International Journal of Social Psychiatry最新文献

{"title":"'Constantly invalidated by an intolerant and uncaring world': Perceived etiology of suicidal thoughts among transgender, nonbinary, and gender expansive black, indigenous, and other people of color.","authors":"Álvaro Gamio Cuervo, Michelle Del Rio","doi":"10.1177/00207640251323038","DOIUrl":"https://doi.org/10.1177/00207640251323038","url":null,"abstract":"<p><strong>Background: </strong>Transgender, nonbinary, gender-expansive (TNGE) Black, Indigenous, and Other People of Color (BIPOC) have one of the highest rates of suicidal ideation and suicide attempts. As recommended by the cultural framework of suicide, examining culturally relevant lay beliefs and attitudes, such as community perspectives on where suicidal ideation originates, is integral for suicide prevention. Doing so may aide in identifying avenues of support for TNGE BIPOC with chronic suicidal ideation.</p><p><strong>Aims: </strong>This study aimed to examine how TNGE BIPOC community members perceive the etiological foundation of suicidal ideation.</p><p><strong>Method: </strong>Short-answer responses were collected from 110 participants in a national cross-sectional survey within the United States. Data were analyzed utilizing a directed content analysis approach to thematically categorize etiological factors.</p><p><strong>Result: </strong>Participants described four major areas regarding perceived etiology of suicidal thoughts including: (1) chronic trauma and stress; (2) societal and cultural expectations; (3) biological factors; and (4) structural oppression. The most salient etiological factor was structural oppression which was endorsed by 60% of the sample.</p><p><strong>Conclusions: </strong>Results suggest that experiences of structural oppression should be incorporated in assessing TNGE BIPOC clients' beliefs about suicide and suicide prevention, given its relative saliency within this sample. Further research is needed to adequately understand how cumulative stress and social-cultural expectations impact the development of suicidal ideation among TNGE BIPOC.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251323038"},"PeriodicalIF":2.5,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143491957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Learning to live with the unresolved grief of migration: The ambiguity of leaving behind after the earthquake and adaptation.","authors":"Eda Albayrak Günday, Kübra Gülırmak Güler","doi":"10.1177/00207640251323342","DOIUrl":"https://doi.org/10.1177/00207640251323342","url":null,"abstract":"<p><strong>Aim: </strong>This research examines the ambiguity of the migration process experienced by earthquake victims who had to migrate following the Kahramanmaraş-centered earthquake disaster in 2023 and their adaptation to their new lives.</p><p><strong>Background: </strong>The post-earthquake migration process can leave people with uncertainty and the problems that come with it. The uncertainty experienced by these individuals has not been addressed in the literature, and these experiences are important.</p><p><strong>Methods: </strong>In this study, which was conducted using the phenomenological research design, the snowball sampling method, one of the purposeful sampling methods, was used. The data was collected face-to-face with 19 earthquake victims through 30 to 40-min in-depth interviews. Colaizzi's phenomenological analysis method was used to analyze the data obtained.</p><p><strong>Results: </strong>According to the analysis results, there are three main categories (From the Earthquake Shock to a New Life: The Journey of Migration and Adaptation, Identity Transformation Caused by Migration: The Adventure of Adapting to a New Life, Dreams and Goals for the Future: A New Beginning in the Pursuit of Hope) and five themes (Getting Lost in the Dark Labyrinths of Migration, The Difficult Journey of Adaptation After Migration, Loss of Identity and Cultural Storms, Broken Ropes and Longing Times, Future Plans and Optimism) that have emerged.</p><p><strong>Discussion: </strong>The research shows that migrating earthquake victims are in an environment of uncertainty where they do not know what to do, experience identity crises and cultural conflict after migration, long for the past, and have difficulty adapting. It is also noteworthy that immigrants remain generally optimistic and maintain their hopes for their future despite their problems. Practitioners serving immigrant populations are recommended to integrate grief and loss support into the spiritual care process through psychoeducation, assessments, and therapy.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251323342"},"PeriodicalIF":2.5,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143491877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Geopsychiatry from below: Exploratory review and preliminary analysis.","authors":"Cheryl McGeachan, Chris Philo","doi":"10.1177/00207640251317017","DOIUrl":"https://doi.org/10.1177/00207640251317017","url":null,"abstract":"<p><strong>Background: </strong>This contribution advances claims about 'geopsychiatry from below', attending to how 'voices' with lived experience of mental ill-health speak about 'the geo' or, more specifically, 'place and space'.