ders. In medical clinics in China, however, up to 45% of patients with shenjing shuairuo  do
not meet criteria for any DSM-IV disorder.
Related conditions in ot her cultural contexts:  Neurasthenia-spectrum idioms and
syndromes are present in India ( ashaktapanna ) and Japan ( shinkei-suijaku ), among other set-
tings. Other conditions, such as brain fag syndrome, burnout syndrome, and chronic fa-
tigue syndrome, are also closely related.
Related conditions in DSM-5:  Major depressive disorder, persistent depressive disor-
der (dysthymia), generalized anxiety disorder, somatic symp tom disorder, social anxiety
disorder, specific phobia, po sttraumatic stress disorder.
Susto
Susto  (“fright”) is a cultural explanation fo r distress and misfortune prevalent among
some Latinos in the United States and amon g people in Mexico, Central America, and
South America. It is no t recognized as an illness catego ry among Latinos from the Carib-
bean. Susto  is an illness attributed to a frightenin g event that causes the soul to leave the
body and results in unhappiness and sickness, as well as difficulties functioning in key
social roles. Symptoms may appear any time from days to years after the fright is experi-
enced. In extreme cases, susto  may result in death. There are no specific defining symp-
toms for susto; however, symptoms that are often reported by people with susto  include
appetite disturbances, inadequa te or excessive sleep, troubled sleep or dreams, feelings of
sadness, low self-worth or dirtiness, interperso nal sensitivity, and lack of motivation to do