Transcultural Psychiatry最新文献

{"title":"Survivors, users, or peers? Translating identities and decolonizing mental health in China.","authors":"Zhiying Ma","doi":"10.1177/13634615251359756","DOIUrl":"https://doi.org/10.1177/13634615251359756","url":null,"abstract":"<p><p>In recent years, new identities have emerged for psychiatric \"patients\" in China, such as \"users,\" \"survivors,\" and \"peers.\" This article draws on my long-term research on and engagement with the country's mental health field to explore the emergence of these identities as translations of globally circulating ideas and practices. Rather than viewing them as mere derivatives of Euro-American originals, I demonstrate that they are strategic translations initiated by activists and academics to resist the hegemony of biomedical and institutional psychiatry, and that they have created opportunities for policy and service reform, recognition, and empowerment. However, my analysis also reveals that the global and local authority these translations leverage has produced exclusion and marginalization. In particular, the mandate for self-advocacy against institutions underlying activists' promotion of the user and survivor identities could overlook people's vulnerability, dependency, and differences in communities. Meanwhile, attempts by academics like me to establish peer supporters as recognized paraprofessionals within the system could reproduce existing hierarchies and generate new frictions among persons with lived experience. I suggest that academics, activists, and other stakeholders involved in translating identities in the Global South should critically examine the processes and their potentially oppressive power effects, to reflect on our gatekeeping roles and center the diverse leadership of impacted individuals, and to boldly experiment with new forms of translation together for continuous (self-)decolonization.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"13634615251359756"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding treatment barriers for Major Depressive Disorder in the Latino community: A qualitative study stratified by language preference.","authors":"Linda E Guzman, Kristen M Fite, Hannah E Frank, Ruben G Martinez, Ana J Bridges","doi":"10.1177/13634615251359457","DOIUrl":"https://doi.org/10.1177/13634615251359457","url":null,"abstract":"<p><p>This qualitative study explores barriers to accessing treatment for Major Depressive Disorder (MDD) among Latino adults in the United States, with a novel focus on how these barriers were described based on participants' preferred language. Fifty Latino individuals (<i>n</i> = 24 primarily Spanish-speaking; <i>n</i> = 26 primarily English-speaking) participated in Zoom interviews and completed a demographic survey and the patient health questionnaire-9 MDD self-report measure in their preferred language. Thematic analysis of interview data identified barriers across three levels: individual (e.g., stigma, service literacy, treatment readiness, caretaking responsibilities), provider (e.g., language barriers, cultural humility, perceived care quality), and clinic (e.g., cost, time constraints, waitlists, geographical access). While many challenges were shared across groups, key differences emerged. Spanish-speaking participants emphasized the importance of bilingual providers and described feelings of mistrust, communication fears, and concerns about emotional safety when language concordance was absent. English-speaking participants described prioritizing working with bicultural providers who demonstrated cultural humility and a nuanced understanding of possible intergenerational and structural stressors. Structural barriers, such as cost and scheduling, were often compounded by emotional experiences such as shame and mistrust, underscoring the need for both system-level and culturally responsive solutions. These findings reinforce the need for equity-informed strategies that attend to the intersection of language, culture, and structural barriers to MDD treatment.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"13634615251359457"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Young adults' perceptions of their families' health beliefs and influence on mental health care seeking in rural South Africa.","authors":"Ntombenhle Mkhize, Sue-Ann Meehan, Graeme Hoddinott","doi":"10.1177/13634615251357731","DOIUrl":"https://doi.org/10.1177/13634615251357731","url":null,"abstract":"<p><p>In South Africa, neuropsychiatric disorders rank third in their contribution to overall burden of disease. Stigma, lack of mental health awareness, and limited access to health services and to appropriate treatment contribute to the high level of unmet need for treatment of neuropsychiatric conditions. Little is known about how young adults make decisions to access mental health services and how their adult family members influence these decisions. This study explored young adults' perceptions of the influence their adult family members on their own mental health service uptake. We conducted semi-structured in-depth interviews with a convenience sample of 21 people (18-24 years) from KwaZulu-Natal Province (KZN). Thematic analysis of interviews found that: young people had partial knowledge of mental health conditions and services; both adult family members as well as peers and other community members influenced mental health care seeking behaviours. Participants who had accessed mental health services attested to their long-term benefit. Transition to adulthood was a time of mental health challenges. The results point to the need to scale up community-level awareness on mental health conditions in rural South Africa. This can include targeted education interventions to increase knowledge of mental health, and ways to adjust to the stresses of the transition to adulthood. More research is needed to further understand the gendered dimensions of peers' influence of mental health service uptake.