A cross-cultural adaptation of a psychiatric epidemiologic instrument: The diagnostic interview schedule's adaptation in Puerto Rico

The advent of the use of structured interview schedules that generate psychiatric diagnoses in epidemiologic studies has promoted an intense interest in its cross-cultural use. However, the valid use of these instruments across cultures requires a careful adaptation process which goes beyond mere language translation. In this article the authors illustrate the application of a comprehensive cross-cultural adaptation model to both the translation into Spanish and the adaptation to the population of Puerto Rico of a widely used psychiatric epidemiologic research instrument: the Diagnostic Interview Schedule (DIS). The process aimed to ensure the development of a research instrument that is not only in correct Spanish and comprehensible for most Spanish-speaking people, but also culturally adapted to Puerto Rico's population. Various steps were taken (including bilingual committee, back-translation, instrument testing and diagnostic comparisons) to address cross-cultural validity in five important dimensions (i.e., semantic, technical, content, criterion and conceptual equivalence). The result is an interview schedule that is not only linguistically and culturally adequate for the targeted population but also includes elements which can contribute to the development of the instrument both in its original English language and in its translated versions.     

ADHD-Type Behavior and Harmful Dysfunction in Childhood: A Cross-Cultural Model

Cross-cultural studies of psychiatric phenomena allow testing of assumptions of biological consistency and improved understanding of how disorders are culturally formulated. We used a comparative approach to test for population variation in degrees of harmful academic and social dysfunction associated with children's display of behaviors considered symptomatic of Attention Deficit Hyperactivity Disorder (ADHD). Teacher ratings on psychometric scales described behavior and functioning in population-representative samples of Colombian and United States schoolchildren. Mean levels of the behaviors were similar across populations, including a constant gender difference. A multiple regression model showed remarkably consistent relationships of hyperactivity and inattention to harmful dysfunction across populations and genders. Increasing inattention was associated with increasing harmful dysfunction. Increased hyperactivity was associated with improved functioning to a uniform threshold, beyond which more hyperactivity was associated with greater harmful dysfunction. Patterns of relationships between ADHD-associated behaviors and their consequences may prove useful as a basis for cross-cultural investigation of ADHD. The idea of ADHD as psychiatric disease concept or construct with some cross-cultural (external) validity is supported by these data, [cross-cultural psychology, ADHD (Attention deficit hyperactivity disorder), child behavioral disorders, Colombia]     

Cross-Cultural Agreement in Facial Attractiveness Preferences: The Role of Ethnicity and Gender

Previous work showed high agreement in facial attractiveness preferences within and across cultures. The aims of the current study were twofold. First, we tested cross-cultural agreement in the attractiveness judgements of White Scottish and Black South African students for own- and other-ethnicity faces. Results showed significant agreement between White Scottish and Black South African observers'' attractiveness judgements, providing further evidence of strong cross-cultural agreement in facial attractiveness preferences. Second, we tested whether cross-cultural agreement is influenced by the ethnicity and/or the gender of the target group. White Scottish and Black South African observers showed significantly higher agreement for Scottish than for African faces, presumably because both groups are familiar with White European facial features, but the Scottish group are less familiar with Black African facial features. Further work investigating this discordance in cross-cultural attractiveness preferences for African faces show that Black South African observers rely more heavily on colour cues when judging African female faces for attractiveness, while White Scottish observers rely more heavily on shape cues. Results also show higher cross-cultural agreement for female, compared to male faces, albeit not significantly higher. The findings shed new light on the factors that influence cross-cultural agreement in attractiveness preferences.     

Sexual dimorphism in stature and women's work: a phylogenetic cross-cultural analysis.

The following cultural variables were tested for their association with sexual dimorphism: sexual division of labor, type of subsistence (hunting and agriculture), and polygyny. The transmission of these traits among populations was investigated. All the traits were found to be associated with phylogeny, indicating that they are inherited from mother to daughter populations. A cross-cultural comparative method was used which controls for the statistical effects of similarity due to common ancestry (Galton's problem). Cross-cultural variation in sexual dimorphism in stature is negatively associated with women's contribution to subsistence. Women are taller, relative to men, in societies where women contribute more to food production. This may be because female nutritional status is better in these societies. No relationship was found between sexual dimorphism and other aspects of subsistence or polygyny. These results are discussed in relation to other studies of sexual dimorphism in modern and archaeological populations, and in relation to cross-cultural variation in sex-biased parental investment.     

