Transcultural Psychiatry最新文献

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Linking obsessions to morality: A cross-cultural study among Turkish and Belgian university students 将强迫症与道德联系起来:土耳其和比利时大学生的跨文化研究
IF 2.5 3区 医学
Transcultural Psychiatry Pub Date : 2024-09-17 DOI: 10.1177/13634615241277580
Fulya Ozcanli, Laurence Claes, Dirk Hermans, Batja Mesquita
{"title":"Linking obsessions to morality: A cross-cultural study among Turkish and Belgian university students","authors":"Fulya Ozcanli, Laurence Claes, Dirk Hermans, Batja Mesquita","doi":"10.1177/13634615241277580","DOIUrl":"https://doi.org/10.1177/13634615241277580","url":null,"abstract":"The present study examines the links between different types of morality and obsessions in university students from Leuven, Belgium ( N = 252) and İstanbul, Turkey ( N = 301) using validated scales for morality and obsessions. Belgium and Turkey were chosen as two exemplar cultural contexts expected, and in the current study found, to differ in the relative levels of individualizing and binding morality. We hypothesized that obsessions involving potential harm (e.g., aggressive obsessions) are cross-culturally associated with individualizing morals, and obsessions indicating impurity (e.g., contamination) are cross-culturally associated with binding morals. Moreover, we expected that cultural differences in the frequency of obsessions could be linked to differences in culturally prevalent moralities. As predicted, contamination obsessions were cross-culturally linked to binding morals. Also, the frequency of contamination obsessions was higher in the Turkish sample compared to the Belgian, which was predicted by higher levels of binding morals in Turkey. Doubts were cross-culturally endorsed at similar rates and were associated with individualizing morals. Aggressive obsessions were relatively more frequent in the Belgian compared to the Turkish sample, however—unexpectedly—these intrusions were not positively linked to either type of morality, neither in Belgium nor in Turkey. Taken together, these findings provide initial support for the role of morality in obsessive-compulsive disorder (OCD), at least for certain types of obsessions (contamination and doubts), as well as suggest that some differences in the moral foundations may play a role in explaining the prevalence of certain obsessions (i.e., contamination).","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142247631","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}
引用次数: 0
The Somali Distress and Resilience Scale: Development of a novel measure for Somali adults. 索马里人压力和复原力量表:为索马里成年人开发一种新的测量方法。
IF 2.5 3区 医学
Transcultural Psychiatry Pub Date : 2024-08-31 DOI: 10.1177/13634615241272982
Alec Terrana, William Bruno, Najla Ibrahim, Bonnie N Kaiser, Jenny Wei, Wael Al-Delaimy
{"title":"The Somali Distress and Resilience Scale: Development of a novel measure for Somali adults.","authors":"Alec Terrana, William Bruno, Najla Ibrahim, Bonnie N Kaiser, Jenny Wei, Wael Al-Delaimy","doi":"10.1177/13634615241272982","DOIUrl":"https://doi.org/10.1177/13634615241272982","url":null,"abstract":"<p><p>Although resilience has been identified as an important mediator of negative mental health outcomes among refugee populations, there are few culturally specific measures of resilience among such communities and no such measure among Somalis. In this study we aimed to develop a culturally appropriate measure of resilience specific to Somali adults in San Diego, as an example of a vulnerable refugee community. A community-based, exploratory sequential mixed method investigation was conducted via focus group discussions (<i>n</i> = 4), cognitive interviews (<i>n</i> = 4), and iterative survey adaptation. Somali refugee adults in San Diego (<i>N</i> = 183) were surveyed with this novel scale, a standardized measure of resilience, and assessments of depression, anxiety, and PTSD. Results were analyzed via correlation coefficients and multivariate linear regression modeling. Qualitative findings supported the inclusion of items addressing both barriers and facilitators of good mental health, which resulted in the development of the Somali Distress and Resilience Survey (SDRS). Linear regression analysis revealed that the SDRS demonstrated significant associations with symptoms of depression and PTSD, while the standardized measure of resilience did not demonstrate associations with any of the mental health outcomes assessed. The SDRS identified obstacles to resilience among Somali individuals, placing them at risk of developing negative mental health outcomes. Our novel measure also demonstrated more robust relationships with these outcomes than a standardized measure of resilience, suggesting greater utility of the adapted scale. However, the SDRS's development raises larger questions about the limitations of developing and comprehensively evaluating novel resilience measures in a community-based setting.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113484","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}
