Transcultural Psychiatry最新文献_第5页

Depression and Intimate Partner Violence (IPV) in mothers 6 weeks to 12 months post-delivery in a rural setting in Kenya. 肯尼亚农村地区分娩后 6 周至 12 个月母亲的抑郁症和亲密伴侣暴力 (IPV)。

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2024-08-01 Epub Date: 2024-03-18 DOI: 10.1177/13634615231187259

Victoria N Mutiso, Christine W Musyimi, Isaiah Gitonga, Albert Tele, David M Ndetei

{"title":"Depression and Intimate Partner Violence (IPV) in mothers 6 weeks to 12 months post-delivery in a rural setting in Kenya.","authors":"Victoria N Mutiso, Christine W Musyimi, Isaiah Gitonga, Albert Tele, David M Ndetei","doi":"10.1177/13634615231187259","DOIUrl":"10.1177/13634615231187259","url":null,"abstract":"Using a cohort of 544 postpartum mothers, 6 weeks to 12 months post-delivery in the largely rural Makueni County in Kenya, we aimed to determine: (1) the prevalence of postpartum depression (PPD) and the prevalence of each of the four domains of intimate partner violence (IPV), that is physical violence, sexual violence, emotional violence, and controlling behavior; (2) the co-occurrence of PPD and IPV; (3) risk factors and associations between sociodemographic variables and IPV, PPD and IPV and PPD co-occurring. We concurrently administered a researcher-designed sociodemographic ad hoc questionnaire, the WHO Intimate Partner Violence questionnaire and the Mini-International Neuropsychiatric Interview for adults (MINI Plus) for DSM-IV/ICD10 depression. The prevalence of PPD was 14.5%; Emotional violence 80.3%; Controlling behavior 74.4% (a form of emotional violence); Physical violence 40.3%; Sexual violence 28.9%. We found the following overlaps: 39% of participants reported both physical and emotional violence; 39% had both sexual and emotional violence; 15% experienced physical and sexual violence; and 15% of participants reported physical, sexual, and emotional violence. Postpartum depression was associated with physical violence during pregnancy, self-employed status, history of mood disorders and medical problems in the child. Further, we report associations between various types of IPV and history of depression, physical violence during pregnancy, low education level, marital status, and current depression diagnosis. IPV and PPD were highly prevalent in our population of postpartum mothers. Various types of IPV were significantly associated with various sociodemographic indicators while only sexual violence was significantly associated with PPD. Based on our results, we provide suggestions for potential interventions in the Kenyan setting.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"596-609"},"PeriodicalIF":2.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140159327","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

PTSD, depression, and migration-related experiences among Syrian refugees living in camp vs urban settings. 生活在难民营与城市环境中的叙利亚难民的创伤后应激障碍、抑郁和与移民相关的经历。

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2024-08-01 Epub Date: 2024-05-22 DOI: 10.1177/13634615241250216

Esra Isik, Sahika Gulen Sismanlar, Sidika Tekeli-Yesil

{"title":"PTSD, depression, and migration-related experiences among Syrian refugees living in camp vs urban settings.","authors":"Esra Isik, Sahika Gulen Sismanlar, Sidika Tekeli-Yesil","doi":"10.1177/13634615241250216","DOIUrl":"10.1177/13634615241250216","url":null,"abstract":"Despite the increased heterogeneity of living conditions of refugees in recent years, there is a lack of robust epidemiological data about the relationship between refugees' mental health and their living contexts. The current study aims to compare frequencies of pre-migration traumatic events and post-migration difficulties between refugees living in camps and those living in cities; and to identify the prevalence of post-traumatic stress disorder (PTSD), depression, and factors associated with them. A field survey was conducted among 1,470 refugees living in camps and urban settings of Turkey. The survey instruments included a socio-demographic form, the Harvard Trauma Questionnaire, the Post-migration Living Difficulties Scale, and the PTSD and depression modules of the Mini-International Neuropsychiatric Interview. Both PTSD and depression were more common in urban settings than in camps. Both disorders were associated with living context and migration-related experiences. Pre-migration traumas were more frequent among refugees living in cities than in those living in camps, while post-migration difficulties were more common in the refugees living in camps. The living context is potentially a critical determinant of refugee mental health. Camp and urban refugees may have different experiences and needs. In particular, refugees living in some urban settings may be at higher risk for having psychological problems.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"668-679"},"PeriodicalIF":2.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141077162","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

Eating disorders and related psychological features among Arabs and Jews in Israel: Does culture play a moderating role? 以色列阿拉伯人和犹太人的饮食失调及相关心理特征：文化是否起调节作用？

