The content analysis of the selected articles was made using a script based on the proposed review of culture bound syndromes by Guarnaccia and Rogler (16): a) description of the characteristics of culture bound syndromes based on ethnographic and epidemiological data; b) socio-demographic characterization of those affected by culture bound syndromes; c) identification of comorbidities among individuals affected by culture bound syndromes and other psychiatric disorders.
This can be connected to the concept of PTSD itself-which could be still flawed or incomplete, or because the pattern of symptoms/behaviors triggered by stress are culturally mediated and PTSD was not originally described in cultures linked to the culture bound syndromes Susto, Nervios and Ataques de Nervios.
This review of epidemiological studies of low and medium income countries showed that low education, hunger, housing and financial problems, and socioeconomic status were related to higher rates of common mental diseases, defined as depression, anxiety and somatoform disorders, whose symptoms overlap with those presented by the culture bound syndromes Susto, Nervios and Ataques de Nervios.
At the same time, woman in general are already linked to a higher incidence of diagnoses of depressive, anxiety and somatoform disorders, whose symptoms, as mentioned before, overlap with those from the culture bound syndromes studied.
Moreover, according to Guarnaccia and Rogler (16), culture bound syndromes should be described in relation to the cultures where they have originally arisen.
This difference could indicate limitations in the use of MeSH terms to easily access articles, probably because of difficulties in the classification of these types of articles and lack of specific descriptors on the subject of culture bound syndromes.