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Taking Issue   |    
Global Mental Health and Psychiatric Services
Javier I. Escobar, M.D.
Psychiatric Services 2014; doi: 10.1176/appi.ps.650810
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associate dean for global health and professor of psychiatry and family medicine, Robert Wood Johnson Medical School, Rutgers University

Copyright © 2014 by the American Psychiatric Association

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In this issue, Ni and colleagues report on a survey of medical outpatients in the city of Xi’an, China, that examined knowledge, attitudes, and help-seeking preferences regarding “neurotic disorders.” Xi’an, which has more than 3,000 years of history, is best known to tourists for the amazing terracotta army of Emperor Qin Shi Huang. The survey results showed that patients had limited knowledge of “neurotic disorders”—now an outdated term—which in the survey included only obsessive-compulsive disorder, social phobia, and panic, although survey items apparently addressed the entire category of neurotic disorders. The specific “cultural term” used for these inquiries is not clear from the report, and much may have been lost in translation. However, the findings are not surprising, and similar results would likely be obtained elsewhere, including in the United States. Epidemiologic surveys have indicated a low prevalence for most of these disorders in China.

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