{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T02:14:58Z","timestamp":1774923298379,"version":"3.50.1"},"reference-count":41,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2002,9,1]],"date-time":"2002-09-01T00:00:00Z","timestamp":1030838400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Transcult Psychiatry"],"published-print":{"date-parts":[[2002,9]]},"abstract":"<jats:p> According to the Khmer conception, a person suffering \u2018weak heart\u2019 ( khsaoy beh daung) has episodes of palpitations on slight provocation (e.g. triggered by orthostasis, anger, a noise, worry, an odor or exercise) and runs the risk of dying of heart arrest during these periods of palpitations; too, the sufferer typically has other symptoms attributed to the purported cardiac dysfunction: fatigue, shortness of breath, and orthostatic dizziness. Many Khmer refugees suffer this cultural syndrome, an anxious\u2013dysphoria ontology, most probably of French colonial provenance. The syndrome demonstrates considerable overlap with those Western illness categories that feature panic attacks, in particular post-traumatic stress disorder (PTSD) and panic disorder. In a psychiatric clinic survey, 60 percent (60\/100) of those assessed believed themselves to currently suffer \u2018weak heart\u2019; 90 percent (54\/60) of those considering themselves to suffer from \u2018weak heart\u2019 thought that palpitations (e.g., those resulting from a loud noise or orthostasis) might result in death. The article illustrates the profoundly culturally constructed nature of \u2018cardiac sensations,\u2019 located in a specific historical trajectory and episteme; too, the article suggests that trauma may result more in panic disorder than \u2018PTSD\u2019 when autonomic arousal symptoms (in the present case, palpitations) are considered potentially life-threatening. <\/jats:p>","DOI":"10.1177\/136346150203900303","type":"journal-article","created":{"date-parts":[[2007,3,11]],"date-time":"2007-03-11T06:25:52Z","timestamp":1173594352000},"page":"323-344","source":"Crossref","is-referenced-by-count":60,"title":["The Khmer \u2018Weak Heart\u2019 Syndrome: Fear of Death from Palpitations"],"prefix":"10.1177","volume":"39","author":[{"given":"Devon","family":"Hinton","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan","family":"Hinton","sequence":"additional","affiliation":[{"name":"Harvard University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khin","family":"Um","sequence":"additional","affiliation":[{"name":"Arbour Counseling Services"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Audria","family":"Chea","sequence":"additional","affiliation":[{"name":"North Suffolk Counseling Services"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sophia","family":"Sak","sequence":"additional","affiliation":[{"name":"Boston University"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2002,9,1]]},"reference":[{"key":"atypb1","first-page":"101","volume-title":"Attention and avoidance: Strategies in coping with aversiveness","author":"Borkovec, T. 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