{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T14:59:16Z","timestamp":1764255556723,"version":"3.46.0"},"reference-count":33,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,4,18]],"date-time":"2025-04-18T00:00:00Z","timestamp":1744934400000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>This report presents the case of a not yet well\u2010researched condition referred to as relationship disappointment stress syndrome (RDSS). This syndrome appears to be linked to cultural norms that romanticize marriage and unresolved post\u2010traumatic sequelae, both of which may contribute to overly optimistic relationship expectations. When these expectations are unmet, individuals may experience the profound effects of disappointment. This case study highlights the experience of three selected patients out of 10 cases who underwent psychotherapy at the Baho Smile Institute in Rwanda. We observed three patients over a 3\u2010month period; we conducted 12 sessions using compassion\u2010focused therapy that emphasizes restoring humaneness. The results showed the patients to have the following main symptoms: somatic, interpersonal, and purpose\u2010related issues, such as headache, backache, neck pain, pseudo\u2010paralysis, losing trust and interest in others, diminished sexual desire, loss of humanism, excessive preoccupation with relationships, and feelings of failing in life's purpose. Further empirical studies are needed to confirm the findings of this case report.<\/jats:p>","DOI":"10.1002\/ccr3.70448","type":"journal-article","created":{"date-parts":[[2025,4,18]],"date-time":"2025-04-18T23:19:26Z","timestamp":1745018366000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Relationship Disappointment Stress Syndrome as a Cultural and Post\u2010Trauma Phenomenon in Sub\u2010Saharan Africa: Case Report"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6595-2796","authenticated-orcid":false,"given":"Celestin","family":"Mutuyimana","sequence":"first","affiliation":[{"name":"The Collegium Helveticum  Zurich Switzerland"},{"name":"Department of Psychology University of Zurich  Zurich Switzerland"},{"name":"Kigali Mental Health Referral Centre  Kigali Rwanda"},{"name":"Baho Smile Institute  Kigali 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