96813.
authors.forename: W S
authors.initials: WS
authors.lastname: Tseng
authors.forename: K M
authors.initials: KM
authors.lastname: Mo
authors.forename: J
authors.initials: J
authors.lastname: Hsu
authors.forename: L S
authors.initials: LS
authors.lastname: Li
authors.forename: L W
authors.initials: LW
authors.lastname: Ou
authors.forename: G Q
authors.initials: GQ
authors.lastname: Chen
authors.forename: D W
authors.initials: DW
authors.lastname: Jiang
mesh_terms: D000328:Adult; D001009:Anxiety, Castration / Q000453:epidemiology* / Q000523:psychology; D001293:Attitude to Death; D002681:China; D003430:Cross-Sectional Studies; D003466:Cultural Characteristics; D003469:Culture; D004196:Disease Outbreaks; D005239:Fear; D005260:Female; D006801:Humans; D008273:Magic; D008297:Male; D008519:Medicine, Traditional; D010200:Panic; D012307:Risk Factors