Patients in the Harvard study rarely described their feelings as sadness, as it is generally viewed as shameful, a sign of weakness in character.ref The culturally stoic Chinese, as a result, are more willing to accept physical ailments, such as heart pain or sleeplessness, than emotional problems.ref[[Neurasthenia]], “lack of nerve strength,” became the preferred diagnosis for mental problems once it was introduced to China in the early 1900s. Translation of neurasthenia to Chinese, shenjing shuairuo, describes a weakness in the flow of vital energy ([[qi]]) throughout the body.ref This gave an appeal of physical disease, with physical symptoms of fatigue, nonspecific aches and pains on the body, dizziness, upset stomach, appetite loss, poor memory, and insomnia.refrefref It was not until the pragmatic era of [[Deng Xiaoping]] that politics allowed “the between public and private space to reemerge,” ref thus relaxing the social acceptability to admit to feelings and leading to the study and treatment of emotional disorder. By the 1980s the shenjing shuairuo labeling was removed and the Western label of “depression” used.ref=== In Regards to the Elderly ===
Chinese culture holds great importance on caring for the elderly.ref Physical, financial, and emotional care are traditionally provided by the children as a way to show honor, believed to come from [[Confucianism]].ref At the same time, elders’ expectations lie heavily on contributing to their community with their advice and service than receiving it themselves—also called renqing. ref For elderly who adhere to tradition, old-aged life’s purpose and one’s self-worth is measured by the positive impact one has on their family.ref
Regarding Chinese culture and the financial care of elderly, of a sample of Mainland Chinese-Canadian immigrants, 23.2% were assessed to have depressive symptoms, and among that depressed group, 17.3% were considered to have an unstable financial status ref—study done for the [http://www.cmj.org Chinese Medical Journal.]
Overall it can be said that the number of women sampled in many of the studies, compared to men, was significantly greater. This may be caused by the socialization in Chinese societies—that men are to suppress emotions and that any need for help with emotional matters is viewed as a sign of weakness.ref A study funded by the [http://english.nhri.org.tw National Health Research Institute of Taiwan] found a high prevalence of depression in [[Taiwan]]ese elderly, contradictory to many studies held previously in Asia and “comparable to rates reported in some studies of UK samples.” ref Furthermore, the study found lowly educated widows in urban communities were higher risk for depressive disorders.