“Heroes” and “Villains” of World History across Cultures

Emergent properties of global political culture were examined using data from the World History Survey (WHS) involving 6,902 university students in 37 countries evaluating 40 figures from world history. Multidimensional scaling and factor analysis techniques found only limited forms of universality in evaluations across Western, Catholic/Orthodox, Muslim, and Asian country clusters. The highest consensus across cultures involved scientific innovators, with Einstein having the most positive evaluation overall. Peaceful humanitarians like Mother Theresa and Gandhi followed. There was much less cross-cultural consistency in the evaluation of negative figures, led by Hitler, Osama bin Laden, and Saddam Hussein. After more traditional empirical methods (e.g., factor analysis) failed to identify meaningful cross-cultural patterns, Latent Profile Analysis (LPA) was used to identify four global representational profiles: Secular and Religious Idealists were overwhelmingly prevalent in Christian countries, and Political Realists were common in Muslim and Asian countries. We discuss possible consequences and interpretations of these different representational profiles.     

Cross-cultural estimation of the human generation interval for use in genetics-based population divergence studies

The length of the human generation interval is a key parameter when using genetics to date population divergence events. However, no consensus exists regarding the generation interval length, and a wide variety of interval lengths have been used in recent studies. This makes comparison between studies difficult, and questions the accuracy of divergence date estimations. Recent genealogy-based research suggests that the male generation interval is substantially longer than the female interval, and that both are greater than the values commonly used in genetics studies. This study evaluates each of these hypotheses in a broader cross-cultural context, using data from both nation states and recent hunter-gatherer societies. Both hypotheses are supported by this study; therefore, revised estimates of male, female, and overall human generation interval lengths are proposed. The nearly universal, cross-cultural nature of the evidence justifies using these proposed estimates in Y-chromosomal, mitochondrial, and autosomal DNA-based population divergence studies.     

Cross-cultural patterns in dynamic ratings of positive and negative natural emotional behaviour

Background

Studies of cross-cultural variations in the perception of emotion have typically compared rates of recognition of static posed stimulus photographs. That research has provided evidence for universality in the recognition of a range of emotions but also for some systematic cross-cultural variation in the interpretation of emotional expression. However, questions remain about how widely such findings can be generalised to real life emotional situations. The present study provides the first evidence that the previously reported interplay between universal and cultural influences extends to ratings of natural, dynamic emotional stimuli.

Methodology/Principal Findings

Participants from Northern Ireland, Serbia, Guatemala and Peru used a computer based tool to continuously rate the strength of positive and negative emotion being displayed in twelve short video sequences by people from the United Kingdom engaged in emotional conversations. Generalized additive mixed models were developed to assess the differences in perception of emotion between countries and sexes. Our results indicate that the temporal pattern of ratings is similar across cultures for a range of emotions and social contexts. However, there are systematic differences in intensity ratings between the countries, with participants from Northern Ireland making the most extreme ratings in the majority of the clips.

Conclusions/Significance

The results indicate that there is strong agreement across cultures in the valence and patterns of ratings of natural emotional situations but that participants from different cultures show systematic variation in the intensity with which they rate emotion. Results are discussed in terms of both ‘in-group advantage’ and ‘display rules’ approaches. This study indicates that examples of natural spontaneous emotional behaviour can be used to study cross-cultural variations in the perception of emotion.     

Exotic botanicals in the Kallawaya pharmacopoeia

Recently, the geographic origin of plant species comprising indigenous Amazonian pharmacopoeias has been addressed. However, the origins of plant species in Andean pharmacopoeias have not. To fill this gap, we reviewed the pharmacopoeia of the Kallawaya herbalists of Bolivia for exotic plant species. The Kallawaya are the most renowned herbalists of South America and travel extensively throughout the Andes to collect medicinal plant species. Approximately 30% of the Kallawaya pharmacopoeia is comprised of exotic plant species. Many of these species are used in a variety of contexts (e.g., food, hygiene, beverages, ornamentals, timber, dyes, aromatics, hallucinogens) in addition to medicinal. This case study demonstrates the evolution of indigenous pharmacopoeias as a result of cross-cultural plant transfer.     

Guidelines for Teaching Cross-Cultural Clinical Ethics: Critiquing Ideology and Confronting Power in the Service of a Principles-Based Pedagogy

This paper presents a pedagogical framework for teaching cross-cultural clinical ethics. The approach, offered at the intersection of anthropology and bioethics, is innovative in that it takes on the “social sciences versus bioethics” debate that has been ongoing in North America for three decades. The argument is made that this debate is flawed on both sides and, moreover, that the application of cross-cultural thinking to clinical ethics requires using the tools of the social sciences (such as the critique of the universality of the Euro-American construct of “autonomy”) within (rather than in opposition to) a principles-based framework for clinical ethics. This paper introduces the curriculum and provides guidelines for how to teach cross-cultural clinical ethics. The learning points that are introduced emphasize culture in its relation to power and underscore the importance of viewing both biomedicine and bioethics as culturally constructed.     

