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distress through physical symptoms that cannot be attributed to medical illnesses1,2, is a core symptom of somatoform disorders3 and presents a significant problem to clinicians4,5. Prevalence rates range from 0.03%6 to 19.7%7. Immigrants, especially from less industrialized countries, are often assumed to express distress more through somatization, people from “Western” countries through psychological symptoms8-10. Such differences could seriously complicate Western health care for immigrants that usually focus on either physical or psychological health11. Moreover, medically unexplained somatic symptoms are often resistant to medical treatment, and somatizing clients’ attitude towards psychosocial treatment can result in unfavourable therapy outcome12-14.

Somatization and psychological awareness of ethnic minority clients in Western-European mental health care: A pilot study