Transcultural Psychiatry最新文献

{"title":"Sufi music with makams for people with mild to moderate levels of depression and anxiety: A pilot feasibility randomised controlled trial.","authors":"R N Gurbuz-Dogan, A Ali","doi":"10.1177/13634615251357470","DOIUrl":"10.1177/13634615251357470","url":null,"abstract":"<p><p>There is some evidence that Sufi music as a receptive music therapy might be beneficial for treatment of common psychological disorders, and mental well-being. The aim of this study was to test the feasibility of Sufi music intervention for adults with mild to moderate levels of depression and anxiety, attending Turkish community centres in England. This was a pilot randomised controlled trial of a 4-week Sufi makam music intervention with 60 participants conducted in two Turkish community centres in the UK with assessments at baseline, mid-intervention (2 weeks), post intervention (4 weeks) and at 2 weeks follow-up. The recruitment and retention rates in the intervention arm during the four weeks were 94.5% and 93.3%, respectively. The intervention was acceptable for most of the participants. According to analysis of clinical outcomes, Sufi music intervention was not associated with any clinical improvement in the music group relative to the control group when the means were compared at T3. However, when the results were adjusted for baseline scores as control variables in the linear regression, anxiety levels of the music group were significantly lower than the control group at the end of trial (<i>p</i> = .013), and mental and spiritual well-being had a statistically significant increase in the music group at the end of trial (<i>p</i> = .002; <i>p</i> <i><</i> <i>.</i>001, respectively). The Sufi music therapy intervention was found to be feasible, acceptable and convenient to deliver, and the recruitment and retention rates in the intervention group were high. Furthermore, assessment of the clinical outcomes suggests that the intervention may reduce anxiety and improve mental and spiritual well-being.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"515-527"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Open\" reincarnation stories: The dialectic between doubt and certainty.","authors":"Maha Natoor, Avihu Shoshana","doi":"10.1177/13634615241296294","DOIUrl":"10.1177/13634615241296294","url":null,"abstract":"<p><p>This phenomenological study concerns the Druze cultural idiom Notq-the remembrance and talking about the previous incarnation. Specifically, it deals with stories that are open or referred to in the literature as unsolved. \"Open\" Notq stories are in contrast to solved ones in which the person's identity in the previous life is known and in many cases the person meets the previous life family. The study's core question is: What is the phenomenological experience of Druze who live with an \"open\" Notq? The study was based on interviews with 11 Israeli Druze women and men who have an open Notq story. The findings illustrate the open Notq scenario, the elements that validate it and the individual and collective implications of these stories. Through the open Notq cases we discuss the intersection between personal and master cultural narratives and the effects of this intersection on psychological well-being. We propose that the open Notq, despite its ambiguity and many unsolved questions, does not essentially harm the individual psychologically and may contain therapeutic value due to being consistent with the Druze reincarnation master narrative.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"505-514"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143122601","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":"Investigation of mediumistic letter: A deceased son supposedly writes to his parents.","authors":"Betty Carakushansky Wainstock, Marcia Gomide, Júlio Silva, Alexander Moreira-Almeida","doi":"10.1177/13634615251357998","DOIUrl":"10.1177/13634615251357998","url":null,"abstract":"<p><p>Mediumship is a well-accepted spiritual practice in Brazil relating to the grief process and beliefs in the afterlife. For this reason, there is considerable interest among Brazilians in trying to determine whether mediums can obtain information beyond what can be obtained through conventional means (Anomalous Information Reception - AIR). However, there is a dearth of in-depth qualitative studies about these issues. This study aimed to investigate reported AIR in a mediumistic trance and the meaning of this information to the family of the deceased. In a controlled observation-based study, following 43 seconds of filmed interaction with the parents, the medium wrote a letter attributed to their deceased son. Information obtained or deducible from the medium-sitter interaction was excluded from the items of information verifiable in the letter. The degree of accuracy and specificity of the remaining items were investigated in three interviews with the parents and through the deceased's documents and objects. An expert carried out a handwriting analysis of the letter's signature. The medium produced 19 items of information, one of which could not be evaluated, one that was unrecognized, two that were deducible, nine that were generic and six specific. Items of information described the deceased's present and past habits, plans, and distinguishing physical characteristics which came across to the parents as unlikely to be obtained through routine interactions or by chance. Comparison of signatures is common in mediumistic practice, and in this case, the signature had some general similarities to that of the deceased, but there were many differences in more subtle aspects. The production of six verifiable items of information that had not previously been communicated to the medium through conventional means illustrates what many Brazilians believe to be AIR phenomena. Qualitative studies of AIR can shed light on the practice of mediumship and its mental health implications, especially with respect to grief and loss in the Brazilian context.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"528-538"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental illness, personhood, and transcendence: Spiritual and religious assistance in Catholic psychiatric contexts.","authors":"Tiago Pires Marques","doi":"10.1177/13634615211059698","DOIUrl":"10.1177/13634615211059698","url":null,"abstract":"<p><p>In recent decades, there have been many calls for the inclusion of spirituality and religion (S/R) in therapeutic contexts. In some contexts, this has been an institutionalized form of spiritual and religious assistance (SRA). This article examines the concepts and practices involved in SRA services at three psychiatric institutions in Portugal, a country with strong Catholic roots but increasing efforts at secularity and recognition of religious diversity. The case of a user who contacted the SRA service allows us to better grasp this new practice in action. Although some SRA practices have similarities with mindfulness, a systematic comparison allows us to explore the links between SRA and the global dynamics related to S/R in mental health and the particularities of Catholic spirituality. In the contexts observed, the transition from the Catholic hospital chaplaincy system to the SRA model is developing through the integration of features of the Catholic spiritual tradition with concepts and practices drawn from the psychology of religious experience. The accompaniment of the 'whole person' emerges as the central concept of this form of SRA. Spirituality gains significance as an integrative approach to the subjectivity fragmented by the illness and the fragmentation of care across multiple clinical specialties. Furthermore, the prioritization of the spiritual needs expressed by users suggests that SRA combines well with the individualistic rationales and the technification of care in the field of mental health.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"450-460"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39592520","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 impact of perceived relationship to ancestors on the association between self-transcendence and psychopathology: A cross-cultural examination.","authors":"Simon Hanseung Choi, Clayton Hoi-Yun McClintock, Elsa Lau, Lisa Miller","doi":"10.1177/13634615211049072","DOIUrl":"10.1177/13634615211049072","url":null,"abstract":"<p><p>Self-transcendence has been associated with lower levels of psychopathology. Most studies of self-transcendence have focused on samples of Western participants, and used scales addressing such concepts as self-awareness and feelings of oneness with the larger universe. However, a common Eastern notion of transcendence-perception of ongoing relationships with ancestors-has not been studied. We conducted a cross-cultural investigation of the association between self-transcendence, perceived degree of relationship to ancestors and depression and anxiety in the United States (N = 1499), China (N =  3,150), and India (N = 863). Degrees of perceived relationship to ancestors differed across countries, with the highest rates in India and China, and lowest rates in the United States. Self-transcendence was negatively associated with risks for depression and anxiety in the United States. In India, self-transcendence was also negatively associated with risks for depression and anxiety, and a strong perceived relationship with ancestors had further protective benefit. In China, those with a high level of perceived relationship to ancestors and a high level of self-transcendence exhibited lower levels of psychopathology. Results suggest that measures of relationship to ancestors might be included in future cross-cultural studies of transcendence.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"461-477"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39786566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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

