Transcultural Psychiatry最新文献_第10页

5E Mental Health? Notes on an emerging style of thought. 心理健康？关于一种新兴思维方式的注释。

IF 2.7 3区医学

Transcultural Psychiatry Pub Date : 2025-06-01 Epub Date: 2025-06-03 DOI: 10.1177/13634615251327862

Nikolas Rose

{"title":"5E Mental Health? Notes on an emerging style of thought.","authors":"Nikolas Rose","doi":"10.1177/13634615251327862","DOIUrl":"10.1177/13634615251327862","url":null,"abstract":"A new style of thought is emerging in debates around psychiatry and mental health, which I term '5E Mental Health.' This goes beyond the well-known and much-criticized 'biopsychosocial' approach, and entails a fundamental challenge to the deeply socially embedded 'psychiatric complex.' It aims to map the biosocial mechanisms through which 'social determinants' give rise to the ailments that have become the province of clinical psychiatry. Those ailments are: embodied: brought forth not just by the brain but by the whole organism; extended: realized by the organism in interaction with the material and interpersonal environment; emplaced: always shaped in relation to a specific milieu and what it affords or disaffords; experienced: made meaningful by and to the individual (and to others) in language, meaning, memory, salience; and enacted: not just passively received but shaping an active agentive way of being with others, a form of life. These are the tractable pathways through which adverse social experiences give rise to those ailments conventionally diagnosed and treated in individual clinical encounters. It is possible and plausible to enact small-scale local changes in forms of life that can act on these pathways. This requires mental health professionals to work collaboratively with architects, planners, local and national policy makers, and, crucially, those who have experience of mental distress and psychiatric services. It thus requires a paradigm shift in the work of psychiatrists, mental health professionals, and policy makers that is as radical and fundamental as that entailed in the closure of the asylums.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"325-340"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12171027/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209911","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}

引用次数: 0

A qualitative study exploring the epistemology of suffering within a Malaysian Indigenous tribe. 探索马来西亚土著部落苦难认识论的定性研究。

IF 2.7 3区医学

Transcultural Psychiatry Pub Date : 2025-04-01 Epub Date: 2024-02-14 DOI: 10.1177/13634615231225158

Justine Jian-Ai Thong, Rachel Sing-Kiat Ting, Tomomi Takeuchi, Laura Jobson, Maude Elvira Phipps

{"title":"A qualitative study exploring the epistemology of suffering within a Malaysian Indigenous tribe.","authors":"Justine Jian-Ai Thong, Rachel Sing-Kiat Ting, Tomomi Takeuchi, Laura Jobson, Maude Elvira Phipps","doi":"10.1177/13634615231225158","DOIUrl":"10.1177/13634615231225158","url":null,"abstract":"Despite the universal nature of suffering, few studies have examined how Indigenous ethnic minorities in non-western regions understand and respond to adversity. This study explored the epistemology of suffering among the Temiar ethnic group of Peninsular Malaysia using participant observation and semi-structured interviews. Interview transcripts of 43 participants were coded through inductive thematic analysis and a consensual qualitative approach. Three-tier themes were defined and named after subsequent analysis of core ideas and domains in the data. Major adversities reported included a lack of basic needs, lack of land-rights and unjust treatment from authorities, destruction of the forest environment and livelihood, and lack of accessibility and facilities, which were attributed to authorities' negligence of responsibilities, increasing human-animal conflict, environmental threats and imposed lifestyle changes. Faced with adversity, the Temiar endeavoured to survive by working crops and gathering forest resources. They utilized resources from family, fellow villagers, external agencies and spiritual-religious traditions. Theoretical mapping of attribution styles into the Ecological Rationality Framework revealed predominantly external-focused and concrete-perceptual rationalities privileged by strong-ties societies. These findings pointed to the resilience of a strong-ties community while adapting to the systemic suffering and risk factors stemming from a rationality mismatch with modernization and globalization trends. To conclude, we advocate for culture-sensitive mental health and psychiatric practices, as well as sustainable development for the well-being of Indigenous communities locally and globally.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"305-321"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12130592/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139736453","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}