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"13634615251357731"},"PeriodicalIF":2.7,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental health interventions for African refugees resettled in North America: A systematic review.","authors":"Evalyne K Orwenyo, Betty C Tonui, Cecilia Mengo","doi":"10.1177/13634615251327884","DOIUrl":"https://doi.org/10.1177/13634615251327884","url":null,"abstract":"<p><p>The number of African refugees migrating to North America (the United States and Canada) has increased significantly over the past decade. Notwithstanding, the prevalence of mental health disorders among African refugees signals an urgent need to address them. We reviewed mental health interventions tailored to African refugees in North America, identified existing gaps, and suggested mental health services improvement recommendations. Using PRISMA guidelines, we identified (<i>n</i> = 1,164), screened (<i>n</i> = 989), assessed (<i>n</i> = 79), and included (<i>n</i> = 7) peer-reviewed articles detailing interventions that addressed mental health and its associated concerns among African refugees in North America. Our results showed that pre-migration perils and acculturation stressors exacerbated mental health concerns such as anxiety, depression, dysphoria, and post-traumatic stress disorder symptoms. Interventions that culturally adapted cognitive behavior therapy, peer support, and psycho-education effectively reduced mental health symptoms and improved life satisfaction. Future interventions should contextualize and incorporate African cultural beliefs and practices within community settings to promote mental health services.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"13634615251327884"},"PeriodicalIF":2.7,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sufi music with makams for people with mild to moderate levels of depression and anxiety: A pilot feasibility randomised controlled trial.","authors":"R N Gurbuz-Dogan, A Ali","doi":"10.1177/13634615251357470","DOIUrl":"https://doi.org/10.1177/13634615251357470","url":null,"abstract":"<p><p>There is some evidence that Sufi music as a receptive music therapy might be beneficial for treatment of common psychological disorders, and mental well-being. The aim of this study was to test the feasibility of Sufi music intervention for adults with mild to moderate levels of depression and anxiety, attending Turkish community centres in England. This was a pilot randomised controlled trial of a 4-week Sufi makam music intervention with 60 participants conducted in two Turkish community centres in the UK with assessments at baseline, mid-intervention (2 weeks), post intervention (4 weeks) and at 2 weeks follow-up. The recruitment and retention rates in the intervention arm during the four weeks were 94.5% and 93.3%, respectively. The intervention was acceptable for most of the participants. According to analysis of clinical outcomes, Sufi music intervention was not associated with any clinical improvement in the music group relative to the control group when the means were compared at T3. However, when the results were adjusted for baseline scores as control variables in the linear regression, anxiety levels of the music group were significantly lower than the control group at the end of trial (<i>p</i> = .013), and mental and spiritual well-being had a statistically significant increase in the music group at the end of trial (<i>p</i> = .002; <i>p</i> <i><</i> <i>.</i>001, respectively). The Sufi music therapy intervention was found to be feasible, acceptable and convenient to deliver, and the recruitment and retention rates in the intervention group were high. Furthermore, assessment of the clinical outcomes suggests that the intervention may reduce anxiety and improve mental and spiritual well-being.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"13634615251357470"},"PeriodicalIF":2.7,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"They think we are trying to combine knowledges, whereas we are trying to harmonize them\": A visual exploration of what promotes successful collaboration between mental health workers and healers in Indonesia.","authors":"Diana Setiyawati, Wulan Nur Jatmika, Ursula M Read, Erminia Colucci","doi":"10.1177/13634615251338906","DOIUrl":"https://doi.org/10.1177/13634615251338906","url":null,"abstract":"<p><p>Implementation of community mental health in Indonesia has been limited and under-resourced. <i>Pasung</i> (physical restraint and confinement) is still commonly used and many people do not receive formal mental health care. While pluralistic use of traditional and faith healing and psychiatric services is common, the relationship between the two systems is ambiguous and overlooked in mental health policy. Meanwhile, examples of collaboration between health professionals and traditional and faith-based healers (TFHs) for mental health exist in various settings, including Indonesia. However, there is limited research on the lived experiences and everyday practices of those engaged in such partnerships, including mental health workers, healers, and families, and what makes them successful. This paper presents findings from the visual research project 'Together for Mental Health' to illustrate the facilitators and barriers to pluralistic collaborations in the Indonesian context. Our focus was on partnerships that were already established, rather than those implemented as part of research projects or interventions. Using visual ethnography, we observed eight case studies in locations representative of the three main religions in the country: Java (predominantly Muslim), Bali (Hindu), and Flores (Roman Catholic). We conducted filmed ethnographic observations of collaborative practices and in-depth interviews with 20 mental health professionals, 12 TFHs, 28 people living with mental health conditions, and 16 caregivers. The study found converging themes related to facilitating factors and barriers in practices of pluralistic collaboration for mental health care in Indonesia. Facilitating factors included actors' role perception and motive, openness to collaboration, and negotiations of care. Barriers included negative role perceptions, inadequate infrastructure, and unfavourable social environments. Findings suggest potential for successful collaboration between TFHs and formal mental health practitioners, drawing on lessons from existing good practices. To support future pluralistic collaboration for mental health care, incorporating these lessons into professional education and policies and stronger mental health care governance are needed.