Transcultural Psychiatry最新文献_第2页

Suicide and suicide behavior: A qualitative study in Telangana, India. 自杀与自杀行为：印度特伦加纳邦的定性研究。

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2025-01-09 DOI: 10.1177/13634615241296321

Suchita Rawat, Sunanda Rajkumari, Kallur Nava Saraswathy, Pooran Chand Joshi, M Swarna Latha, Kandagatla Sravan Kumar, S Raghu, Chakraverti Mahajan

{"title":"Suicide and suicide behavior: A qualitative study in Telangana, India.","authors":"Suchita Rawat, Sunanda Rajkumari, Kallur Nava Saraswathy, Pooran Chand Joshi, M Swarna Latha, Kandagatla Sravan Kumar, S Raghu, Chakraverti Mahajan","doi":"10.1177/13634615241296321","DOIUrl":"https://doi.org/10.1177/13634615241296321","url":null,"abstract":"This study aimed to understand the perceptions and experiences of suicide attempters in order to suggest potential initiatives to reduce the suicide burden in rural India. The study is based on 46 in-depth interviews with suicide attempters and 4 focus group discussions with their family members. Interview content analysis revealed information related to four anticipated themes: the characteristics of a suicide attempt are complex; suicide attempters are taken to public hospitals for first aid and treatment; the consequences of suicide attempts are diverse; and quality of life improved after the suicide attempt. There were also two unanticipated themes: suicide attempters sought help from potential rescuers; and the underreporting of suicide attempts. Emergent themes from the focus group discussions were the vulnerable group for suicide; poverty, indebtedness, family conflicts and unemployment are the main reasons for suicide; non-violent methods are used to commit suicide; there were no behavioral changes before suicide; the devastating effects on the families of decedents; positive community support to suicide survivor families; and expectations of preventive measures from both the community and government. The article argues that to reduce the suicide burden, the government should adopt a two-pronged strategy of creating a secure livelihood all-year round and providing psychological counseling at both the household and community levels.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"13634615241296321"},"PeriodicalIF":2.5,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956875","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 2.5 3区医学

Transcultural Psychiatry Pub 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":"13634615241296311"},"PeriodicalIF":2.5,"publicationDate":"2025-01-08","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

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 2.5 3区医学

Transcultural Psychiatry Pub 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":"https://doi.org/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":"13634615241296297"},"PeriodicalIF":2.5,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Experiences of resettled Iraqi and Syrian refugee young people and families with a mental health triage and assessment service. 重新安置的伊拉克和叙利亚难民青年和家庭在心理健康分类和评估服务方面的经验。

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2024-12-12 DOI: 10.1177/13634615241296970

Alicia J King, Katherine Monson, Christine Migliorini, Lenice Murray, Carol Harvey

{"title":"Experiences of resettled Iraqi and Syrian refugee young people and families with a mental health triage and assessment service.","authors":"Alicia J King, Katherine Monson, Christine Migliorini, Lenice Murray, Carol Harvey","doi":"10.1177/13634615241296970","DOIUrl":"https://doi.org/10.1177/13634615241296970","url":null,"abstract":"The Refugee Access Service (RAS) is a triage, assessment and referral service established in Melbourne, Australia to ensure timely and appropriate mental health support for young refugees. This qualitative study sought to explore the experiences of young people aged 12-25 years, and their families, newly arrived from Iraq and Syria, who had contact with the RAS, for the purposes of further programme development. Semi-structured interviews were conducted with participants, either individually or in family groups. Thematic analysis was used to identify themes. Four key themes were identified. These were that mental health help-seeking of newly arrived young people and families is influenced by cultural norms; that trauma, grief and loss influence mental health service needs; that settlement challenges influence mental health service needs; and that the cultural responsiveness of mental health care is important to young people and families. Results highlight ways in which this service, and similar models, can improve to better meet the needs of young refugees and their families. Services should be developed in partnership with the wider operating environment. This will improve providers' understanding of communities they serve. It will also promote pathways between, and collaboration with, different types of services.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"13634615241296970"},"PeriodicalIF":2.5,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814741","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

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 2.5 3区医学

Transcultural Psychiatry Pub 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":"https://doi.org/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":"13634615241296292"},"PeriodicalIF":2.5,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","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 : 2024-12-01 Epub 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":"10.1177/13634615241253153","url":null,"abstract":"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%, p = .002, ϕ = .156) (all other ϕs/Cramer's Vs ≤ .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 Vs ≤ .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.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"872-884"},"PeriodicalIF":2.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11664889/pdf/","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":"OA","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 : 2024-12-01 Epub 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":"10.1177/13634615241272982","url":null,"abstract":"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 (n = 4), cognitive interviews (n = 4), and iterative survey adaptation. Somali refugee adults in San Diego (N = 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.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"915-927"},"PeriodicalIF":2.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11664883/pdf/","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":"OA","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 : 2024-12-01 Epub 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":"10.1177/13634615241250203","url":null,"abstract":"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.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"842-857"},"PeriodicalIF":2.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11664882/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness, barriers, and facilitators of interventions delivered by traditional healers for the treatment of common mental disorders: A systematic review. 传统医士为治疗常见精神障碍而采取的干预措施的有效性、障碍和促进因素：系统综述。