引用次数: 0

Activist burnout in No Borders: The case of a highly diverse movement. 无国界运动中激进分子的倦怠：高度多样化运动的案例。

IF 2.7 3区医学

Transcultural Psychiatry Pub Date : 2025-04-01 Epub Date: 2024-12-05 DOI: 10.1177/13634615241296292

Leslie Carmel Gauditz

{"title":"Activist burnout in No Borders: The case of a highly diverse movement.","authors":"Leslie Carmel Gauditz","doi":"10.1177/13634615241296292","DOIUrl":"10.1177/13634615241296292","url":null,"abstract":"Activist burnout is a common threat to activists' personal sustainability and to a movement's effectiveness. Compared to related fields such as humanitarian aid or social work we know relatively little about mental health risks in activists or how a specific activist environment may contribute to mental health outcomes. This study examines the case of the No Borders movement in Europe, a grassroots movement fighting for migrant rights. The movement's groups are highly diverse in terms of nationality, ethnicity, culture, and religion because they are composed of refugees, migrants, and local populations. Following the vulnerability-stress-model, the article asks: which specific stressors occur in the No Borders movement? The analysis is exploratory and based on ethnographic research and qualitative interviews (N = 26). Situational Analysis (SitA) shows that: a) activists have to navigate a complex environment in which radical grassroots activism meets humanitarian emergencies, and b) in dealing with diversity and intergroup conflicts they are under pressure to live up to their political ideals. These insights led to the identification of three stressors: prefigurative betrayal, inadequate expectations, and split of life-worlds. Understanding these stressors can contribute to informing preventive measures in No Borders and in other migrant or antiracist movements.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"167-180"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12130585/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781234","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}

引用次数: 0

Perceived clinical challenges when treating patients from different cultures: A study among psychiatry trainees in Norway. 在治疗来自不同文化的病人时所感受到的临床挑战：一项对挪威精神病学受训人员的研究。

IF 2.7 3区医学

Transcultural Psychiatry Pub Date : 2025-04-01 Epub Date: 2024-12-24 DOI: 10.1177/13634615241296297

Morten Sandbu, Anne Cecilie Javo, Suraj Bahadur Thapa, Karin Isaksson Rø, Valjbona Preljevic, Reidar Tyssen

{"title":"Perceived clinical challenges when treating patients from different cultures: A study among psychiatry trainees in Norway.","authors":"Morten Sandbu, Anne Cecilie Javo, Suraj Bahadur Thapa, Karin Isaksson Rø, Valjbona Preljevic, Reidar Tyssen","doi":"10.1177/13634615241296297","DOIUrl":"10.1177/13634615241296297","url":null,"abstract":"The growing number of migrant patients in western countries calls for better cross-cultural competence among health providers. As workplaces, hospitals have become increasingly multicultural, and many doctors are themselves of foreign origin, including psychiatrists. The aims of this study were to explore what clinical challenges International Medical Graduates (IMGs) and native-born Norwegian doctors training in psychiatry perceived when treating patients from other cultures, and what factors might be associated with such cross-cultural challenges. We developed a six-item inventory of perceived cross-cultural clinical challenges (PCC), to assess what cross-cultural problems trainees in psychiatry found most challenging. The PCC was completed by 216 trainees who also reported on individual- and work-related background factors. Comparisons of PCC between the two groups were done by one-way analysis of variance, and associations between PCC and background factors were analyzed by linear multiple regression. The overall response rate was 93%. Native -born Norwegian doctors reported higher levels of PCC than did IMGs. Both native-born Norwegian doctors and IMGs rated \"assessing psychosis,\" \"assessing suicide risk,\" and \"lacking tools in cross-cultural consultations\" as the most demanding challenges in cross-cultural consultations. Independent factors associated with higher PCC included being a native-born Norwegian doctor and experiencing high levels of work-home conflict. The findings suggest that trainees in psychiatry may need more training and better tools in cross-cultural assessment of mental disorders. Possible differences in PCC between native-born doctors and IMGs should be taken into consideration when developing mentoring programs, as should the doctors' work-home conflict level, which might impact the PCC.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"181-191"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12130610/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883187","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}

