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Transcultural Psychiatry

Meekyung Han, Sadhna Diwan, Karen Sun
Family caregivers (FCs) of people with mental illness (PMI) experience caregiving-related distress. These challenges tend to be greater for Asian American families due to acculturative stress and structural barriers to services. However, little is known about caregiving-related experiences among FCs of PMI within a cultural context. By using an exploratory approach, we examined the experience of caregiver distress and the influence of cultural values on caregiving in European American and Chinese American FCs...
February 13, 2019: Transcultural Psychiatry
Mehmet Eskin, Senel Poyrazli, Mohsen Janghorbani, Seifollah Bakhshi, Mauro Giovanni Carta, Maria Francesca Moro, Ulrich S Tran, Martin Voracek, Anwar Mechri, Khouala Aidoudi, Motasem Hamdan, Hani Nawafleh, Jian-Min Sun, Chris Flood, Louise Phillips, Kouichi Yoshimasu, Kanami Tsuno, Omar Kujan, Hacer Harlak, Yousef Khader, Amira Shaheen, Shahama Taifour
The purpose of this study was to determine the associations between religion, suicidal behavior, attitudes and psychological distress in 5572 students from 12 countries by means of a self-report questionnaire. Our results showed that an affiliation with Islam was associated with reduced risk for suicide ideation, however affiliating with Orthodox Christianity and no religion was related to increased risk for suicide ideation. While affiliating with Buddhism, Catholic religion and no religion was associated with lowered risk for attempting suicide, affiliation with Islam was related to heightened risk for attempting suicide...
February 8, 2019: Transcultural Psychiatry
Nina Thorup Dalgaard, Safwat Y Diab, Edith Montgomery, Samir R Qouta, Raija-Leena Punamäki
Style of family communication is considered important in the transgenerational transmission of trauma. This study had three aims: first, to identify the contents of family communication about past national trauma; second, to examine how parents' current war trauma is associated with transgenerational communication; and third, to analyze the associations between transgenerational communication and children's mental health, measured as posttraumatic stress disorder (PTSD), depression and psychological distress...
January 31, 2019: Transcultural Psychiatry
Emily Mendenhall, Rebecca Rinehart, Christine Musyimi, Edna Bosire, David Ndetei, Victoria Mutiso
Idioms of distress have become a central construct of anthropologists who aspire to understand the languages that individuals of certain sociocultural groups use to express suffering, pain, or illness. Yet, such idioms are never removed from global flows of ideas within biomedicine that influence how cultural idioms are conceived, understood, and expressed. This article proposes a preliminary model of ethnopsychology described by urban Kenyans, which incorporates local (traditional) and global (biomedical) idioms of distress that are both distinct and overlapping in symptomology and experience...
January 23, 2019: Transcultural Psychiatry
Mensah Adinkrah
Crash-landings are a recurrent theme in Ghanaian witchcraft discourse. In the society's witchcraft lore, these are inadvertently aborted flights of maleficent witches en route to secret nocturnal witches' assemblies or to carry out diabolical deeds. While those accused of being witches who have crash-landed invariably face severe mistreatment, no study has systematically explored this purported phenomenon. In this article, I describe the results of an analysis of 10 cases of alleged crash-landings of witches that were reported in the Ghanaian media over a 12-year period...
January 21, 2019: Transcultural Psychiatry
Vasudeo P Paralikar, Ankita Deshmukh, Mitchell G Weiss
The DSM-IV Outline for Cultural Formulation (OCF) was a framework for assessment based on principles of cultural psychiatry. The Cultural Formulation Interview (CFI) for DSM-5 provided a tool enabling wider use of cultural formulation in clinical cultural assessment. Validation to justify the inclusion of the CFI in DSM-5 involved quantitative analysis of debriefing interviews of patients and clinicians for feasibility, acceptability and clinical utility. We now further examine qualitative field trial data from the CFI interviews and the debriefing interviews in Pune, India...
January 14, 2019: Transcultural Psychiatry
Niall McCrae, Loujain Sharif, Ian Norman
Newspapers are influential sources of information and opinion on mental health, but careless reporting may reinforce stigma. This review examined portrayals of mental disorder in Saudi Arabian newspapers. A cross-sectional sample (N = 200) of relevant articles was obtained from four of the most popular newspapers. These were categorised for descriptive and thematic analysis, using an established framework. The theme of highest frequency was advocacy, actions, and concerns; such articles were likely to have a positive impact by raising public awareness...