</p><p><strong>Aims: </strong>To explore relevant interdisciplinary literature for academic research, scholarship and commentary containing voices of experience speaking about the geo.</p><p><strong>Methods: </strong>An 'indicative' and 'facilitative' review of relevant transdisciplinary literature in arts and humanities and social science, alongside an exploratory workshop where materials are analysed and relationships detected and, provisionally, mapped.</p><p><strong>Results: </strong>The literature review discloses no coherent body of studies into the geo from below, but rather a fragmented amalgam of materials-field observations, primary quotes and occasional elaborations-that are rarely the direct focus of inquiry (except in some contributions by academic geographers). Combining the literature review and the workshop analysis, an outline series of prompts are developed for relating 'Kinds of Places', their associated 'Affective Qualities' and actual spaces and places on the ground.</p><p><strong>Conclusions: </strong>This study signals what a geopsychiatry from below might entail, providing important foundations for future transdisciplinary work on 'the geo' and mental (ill-)health.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251317017"},"PeriodicalIF":2.5,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143491873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Individualized Occupational Therapy in Severe Mental Illness-A Recovery Model Approach from a Tertiary care Centre in South India.","authors":"Rachna George Joseph, Farah Cj James, Elizabeth Ninan, Arun Rachana, Suja Kurian","doi":"10.1177/00207640251317008","DOIUrl":"https://doi.org/10.1177/00207640251317008","url":null,"abstract":"<p><strong>Background: </strong>The Recovery Model for mental illness explores a broad range of domains for individuals with severe mental illness (SMI) which is not merely the absence from illness but attaining self-sufficiency. The individualized occupational therapy intervention which is part of the recovery model approach includes any or a combination of trainings like Social Skills training, Vocational training, Assertiveness training, Anger Management training, Life Skills training, Stress Management, Study Skills training, Cognitive retraining and Anxiety management.</p><p><strong>Aims: </strong>The objective of the current study was to evaluate the effectiveness in terms of functioning of individuals with (SMI) who had undergone individualized OT intervention.</p><p><strong>Method: </strong>Patients who had undergone individualized OT intervention were evaluated at designated time points i.e. at discharge, at 3 months and further at 6 months. The outcome measure of functional capacity was scored using the Global Assessment of Functioning instrument.</p><p><strong>Result: </strong>A total of 31 patients were sampled. The diagnosis of Schizophrenia was seen in 77.4% (<i>n</i>-24) of the sample, Bipolar Affective Disorder in 12.9% (<i>n</i>-4) and Schizoaffective Disorder 9.7% (<i>n</i>-3). The mean GAF for the sample showed improvement and the increment in GAF was maintained on follow up.</p><p><strong>Conclusions: </strong>In services with limited skilled human resources and where community-based services are not established, culturally adapted interventions with individualized OT interventions can ensure positive gains in terms of socio-occupational functioning.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251317008"},"PeriodicalIF":2.5,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143382411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association between neighborhood socioeconomic deprivation and mental health in low- and middle-income countries: A scoping review.","authors":"Vandad Sharifi, Homayoun Amini, Narges Radman, Hoora Noorbakhsh, Caitlin McClurg, Scott B Patten","doi":"10.1177/00207640241284968","DOIUrl":"10.1177/00207640241284968","url":null,"abstract":"<p><strong>Background: </strong>Environmental research on mental health primarily originates from high-income countries, while information about the rest of the world remains limited.</p><p><strong>Aims: </strong>This study examined: (1) the available published research evidence regarding the association between neighborhood-level deprivation and indicators of mental health and illness in low- and middle-income countries (LMICs), and (2) the gaps in the relevant research in LMIC settings that should be addressed in future studies.</p><p><strong>Method: </strong>First, we systematically searched for relevant primary studies in electronic databases (Ovid Medline, Scopus, Socindex, and PsycINFO) and citations in the reference lists. Then, a two-stage screening procedure was employed to select the relevant studies by screening the titles and abstracts and reviewing the selected full texts by independent researchers. After charting the data from the selected study reports, we collated, summarized, and discussed the results.