引用次数: 0

High-risk pregnant women's perceptions of their condition: A qualitative study with an emphasis on psychosocial need. 高危孕妇对自身状况的认知：一项强调心理社会需要的定性研究。

IF 2.7 3区医学

Transcultural Psychiatry Pub Date : 2025-04-01 Epub Date: 2025-01-22 DOI: 10.1177/13634615241296298

Celma A B Dos Santos, Janaína C P de Almeida, Denise Saint Arnault, Morena C Riccio, Jaqueline L de Oliveira, Jacqueline de Souza

{"title":"High-risk pregnant women's perceptions of their condition: A qualitative study with an emphasis on psychosocial need.","authors":"Celma A B Dos Santos, Janaína C P de Almeida, Denise Saint Arnault, Morena C Riccio, Jaqueline L de Oliveira, Jacqueline de Souza","doi":"10.1177/13634615241296298","DOIUrl":"10.1177/13634615241296298","url":null,"abstract":"This qualitative study was carried out with 30 high-risk pregnant women from a Brazilian referral service in women's health. The objective was to analyze the perception of participants regarding their condition, emphasizing their psychosocial needs, to deepen the understanding of subjective, relational, and sociocultural aspects associated with high-risk pregnancy. Data were collected through interviews and participant observation and then explored by thematic content analysis. The participants described pregnancy as planned or as unexpected and associated with greater social prestige and the need for changes, especially related to work and financial conditions. On the other hand, participants mentioned that the risk aspect of pregnancy condition was seen by their social group as something that could have been avoided. Because a high-risk pregnancy is a threat to the baby's physical integrity and life, it leads to the fear of death, which is reinforced by experiences of previous pregnancies. The psychosocial aspects elucidated in the study deal with emotional and labor factors, consistent with existing literature. Participants mentioned family members and health professionals as important support during their pregnancy, especially with regard to daily activities and health care, aimed at promoting favorable outcomes. Some participants reported a lack of support, relational difficulties, and social stigma due to mental illness or advanced age, which were related to experiences of guilt and accountability.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"227-240"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014004","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

Theories of mind and trauma after war in Uganda. 乌干达战后的心理和创伤理论。

IF 2.7 3区医学

Transcultural Psychiatry Pub Date : 2025-04-01 Epub Date: 2025-01-08 DOI: 10.1177/13634615241296311

Lars Williams, Tanya Marie Luhrmann

{"title":"Theories of mind and trauma after war in Uganda.","authors":"Lars Williams, Tanya Marie Luhrmann","doi":"10.1177/13634615241296311","DOIUrl":"10.1177/13634615241296311","url":null,"abstract":"After years of armed conflict in northern Uganda, many local people have turned to Evangelical churches for help with healing and recovery. We observe that the healing practices in these churches encourage particular notions of what the mind is, how the mind works and whether it is bounded or porous to the outside world. In the traditional cultural setting in which these people grew to adulthood, many accept that vengeance can attack supernaturally from without. Based on ethnographic research conducted in the region between 2015 and 2019, this article argues that these new ideas about mind (broadly conceived) may help some community members recover (to some extent) from traumatic experiences arising from the armed conflict by modeling trauma as not supernatural, and modeling the mind as protected by God from attack. Learning a new way of understanding the mind and its boundaries with the outside world-e.g., as more closed and bounded-and learning to practice a certain amount of control over this boundary, may have a significant effect on the experiences of mental distress This argument contributes to debates on anthropology of mind, and on the way local theories of mind may shape mental experience.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"265-276"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956876","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

Is personhood lost after mental illness? Exploring the dynamic interface between personhood and mental illness in Ghana. 精神疾病后人格丧失了吗？探索加纳人格与精神疾病之间的动态界面。