The Origins and Maintenance of Female Genital Modification across Africa

We present formal evolutionary models for the origins and persistence of the practice of Female Genital Modification (FGMo). We then test the implications of these models using normative cross-cultural data on FGMo in Africa and Bayesian phylogenetic methods that explicitly model adaptive evolution. Empirical evidence provides some support for the findings of our evolutionary models that the de novo origins of the FGMo practice should be associated with social stratification, and that social stratification should place selective pressures on the adoption of FGMo; these results, however, are tempered by the finding that FGMo has arisen in many cultures that have no social stratification, and that forces operating orthogonally to stratification appear to play a more important role in the cross-cultural distribution of FGMo. To explain these cases, one must consider cultural evolutionary explanations in conjunction with behavioral ecological ones. We conclude with a discussion of the implications of our study for policies designed to end the practice of FGMo.     

The challenges of cross-cultural healthcare--diversity,ethics, and the medical encounter

Difficulties in the provider-patient relationship arise from many sources, and pose various challenges to the integrity of the medical encounter. When these issues are especially sensitive or important to the patient's health and well-being, a complete breakdown in the therapeutic relationship may result. The goal of the emerging field of cross-cultural healthcare is to improve providers' ability to understand, communicate with, and care for patients from diverse backgrounds. We should weave the concepts of cross-cultural care into the ethics of caring if we truly hope to have a positive impact on the health status of diverse patient populations.     

Data analysis strategies for reducing the influence of the bias in cross-cultural research

In cross-cultural research, researchers have to adjust the constructs and associated measurement instruments that have been developed in one culture and then imported for use in another culture. Importing concepts from other cultures is often simply reduced to language adjustment of the content in the items of the measurement instruments that define a certain (psychological) construct. In the context of cross-cultural research, test bias can be defined as a generic term for all nuisance factors that threaten the validity of cross-cultural comparisons. Bias can be an indicator that instrument scores based on the same items measure different traits and characteristics across different cultural groups. To reduce construct, method and item bias,the researcher can consider these strategies: (1) simply comparing average results in certain measuring instruments; (2) comparing only the reliability of certain dimensions of the measurement instruments, applied to the "target" and "source" samples of participants, i.e. from different cultures; (3) comparing the "framed" factor structure (fixed number of factors) of the measurement instruments, applied to the samples from the "target" and "source" cultures, using explorative factor analysis strategy on separate samples; (4) comparing the complete constructs ("unframed" factor analysis, i.e. unlimited number of factors) in relation to their best psychometric properties and the possibility of interpreting (best suited to certain cultures, applying explorative strategy of factor analysis); or (5) checking the similarity of the constructs in the samples from different cultures (using structural equation modeling approach). Each approach has its advantages and disadvantages. The advantages and lacks of each approach are discussed.     

Do you see what I mean? Corticospinal excitability during observation of culture-specific gestures

People all over the world use their hands to communicate expressively. Autonomous gestures, also known as emblems, are highly social in nature, and convey conventionalized meaning without accompanying speech. To study the neural bases of cross-cultural social communication, we used single pulse transcranial magnetic stimulation (TMS) to measure corticospinal excitability (CSE) during observation of culture-specific emblems. Foreign Nicaraguan and familiar American emblems as well as meaningless control gestures were performed by both a Euro-American and a Nicaraguan actor. Euro-American participants demonstrated higher CSE during observation of the American compared to the Nicaraguan actor. This motor resonance phenomenon may reflect ethnic and cultural ingroup familiarity effects. However, participants also demonstrated a nearly significant (p = 0.053) actor by emblem interaction whereby both Nicaraguan and American emblems performed by the American actor elicited similar CSE, whereas Nicaraguan emblems performed by the Nicaraguan actor yielded higher CSE than American emblems. The latter result cannot be interpreted simply as an effect of ethnic ingroup familiarity. Thus, a likely explanation of these findings is that motor resonance is modulated by interacting biological and cultural factors.     

Reconstructing the history of marriage strategies in Indo-European-speaking societies: monogamy and polygyny

Explanations for the emergence of monogamous marriage have focused on the cross-cultural distribution of marriage strategies, thus failing to account for their history. In this paper I reconstruct the pattern of change in marriage strategies in the history of societies speaking Indo-European languages, using cross-cultural data in the systematic and explicitly historical framework afforded by the phylogenetic comparative approach. The analysis provides evidence in support of Proto-Indo-European monogamy, and that this pattern may have extended back to Proto-Indo-Hittite. These reconstructions push the origin of monogamous marriage into prehistory, well beyond the earliest instances documented in the historical record; this, in turn, challenges notions that the cross-cultural distribution of monogamous marriage reflects features of social organization typically associated with Eurasian societies, and with "societal complexity" and "modernization" more generally. I discuss implications of these findings in the context of the archaeological and genetic evidence on prehistoric social organization.     

