Dhat Syndrome: Epidemiology, Risk Factors, Comorbidities, Diagnosis, Treatment, and Management

Dhat syndrome is a culture-bound psychiatric syndrome most commonly found in the Indian subcontinent. It has been characterized as the experiential fear of losing semen through ejaculation, nocturnal emission, or other means. While Dhat syndrome is common in the Indian subcontinent, given the lack o...

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Main Authors: Yukino N. Strong, Angel Li, Michael E. White, Abrahim N. Razzak, Danyon J. Anderson, Alan D. Kaye, Edwin W. Herron, Nazih P. Khater, Elyse M. Cornett, Ivan Urits
Format: Article
Language:English
Published: Open Medical Publishing 2022-10-01
Series:Health Psychology Research
Online Access:https://doi.org/10.52965/001c.38759
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author Yukino N. Strong
Angel Li
Michael E. White
Abrahim N. Razzak
Danyon J. Anderson
Alan D. Kaye
Edwin W. Herron
Nazih P. Khater
Elyse M. Cornett
Ivan Urits
author_facet Yukino N. Strong
Angel Li
Michael E. White
Abrahim N. Razzak
Danyon J. Anderson
Alan D. Kaye
Edwin W. Herron
Nazih P. Khater
Elyse M. Cornett
Ivan Urits
author_sort Yukino N. Strong
collection DOAJ
description Dhat syndrome is a culture-bound psychiatric syndrome most commonly found in the Indian subcontinent. It has been characterized as the experiential fear of losing semen through ejaculation, nocturnal emission, or other means. While Dhat syndrome is common in the Indian subcontinent, given the lack of representativeness, generalizability, and closer connection to Ayurvedic system, there have been limited studies or recognition of symptoms among healthcare providers around the world. In this review, we describe Dhat syndrome, its epidemiology, risk factors, comorbidities, diagnosis, treatment, and its management. For patients with Dhat syndrome, it becomes important to appreciate how generalized depression and anxiety may persist alongside the disorder and those symptoms can be common and non-specific. Related to its strong cultural connection with South Asia such as the belief on Dhat’s role in health and vitality influence, it also becomes important to recognize that the syndrome can be found in other populations and the importance of cultural humility and nonconfrontational approach for patient care. In summary, this review provides an informative understanding of Dhat syndrome for non-Indian clinicians who may not be prepared for a patient encounter with vague somatic symptoms in the context of semen loss. Treatment for Dhat syndrome is the same as treatments for major depressive disorder.
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spelling doaj-art-8dcd2107ceb04f838147027b4eef46852025-02-11T20:30:36ZengOpen Medical PublishingHealth Psychology Research2420-81242022-10-01104Dhat Syndrome: Epidemiology, Risk Factors, Comorbidities, Diagnosis, Treatment, and ManagementYukino N. StrongAngel LiMichael E. WhiteAbrahim N. RazzakDanyon J. AndersonAlan D. KayeEdwin W. HerronNazih P. KhaterElyse M. CornettIvan UritsDhat syndrome is a culture-bound psychiatric syndrome most commonly found in the Indian subcontinent. It has been characterized as the experiential fear of losing semen through ejaculation, nocturnal emission, or other means. While Dhat syndrome is common in the Indian subcontinent, given the lack of representativeness, generalizability, and closer connection to Ayurvedic system, there have been limited studies or recognition of symptoms among healthcare providers around the world. In this review, we describe Dhat syndrome, its epidemiology, risk factors, comorbidities, diagnosis, treatment, and its management. For patients with Dhat syndrome, it becomes important to appreciate how generalized depression and anxiety may persist alongside the disorder and those symptoms can be common and non-specific. Related to its strong cultural connection with South Asia such as the belief on Dhat’s role in health and vitality influence, it also becomes important to recognize that the syndrome can be found in other populations and the importance of cultural humility and nonconfrontational approach for patient care. In summary, this review provides an informative understanding of Dhat syndrome for non-Indian clinicians who may not be prepared for a patient encounter with vague somatic symptoms in the context of semen loss. Treatment for Dhat syndrome is the same as treatments for major depressive disorder.https://doi.org/10.52965/001c.38759
spellingShingle Yukino N. Strong
Angel Li
Michael E. White
Abrahim N. Razzak
Danyon J. Anderson
Alan D. Kaye
Edwin W. Herron
Nazih P. Khater
Elyse M. Cornett
Ivan Urits
Dhat Syndrome: Epidemiology, Risk Factors, Comorbidities, Diagnosis, Treatment, and Management
Health Psychology Research
title Dhat Syndrome: Epidemiology, Risk Factors, Comorbidities, Diagnosis, Treatment, and Management
title_full Dhat Syndrome: Epidemiology, Risk Factors, Comorbidities, Diagnosis, Treatment, and Management
title_fullStr Dhat Syndrome: Epidemiology, Risk Factors, Comorbidities, Diagnosis, Treatment, and Management
title_full_unstemmed Dhat Syndrome: Epidemiology, Risk Factors, Comorbidities, Diagnosis, Treatment, and Management
title_short Dhat Syndrome: Epidemiology, Risk Factors, Comorbidities, Diagnosis, Treatment, and Management
title_sort dhat syndrome epidemiology risk factors comorbidities diagnosis treatment and management
url https://doi.org/10.52965/001c.38759
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