IF 2.7 3区医学

Transcultural Psychiatry Pub Date : 2025-04-01 Epub Date: 2025-01-21 DOI: 10.1177/13634615241306227

Seth Mawusi Asafo, Joseph Osafo, Charity S Akotia, Angela A Gyasi-Gyamerah, Johnny Andoh-Arthur, Jonathan K Gavi

{"title":"Is personhood lost after mental illness? Exploring the dynamic interface between personhood and mental illness in Ghana.","authors":"Seth Mawusi Asafo, Joseph Osafo, Charity S Akotia, Angela A Gyasi-Gyamerah, Johnny Andoh-Arthur, Jonathan K Gavi","doi":"10.1177/13634615241306227","DOIUrl":"10.1177/13634615241306227","url":null,"abstract":"Understanding of local conceptions of personhood and mental illness is central for developing therapeutic alliance and treatment regimens for persons living with mental illness. Such persons are exposed to several discriminatory behaviours yet factors that seem to encourage these behaviours are still not entirely understood. Personhood as construed from an emic perspective could potentially guide an understanding of societal attitudes toward individuals suffering from mental illness. This study explored Akan and Ewe conceptions of personhood in relation to mental illness. Using a semi-structured interview guide, seven Focused Group Discussions (FGDs) were conducted in the Tutu and Taviefe communities of the Eastern and Volta Regions of Ghana. A thematic analysis of interviews brought out three main themes: loss of sense of personhood during mental illness; liminality of personhood status after mental illness; and restoration of personhood status. Within these conceptions, activities such as restoring routines and occupational therapy could be utilized to \"restore personhood\" at least at the performative level. This demonstrates the dynamic interface between notions of personhood and mental illness with implications for stigma reduction.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"192-201"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014074","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

Explanatory models of common mental disorders among South Asians in high-income countries: A systematic review. 高收入国家南亚人常见精神障碍的解释模型：系统回顾。

IF 2.7 3区医学

Transcultural Psychiatry Pub Date : 2025-04-01 Epub Date: 2025-01-09 DOI: 10.1177/13634615241296302

Ruchika Jain, Ritsuko Kakuma, Daisy R Singla, Kirsty Andresen, Khawater Bahkali, Abhijit Nadkarni

{"title":"Explanatory models of common mental disorders among South Asians in high-income countries: A systematic review.","authors":"Ruchika Jain, Ritsuko Kakuma, Daisy R Singla, Kirsty Andresen, Khawater Bahkali, Abhijit Nadkarni","doi":"10.1177/13634615241296302","DOIUrl":"10.1177/13634615241296302","url":null,"abstract":"Mental health service use by individuals of South Asian origin living outside of South Asia is influenced by cultural factors such as endorsing psycho-social-spiritual over biological explanations, somatisation, and stigma. The aim of this review is to synthesise the evidence about (a) explanatory models of common mental disorders (CMDs) among people of South Asian origin residing in high-income countries, and (b) their help-seeking for CMDs, including formal and informal care. The systematic review protocol was registered a priori on Prospero (registration number CRD42021287583). We ran extensive searches on explanatory models and help-seeking of people of South Asian origin across five databases (MEDLINE, Embase, Cumulated Index to Nursing and Allied Health (CINAHL), PsycINFO, and Global Health). We extracted the data and conducted a narrative synthesis. We included 33 reports and 29 studies (9,030 participants). The participants in the included studies viewed CMDs through a psychosocial rather than a biological lens (e.g., resulting from family issues vs. neurotransmitters). Causal attributions included life stressors and attitudinal and religious/spiritual factors. Commonly used help-seeking strategies included private coping (i.e., crying or praying), speaking to friends and family, and visiting their General Practitioner. We can conclude that cultural factors play an important role in how South Asian individuals experience and understand CMDs. To cope, they use pluralistic help-seeking strategies. Implications for clinical practice and policy include increasing research on the explanatory models of CMDs, involving family in services, and developing community-based interventions for individuals who do not engage with formal care.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"241-264"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12130613/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956874","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}