Ethnography of Africa: The Usefulness of the Useless

The complex epistemological and methodological problems of data-quality control or ethnographer bias in anthropological research as they relate to the use of the native languages and/or the use of native-interpreter informants are critically reexamined. Summarizing the 1939–1940 Mead-Lowie debate, the paper suggests, on the basis of a close review of selected classic ethnographies of Africa, various ways by which the quality of comparative cross-cultural data could be meaningfully improved . [methodology of cross-cultural research, epistemological issues in anthropology, use of native languages in fieldwork, ethnography of Africa, history of anthropology]     

Population variation in children's behavioral symptomatology

Previous anthropological studies identified significant interpopulation consistencies in the frequency and symptoms of adult depression, anxiety, and schizophrenia. Tests of the degree of variation of such behavioral phenomena across contemporary populations are significant for the study of human evolution because universality or near universality suggests specific evolved aspects of human behavior. The aim of this research was to provide a preliminary test of whether cross-cultural consistencies in symptomatology associated with some psychiatric conditions are observable in children as they are in adults. We tested for interpopulation variation in degrees (intensity and frequency) of anxiety, depression, withdrawal, and somatization symptomatology in normal samples of children. Psychometric ratings scales allowed assessment of characteristic symptomatology of each child in the different contexts of home and school. The study populations comprised 1,208 6-11-year-old children from the Paisa community in Antioquia, Colombia, and African-American, Euro-American, and Hispanic children in the United States. We found interpopulation consistencies in some aspects of child behavioral symptomatology, especially depression and withdrawal. Mean degrees of symptomatology and percentages of children with clinically significant levels of symptomatology were consistent for both across populations, in home and school contexts, and for both girls and boys. Anxiety and somatization displayed more cross-cultural variability in expression. These patterns are in accordance with current understandings of cross-cultural variability and universals of adult psychiatric symptomatology.     

Experiencing of Music as the Basis of the Effectiveness of Music Therapy

In transposing the discussion of L.S. Vygotsky’s ideas to the cross-cultural area of science, the authors summarize the contexts and positions regarding the contribution of the Russian psychological school to the substantiation of musical therapeutic theory and practice. The analysis by Dr. Mastnak of European and American academic periodicals in psychology and music therapy showed that Western science does not have access to all of the content and achievements of Russian and Russian-language psychology. Reading Vygotsky’s works from a musical therapeutic perspective and, in addition, in a cross-cultural interpretation, the authors discuss the abundance of the psychological scientist’s methodological ideas that could provide a theoretical substantiation of effective music therapy.     

Human size evolution: no evolutionary allometric relationship between male and female stature

In many animal groups, sexual size dimorphism tends to be more pronounced in species with large body size. Similarly, in a previous cross-cultural analysis, male and female stature in humans were shown to be positively allometrically related, indicating a similar relationship where populations with larger stature were more dimorphic. In this study, we re-examine the hypothesis of an allometric relationship between the sexes using phylogenetic methodology. First, however, we tested whether there exist phylogenetic signals in male and female stature. Data on mean stature from 124 human populations was gathered from the literature. A phylogenetic test showed that male and female stature were significantly associated with phylogeny. These results indicate that comparative methods that to some degree incorporate genetic relatedness between populations are crucial when analyzing human size evolution in a cross-cultural context. Further, neither non-phylogenetic nor phylogenetic analyses revealed any allometric relationship between male and female stature. Thus, we found no support for the idea that sexual dimorphism increases with increasing stature in humans.     

Design and analysis issues in the cross-cultural evaluation of psychotherapies

Psychotherapies and cultures cannot be made experimentally independent because important input, process, and outcome variables essentially involve participants' meanings, emics, which are not naturally invariant across cultures. Factor analysis can be helpful in describing the analogues of a specific psychotherapy in several cultures once relevant emic variables have been developed for each culture. The special problems of cross-cultural research complicate the usual problems of psychotherapy research, those of defining outcome and specific therapies and of measuring the response function of outcome to the various amounts of the therapy. However, the special problems of cross-cultural research, of meaning variation, also exist in intracultural psychotherapy research, though they have received little notice.     

Sex ratio at birth and mortality rates are negatively related in humans

Evolutionary theory posits that resource availability and parental investment ability could signal offspring sex selection, in order to maximize reproductive returns. Non-human studies have provided evidence for this phenomenon, and maternal condition around the time of conception has been identified as most important factor that influence offspring sex selection. However, studies on humans have reported inconsistent results, mostly due to use of disparate measures as indicators of maternal condition. In the present study, the cross-cultural differences in human natal sex ratio were analyzed with respect to indirect measures of condition namely, life expectancy and mortality rate. Multiple regression modeling suggested that mortality rates have distinct predictive power independent of cross-cultural differences in fertility, wealth and latitude that were earlier shown to predict sex ratio at birth. These findings suggest that sex ratio variation in humans may relate to differences in parental and environmental conditions.