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2024-08-01 Epub Date: 2024-02-14 DOI: 10.1177/13634615241227342

Laura Mansour, Lily Rothschild-Yakar, Jenny Kurman

{"title":"Eating disorders and related psychological features among Arabs and Jews in Israel: Does culture play a moderating role?","authors":"Laura Mansour, Lily Rothschild-Yakar, Jenny Kurman","doi":"10.1177/13634615241227342","DOIUrl":"10.1177/13634615241227342","url":null,"abstract":"Eating disorders (EDs) have been documented in various cultural settings. A continuous increase in ED' rates among non-Western cultures (e.g., Arab cultures and East-Asian cultures) has been reported. We aimed to investigate the relations among culture, ED symptoms, and psychological features that are highly relevant in EDs through a cultural comparison of three groups. The groups included female university students in Israel with varying levels of exposure to Westernization: 118 Jewish students, 132 Arab students studying at a mixed university with a Jewish majority, and 111 Arab students studying at Sakhnin College, a college for Arab students only. The groups differed significantly on the Conservation Value dimension from the Short Portrait Values Questionnaire. Four psychological features were examined as predictors of ED symptoms: Interoceptive-deficits, Ineffectiveness, Asceticism, and Maturity-fear. The results revealed a comparable prevalence of self-reported ED symptoms among Arabs and Jews, with a small exception for bulimic symptoms, which were less prevalent among those in the Sakhnin group, who also scored lower on Ineffectiveness and higher on asceticism than the other groups. Testing the relations between the four psychological features and ED symptoms revealed that culture played a moderating role in predicting the strength of ineffectiveness and maturity-fear. Ineffectiveness was not a predictor among the Sakhnin group, whereas maturity-fear was not a predictor in the least conservative Jewish group. Asceticism and interoceptive-deficits predicted ED symptoms across all study groups. Our findings indicate that the problem of EDs may be similar among Arab and Jewish women in Israel. Moreover, despite some similarities in the relevance of some ED-related psychological features, other features are moderated by culture.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"570-581"},"PeriodicalIF":2.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139736454","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

A prospective longitudinal study of depression, perceived stress, and perceived control in resettled Syrian refugees' mental health and psychosocial adaptation. 对重新安置的叙利亚难民在心理健康和社会心理适应方面的抑郁、感知压力和感知控制的前瞻性纵向研究。

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2024-08-01 Epub Date: 2024-02-14 DOI: 10.1177/13634615241227696

Ben C H Kuo, Lance M Rappaport

{"title":"A prospective longitudinal study of depression, perceived stress, and perceived control in resettled Syrian refugees' mental health and psychosocial adaptation.","authors":"Ben C H Kuo, Lance M Rappaport","doi":"10.1177/13634615241227696","DOIUrl":"10.1177/13634615241227696","url":null,"abstract":"This prospective study examined the psychosocial adaptation of a community sample of newly resettled Syrian refugees in Canada (N = 235). Specifically, depressive symptoms, perceived stress, and perceived control were collected in Arabic at baseline and 1-year follow-up. Two theory-informed, cross-lagged panel models demonstrated that higher baseline depressive symptoms predicted lower perceived self-efficacy and lower perceived control at 1-year follow-up. Similarly, baseline depressive symptoms were concurrently correlated with higher perceived helplessness, lower perceived self-efficacy, and lower perceived control. Secondary regression analyses further demonstrated that baseline depressive symptoms predicted lower perceived social support and higher anxiety symptoms, though neither were assessed at baseline. Empirical results identify a potentially broad, precipitating, and persistent effect of depressive symptoms on Syrian refugees' psychosocial resources and adaptation post-migration, which is consistent with both the transactional model of stress and coping and the self-efficacy theory of depression, respectively. Clinically, the study results highlight the importance of early screening for depressive symptoms among refugee newcomers within a culturally and trauma-informed, integrated health setting. Furthermore, this study underscores the value and need for theoretically guided longitudinal studies to advance future research on refugee mental health and psychosocial adaptation.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"582-595"},"PeriodicalIF":2.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11538747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139736452","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

"How can our children learn from us about our way of life or understand who they are?": Residential schools and their impact on the wellbeing of Indigenous youth in Attapadi, South India. "我们的孩子怎样才能从我们这里学到我们的生活方式或了解他们是谁呢？寄宿学校及其对南印度阿塔帕迪土著青年福祉的影响。

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2024-08-01 Epub Date: 2024-02-25 DOI: 10.1177/13634615231213834

Mathew Sunil George, K A Ramu, Rajendra Prasad, N S Prashanth, Susheela Kenjoor, Janie Busby Grant