引用次数: 0

Screening depression and anxiety in Indigenous peoples: A global scoping review. 筛查土著人民的抑郁和焦虑：一项全球范围审查。

IF 2.7 3区医学

Transcultural Psychiatry Pub Date : 2025-04-01 Epub Date: 2023-07-25 DOI: 10.1177/13634615231187257

Kathryn Meldrum, Ellaina Andersson, Torres Webb, Rachel Quigley, Edward Strivens, Sarah Russell

{"title":"Screening depression and anxiety in Indigenous peoples: A global scoping review.","authors":"Kathryn Meldrum, Ellaina Andersson, Torres Webb, Rachel Quigley, Edward Strivens, Sarah Russell","doi":"10.1177/13634615231187257","DOIUrl":"10.1177/13634615231187257","url":null,"abstract":"Indigenous peoples' worldviews are intricately interconnected and interrelated with their communities and the environments in which they live. Their worldviews also manifest in a holistic view of health and well-being, which contrasts with those of the dominant western biomedical model. However, screening depression and/or anxiety in Indigenous peoples often occurs using standard western tools. Understandably, the cultural appropriateness of these tools has been questioned. The purpose of this scoping review was to map the literature that used any type of tool to screen depression or anxiety in Indigenous adults globally. A systematic scoping review method was used to search databases including, but not limited to, CINAHL, PubMed, Scopus and Google. Database-specific search terms associated with Indigenous peoples, depression and anxiety, and screening tools were used to identify literature. In addition, citation searches of related systematic reviews and relevant websites were conducted. The data set was limited to English language publications since database inception. Fifty-four publications met the review's inclusion criteria. Most studies were completed in community settings using standard western depression and anxiety screening tools. Thirty-three different tools were identified, with the Patient Health Questionnaire-9 being the most frequently used. The review's findings are concerning given repeated calls for culturally appropriate screening tools to be used with Indigenous peoples. Although there has been some work to cross-culturally adapt depression screening tools for specific Indigenous populations, clearly more clinicians and researchers need to be aware of, and use, culturally appropriate approaches to screening.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"289-304"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12130600/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10228660","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}

引用次数: 0

Lockdown through a Chinese lens: A qualitative study. 中国视角下的封锁：一项定性研究。

IF 2.7 3区医学

Transcultural Psychiatry Pub Date : 2025-04-01 Epub Date: 2025-01-29 DOI: 10.1177/13634615241296310

Doris Zhang, Gary Cheung, Sarah Cullum, Lillian Ng

{"title":"Lockdown through a Chinese lens: A qualitative study.","authors":"Doris Zhang, Gary Cheung, Sarah Cullum, Lillian Ng","doi":"10.1177/13634615241296310","DOIUrl":"10.1177/13634615241296310","url":null,"abstract":"COVID-19-related lockdowns resulted in strict visiting restrictions in care homes, placing a vulnerable population at further risk of functional and cognitive decline, and psychological difficulties due to isolation. Experiences of vulnerable minority groups of older persons who reside in care homes are not well researched. In New Zealand, the Chinese community is a fast-growing ethnic group that faces challenges such as language barriers, differing cultural beliefs and COVID-19-related discrimination. The aim of this study was to explore the experiences of Chinese care home residents in New Zealand during COVID-19 lockdowns. In this qualitative study, we interviewed residents (n = 6), family members (n = 6) and facility staff (n = 6) across two Chinese-run care homes in Auckland, New Zealand. Resident and family member participants were exclusively Chinese. Interviews were conducted and transcribed in either English or Mandarin Chinese. Transcripts were coded and analysed to synthesise themes. We identified five themes: (a) acceptance and pragmatism; (b) attitudes towards authority; (c) the concept of máfan: (to trouble); (d) challenges to fulfilling filial duties; and (e) responding to pandemic challenges. This research reframes the narrative of older Chinese care home residents during COVID-19-related restrictions. We recommend integrating the findings and philosophical values identified in this study to develop future protocols that consider the cultural and language needs of Chinese care home residents.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"214-226"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12130599/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061140","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}

引用次数: 0