Transcultural Psychiatry最新文献_第5页

"We have to … work for wholeness no matter what": Family and culture promoting wellness, resilience, and transcendence. "我们必须......无论如何都要为完整而努力"：家庭和文化促进健康、复原力和超越。

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2024-02-07 DOI: 10.1177/13634615241227690

Catherine E McKinley

{"title":"\"We have to … work for wholeness no matter what\": Family and culture promoting wellness, resilience, and transcendence.","authors":"Catherine E McKinley","doi":"10.1177/13634615241227690","DOIUrl":"https://doi.org/10.1177/13634615241227690","url":null,"abstract":"Sociocultural, mental, behavioral, and physical factors are interrelated associates of chronic health conditions-such as diabetes, obesity, and cardiovascular disease-all of which are disproportionally high and drive much of the mortality and morbidity for Indigenous peoples. Indigenous worldviews conceptualize health holistically, with inseparability across social, spiritual, cultural, familial, mental, behavioral, physical, and social dimensions of wellness. Food, family, and culture are fundamental to Indigenous wellness. The purpose of this article is to use the Framework of Historical Oppression, Resilience, and Transcendence (FHORT) conceptualization of relational wellness to honor urban and rural U.S. Indigenous perspectives that highlight the intersections of family, culture, physical health, spiritual, and mental health to promote resilience and wellness. This research focused on interconnections between wellness, culture, health, and family. Thirty-one critical ethnographic interviews used a life-history approach with methodology following an Indigenous toolkit for ethical and culturally sensitive research strategies, such as building upon cultural strengths, engaging in long-term, relational commitments with communities, incorporating storytelling and oral history traditions, centering Indigenous methodologies and preferences, working with cultural insiders, and prioritizing the perspectives of Indigenous peoples. Emergent themes included: (a) roots of Indigenous wellness: cultural values promoting balance and connection; (b) practicing resilience: family transmission of health information; and (c) wholistic mental wellness and resilience, with the subtheme culture and wellness. Interventions can be developed in collaboration with tribes for optimum efficacy and cultural relevancy and can approach wellness holistically in culturally relevant ways that center foodways, culture, family, and spirituality.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139703768","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

Selective mutism in immigrant families: An ecocultural perspective. 移民家庭中的选择性缄默症：生态文化视角。

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2024-02-01 Epub Date: 2023-10-09 DOI: 10.1177/13634615231202095

Ortal Slobodin, Maayan Shorer, Gilor Friedman-Zeltzer, Silvana Fennig

引用次数: 0

The adaptation of a youth mental health intervention to a peer-delivery model utilizing CBPR methods and the ADAPT-ITT framework in Sierra Leone. 在塞拉利昂，利用CBPR方法和ADAPT-ITT框架，将青年心理健康干预措施调整为同伴交付模式。

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2024-02-01 Epub Date: 2023-10-12 DOI: 10.1177/13634615231202091

Jordan A Freeman, Alethea Desrosiers, Carolyn Schafer, Patricia Kamara, Jordan Farrar, Adeyinka M Akinsulure-Smith, Theresa S Betancourt