January 11, 2019: Transcultural Psychiatry
Juveria Zaheer, Wes Shera, June Sing Hong Lam, Wai Lun Alan Fung, Samuel Law, Paul S Links
This qualitative study explored the experiences and patterns of recovery of Chinese-born women living in Canada with a history of suicidal behaviour. It explores a number of dimensions of recovery including clinical, existential, functional, physical, and social. The women described engaging in "survival" recovery in the short term and "thriving" recovery in the long term, with survival strategies extending into the thriving phase of recovery during their complex path to it. The survival recovery phase included accessing culturally sensitive mental health care and obtaining social and instrumental support to help ensure safety, manage stress, and treat psychiatric symptoms...
January 4, 2019: Transcultural Psychiatry
Milena Pereira Pondé, Francesca Maria Niccoletta Bassi Arcand, Litza Andrade Cunha, Cécile Rousseau
This article describes how autism spectrum disorder is experienced in the context of immigrant families and how the meaning of this condition, proposed by professionals in the host country, is negotiated between families and healthcare providers. The study sample consists of 44 parents of different nationalities and their 35 children with autism spectrum disorder (ASD) living in a socioeconomically deprived neighborhood of Montreal, Canada. Individual parent interviews were audiotaped and transcribed for subsequent analysis...
December 13, 2018: Transcultural Psychiatry
Leopoldo J Cabassa, Yamira Manrique, Quisqueya Meyreles, Lucia Capitelli, Richard Younge, Dianna Dragatsi, Juana Alvarez, Roberto Lewis-Fernández
Latinos with serious mental illness (SMI) experience health and health care disparities and may benefit from interventions that improve access to, coordination of, and receipt of primary care services. The aim of this qualitative study was to examine the experiences of Latinos with SMI and at risk for cardiovascular disease participating in Bridges to Better Health and Wellness (B2BHW), a culturally-adapted health care manager intervention delivered in a public outpatient mental health clinic. A total of 29 Latino participants completed a post-intervention survey that included an open-ended question about the three things they liked most about B2BHW; a subset of 16 participants participated in one of three post-intervention focus groups...
December 4, 2018: Transcultural Psychiatry
Fatma Duygu Kaya Yertutanol, Selçuk Candansayar, Gülşah Seydaoğlu
The aims of this study were to develop a sexual orientation attitude scale and use it to investigate the attitudes of psychiatrists, other physicians and first year medical students toward homosexuals and homosexuality in Ankara, Turkey. A cross-sectional study was performed with three groups including psychiatrists (n = 147), non-psychiatric physicians (n = 224) and first year medical students (n  =  280). A scale with 43 items consisting of four subscales (heterosexism, homophobia, homonegativity, neutrality) was developed which showed high internal consistency, validity and reliability in this sample of Turkish individuals...
November 28, 2018: Transcultural Psychiatry
Juan Chen
In recent years, various levels of the Chinese government have undertaken the task of developing new models of community-based mental health services. Greater availability and higher quality will not result in substantial improvements if those suffering from mental illnesses do not use the services. This article examines not only people's cultural perception of mental health and help-seeking but also their practical concerns and preferences about mental health service provision in urban China. The study analyzes qualitative data from in-depth interviews with 50 respondents who belong to the most psychologically distressed subgroup (with the Kessler Psychological Distress Scale (K10) score ≥ 25) identified in a household survey in Beijing...
December 2018: Transcultural Psychiatry
Lucas Trout, Lisa Wexler, Joshua Moses
Indigenous communities across the Alaskan Arctic have experienced profound revisions of livelihood, culture, and autonomy over the past century of colonization, creating radical discontinuities between the lives of young people and those of their parents and Elders. The disrupted processes of identity development, access to livelihoods, and cross-generational mentorship associated with colonialism have created complex challenges for youth as they envision and enact viable paths forward in the context of a rapidly changing Arctic home...
December 2018: Transcultural Psychiatry
Rony Berger, Joy Benatov, Raphael Cuadros, Jacob VanNattan, Marc Gelkopf
Children in Sub-Saharan Africa are living under chronic adversity due to poverty, serious health issues, physical and sexual abuse, and armed conflicts. These highly stressful conditions have deleterious effects on their mental health and socio-emotional adjustment. Since many children lack adequate access to mental health care, culturally adapted school-based resiliency programs could provide a resource to scaffold their development and promote their mental health. This study evaluated the efficacy of a universal school-based intervention in enhancing the resiliency of Tanzanian primary school children and cultivating prosocial behaviors...