</p><p><strong>Results: </strong>We retrieved 51 studies across 19 LMICs, with only one study originating from a low-income country. Most studies focused on adult mental health topics and few explored children's mental health. Notably, a significant majority of these studies (<i>N</i> = 37) reported a positive association between neighborhood deprivation and mental health/disorder. However, the research methods used varied significantly, and there were several methodological limitations.</p><p><strong>Conclusions: </strong>This review highlights the need for more original studies in LMICs on the association between neighborhood deprivation and mental health, employing stronger methodologies.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"5-24"},"PeriodicalIF":2.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142346600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of the 2023 Türkiye-Syria earthquakes on the mental health of children.","authors":"Sirwan Khalid Ahmed, AbdulRahman A Saied, Abdulqadir J Nashwan","doi":"10.1177/00207640241278983","DOIUrl":"10.1177/00207640241278983","url":null,"abstract":"<p><p>The seismic events that struck southern Turkey and Syria in February 2023, with magnitudes of 7.8 and 7.6 respectively, have significantly impacted the well-being of millions, particularly children and adolescents. This correspondence highlights the psychological repercussions faced by minors in the aftermath of the earthquakes, including anxiety, PTSD, and depression. Despite efforts to provide humanitarian aid, there remains a critical gap in addressing the psychosocial needs of affected children. With limited mental health resources in both countries, innovative approaches such as Psychological First Aid (PFA) interventions and telepsychiatry are advocated for efficient and scalable support. Additionally, safeguarding children from abuse and ensuring access to education and stable environments are paramount in post-disaster recovery efforts. This correspondence underscores the urgency for a holistic response to mitigate the long-term impact of seismic events on the vulnerable population in Turkey and Syria.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"209-211"},"PeriodicalIF":2.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142140055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Culture and ICD-11 personality disorder: Implications for clinical practice across diverse ethnic groups.","authors":"Luis Hualparuca-Olivera, Tomás Caycho-Rodríguez, Julio Torales, Cristian Ramos-Vera, Dayana Ramos-Campos, Luis Córdova-Gónzales, Elsa Vigo-Ayasta","doi":"10.1177/00207640241288205","DOIUrl":"10.1177/00207640241288205","url":null,"abstract":"<p><strong>Background: </strong>Personality disorder (PD) in ICD-11 is defined primarily by self and interpersonal dysfunction and optionally by other qualifiers. This definition is inseparable from relativism of cultural determinants.</p><p><strong>Aims: </strong>This review aimed to synthesize the relevant aspects of the influence of culture on clinical practice and health management for this condition, aligning them to the ICD-11 PD model.</p><p><strong>Method: </strong>In Scopus, we systematically searched for studies that included the text strings: cultur* | personality AND (disorder* OR patholog*) without any restrictions on publication date or language or other exclusion criteria, up to November 2022.</p><p><strong>Results: </strong>Evidence suggests that cultural variables in ethnic groups (Western and non-Western) such as the individualist/collectivist philosophy, historical/generational trauma, immigration, acculturation, religion, and gender influence the etiology, semiology, epidemiology, evaluation, diagnosis, treatment, and management of health services for ICD-11 PD. We discuss the limitations and propose future lines of research on this topic based on our knowledge and experience. In this review, we provide the scientific community and clinicians with relevant cultural information to guide their practice and propose strategies to manage PD from the ICD-11 model.</p><p><strong>Conclusions: </strong>More research is needed using mixed study methodologies on stigma, the experiences of patients, clinicians, and health agencies, to reduce the care gaps and achieve a culturally comprehensive, inclusive, and competent use of this new model.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"25-54"},"PeriodicalIF":2.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142465426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dinesh Bhugra: An icon in psychiatry and mental health advocacy.","authors":"Albert Persaud, Julio Torales, Rachel Tribe, João Mauricio Castaldelli-Maia, Afzal Javed, Antonio Ventriglio","doi":"10.1177/00207640241313417","DOIUrl":"10.1177/00207640241313417","url":null,"abstract":"","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"216-217"},"PeriodicalIF":2.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143004904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The changing impacts of social determinants on youth mental health in Australia.","authors":"David G Baker, Mengmeng Wang, Kate M Filia, Shu Mei Teo, Rikki Morgan, Myriam Ziou, Pat McGorry, Vivienne Browne, Caroline X Gao","doi":"10.1177/00207640241280910","DOIUrl":"10.1177/00207640241280910","url":null,"abstract":"<p><strong>Aims: </strong>Most lifetime mental health disorders begin by age 25 years, and the prevalence among young people has been increasing over recent years. We sought to understand what impact, if any, social determinants have had on this increase through the analysis of an Australian longitudinal dataset (with data from 2007 to 2021).