{"title":"The adaptation of a youth mental health intervention to a peer-delivery model utilizing CBPR methods and the ADAPT-ITT framework in Sierra Leone.","authors":"Jordan A Freeman, Alethea Desrosiers, Carolyn Schafer, Patricia Kamara, Jordan Farrar, Adeyinka M Akinsulure-Smith, Theresa S Betancourt","doi":"10.1177/13634615231202091","DOIUrl":"10.1177/13634615231202091","url":null,"abstract":"Low- and middle-income countries (LMICs) carry a significant proportion of the global burden of untreated mental health disorders. Peer-delivered programs offer LMICs with limited mental health professionals an opportunity to increase mental health service access. This study describes the process of adapting a lay-worker-delivered evidence-based youth mental health intervention to a peer-delivery model in Sierra Leone using participatory methods. We convened Youth Community Advisory Boards (YCABs) as partners to develop a peer-delivery model for an evidence-based intervention. In collaboration with YCABs, the Assessment, Decision, Administration, Production, Topical experts, Integration, Training, Testing (ADAPT-ITT) framework was applied to guide the adaptation. The ADAPT-ITT framework is an eight-step process to adapt evidence-based interventions. The ADAPT-ITT framework facilitated the adaptation of the Youth Readiness Intervention (YRI), an evidence-based mental health program intervention that has been delivered by adult lay-workers to the youth peer-delivery platform in Sierra Leone. The YCABs identified program modifications, including the incorporation of storytelling, refinement of metaphors, and alterations to make delivery more accessible to low-literacy youth with particular attention to gender. YCABs also provided recommendations on how to support youth facilitators in providing psychosocial support, emphasizing self-care and boundary setting to ensure high-quality intervention delivery and do-no-harm principles. Study findings suggest that the ADAPT-ITT framework can be feasibly applied to guide the intervention adaptation process in LMICs. The use of participatory methods generated modifications that reflected youth experiences, needs, and concerns as facilitators and participants. Next steps include refinement and pilot testing of the adapted intervention.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41216119","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

Traditional postpartum rituals among immigrant and non-immigrant Chinese women. 移民和非移民中国妇女的传统产后仪式。

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2024-02-01 Epub Date: 2023-11-22 DOI: 10.1177/13634615231213829

Cindy-Lee Dennis, Sarah Brennenstuhl, Hilary K Brown, Sophie Grigoriadis, Simone N Vigod, Flavia C Marini, Kenneth Fung

{"title":"Traditional postpartum rituals among immigrant and non-immigrant Chinese women.","authors":"Cindy-Lee Dennis, Sarah Brennenstuhl, Hilary K Brown, Sophie Grigoriadis, Simone N Vigod, Flavia C Marini, Kenneth Fung","doi":"10.1177/13634615231213829","DOIUrl":"10.1177/13634615231213829","url":null,"abstract":"Due to cultural and systemic factors, Chinese-Canadians tend to use mental health services less or when mental health problems are more severe. Services need to be more culturally responsive in their treatment of mental illness. Around important life events, when there may be heightened vulnerability to mental illness, this is especially important. In this study, postpartum cultural practices were examined among recent immigrant, longer-term immigrant, and Canadian-born Chinese women. We conducted a longitudinal cohort study of 493 women in Toronto, Ontario, with livebirths in 2011-2014. Participants completed a demographic survey and Postpartum Rituals Questionnaire. Most women (82.2%) practiced at least one postpartum ritual. Younger age (OR 0.93; 95% CI 0.87-0.99) and greater participation in the heritage culture (OR 1.28; 95% CI 1.02-1.61) were associated with ritual practice. From among five types of postpartum rituals identified (i.e., avoidance of homeostatic disturbances, dietary practices, wind avoidance, organized support, and cold avoidance), dietary practices were most commonly undertaken and cold avoidance was least commonly undertaken. There were differences in postpartum ritual patterns by immigration status, with immigrant women being more likely to undertake a greater number of rituals, to attribute these rituals to Chinese culture, and to ascribe health benefits to these rituals and being less likely to feel forced into performing these rituals. Our findings underscore the importance of clinicians becoming more aware of Chinese postpartum rituals to provide women with culturally competent and patient-centered care.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10903143/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138296260","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

An evaluation of early marriage and the mental state of Roma women: A cross-sectional study. 早婚与罗姆妇女精神状态的评估:一项横断面研究。

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2024-02-01 Epub Date: 2023-11-15 DOI: 10.1177/13634615231205815

Ayşe İnel Manav

引用次数: 0

Pilgrimage for an autism diagnosis: A study of Venezuelan parents' experiences. 自闭症诊断的朝圣之旅:对委内瑞拉父母经历的研究。

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2024-02-01 Epub Date: 2023-11-15 DOI: 10.1177/13634615231211482

Cecilia Montiel-Nava, Irina Vargas, Zoila Gonzalez-Avila, María Cecilia Montenegro, Ana C Ramírez

{"title":"Pilgrimage for an autism diagnosis: A study of Venezuelan parents' experiences.","authors":"Cecilia Montiel-Nava, Irina Vargas, Zoila Gonzalez-Avila, María Cecilia Montenegro, Ana C Ramírez","doi":"10.1177/13634615231211482","DOIUrl":"10.1177/13634615231211482","url":null,"abstract":"It cannot be assumed that the experience of having an autistic child is the same across countries since demographic and systemic factors are as diverse as the manifestation of ASD symptomatology. This study explores the lived experiences of 20 Venezuelan parents after receiving an autism diagnosis for their child. Applied thematic analysis was used to analyze parental attitudes, challenges in identifying their child's delay, access to diagnostic services, beliefs towards autism, professional evaluations, family support, and perceptions toward health and educational services for autistic children. Venezuelan parents reported a generalized lack of autism awareness, an unsupportive school system, and judgment from their extended family. Despite the universal health coverage in the country, Venezuelan parents commented on the scarcity of services, as well as the lengthy and costly processes to receive an ASD diagnosis. The results support previous research findings showing that socioeconomic factors influence how parents experience the process of obtaining an autism diagnosis for their children. For most Venezuelan parents, it might imply a long journey in which limited resources and knowledge about autism will determine its route and length. For parents, cultural values and spiritual and religious beliefs will serve as both coping mechanisms and barriers to accessing services.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107592459","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

Coping strategies of unaccompanied refugee minors shortly after arrival in Belgium. 无人陪伴的未成年难民在抵达比利时后不久的应对策略。

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2024-02-01 Epub Date: 2023-04-25 DOI: 10.1177/13634615231165138

Malte Behrendt, Ine Lietaert, Sarah Bal, Ilse Derluyn

{"title":"Coping strategies of unaccompanied refugee minors shortly after arrival in Belgium.","authors":"Malte Behrendt, Ine Lietaert, Sarah Bal, Ilse Derluyn","doi":"10.1177/13634615231165138","DOIUrl":"10.1177/13634615231165138","url":null,"abstract":"Unaccompanied refugee minors (URMs) are a group in an especially vulnerable situation with heightened psychological suffering due to both stressful life events and current daily stressors. Research has shown that certain coping strategies such as avoidance can be adaptive in the face of ongoing stress. We conceptualize social support as an essential coping resource that these strategies tap into. Since the interrelations between these factors are often not clear in the literature, this study strives to identify and link URMs' coping strategies, the respective coping resources and the various stressors they target, shortly after arrival in a high-income country. Seventy-nine URMs from various backgrounds were recruited in two first-phase reception centers in Belgium. In addition to self-report questionnaires to assess stressful life events and current daily stressors, we conducted semi-structured interviews, with cultural mediators if required. Thematic analysis was applied to the participants' accounts and resulted in the identification of four coping strategies: avoidance and distraction, continuity and coherence, selective reliance, and positive appraisal and acceptance. The relation between these coping strategies, the various coping resources used, and the specific stressors at which they aim are discussed. We conclude that avoidant coping and contact with the ethnic community, particularly the peer group, are fundamental strategies for successful coping. Practitioners need to support URMs in their coping efforts by providing and facilitating appropriate coping resources.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9703881","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

Maladi Nanm, Maladi Zonbi, & Maladi Lalin: A qualitative study of cultural concepts of distress in northern Haiti. 马拉迪·南姆、马拉迪·宗比和马拉迪·拉林：海地北部痛苦文化概念的定性研究。

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2024-02-01 Epub Date: 2023-11-09 DOI: 10.1177/13634615231211477