December 2018: Transcultural Psychiatry
Quynh Nhu Natasha Bui, Meekyung Han, Sadhna Diwan, Tran Dao
While involvement of family caregivers can play an important role in the recovery process of persons with serious mental illness (SMI), family caregivers often endure poor health and mental health issues due to caregiving-related distress. These challenges may be exacerbated for Vietnamese American families due to cultural values (e.g., familism and stigma). This qualitative exploratory study examined how Vietnamese American family caregivers of persons with SMI describe their caregiving experience. Using convenience and snowball sampling, the study recruited 21 participants who took part in two Vietnamese-language focus groups...
December 2018: Transcultural Psychiatry
Victoria M O'Keefe, Raymond P Tucker, Ashley B Cole, David W Hollingsworth, LaRicka R Wingate
Many American Indian/Alaska Native (AI/AN) communities throughout North America continue to experience the devastating impact of suicide. Theoretical explanations of suicide from a psychological, sociological, cultural, and Indigenous perspective all differ in focus and applicability to AI/AN communities. These diverse theoretical frameworks and models are presented herein to examine the potential applicability, strengths, and limitations in understanding AI/AN suicide. In providing these perspectives, continued discussions and empirical examinations of AI/AN suicide can guide informative, culturally-informed suicide prevention and intervention efforts...
December 2018: Transcultural Psychiatry
Brian J Hall, Kay Chang, Wen Chen, Ka Lon Sou, Carl Latkin, Albert Yeung
Traditional mental illness concepts remain prevalent in China. Shenjing shuairuo (i.e., neurasthenia), a depressive-like syndrome less favored in Western psychiatric nosology, has a long tradition of acceptance among Chinese lay people. The concept may be more easily accepted in China due to the culturally informed view of the importance of harmony between mind and body and is consistent with Traditional Chinese Medicine. The goals of this study were to estimate the prevalence of shenjing shuairuo, the overlap between shenjing shuairuo and depression, and whether these two disorders share correlates...
December 2018: Transcultural Psychiatry
Ying Zhang, Xudong Zhao, Rainer Leonhart, Maya Nadig, Jikun Wang, Yunhan Zhao, Michael Wirsching, Kurt Fritzsche
Cultural background has been shown to influence climacteric symptoms of women. This study compares various characteristics of climacteric symptoms, illness conception, health-seeking behavior, and attitude towards menopause of Mosuo women, a Chinese ethnic minority with a matriarchal structure, and Han Chinese women, the majority ethnic group of China with a patriarchal structure. Through convenience sampling, 51 Mosuo and 47 Han women ages 40 to 60 completed a sociodemographic questionnaire, the modified Kupperman Menopause Index (KMI), the Self-Rating Scale of Illness Conception and Health Seeking Behavior (SSICHSB) and the Menopause Attitude Questionnaire (MAQ)...
November 16, 2018: Transcultural Psychiatry
Iris Manor-Binyamini
Although children across the world experience autism spectrum disorder (ASD), most research on ASD has been conducted using Western cultural perspectives and has focused primarily on mothers, leaving significant gaps in the literature. This study aimed to address these gaps by exploring the experiences of fathers raising children with ASD in a Bedouin community. To this end, a sample of 19 fathers of children (aged 6-15 years) with ASD living in recognized and unrecognized Bedouin settlements in the Negev participated in ethnographic, semi-structured interviews designed to investigate their experiences with raising a child with ASD in their community...
November 6, 2018: Transcultural Psychiatry
Sarah Abu-Kaf, Golan Shahar, Gal Noyman-Veksler, Beatriz Priel
Elevated levels of depressive and somatic symptoms have been documented among college students. Over the past two decades, there has been an increase in the number of Bedouin Arab students studying at institutions of higher education in southern Israel. To date, research on coping and mental health problems among students who are members of this ethnic minority has been limited. This study examined the role of three aspects of perceived social support - availability, satisfaction, and the ability to get emotional support - in predicting depressive and somatic symptoms among Jewish Israeli and Bedouin Arab college students...
October 24, 2018: Transcultural Psychiatry
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