引用次数: 0
An exploration of self-continuity for rural Indigenous youth: Considering the influence of community and cultural factors on perceiving oneself across time. 探索农村原住民青年的自我连续性:考虑社区和文化因素对跨时空自我认知的影响。
IF 2.5 3区 医学
Transcultural Psychiatry Pub Date : 2024-08-22 DOI: 10.1177/13634615241260624
Gillian A H Klassen, Darrell Cole, Reg Klassen, Tyson MacGillvary, Theresa Nepinak, Jim Murray, Cynthia Nepinak, Craig Park, Shawn Oswold, Michael Hoover, Yaniv Loran, Dawn Sutherland, Jacob A Burack
{"title":"An exploration of self-continuity for rural Indigenous youth: Considering the influence of community and cultural factors on perceiving oneself across time.","authors":"Gillian A H Klassen, Darrell Cole, Reg Klassen, Tyson MacGillvary, Theresa Nepinak, Jim Murray, Cynthia Nepinak, Craig Park, Shawn Oswold, Michael Hoover, Yaniv Loran, Dawn Sutherland, Jacob A Burack","doi":"10.1177/13634615241260624","DOIUrl":"https://doi.org/10.1177/13634615241260624","url":null,"abstract":"<p><p>Research on self- and cultural continuity has contributed to our understanding of resilience processes in Indigenous communities, as connecting oneself to the past, present, and future of one's family, community, and traditional culture has been found to protect against deleterious developmental outcomes. To examine factors associated with self-continuity for Indigenous youth in the current study, Indigenous youth from six rural Ojibway and Métis communities in Treaty 2 Territory completed self-report questionnaires aimed at understanding the relationship between the concept of oneself across time and protective and risk factors at different systemic levels (family, community, culture, and colonial). The concept of oneself across time was measured by self-efficacy (global self-worth) and future orientations (optimism and sense of self in the future). The findings indicated that connectedness to caregivers, siblings, friends, neighborhoods, and culture was associated with higher self-efficacy, seeing oneself as more connected to the future, and seeing the future more positively. These findings support the notion that familial, community, and cultural connectedness are associated positive self-concepts in the present and future, which aligns with our understanding of self- and cultural continuity in Indigenous communities.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019115","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}
引用次数: 0
Examining community-level protection from Alaska Native suicide: An Indigenous knowledge-informed extension of the legacy of Michael Chandler and Christopher Lalonde. 研究社区一级保护阿拉斯加原住民免于自杀的措施:根据土著知识扩展迈克尔-钱德勒和克里斯托弗-拉隆德的遗产。
IF 2.5 3区 医学
Transcultural Psychiatry Pub Date : 2024-08-22 DOI: 10.1177/13634615241255713
Stacy Rasmus, Lisa Wexler, Lauren White, James Allen
{"title":"Examining community-level protection from Alaska Native suicide: An Indigenous knowledge-informed extension of the legacy of Michael Chandler and Christopher Lalonde.","authors":"Stacy Rasmus, Lisa Wexler, Lauren White, James Allen","doi":"10.1177/13634615241255713","DOIUrl":"https://doi.org/10.1177/13634615241255713","url":null,"abstract":"<p><p>Chandler and Lalonde broadened the scope of inquiry in suicide research by providing theoretical grounding and empirical support for the role of community, culture, and history in understanding Indigenous youth suicide and reimagining its prevention. Their work pushed the field to consider the intersectional process of individual and collective meaning-making in prevention of Indigenous suicide, together with the central role culture plays in bringing coherence to this process over time. Their innovation shifted the research focus to include the shared histories, contexts, and structures of meaning that shape individual lives and behaviors. We describe here a new generation of research extending their pathbreaking line of inquiry. Recent work aims to identify complex associations between community-level structures and suicidal behavior by collaborating with Alaska Native people from rural communities to describe how community protective factors function as preventative resources in their daily lives. Community engagement and knowledge co-production created a measure of community protection from suicide. Structured interviews with rural Alaska Native community members allowed use of this measure to produce relevant, accessible, and actionable knowledge. Ongoing investigations next seek to describe their mechanisms in shaping young people's lives through a multilevel, mixed-methods community-based study linking community-level protection to protection and well-being of individual youth. These efforts to understand the multiple culture-specific and culturally mediated pathways by which communities build on their strengths, resources, and practices to support Indigenous young people's development and reduce suicide risk are inspired by and expand on Chandler and Lalonde's remarkable legacy.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019116","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}
引用次数: 0
A sociocultural approach to understanding collective trauma in Indigenous communities. 用社会文化方法理解土著社区的集体创伤。
IF 2.5 3区 医学
Transcultural Psychiatry Pub Date : 2024-08-02 DOI: 10.1177/13634615241255716
Adam Farero, Arianne E Eason, Laura M Brady, Stephanie A Fryberg
{"title":"A sociocultural approach to understanding collective trauma in Indigenous communities.","authors":"Adam Farero, Arianne E Eason, Laura M Brady, Stephanie A Fryberg","doi":"10.1177/13634615241255716","DOIUrl":"https://doi.org/10.1177/13634615241255716","url":null,"abstract":"<p><p>Research on the effects of collective trauma tends to take a psychocentric approach, focusing on the impact of being geographically near the traumatic event (physical proximity) or personally knowing a victim (social proximity). We theorize that this approach falls short in describing the effect of collective trauma among interdependent cultural groups, such as Indigenous Peoples, for whom the self and one's group are inextricably tied. Using a concurrent embedded mixed-methods design (<i>N </i>= 545), the current study explores the influence of cultural proximity (having a shared cultural connection to victims) in the wake of a fatal school shooting involving students from both a Native American tribe and a predominantly White city. After controlling for physical and social proximity, student distress behaviors and staff support behaviors, but not staff members' own psychological distress, were significantly higher in schools with higher Native student populations, where a larger proportion of students shared cultural connections with the victims. We discuss implications regarding the importance of providing adequate support for Indigenous Peoples, and interdependent cultural groups in general, following collective trauma.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141879607","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}
引用次数: 0
Cultural continuity, identity, and resilience among indigenous youth: Honoring the legacies of Michael Chandler and Christopher Lalonde. 土著青年的文化延续性、身份认同和复原力:纪念迈克尔-钱德勒(Michael Chandler)和克里斯托弗-拉隆德(Christopher Lalonde)的遗产。
IF 2.5 3区 医学
Transcultural Psychiatry Pub Date : 2024-07-26 DOI: 10.1177/13634615241257349
Jacob A Burack, Amy Bombay, Laurence J Kirmayer
{"title":"Cultural continuity, identity, and resilience among indigenous youth: Honoring the legacies of Michael Chandler and Christopher Lalonde.","authors":"Jacob A Burack, Amy Bombay, Laurence J Kirmayer","doi":"10.1177/13634615241257349","DOIUrl":"https://doi.org/10.1177/13634615241257349","url":null,"abstract":"<p><p>This essay is an introduction to the thematic issue of <i>Transcultural Psychiatry</i> in honor of the work of Michael Chandler and Christopher Lalonde, developmental psychologists who made essential contributions to the study of identity and wellness among Indigenous youth in Canada and internationally. We outline their major contributions and illustrate the ways their innovative theory and methods have inspired decades of research, including the recent work presented in this issue, which addresses four broad themes: (1) the importance of a developmental perspective in mental health research; (2) the role of individual and collective continuity of identity in suicide prevention and mental health promotion; (3) Indigenous perspectives on trauma and resilience; and (4) Indigenous knowledge and values as a basis for culturally adapted and culturally grounded mental health services and interventions.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761692","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}
引用次数: 0
The mental health of first- and second-generation migrant vs. native healthcare workers during the COVID-19 pandemic: The VOICE survey of 7,187 employees in the German healthcare sector. 在 COVID-19 大流行期间,第一代和第二代移民与本地医护人员的心理健康对比:对德国医疗保健行业 7187 名员工进行的 VOICE 调查。
IF 2.5 3区 医学
Transcultural Psychiatry Pub Date : 2024-07-25 DOI: 10.1177/13634615241253153
Regina Herold, Eva Morawa, Caterina Schug, Franziska Geiser, Petra Beschoner, Lucia Jerg-Bretzke, Christian Albus, Kerstin Weidner, Nina Hiebel, Andrea Borho, Yesim Erim
{"title":"The mental health of first- and second-generation migrant vs. native healthcare workers during the COVID-19 pandemic: The VOICE survey of 7,187 employees in the German healthcare sector.","authors":"Regina Herold, Eva Morawa, Caterina Schug, Franziska Geiser, Petra Beschoner, Lucia Jerg-Bretzke, Christian Albus, Kerstin Weidner, Nina Hiebel, Andrea Borho, Yesim Erim","doi":"10.1177/13634615241253153","DOIUrl":"https://doi.org/10.1177/13634615241253153","url":null,"abstract":"<p><p>The COVID-19 pandemic exacerbated the challenging working conditions of healthcare workers (HCWs) in many regions. A considerable proportion of HCWs in Germany are migrants facing additional migration-related stressors. The aim of this cross-sectional web-based survey was to examine depressive and generalized anxiety symptoms among migrant and native HCWs in Germany during the pandemic. We compared 780 migrant (first- and second-generation) HCWs from different backgrounds with 6,407 native HCWs. Multiple linear regression analyses were used to examine associations between occupational and COVID-19 related variables, controlling for sociodemographics. Migrant HCWs from low-/middle-income countries more frequently had clinically relevant depressive symptoms (PHQ-2 ≥ 3) than did those from high-income countries (29.9% vs. 16.7%, <i>p</i> = .002, ϕ = .156) (all other ϕs/Cramer's <i>V</i>s ≤ .036). There were no clinically relevant differences in anxiety levels (GAD-2 ≥ 3) between native vs. migrant HCWs, native vs. the individual migrant HCW groups, or between the sexes (all ϕs/Cramer's <i>Vs</i> ≤ .036). After controlling for key sociodemographic characteristics, native HCWs did not differ from the individual migrant HCW groups on depression and anxiety severity (depression: all βs ≤ |.030|, anxiety: all βs ≤ |.014|). A high percentage of HCWs reported distress, with migrants from low-/middle-income countries reporting highest burden. The results indicate the need to establish prevention programmes for HCWs, with special consideration to vulnerable populations including certain migrant groups.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761693","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}
引用次数: 0
Establishing veritocracy: Society, truth and science. 建立真理民主制:社会、真理与科学。
IF 2.5 3区 医学
Transcultural Psychiatry Pub Date : 2024-06-11 DOI: 10.1177/13634615241260726
Harry Collins
{"title":"Establishing veritocracy: Society, truth and science.","authors":"Harry Collins","doi":"10.1177/13634615241260726","DOIUrl":"https://doi.org/10.1177/13634615241260726","url":null,"abstract":"<p><p>In the west, truth is being eroded by post-modernist ideas such as alternative facts. Once truth is no longer valued it is a short route through nationalistic populism to fascism. To combat this we need to establish the idea of 'veritocracy' as a form of government. A veritocracy is a democracy in which truth is so highly valued that promising to tell the truth will become a central feature of politicians' election manifestos feeding back the idea of veritocracy deeper into national culture. A proper understanding of the nature of science can support the idea of veritocracy. This proper understanding will not repeat the mythology of post-World War II philosophy and history of science, but will begin with the much more socially cognisant revolution in our understanding of science that began in the 1960s and 1970s. Nevertheless, a 'wave three' of science studies will justify science, not as a certainty-maker for policy, but as the way to bet in developing the best understanding of the observable world. The key is that science depends on moral truth in its attempts to develop correspondence truth. Science, like the law, should be a 'check and balance' in pluralist democracies and an object lesson in how to pursue truth in decision-making.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307140","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}
引用次数: 0
Impact of a psychoeducational intervention on willingness to seek help for depression among African American young adults. 心理教育干预对非裔美国年轻人抑郁症求助意愿的影响。
IF 2.5 3区 医学
Transcultural Psychiatry Pub Date : 2024-06-06 DOI: 10.1177/13634615241253167
Benita A Bamgbade, Jamie C Barner, Carolyn M Brown, Kentya H Ford, William B Lawson, Kimberly Burdine
{"title":"Impact of a psychoeducational intervention on willingness to seek help for depression among African American young adults.","authors":"Benita A Bamgbade, Jamie C Barner, Carolyn M Brown, Kentya H Ford, William B Lawson, Kimberly Burdine","doi":"10.1177/13634615241253167","DOIUrl":"https://doi.org/10.1177/13634615241253167","url":null,"abstract":"<p><p>Despite the success of psychoeducational interventions at improving willingness to seek professional help for mental illness, limited research explores the effect of culturally tailored psychoeducational interventions on African American (AA) college students. The objective of this study was to determine if exposure to a culturally relevant psychoeducational intervention impacted AA young adult attitudes, subjective norms, perceived behavioral control, depression stigma, disclosure and willingness to seek help for depression. We conducted a one-group pre- and post-test intervention study of AA college students (N = 75). The 2.5-h intervention featured presentations, large-group discussions, videos, and active learning exercises and was guided by applying a cultural adaptation framework to an existing psychoeducational intervention. The self-administered surveys were created using the Theory of Planned Behavior as a guide. Data were analyzed using paired t-tests. A total of 70 participants completed both pre- and post-test surveys. Overall, willingness, attitude, and disclosure significantly increased after the intervention (<i>p</i> < .001). Additionally, depression stigma significantly decreased after the intervention, indicating fewer stigmatizing beliefs about depression (<i>p</i> < .001). Willingness to seek help for depression among AA college students can be improved through culturally relevant and interactive psychoeducational interventions. These interventions can also improve negative attitudes and perceived behavioral control toward seeking help and decrease stigmatizing beliefs. More research is needed to explore the longitudinal impact of culturally relevant psychoeducational interventions and how they may affect actual help-seeking behavior among AA college students.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263087","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}
引用次数: 0
"I had no idea there were psychiatric clinics for children": A qualitative study of how migrant parents reach Swedish mental health services for their children. "我不知道有儿童精神科诊所":关于移民父母如何为子女获得瑞典心理健康服务的定性研究。
IF 2.5 3区 医学
Transcultural Psychiatry Pub Date : 2024-05-23 DOI: 10.1177/13634615241250203
Ester Gubi, Anna-Clara Hollander, Sofie Bäärnhielm
{"title":"\"I had no idea there were psychiatric clinics for children\": A qualitative study of how migrant parents reach Swedish mental health services for their children.","authors":"Ester Gubi, Anna-Clara Hollander, Sofie Bäärnhielm","doi":"10.1177/13634615241250203","DOIUrl":"https://doi.org/10.1177/13634615241250203","url":null,"abstract":"<p><p>Migrant children have repeatedly been shown to underutilize psychiatric services and to face barriers to care, yet few studies have examined the experience of migrant parents who are successful in their help-seeking efforts for their children's mental health. The aim of this study was to gain a deeper understanding of facilitators and obstacles to reaching care among migrant parents in contact with child psychiatric services. We explored how migrant parents in Stockholm, Sweden, experienced the process of reaching child mental health services. Participants were recruited from out-patient mental health clinics. Ten in-depth interviews were conducted; qualitative analysis of transcripts was undertaken using thematic content analysis. Parents described a desire to reach services but difficulties doing so on their own. We identified a strong dependence on referring agents, such as schools and child health centers, for parents to gain contact. Informants expressed a high degree of trust toward these agents. Contrary to previous studies, stigma was not described as an obstacle to help-seeking but was recognized by informants as a potential barrier to care had they not emigrated. Although participants in our study had differing educational backgrounds and residency times in Sweden, a common experience of reliance on others for reaching services was evident in the data. Our findings highlight the role of referring agents as bridging contacts between different welfare services. Understanding the specific local resources and services that are available to migrant parents, and strengthening these across different sectors, could potentially help reduce barriers to care.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141082572","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}
引用次数: 0
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