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

{"title":"Research on severe mental illness in Indonesia: A scoping review.","authors":"Florin Cristea, Putu Aryani, Saskia Duchow, Pujo Semedi, Thomas Stodulka","doi":"10.1177/13634615251342638","DOIUrl":"https://doi.org/10.1177/13634615251342638","url":null,"abstract":"<p><p>Indonesia is a country of immense socio-cultural and economic diversity in Southeast Asia. Over the past century, Indonesia epitomized a colonial and post-colonial scientific laboratory for developing early interventions in international health, transcultural psychiatry, and Global Mental Health (GMH). Psychological and psychiatric anthropology have greatly benefited from research on the interplay between culture, mental health, and illness in Indonesia. Given the impact research on severe mental illnesses (SMI) in Indonesia has had on the development of GMH and adjacent disciplines, this review aims first, to provide a systematic review of the scope of SMI research in Indonesia. Second, it aims to identify potential gaps in the literature, cross-country collaborative networks, and traveling concepts of mental health and illness. Third, it points to entanglements between cultural concepts and illness experiences. We focused our search on the PubMed database and discovered 110 relevant records to review. We found a heterogenous body of literature that shows the complexities of being confronted with or living with SMI in Indonesia. We also identified a reliance on high-resource settings for mostly quantitative research. Some limitations appear to be, accounting for cultural hyperdiversity, limiting population samples, and relatively few geographical areas covered in the studies. Inspired by recent commentaries in Global Health research, we suggest more solidarity with low-resource settings and more horizontal approaches in international mental health and illness research. Ultimately, we highlight the need for GMH research and researchers working in contexts of hyperdiversity to ask more culturally sensitive questions.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"13634615251342638"},"PeriodicalIF":2.5,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144498432","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":"Training on the Cultural Formulation Interview and self-assessed cultural competence in practitioners working in student counseling services.","authors":"Ahisha Jones-Lavallée, Yvan Leanza","doi":"10.1177/13634615241312768","DOIUrl":"10.1177/13634615241312768","url":null,"abstract":"<p><p>The use of the Cultural Formulation Interview (CFI), a semi-structured 16-item cultural assessment developed for the DSM-5, has not yet been evaluated in the context of post-secondary education campuses (Cégeps and universities). The aim of this study was to assess whether a 2-h training session on the CFI improved cultural competence in clinicians working in student counseling centers throughout the province of Québec as well as to evaluate the clinicians' attitudes toward the adoption of the CFI and their perceptions of the tool's feasibility, acceptability, and clinical utility. Thirty-nine clinicians from seven Cégeps and universities completed the pre-training questionnaires, participated in the 2-h training session, and then completed the post-training questionnaires. Paired-samples t tests were used to compare change in the scores of self-reported cultural competence pre and post training. Clinicians favorably rated the assessment tool, and most clinicians (89%) reported that they planned to incorporate the CFI into their routine clinical practice. There was an increase in multicultural counseling knowledge post training session, as well as a decrease in the multicultural counseling relationship subscale. Potential barriers to the use of CFI were also identified. More research is needed to explore the use of the CFI in different clinical contexts, as well as to evaluate the impact of cultural competence training on clinical practice.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"402-410"},"PeriodicalIF":2.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12171032/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544140","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":"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":"10.1177/13634615241296970","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"379-388"},"PeriodicalIF":2.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12171029/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}