The concept of neurosis in a cross-cultural perspective.
OBJECTIVE
The aim of this review is to discuss the current state of research on the concept of neurosis across cultures and to document the advances made in this field over the previous year.


RESULTS
There has been a significant alteration in the concept of neurosis in most cultures, with the relative abandonment of the term 'neurosis' and replacing the concept with that of common mental disorders. The state of research on the aetiopathogenesis of neurosis has moved towards neurobiological, neurophysiological and genetic factors. Neuroticism as a personality trait has retained its role in the development of neurotic disorders. The epidemiological studies on neurotic disorders are equivocal across cultures. Besides, studies on clinical presentation of common mental disorders, somatization and abnormal illness behaviour show some cultural variations. Though there are no significant advances in the management of neurosis equivalents, it seems that the specific serotonin receptor inhibitors may have a role in management of these conditions.


CONCLUSIONS
The recent literature shows acceptance of common mental disorders across cultures replacing neurotic disorders. Other conceptual equivalents of neurosis are seen in somatoform disorders, somatization and abnormal illness behaviour. Some traditional culture-bound neurotic syndromes and idioms of distress persist.
Chaturvedi
Santosh Kumar
SK
Department of Psychiatry, National Institute of Mental Health & Neurosciences, NIMHANS, Bangalore 560029, India.
Bhugra
Dinesh
D
D015897:Comorbidity; D003431:Cross-Cultural Comparison; D003466:Cultural Characteristics; D003937:Diagnosis, Differential; D006801:Humans; D001523:Mental Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology; D009497:Neurotic Disorders / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology; D011379:Prognosis; D012307:Risk Factors; D013001:Somatoform Disorders / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology