Transcultural Psychiatry最新文献

{"title":"A quality appraisal of cultural adaptation of caregiver-implemented interventions for young autistic children.","authors":"James D Lee, Hedda Meadan, Michelle M Sands, Adriana Kaori Terol, Melanie R Martin Loya, Christy D Yoon","doi":"10.1177/13634615251372855","DOIUrl":"https://doi.org/10.1177/13634615251372855","url":null,"abstract":"<p><p>Many evidence-based practices in autism aim to improve outcomes for both family and child. Caregiver-implemented intervention is one example of such evidence-based practice as it aims to strengthen caregivers' capacity in a natural environment. Although caregiver-implemented interventions in early autism intervention are supported by research and used by many practitioners and families, marginalized families of young autistic children from diverse cultural or linguistic backgrounds require additional adaptations to these interventions for increased contextual fit. Without these adaptations, interventions may not be equitably accessible among marginalized families who are underrepresented in autism research. While literature suggests that cultural adaptation of interventions may be an effective way to ensure equitable implementation, it is still difficult to claim its effectiveness among these populations without appraising the quality and rigor of cultural adaptation. Therefore, we conducted a review of 16 studies of caregiver-implemented interventions that were culturally adapted or tailored using the Cultural Adaptation Checklist, a novel tool for appraising the quality of cultural adaptation based on the ecological validity framework and implementation science. The results revealed great variation and use of a wide range of practices in cultural adaptation. Limitations of current literature and implications for future research are discussed.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"13634615251372855"},"PeriodicalIF":2.7,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245638","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":"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":"613-624"},"PeriodicalIF":2.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12489167/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the relevance of Dialectical Behavior Therapy (DBT) Skills for emerging adults in India.","authors":"Nikhil K Singh, Pankhuri Aggarwal, Anjali Jain, April Smith, Vaishali V Raval","doi":"10.1177/13634615251344744","DOIUrl":"10.1177/13634615251344744","url":null,"abstract":"<p><p>An existing body of research demonstrates the efficacy of Dialectical Behavior Therapy (DBT) Skills in reducing a range of psychiatric symptomatology in the United States, although the relevance of DBT Skills in low- and middle-income countries in the Global South has been understudied. Focusing on India, a middle-income country, in this qualitative study, we explored the relevance of DBT Skills for emerging adults-typically individuals aged 18-29 years-using focus groups with counseling psychology graduate students. Students (<i>N</i> = 22, 90% women) participated in initial focus groups where DBT Skills were outlined and were asked whether these skills would be relevant for emerging adults in India, and what adaptations may be needed. Then, students received a virtual four-week DBT Skills training program in which they learned extensively about DBT Skills and subsequently participated in focus groups to discuss the relevance of those skills for emerging adults in India. Incorporating the adaptations they recommended, students then facilitated DBT Skills groups with emerging adults in India for eight weeks and then participated in focus groups to discuss the relevance of the skills. Thematic analysis was used to analyze the data from the three sets of focus groups. Twelve themes were identified and organized into three separate domains: (a) views about optimal interventions; (b) relevance of DBT Skills; and (c) sociocultural adaptations to DBT Skills. Overall, findings suggest relevance of DBT Skills for emerging adults in India with specific adaptations to emotion regulation, and more broadly to all modules by integrating collectivistic values and local cultural norms.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"586-597"},"PeriodicalIF":2.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267678","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":"Coca-Cola and hookah: Yazidi refugees' negotiation of hopeful futures and psychosocial resilience in U.S. resettlement.","authors":"Julie A Tippens, Falah Nayif Rashoka, Hazim Rashawka, Gulie Khalaf, Angela L Palmer-Wackerly, Izdihar Vianne Sheikh, Megan S Kelley","doi":"10.1177/13634615251343409","DOIUrl":"10.1177/13634615251343409","url":null,"abstract":"<p><p>Large numbers of refugees from Iraq continue to resettle in the United States, but there is limited information about the mental health and psychosocial wellbeing of ethnoreligious Yazidi refugees in a U.S. resettlement context. Thus, we sought to answer the following questions: (1) How do different groups of Yazidi refugees experience and perceive mental health and psychosocial wellbeing?; (2) What are Yazidi refugees' preferred help-seeking strategies and supportive resources to promote psychosocial resilience?; and (3) What role does future-making play in the psychosocial resilience of Yazidi refugees? To answer these questions, we conducted four age- and gender-disaggregated focus groups with 28 Yazidi refugees living in the U.S. Midwest. Using narrative and matrix analysis approaches, we generated three themes highlighting the importance of hope and future-making in individual and collective psychosocial resilience: (1) psychosocial distress and the precarity of future-making out-of-place, (2) perceptions of mental health and psychosocial help-seeking using unfamiliar systems of care, and (3) liminality, cultural negotiation, and future-making. Our findings reveal an interplay between the cultural and structural dimensions of wellbeing and suggest an ecosocial-structural approach is essential for effective mental health and psychosocial support (MHPSS) with Yazidi refugees.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"598-612"},"PeriodicalIF":2.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144508865","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":"The distinct internet addiction of otaku with maladaptive cognition and social support.","authors":"Naohiko Yamagami, Tamaki Saito, Yasukazu Ogai, Nobuaki Morita","doi":"10.1177/13634615251321995","DOIUrl":"10.1177/13634615251321995","url":null,"abstract":"<p><p>In Japan, people who indulge in animation, comics, and games are commonly referred to as \"otaku.\" Despite the prevalent stereotype associating otaku with socially maladaptive characteristics, empirical studies on this topic are limited. Previous studies suggest two consistent aspects of otaku: a tendency towards pessimism and excessive internet use. Moreover, research suggests that addictive internet use is associated with pessimistic cognition. For this reason, this study examined the distinguishing characteristics of internet dependence among Japanese otaku. Assuming various content within \"Pathological Internet Use (PIU)\" specific to otaku, we investigated whether a lack of adaptive cognition and social support predicted \"generalized PIU\" and whether a lack of adaptive cognition predicted otaku-specific PIU specifically in otaku-characterized individuals. We administered an online questionnaire to 1,115 respondents, who were categorized into otaku and non-otaku groups based on their responses. The results revealed significant inclination among otaku towards stronger PIU and maladaptive cognition, along with lower reported social support. In the multiple regression analysis among otaku, maladaptive cognition emerged as a significant predictor of otaku-specific PIU, and the analysis suggested a stronger association between internet-related maladaptive cognition and overall PIU, distinguishing otaku from non-otaku. In addition, while lower levels of social support did not predict Social Networking Service (SNS) addiction among non-otaku, SNS addiction among otaku was predicted by low degree of support from family members and online friends whom they had not met in person.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"652-666"},"PeriodicalIF":2.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128906","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":"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":"667-680"},"PeriodicalIF":2.7,"publicationDate":"2025-10-01","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":"Walking out of the shadows: Exploring the complexities of motherhood and intergenerational realities in the families of three Taiwanese comfort women survivors.","authors":"Shu-Hua Kang, Myriam Denov","doi":"10.1177/13634615251342640","DOIUrl":"10.1177/13634615251342640","url":null,"abstract":"<p><p>Previous studies have found that Taiwanese comfort women survivors faced multiple forms of trauma from the comfort women system, and that societal prejudice against women's sexual victimization further impacted their marriages. However, there is minimal research exploring how sexual trauma may have impacted comfort women survivors' experiences of motherhood, alongside the consequences of survivors' experiences on subsequent generations. This article explores the perceptions of eight family members, including the second and third generations, of three deceased Taiwanese Han-Chinese ethnicity comfort women survivors. In particular, we trace family members' perspectives of survivors' mothering, and how family members were impacted by their mother's experiences as a comfort woman. To ensure participants' anonymity, findings are presented using composite narratives. The narratives illustrate the ways in which survivors' sexual trauma reportedly impacted survivors' family formation and mothering, and had long-term effects on survivors' offspring. According to family members, ambivalent mother-daughter relationships and conflictual relationships resulting from the preferential treatment of the male offspring were found. In addition, family members' psychological well-being, marriages, personality, and parenting were impacted by survivors' sexual trauma and conflictual family dynamics. Nevertheless, participants showed great strength and capacity under challenging circumstances and actively undertook their healing journey. We highlight the importance of providing culture-driven multilayered services for the families of comfort women survivors to foster intergenerational resilience, enabling them to continue to \"walk out of the shadows\" of conflict-related sexual violence.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"572-585"},"PeriodicalIF":2.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12489163/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","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":"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":"640-651"},"PeriodicalIF":2.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12489165/pdf/","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":"OA","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":"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":"555-571"},"PeriodicalIF":2.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12489166/pdf/","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":"OA","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":"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":"625-639"},"PeriodicalIF":2.7,"publicationDate":"2025-10-01","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}