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"13634615251338906"},"PeriodicalIF":2.5,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Civilians' strategies of post-traumatic growth (PTG): The significance of <i>Pashtunwali</i> culture in the Swat conflict in Pakistan.","authors":"Sanaullah","doi":"10.1177/13634615251355387","DOIUrl":"https://doi.org/10.1177/13634615251355387","url":null,"abstract":"<p><p>Exposure to violence can have positive consequences for its victims, resulting in what has been called post-traumatic growth (PTG). The existing literature has discussed multiple aspects of PTG, but how civilians who are victims of violence in armed conflicts may experience PTG is less well understood. This article aims to understand civilians' strategies for coping with violence that may contribute to PTG in the context of the Swat Conflict (2007-2009) in north-western Pakistan. Because the strategies employed are context-specific, it further explores how the local <i>Pashtunwali</i> culture informed and influenced victims' responses. The research involved fieldwork including in-depth interviews and focus group discussions (FG) with 150 participants. A thematic analysis of the data found that victims deployed four strategies: seeking strength and refuge in religion, cultivating social connections and support, distractive measures, and individual adjustment. Although individual differences exist, local culture can influence the impact of violence and support victims' long-term recovery.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"13634615251355387"},"PeriodicalIF":2.5,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gaps and gains in parents' mental health literacy: A cross-cultural comparison on attention-deficit/hyperactivity disorder.","authors":"Janet W T Mah, Wendy Li","doi":"10.1177/13634615251327886","DOIUrl":"https://doi.org/10.1177/13634615251327886","url":null,"abstract":"<p><p>The aim of this study was to compare the knowledge and beliefs about attention-deficit/hyperactivity disorder (ADHD) between first-generation Chinese Canadian and European Canadian parents, and to evaluate the efficacy of an existing translated ADHD information resource to improve their ADHD literacy. A community sample of 28 first-generation Chinese Canadian and 28 European Canadian parents of elementary school-aged children completed questionnaires measuring ADHD knowledge, treatment attitudes and perceived stigma, both before and after reading an informational pamphlet about ADHD. Compared with European Canadian parents, Chinese Canadian parents initially had less knowledge and more stigma about ADHD but had greater increases in knowledge and medication acceptability after passive psychoeducation. For both groups, passive psychoeducation increased ADHD stigma, but did not impact the already high acceptability for parent training intervention. Passive psychoeducation can improve mental health literacy among ethnic minority groups, but further work needs to tailor resources to address specific gaps in mental health literacy and recognize the need for concurrent stigma-reduction methods.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"13634615251327886"},"PeriodicalIF":2.5,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Collective trauma in the forced migration context: A scoping Review.","authors":"Jaclyn Kirsch, Hanna Haran","doi":"10.1177/13634615251341853","DOIUrl":"https://doi.org/10.1177/13634615251341853","url":null,"abstract":"<p><p>While the impact of trauma on the well-being of forced migrants has been widely researched, there is still a notable lack of understanding regarding the consequences of collective trauma experiences within this population. This scoping review aims to explore and understand the current state of literature regarding collective trauma among forced migrants. A systematic review of the literature was conducted using Academic Search Complete, Ethnic Diversity Source, PsychINFO, Psychology and Behavioral Sciences Collection, Social Work Abstract, and SocINDEX. Of the 78 studies identified, 19 met inclusion criteria: peer-reviewed journal article; published between 2002-2022; written in English; involved forced migrants; and explored collective trauma. Six major themes were identified: (1) exploration of collective trauma; (2) impacts of collective trauma: (3) intergenerational trauma; (4) resilience and resistance; (5) practice and policy failures of the West; and (6) solutions to healing. Results support the inclusion of collective trauma in future research on forced migrant populations and advocate for interventions grounded in collective healing.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"13634615251341853"},"PeriodicalIF":2.5,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mechanisms underlying the impact of self-stigma on social engagement in Arabic-speaking refugees: A path analysis.","authors":"Natalie Mastrogiovanni, Angela Nickerson","doi":"10.1177/13634615251348300","DOIUrl":"https://doi.org/10.1177/13634615251348300","url":null,"abstract":"<p><p>Posttraumatic stress disorder (PTSD) in refugees has been linked to poor social outcomes. Self-stigma appears to be a potential barrier to social engagement in refugees with PTSD, however research into this relationship is scarce. As such, the study aimed to 1) investigate whether self-stigma of PTSD (SSPTSD) and self-stigma of seeking help (SSOSH) underlie the association between PTSD and reduced social engagement in refugees, and 2) identify psychological mechanisms underpinning the association between PTSD and both types of self-stigma. In this online study, 262 Arabic-speaking refugees who had resettled in Australia completed measures indexing PTSD, two types of self-stigma (SSPTSD and SSOSH), social engagement outcomes (help-seeking behaviour, perceived social support), and potential mechanisms (self-esteem, hope, and negative help-seeking beliefs). Path analyses revealed that greater PTSD symptom severity was associated with reduced help-seeking behaviour via greater SSOSH and lower perceived social support via greater SSPTSD. Path analyses also revealed that greater PTSD symptom severity had an indirect effect on both types of self-stigma via greater negative help-seeking beliefs and an indirect effect on SSPTSD via lower hope. Findings demonstrate the deleterious effect of self-stigma on refugee mental health, yet also indicate potential intervention targets to reduce the negative impact of self-stigma.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"13634615251348300"},"PeriodicalIF":2.5,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}