{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T17:31:26Z","timestamp":1778952686471,"version":"3.51.4"},"reference-count":74,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2018,11,11]],"date-time":"2018-11-11T00:00:00Z","timestamp":1541894400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J Soc Psychiatry"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Mental disorders may show inherent cross-national variability in their prevalence. A considerable number of meta-analyses attribute this heterogeneity to the methodological diversity in published epidemiological studies. Cultural values are characteristically not assessed in meta-regression models as potential covariates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>Our aim was to conduct a meta-regression analysis to explore to what extent certain cultural values and immigration rates (as indicator of cultural diversity) might be associated with the cross-national heterogeneity of prevalence rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>To minimize methodological differences that may exert a confounding effect, prevalence rates were obtained from the World Health Organization\u2019s (WHO) World Mental Health Survey Initiative. Cultural indices (overall emancipative values; overall secular values) were collected from the World Value Survey, while immigration rates were registered by utilizing the data of the United Nations\u2019 World Population Policies 2005 report.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Meta-regression analysis indicated that overall emancipative values (i.e. promoting self-expression, non-violent protest) showed significant connection with lifetime and last year prevalence of any mood disorders ( Z\u2009=\u20094.71, p\u2009=\u2009.001; Z\u2009=\u20092.35, p\u2009=\u2009.02) and any internalizing disorders (a merged category that combined mood and anxiety disorders; Z\u2009=\u20092.82, p\u2009=\u2009.004; Z\u2009=\u20092.34, p\u2009=\u2009.02). Overall secular values (i.e. rejecting authority and obedience) were negatively associated with last year prevalence of depression ( Z\u2009=\u2009\u22122.75, p\u2009=\u2009.06). Multistep regression analysis indicated that immigration rate moderated the connection between cultural values and mental disorders. Countries with higher immigration rates showed higher emancipative and secular values.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Our findings might function as potential foundation for formulating hypotheses regarding the cultural context\u2019s influence on the population\u2019s mental health.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0020764018811361","type":"journal-article","created":{"date-parts":[[2018,11,12]],"date-time":"2018-11-12T02:22:11Z","timestamp":1541989331000},"page":"756-766","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Do you let me symptomatize? The potential role of cultural values in cross-national variability of mental disorders\u2019 prevalence"],"prefix":"10.1177","volume":"64","author":[{"given":"M\u00e1t\u00e9","family":"Kapit\u00e1ny-F\u00f6v\u00e9ny","sequence":"first","affiliation":[{"name":"Faculty of Health Sciences, Semmelweis University, Budapest, Hungary"},{"name":"Ny\u00edr\u0151 Gyula Hospital Drug Outpatient and Prevention Center, Budapest, Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mara J","family":"Richman","sequence":"additional","affiliation":[{"name":"Institute of Psychology, E\u00f6tv\u00f6s Lor\u00e1nd University, Budapest, Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zsolt","family":"Demetrovics","sequence":"additional","affiliation":[{"name":"Institute of Psychology, E\u00f6tv\u00f6s Lor\u00e1nd University, Budapest, Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mih\u00e1ly","family":"Sulyok","sequence":"additional","affiliation":[{"name":"Department of Neurology and Stroke, Eberhard Karls University, T\u00fcbingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,11,11]]},"reference":[{"key":"bibr1-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1177\/002076409504100401"},{"key":"bibr2-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1002\/j.2051-5545.2009.tb00233.x"},{"key":"bibr3-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1023\/A:1024471506938"},{"key":"bibr4-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1093\/esr\/jcq012"},{"key":"bibr5-0020764018811361","first-page":"36","volume":"35","author":"Ananth J.","year":"1993","journal-title":"Indian Journal of Psychiatry"},{"key":"bibr6-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-1241.2009.02168.x"},{"key":"bibr7-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1017\/S003329171200147X"},{"key":"bibr8-0020764018811361","first-page":"18","volume":"4","author":"Bhugra D.","year":"2005","journal-title":"World Psychiatry"},{"key":"bibr9-0020764018811361","unstructured":"Borenstein M., Hedges L., Higgins J., Rothstein H. (2004). Comprehensive meta analysis version 3.0. Retrieved from https:\/\/www.meta-analysis.com\/downloads\/Meta-Analysis%20Manual%20V3.pdf"},{"key":"bibr10-0020764018811361","doi-asserted-by":"publisher","DOI":"10.4159\/9780674028845"},{"key":"bibr11-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2016.07.044"},{"key":"bibr12-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1098\/rspb.2009.1650"},{"key":"bibr13-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-14-75"},{"key":"bibr14-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1590\/1516-4446-2012-1693"},{"key":"bibr15-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2017.12.016"},{"key":"bibr16-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2009.85"},{"key":"bibr17-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.733435"},{"key":"bibr18-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1093\/med\/9780199545292.001.1"},{"key":"bibr19-0020764018811361","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp13X665189"},{"key":"bibr20-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1007\/s10597-014-9785-9"},{"key":"bibr21-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-017-14261-8"},{"key":"bibr22-0020764018811361","first-page":"104","volume":"2","author":"Faraone