{"title":"\"How can our children learn from us about our way of life or understand who they are?\": Residential schools and their impact on the wellbeing of Indigenous youth in Attapadi, South India.","authors":"Mathew Sunil George, K A Ramu, Rajendra Prasad, N S Prashanth, Susheela Kenjoor, Janie Busby Grant","doi":"10.1177/13634615231213834","DOIUrl":"10.1177/13634615231213834","url":null,"abstract":"Residential schools are commonly used in India to provide education for Indigenous youth, which requires young people to stay for long periods at distance from their families and communities. Internationally, there is clear evidence for the deleterious effects of residential schools on the mental health and social and community outcomes of Indigenous children, however little is known about the Indian Indigenous experience. This study examined the impact of residential schooling on Indigenous children's wellbeing and that of their communities, using data from an ethnographic research project in Attapadi, Kerala, including interviews, focus group discussions and participant observation with Indigenous communities. Key outcomes from residential schooling reported by the participants include the fear of losing Indigenous identity, shame of being Indigenous, change in the attitude of young people when they returned from schools, and feelings of confusion and stress that young Indigenous participants felt trying to fit into their communities on their return. Findings suggest that these Indigenous youth felt disconnected from several factors that are known to promote resilience for Indigenous communities including a strong cultural identity, connection to the land and ancestors, thereby making them more vulnerable to poor mental health and negative impacts on their overall wellbeing. Addressing these concerns requires a detailed understanding of the specific factors influencing outcomes for Indigenous youth within the Indian residential schooling system, and designing and implementing data-informed conceptual, structural and policy change including the provision of culturally safe mental health services.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"557-569"},"PeriodicalIF":2.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11539490/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139974034","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

Self-reported problems and functional difficulties in anxious pregnant women in Pakistan: The use of a patient-generated mental health outcome measure. 巴基斯坦焦虑孕妇自我报告的问题和功能障碍：使用患者自创的心理健康结果测量法。

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2024-08-01 Epub Date: 2024-05-20 DOI: 10.1177/13634615241250206

Nida Rauf, Soim Park, Ahmed Zaidi, Abid Malik, Najia Atif, Pamela J Surkan

{"title":"Self-reported problems and functional difficulties in anxious pregnant women in Pakistan: The use of a patient-generated mental health outcome measure.","authors":"Nida Rauf, Soim Park, Ahmed Zaidi, Abid Malik, Najia Atif, Pamela J Surkan","doi":"10.1177/13634615241250206","DOIUrl":"10.1177/13634615241250206","url":null,"abstract":"Anxiety during pregnancy affects women worldwide and is highly prevalent in Pakistan. The Psychological Outcome Profiles (PSYCHLOPS) questionnaire is an instrument used in therapy to assess patient-generated problems and the consequent functional difficulties. Using the PSYCHLOPS, we aimed to describe the type of problems and the consequent functional difficulties faced by anxious pregnant women in Pakistan. Secondarily, we sought to explore if a cognitive behavioral therapy (CBT)-based intervention brought about changes in the severity score for certain problems or functional difficulties. Anxious pregnant women were recruited from the Obstetrics/Gynecology Department of a tertiary hospital in Rawalpindi, Pakistan. Of 600 pregnant women randomized to receive a psychosocial intervention for prenatal anxiety delivered by non-specialist providers, 450 received ≥1 intervention session and were administered the PSYCHLOPS. Eight types of problems were identified; worries about the unborn baby's health and development (23%), concerns about family members (13%), and financial constraints (12%) were the most frequently reported primary problems. Severity scores between baseline and the last available therapy session indicated the largest decrease for relationship problems (mean = 2.4) and for concerns about family members (mean = 2.2). For functional difficulties, 45% of the participants reported difficulties in performing household chores, but the intervention showed the greatest decrease in severity scores for mental or emotional functional difficulties. Focus on certain types of patient-generated problems, e.g., relationship problems, could anchor therapy delivery in order to have the greatest impact. Tailored CBT-based intervention sessions have the potential to address important but neglected problems and functional difficulties in anxious pregnant women.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"689-698"},"PeriodicalIF":2.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141066418","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 impact of cultural identity, parental communication, and peer influence on substance use among Indigenous youth in Canada. 文化认同、父母沟通和同伴影响对加拿大土著青年药物使用的影响。

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2024-06-01 Epub Date: 2023-10-05 DOI: 10.1177/13634615231191999

Ashley Reynolds, Matthew T Keough, Adrienne Blacklock, Curtis Tootoosis, Joseph Whelan, Emiliana Bomfim, Christopher Mushquash, Dennis C Wendt, Roisin M O'Connor, Jacob A Burack