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2024-12-01 Epub Date: 2024-09-24 DOI: 10.1177/13634615241273001

Mujeeb Masud Bhatti, Najma Siddiqi, Hannah Jennings, Saima Afaq, Aatik Arsh, Bilal Ahmed Khan

{"title":"Effectiveness, barriers, and facilitators of interventions delivered by traditional healers for the treatment of common mental disorders: A systematic review.","authors":"Mujeeb Masud Bhatti, Najma Siddiqi, Hannah Jennings, Saima Afaq, Aatik Arsh, Bilal Ahmed Khan","doi":"10.1177/13634615241273001","DOIUrl":"10.1177/13634615241273001","url":null,"abstract":"We investigated the effectiveness of interventions provided by traditional healers for common mental disorders (CMDs) together with associated barriers and facilitators. Electronic databases including MEDLINE, APA Psych Info, Allied and Complementary Medicine, Embase, CINAHL, Social Science Citation Index, and Scopus were searched from inception until October 2021. Randomised controlled trials (RCTs) assessing interventions by traditional healers for CMDs and qualitative and mixed-methods studies examining traditional healers and their attendees' views about the treatment of CMDs by traditional healers were included. Cochrane Risk of Bias Assessment tool (RoB-1) and Critical Appraisal Skills Programme (CASP) were used for the quality assessment of studies. A meta-analysis and thematic synthesis were conducted. Sixteen RCTs (1,132 participants) and 17 qualitative or mixed-methods studies (380 participants) were included. Improvement in symptoms was greater for interventions by traditional healers compared to control groups for both depression and anxiety. Subgroup analyses indicated that only \"spiritual passe\" interventions showed improvement in depression and anxiety, and participants with co-morbid anxiety and physical conditions showed improvement in anxiety. Facilitators to engaging with interventions by traditional healers were shared faith-based worldview exhibited by traditional healers and their attendees and perceived effectiveness of traditional healing. Stigma and concealing mental illness were found to be barriers not only to formal healthcare but also to traditional healers' services. Interventions by traditional healers such as \"spiritual passe\" are effective in improving CMDs. However, evidence is still limited due to the low quality of studies and lack of long-term evidence.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"885-904"},"PeriodicalIF":2.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11664887/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142308783","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

What variables predict stigmatizing attitudes toward people with mental disorders and their treatment in Filipinos and Americans? 哪些变量可以预测菲律宾人和美国人对精神障碍患者及其治疗的鄙视态度？

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2024-12-01 Epub Date: 2024-05-20 DOI: 10.1177/13634615241245872

Noah Ramos, Richard J McNally

{"title":"What variables predict stigmatizing attitudes toward people with mental disorders and their treatment in Filipinos and Americans?","authors":"Noah Ramos, Richard J McNally","doi":"10.1177/13634615241245872","DOIUrl":"10.1177/13634615241245872","url":null,"abstract":"In the United States, Asian Americans express greater stigma toward those with mental disorders and report lower rates of seeking mental health treatment than do White Americans. However, research on these topics in Filipino cultural groups, especially Filipinos living in the Philippines (i.e., Filipino nationals), is sparse. To support the design of interventions to decrease stigma and improve rates of seeking treatment, we assessed attitudes toward mental disorders and help-seeking in Filipinos. U.S. national (i.e., American) and Filipino national participants completed an online survey containing the Mental Illness Stigma Scale, a Theory of Planned Behavior questionnaire measuring attitudes toward seeking treatment, and queries regarding demographic and psychosocial factors. Filipinos expressed significantly more stigma regarding relationship disruption, interpersonal anxiety, and poor hygiene, alongside increased perceived subjective norms opposing seeking treatment and decreased perceived behavioral control over getting treatment if necessary. We ran a linear mixed effects regression on each nationality separately to identify relationships between stigma and psychosocial factors. For Filipinos, increased parental education predicted decreased perceived relationship disruption and interpersonal anxiety; urbanization was associated with greater trust in mental health professionals, and having a close relative with a disorder led to decreased belief in patient recoverability. For Americans, increased participant education predicted decreased interpersonal anxiety, increased perceived recoverability, and improved perceived behavioral control over getting treatment if necessary, and having a close relative with a disorder predicted improved perceived treatability. The results guide programs for decreasing stigma and increasing treatment-seeking behavior. Limitations, future research directions, and possible interventions are discussed.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"811-822"},"PeriodicalIF":2.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141066451","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