Michael Galvin, Guesly Michel, Edny Pierre, Eurine Manguira, Jude Mary Cénat

{"title":"Maladi Nanm, Maladi Zonbi, & Maladi Lalin: A qualitative study of cultural concepts of distress in northern Haiti.","authors":"Michael Galvin, Guesly Michel, Edny Pierre, Eurine Manguira, Jude Mary Cénat","doi":"10.1177/13634615231211477","DOIUrl":"10.1177/13634615231211477","url":null,"abstract":"Cultural Concepts of Distress (CCDs) are culturally constructed diagnostic categories that exist within a specific society or culture. While several studies have assessed CCDs around the world, few studies have examined them in Haiti. This qualitative study examines manifestations of anxiety and depression via \"sent spirits\" in the form of maladi nanm (\"Soul disorder\") and maladi zonbi (\"Zombie disorder\"), and bipolar disorder in the form of maladi lalin (\"Moon disorder\"). Examples of CCDs were recorded as part of a study which interviewed 96 outpatients at the first mental health center in northern Haiti. Using qualitative methods, the authors identified three specific CCDs as reported by mental health patients. Maladi nanm and maladi zonbi represent alternative explanatory models of anxiety and depression in which the sufferer views mental illness as stemming from a sent spirit, or spirit which is intentionally sent supernaturally with the intent to cause harm. Maladi lalin is experienced by patients with bipolar disorder who associate cycles of mania and depression as in-sync with the phases of the moon. Understanding culture-bound forms of mental distress in settings such as Haiti is essential to developing accurate psychometrics for measuring mental health, as well as ensuring culturally appropriate and effective diagnosis and treatment.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11064742/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72015721","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

Counter-narratives against hardships among Syrian refugee youth and parents. 反叙叙利亚难民青年和父母的苦难。

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2024-02-01 Epub Date: 2023-11-07 DOI: 10.1177/13634615231191993

Els Rommes, Nisrine Chaer

引用次数: 0

'We are all working toward one goal. We want people to become well': A visual exploration of what promotes successful collaboration between community mental health workers and healers in Ghana. 我们都在朝着一个目标努力。我们希望人们变得健康”：这是对加纳社区心理健康工作者和治疗师之间成功合作的视觉探索。

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2024-02-01 Epub Date: 2023-10-06 DOI: 10.1177/13634615231197998

Lily Kpobi, Ursula M Read, Roberta K Selormey, Erminia Colucci

{"title":"'We are all working toward one goal. We want people to become well': A visual exploration of what promotes successful collaboration between community mental health workers and healers in Ghana.","authors":"Lily Kpobi, Ursula M Read, Roberta K Selormey, Erminia Colucci","doi":"10.1177/13634615231197998","DOIUrl":"10.1177/13634615231197998","url":null,"abstract":"The practices of traditional and faith-based healers in low- and middle-income countries in Africa and elsewhere have come under intense scrutiny in recent years owing to allegations of human rights abuses. To mitigate these, there have been calls to develop collaborations between healers and formal health services to optimise available mental health interventions in poorly resourced contexts. For various reasons, attempts to establish such partnerships in a sustainable manner in different countries have not always been successful. In this article, we present findings from the Together for Mental Health visual research project to showcase examples of healer-health worker collaborations in Ghana that have been largely successful and discuss the barriers and facilitators to establishing these partnerships. Data reported in this article were collected using visual ethnography and filmed individual interviews with eight community mental health workers, six traditional and faith-based healers and two local philanthropists in the Bono East Region. The findings suggest that successful collaborations were built through mutually respectful interpersonal relationships, support from the health system and access to community resources. Although these facilitated collaboration, resource constraints, distrust and ethical dilemmas had to be overcome to build stronger partnerships. These findings highlight the importance of dedicated institutional and logistic support for ensuring the successful integration of the different health systems in pluralistic settings.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10903112/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41152368","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