S. V.","year":"2003","journal-title":"World Psychiatry"},{"key":"bibr23-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1023\/A:1024419522867"},{"key":"bibr24-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1186\/s13690-016-0157-5"},{"key":"bibr25-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4419-1695-2_261"},{"key":"bibr26-0020764018811361","first-page":"64","volume-title":"The standard edition of the complete psychological works of Sigmund Freud","volume":"21","author":"Freud S.","year":"1930"},{"key":"bibr27-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2017.10.026"},{"key":"bibr28-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-017-2811-1"},{"key":"bibr29-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1038\/srep28033"},{"key":"bibr30-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-08-057065-5.50010-5"},{"key":"bibr31-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2017.07.024"},{"key":"bibr32-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2011.12.036"},{"key":"bibr33-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1162\/DAED_a_00217"},{"key":"bibr34-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2016.07.011"},{"key":"bibr35-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1177\/000312240006500103"},{"key":"bibr36-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511790881"},{"key":"bibr37-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291717002501"},{"key":"bibr38-0020764018811361","first-page":"168","volume":"6","author":"Kessler R. C.","year":"2007","journal-title":"World Psychiatry"},{"key":"bibr39-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1017\/S1121189X00001421"},{"key":"bibr40-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-publhealth-031912-114409"},{"key":"bibr41-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1002\/mpr.168"},{"key":"bibr42-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1016\/S0027-9684(15)31035-X"},{"key":"bibr43-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-0009.2005.00424.x"},{"key":"bibr44-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1007\/BF03405467"},{"key":"bibr45-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1037\/0033-295X.98.2.224"},{"key":"bibr46-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1007\/s11121-011-0231-8"},{"key":"bibr47-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-016-1284-6"},{"key":"bibr48-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-017-1409-6"},{"key":"bibr49-0020764018811361","first-page":"166","volume":"6","author":"Njenga F.","year":"2007","journal-title":"World Psychiatry"},{"key":"bibr50-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyt261"},{"key":"bibr51-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1300\/J377v23n04_05"},{"key":"bibr52-0020764018811361","first-page":"1050","volume-title":"Clinical methods: The history, physical, and laboratory examinations","author":"Putsch R. W.","year":"1990","edition":"3"},{"key":"bibr53-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-017-1512-x"},{"key":"bibr54-0020764018811361","first-page":"85","volume-title":"Individualism and collectivism: Theory, method and applications","author":"Schwartz S.","year":"1994"},{"key":"bibr55-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.107.048827"},{"key":"bibr56-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyu038"},{"key":"bibr57-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.1604566113"},{"key":"bibr58-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2014-3482"},{"key":"bibr59-0020764018811361","volume-title":"Handbook of cultural psychiatry","author":"Tseng W.","year":"2001"},{"key":"bibr60-0020764018811361","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2014.00048"},{"key":"bibr61-0020764018811361","volume-title":"World Population Policies 2005","author":"United Nations","year":"2006"},{"key":"bibr62-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2011.12.007"},{"key":"bibr63-0020764018811361","doi-asserted-by":"publisher","DOI":"10.4103\/0976-9668.136141"},{"key":"bibr64-0020764018811361","doi-asserted-by":"publisher","DOI":"10.4103\/0253-7176.108193"},{"key":"bibr65-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-017173"},{"key":"bibr66-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-016-1187-9"},{"key":"bibr67-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1177\/0022022109354378"},{"key":"bibr68-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1007\/s11205-009-9557-z"},{"key":"bibr69-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1080\/17448680500337475"},{"key":"bibr70-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6765.00086"},{"key":"bibr71-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)61611-6"},{"key":"bibr72-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.115.3.323"},{"key":"bibr73-0020764018811361","unstructured":"World Value Survey. (2015). World Value Survey 1981-2014 longitudinal aggregate v.20150418, 2015. World Values Survey Association. Available from www.worldvaluessurvey.org"},{"key":"bibr74-0020764018811361","doi-asserted-by":"publisher","DOI":"10.1097\/HCM.0000000000000100"}],"container-title":["International Journal of Social Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0020764018811361","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0020764018811361","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0020764018811361","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T11:55:17Z","timestamp":1777463717000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0020764018811361"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,11,11]]},"references-count":74,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2018,12]]}},"alternative-id":["10.1177\/0020764018811361"],"URL":"https:\/\/doi.org\/10.1177\/0020764018811361","relation":{},"ISSN":["0020-7640","1741-2854"],"issn-type":[{"value":"0020-7640","type":"print"},{"value":"1741-2854","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,11,11]]}}}