{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T19:06:57Z","timestamp":1760987217833,"version":"3.38.0"},"reference-count":30,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2005,6,1]],"date-time":"2005-06-01T00:00:00Z","timestamp":1117584000000},"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":[[2005,6]]},"abstract":"<jats:p> This study examines diagnostic concordance, symptomatology and disability among Chinese patients with shenjing shuairuo, ICD-10 neurasthenia, and DSM-IV diagnoses. Patients ( N = 139) with unexplained somatic complaints completed the Structured Clinical Interview for DSM-III (SCID), the Brief Symptom Inventory (BSI), and the Short Form 36 (SF-36). Shenjing shuairuo could be reclassified as DSM-IV undifferentiated somatoform disorder (30.6%) and somatoform pain disorder (22.4%); however, 44.9% did not qualify for a core DSM-IV diagnosis. Concordance of neurasthenia and shenjing shuairuo was significant ( p &lt; .001). Symptom distress and disability was similar to that reported by patients with somato-form and anxiety disorders. Within the Chinese context, shenjing shuairuo describes a heterogeneous group with clinically significant levels of disturbance and disability. <\/jats:p>","DOI":"10.1177\/1363461505052660","type":"journal-article","created":{"date-parts":[[2005,6,15]],"date-time":"2005-06-15T11:24:47Z","timestamp":1118834687000},"page":"204-218","source":"Crossref","is-referenced-by-count":35,"title":["Shenjing Shuairuo and the DSM-IV: Diagnosis, Distress, and Disability in a                 Chinese Primary Care Setting"],"prefix":"10.1177","volume":"42","author":[{"given":"Doris F.","family":"Chang","sequence":"first","affiliation":[{"name":"Ohio University and New School University,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hector F.","family":"Myers","sequence":"additional","affiliation":[{"name":"University of California, Los Angeles"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Albert","family":"Yeung","sequence":"additional","affiliation":[{"name":"Massachusetts General Hospital and South Cove Community Health Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yalin","family":"Zhang","sequence":"additional","affiliation":[{"name":"Central South University, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jingping","family":"Zhao","sequence":"additional","affiliation":[{"name":"Central South University, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shunying","family":"Yu","sequence":"additional","affiliation":[{"name":"Shanghai Mental Health Center"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2005,6,1]]},"reference":[{"key":"atypb1","volume-title":"Diagnostic and statistical manual of mental disorders","author":"American Psychiatric Association","year":"1980","edition":"3"},{"key":"atypb2","volume-title":"Diagnostic and statistical manual of mental disorders","author":"American Psychiatric Association","year":"1994","edition":"4"},{"volume-title":"American nervousness","year":"1869","author":"Beard, G.","key":"atypb3"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3999(85)90064-9"},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-200005000-00010"},{"key":"atypb6","volume-title":"Chinese classification of mental disorders","author":"Chinese Medical Association and Nanjing Medical University","year":"1995","edition":"2"},{"key":"atypb7","volume-title":"The Chinese classification of mental disorders","author":"Chinese Psychiatric Society","year":"2001","edition":"3"},{"issue":"3","key":"atypb8","first-page":"314","volume":"18","author":"Chinese Society of Neurology and Psychiatry","year":"1985","journal-title":"Chinese Journal of Neurology and Psychiatry"},{"key":"atypb9","doi-asserted-by":"publisher","DOI":"10.1016\/S0033-3182(79)73739-X"},{"key":"atypb10","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291700048017"},{"key":"atypb11","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(82)90599-X"},{"key":"atypb12","doi-asserted-by":"publisher","DOI":"10.1097\/00006842-199807000-00006"},{"key":"atypb13","doi-asserted-by":"publisher","DOI":"10.1016\/0037-7856(77)90138-X"},{"key":"atypb14","doi-asserted-by":"publisher","DOI":"10.1007\/BF00051427"},{"volume-title":"Rethinking psychiatry","year":"1988","author":"Kleinman, A.","key":"atypb15"},{"key":"atypb16","doi-asserted-by":"publisher","DOI":"10.1016\/S0895-4356(98)00105-X"},{"key":"atypb17","doi-asserted-by":"publisher","DOI":"10.1177\/136346159403100205"},{"key":"atypb18","first-page":"448","volume":"60","author":"Lee, S.","year":"1998","journal-title":"Culture, Medicine and Psychiatry"},{"key":"atypb19","doi-asserted-by":"publisher","DOI":"10.1023\/A:1005586301895"},{"key":"atypb20","first-page":"234","volume":"10","author":"Lee, Y.","year":"1996","journal-title":"Chinese Psychiatry"},{"key":"atypb21","doi-asserted-by":"publisher","DOI":"10.1136\/jech.46.2.92"},{"volume-title":"DSM-III-R Structured Clinical Interview - Patient version","year":"1994","author":"Li, T.","key":"atypb22"},{"key":"atypb23","doi-asserted-by":"publisher","DOI":"10.1007\/BF02220656"},{"key":"atypb24","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1978.01770300027002"},{"key":"atypb25","doi-asserted-by":"publisher","DOI":"10.1007\/BF02220663"},{"volume-title":"Classification of neurosis","year":"1989","author":"Tyrer, P.","key":"atypb26"},{"volume-title":"SF-36 Health Survey manual and interpretation guide","year":"1993","author":"Ware, J. 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