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Culture and assessment of manic symptoms^*

Department of Psychiatry, University of Psychiatry, University of Newcastle upon Tyne, UK

STEVEN D. TARGUM, MD

PharmaStar, Wayne, Pennsylvania, USA

AMIR KALALI, MD

University of California, Irvine, USA

DROR ROM, PhD

PharmaStar, Wayne, Pennsylvania, USA

ALLAN H. YOUNG, MB ChB, MPhil, PhD, FRCPsych

Department of Psychiatry, University of Newcastle upon Tyne, UK

Correspondence: Dr Paul Mackin, School of Neurology, Neurobiology and Psychiatry, University of Newcastle upon Tyne, Royal Victoria Infirmary, Queen Victoria Road, Newcastle upon Tyne NE1 4LP, UK. Tel: +44 (0)191 282 4382; fax: fax: +44 (0)191 282 0485; email: paul.mackin{at}ncl.ac.uk

Declaration of interest S.T. and D.R. are employees of PharmaStar.

^* Presented at the 157th Annual Meeting of the American Psychiatric Association, New York, 5 May 2004.

Cultural background may influence the perception of psychiatric symptoms. We examined the effects of cultural biases on the identification of manic symptoms using the Young Mania Rating Scale. Two video interviews, each with an American person with mania, were shown to psychiatrists from three countries (US, UK and India). Total scores on the scale differed significantly between the US and UK (P<0.001) and between India and UK (P<0.001) rater groups. Overall, differences between India and US rater groups were less marked (P=0.28). These differences suggest that cultural biases influence the interpretation of manic symptoms.

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