May 2026

VOlUME 05 ISSUE 05 May 2026
A Cross-Cultural Perspective on Depression and A Comparison of Treatment Approaches
1Dr Şebnem Deniz ONAT, 2İsmail Birol
1St. Clements University/Department of Psychology Lecturer/UK
ORCID ID: 0009-0001-3083-7886
2St. Clements University/Department of Psychology Master’s Student/UK,
ORCID ID: 0009-0005-9540-8440
DOI : https://doi.org/10.58806/ijsshmr.2026.v5i5n17

Google Scholar Download Pdf
ABSTRACT

Depression is recognised as one of the oldest known psychiatric disorders. It is known that in non-Western societies, this disorder is predominantly expressed through physical symptoms and that suicide rates are lower compared to Western societies. Conversely, it is stated that in Western societies, feelings of guilt more frequently accompany depression, and that this phenomenon is explained by the influences of the Judeo-Christian tradition. For example, the belief that the individual is inherently sinful features among these explanations. In many cultures, it is observed that the behaviour of seeking help is shaped through physical complaints. The application of Western psychiatric diagnostic and treatment methods without flexibility can lead to underlying psychosocial problems being overlooked in societies where physical expressions are predominant. For this reason, taking cultural sensitivity into account in the assessment of depression is regarded as a fundamental necessity.

KEYWORDS:

Depression, Culture, Somatisation.

REFERENCES


1) Aydın, M. (2021). A developmental approach to borderline personality disorder in the Masterson approach.

2) Almeida-Filho, N., Lessa, I., & Magalhaes, L. (2004). Social inequality and depressive disorders in Bahia, Brazil: Interactions of gender, ethnicity, and social class. Social Science & Medicine, 59, 1339–1353.

3) Aslan, F. (2018). The place of the Turkish family structure within Turkish culture (Master’s thesis, Niğde Ömer Halisdemir University, Institute of Social Sciences).

4) Bagley, C. (1973). Occupational class and symptoms of depression. Social Science & Medicine, 7, 327–340.

5) Bebbington, P. (1978). The epidemiology of depressive disorder. Culture, Medicine and Psychiatry, 2(4), 297–341.

6) Belek, İ. (1999). Social class, education, income and neighbourhood: Which is the most important determinant of health? Journal of Sociological Research, 2(1–2), 49–74.

7) Cimilli, C. (2001). Social and cultural factors in depression. Mood Disorders Series, 4, 157–168.

8) Çelik, C. (2010). The Turkish family structure in a process of change and the paradigmatic differentiation of the meaning and function of religion. Black Sea International Scientific Journal, 8, 25–35.

9) Doğan, İ. (2001). The Ottoman family: A sociological approach. Yeni Türkiye Publications.

10) Durkheim, E. (2010). The Elementary Forms of Religious Life (trans. Ö. Ozankaya). Cem Publishing House.

11) Giddens, A. (2000). Sociology (trans. C. Güzel). Ayraç Publications.

12) Göle, N. (2008). Intertwined Paths: Islam and Europe. Metis Publications.

13) Güleç, C. (1981). A study investigating the prevalence of affective disorders and the impact of healthcare organisation on attitudes towards this issue (Unpublished associate professorship thesis, Hacettepe University).

14) Hirschfeld, R. M. (2001). The comorbidity of major depression and anxiety disorders: Recognition and management in primary care. Primary Care Companion to The Journal of Clinical Psychiatry, 3, 244–254. https://doi.org/10.4088/pcc.v03n0609

15) Husain, N., Gater, R., Tomenson, B., & Creed, F. (2004). Social factors associated with chronic depression among women in rural Pakistan. Social Psychiatry and Psychiatric Epidemiology, 39, 618–624.

16) Ialongo, N., McCreary, B. K., & Pearson, J. L. (2004). Major depressive disorder in urban African-American young adults. Journal of Affective Disorders, 79, 127–136.

17) Islam, M. M., Ali, M., Ferroni, P., et al. (2003). Prevalence of psychiatric disorders in an urban community in Bangladesh. General Hospital Psychiatry, 25, 353–357.

18) Kaygalak, S. (2001). New urban poverty, migration and the spatial concentration of poverty: The case of Mersin/Demirtaş neighbourhood. Praksis, 2, 124–172.

19) Kaya, B. (2004). Reflections on mental health in a globalising Turkey: Crossing the sea of fear. Özgür University Forum, 26–27, 110–138.

20) Kleinman, A. (1988). Rethinking psychiatry. Free Press.

21) Kleinman, A., & Good, B. (1985). Culture and depression. In A. Kleinman & B. Good (Eds.), Culture and depression (pp. 299–324). University of California Press.

22) Lorant, V., Kampfl, D., Seghers, A., et al. (2003). Socio-economic differences in psychiatric inpatient care. Acta Psychiatrica Scandinavica, 107, 170–177.

23) Marsella, A. J., Sartorius, N., Jablensky, A., & Fenton, F. R. (1985). Cross-cultural studies of depressive disorders: An overview. In A. Kleinman & B. Good (Eds.), Culture and depression (pp. 299–324). University of California Press.

24) Mumford, D. B., Minhas, F. A., Akhtar, S., et al. (2000). Stress and psychiatric disorder in urban Rawalpindi. British Journal of Psychiatry, 177, 557–562.

25) Murphy, H. B. M., Wittkower, E., & Chance, N. (1967). Cross-cultural inquiry into the symptomatology of depression. International Journal of Psychiatry, 3, 6–15.

26) Nicholson, A., Pikhart, H., Pajak, A., et al. (2007). Socio-economic status over the life course and depressive symptoms in Eastern Europe. Journal of Affective Disorders.

27) Önen, F. R., Kaptanoğlu, C., & Seber, G. (1994). The prevalence of depression in women and its association with risk factors. Kriz Journal, 3(1–2), 88–103.

28) Patel, V., & Kleinman, A. (2003). Poverty and common mental disorders in developing countries. Bulletin of the World Health Organization, 81, 609–615.

29) Ritscher, J. E. B., Warner, V., Johnson, J. G., et al. (2001). An intergenerational longitudinal study of social class and depression. British Journal of Psychiatry, 178(Suppl 1), 84–90.

30) Sayın, Ö. (1990). Sociology of the family: The family’s place in society. Ege University Press.

31) Tezcan, M. (1991). Cultural anthropology. Publications of the Ministry of Culture of the Republic of Turkey.

32) Türkçapar, H. (2004). Diagnostic relationships between anxiety disorders and depression. Clinical Psychiatry, 4, 12–16.

33) UNESCO. (1982). Mexico City Declaration on Cultural Policies.

34) Wakefield, J. C., Lorenzo-Luaces, L., & Lee, J. J. (2007). Taking people as they are: Evolutionary psychopathology, uncomplicated depression, and the distinction between normal and disordered sadness. Springer.

35) Wohlfarth, T. (1997). Socioeconomic inequality and psychopathology. Social Science & Medicine, 45, 399–410.

36) Yetkin, S., & Özgen, F. (2007). Depression from a historical perspective. Türkiye Klinikleri Journal of Internal Medicine, 3(47), 1–5.


Cite this Article:ONAT, D. S. D., & Birol, I. (2026). A Cross-Cultural Perspective on Depression and A Comparison of Treatment Approaches. INTERNATIONAL JOURNAL OF SOCIAL SCIENCE HUMANITY & MANAGEMENT RESEARCHS, 5(5), 1073-1081. https://doi.org/10.58806/ijsshmr.2026.v5i5n17

VOlUME 05 ISSUE 05 May 2026

Indexed In