</p><p><strong>Methods: </strong>The analysis focused on five social determinants: loneliness and lack of social support, family relationships, participation in education and employment, receipt of government benefits and relative socio-economic status. We analysed cross-sectional changes in self-reported psychological distress between 2007 and 2021 (using the Kessler-10 item; K10 scores) and examined the effects of these five social determinants on psychological distress using weighted linear regression models.</p><p><strong>Results: </strong>We identified a significant increase in psychological distress among Australians from 2007 to 2021, with the sharpest rise among those aged 15 to 25 years, who saw more than doubling in the percentage of high and very high K10. This period also saw an increase in the prevalence of social determinants such as loneliness and lack of social support, as well as poor family relationships, particularly in 2021 post COVID-19 pandemic. Regression models suggest loneliness and lack of social support had the most pronounced and increasing impact on psychological distress, followed by poor family relationships.</p><p><strong>Discussion: </strong>The observed significant and steady increases in psychological distress and related social determinant factors, particularly loneliness and lack of social support among young people, highlight the urgent need for comprehensive actions. Coordinated research and community-based initiatives are needed to deliver intrapersonal, interpersonal and socially-focused interventions with a holistic approach to support psychosocial wellbeing. Policymakers must adopt a comprehensive shift in political commitment and a whole-of-government approach to address these challenges.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"116-128"},"PeriodicalIF":2.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142346601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determinants of <i>brain drain</i> among physicians in Turkey: Findings from a national exploratory study.","authors":"Abdulbari Bener, Antonio Ventriglio, Furkan Almas, Dinesh Bhugra","doi":"10.1177/00207640241285834","DOIUrl":"10.1177/00207640241285834","url":null,"abstract":"<p><strong>Background: </strong>The shortage of physicians in Turkey is a highly critical emergency. In fact, physicians' migration to developing or high-income countries, defined as <i>brain drain</i>, threatens the sustainability of the national healthcare system.</p><p><strong>Aims: </strong>This study explored the driving factors associated with Turkish Physicians' <i>brain drain</i>, including high-economic inflation, social-politics, poor-living, equity, violence, and the desire to practice medical activity abroad.</p><p><strong>Methods: </strong>A cross-sectional survey of 1,861 Turkish physicians aged 25 to 65 years old was conducted employing the <i>Brain Drain</i> questionnaire, the Depression Anxiety Stress Scale (DASS-21), the Patient Health Questionnaire 9 (PHQ-9), and the Fatigue Assessment Scale (FAS).</p><p><strong>Results: </strong>Significant differences were observed among physicians staying in Turkey versus considering migration to Western countries, regarding their age, gender, marital status, educational level, occupational status, work years, hospital night shifts, income, and cigarette/nargileh smoking habits (<i>all p</i> ⩽ .018). The main reasons for <i>brain drain</i> included transport problems, harassment, low salary, malpractice, bad environment, job insecurity, workload, burnout, treating difficult patients, inadequate postgraduate systems, peer-pressure, health safety concerns, and favoritism in the workplace, as well as stress and depression caused by work overload. In fact, depression, anxiety, stress, fatigue, and burnout varied significantly among the different groups of physicians (all <i>p</i> ⩽ .013). Additionally, key predictors of <i>brain drain</i> were better job opportunities, poor hospital management (in Turkey), job-related stress, dealing with difficult patients, research deficiencies, workload, burnout, transportation issues, short consultation time, low salary, and fatigue. Among the general factors contributing to the <i>brain drain</i> in the Turkish Health System, we identified significant issues related to research deficiencies, compulsory working duties, poor quality of postgraduate, inadequate medical-schools, poor hospital management, and shortage of consultants.</p><p><strong>Conclusion: </strong>Physicians' migration is a major global public health concern, leading to substantial risks for healthcare services, especially in Turkey. Many physicians decide to migrate to work in Western countries.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"179-187"},"PeriodicalIF":2.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142377801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}