{"title":"The impact of cultural identity, parental communication, and peer influence on substance use among Indigenous youth in Canada.","authors":"Ashley Reynolds, Matthew T Keough, Adrienne Blacklock, Curtis Tootoosis, Joseph Whelan, Emiliana Bomfim, Christopher Mushquash, Dennis C Wendt, Roisin M O'Connor, Jacob A Burack","doi":"10.1177/13634615231191999","DOIUrl":"10.1177/13634615231191999","url":null,"abstract":"Heavy drinking and smoking have been found to be among the leading causes of morbidity and mortality within Indigenous youth in North America. The focus of this study was to examine the relative roles of cultural identity, parent-child communication about the harms of substance use (SU), and perception about peers' opinions on heavy drinking and cigarette smoking among Indigenous youth. Strong Indigenous cultural identity, parent-child communication about SU, and affiliation with peers who do not use and/or who disapprove of substance use were all expected to reduce risk for heavy drinking and smoking. Substance use beliefs were hypothesized to mediate these effects. Youth (N = 117; Mage = 14.07; grades 6-11) from two Indigenous communities in Quebec completed self-reports. Consistent with the hypotheses, strong cultural identity predicted increased negative beliefs about substance use, which predicted reduced drinking and smoking. Similarly, affiliating with peers who did not use alcohol predicted decreased positive beliefs about alcohol use, which predicted reduced drinking. Affiliating with peers who did not smoke cigarettes predicted reduced cigarette smoking. Parental influences were not supported in this model. Intervention strategies may benefit from targeting cultural identity, peer groups, and substance use beliefs among Indigenous youth.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"351-360"},"PeriodicalIF":2.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11531074/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41154109","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

Historical trauma and oppression: Associations with internalizing outcomes among American Indian adults with type 2 diabetes. 历史创伤和压迫：患有2型糖尿病的美国印度成年人与内化结果的关系。

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2024-06-01 Epub Date: 2022-02-28 DOI: 10.1177/13634615221079146

Stefanie L Gillson, Dane Hautala, Kelley J Sittner, Melissa Walls

{"title":"Historical trauma and oppression: Associations with internalizing outcomes among American Indian adults with type 2 diabetes.","authors":"Stefanie L Gillson, Dane Hautala, Kelley J Sittner, Melissa Walls","doi":"10.1177/13634615221079146","DOIUrl":"10.1177/13634615221079146","url":null,"abstract":"American Indian (AI) people experience disproportionate exposure to stressors and health inequities, including type 2 diabetes (T2D) and mental health problems. There is increasing interest in how historical trauma and ongoing experiences of discrimination and marginalization (i.e., historical oppression) interact to influence AI health. The purpose of this study is to examine the relationships between historically traumatic experiences (i.e., boarding schools, relocation programs, and foster care), current reports of historical cultural loss, microaggressions, and their relationship to internalizing symptoms among AI adults living with T2D. This community-based participatory research study with five AI tribal communities includes data from 192 AI adults with T2D recruited from tribal clinics. Results from structural equation modeling revealed that personal experiences in foster care and ancestral experiences in boarding schools and/or relocation were associated with increased reports of historical loss, and indirectly associated with internalizing symptoms through racial microaggressions and historical losses. The findings highlight the importance of considering multiple dimensions of historical trauma and oppression in empirical and practice-based assessments of mental health problems.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":"1 1","pages":"372-384"},"PeriodicalIF":2.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42815687","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

Cultural adaptation considerations of a comprehensive housing outreach program for Indigenous youth exiting homelessness. 针对无家可归的土著青年的综合住房推广计划的文化适应性考虑。

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2024-06-01 Epub Date: 2022-12-25 DOI: 10.1177/13634615221135438

Jessie I Lund, Elaine Toombs, Christopher J Mushquash, Victoria Pitura, Kaitlyn Toneguzzi, Tina Bobinski, Scott Leon, Nina Vitopoulos, Tyler Frederick, Sean A Kidd

{"title":"Cultural adaptation considerations of a comprehensive housing outreach program for Indigenous youth exiting homelessness.","authors":"Jessie I Lund, Elaine Toombs, Christopher J Mushquash, Victoria Pitura, Kaitlyn Toneguzzi, Tina Bobinski, Scott Leon, Nina Vitopoulos, Tyler Frederick, Sean A Kidd","doi":"10.1177/13634615221135438","DOIUrl":"10.1177/13634615221135438","url":null,"abstract":"Generalist health interventions that aim to reduce chronic health disparities between Indigenous and non-Indigenous populations can be culturally adapted to better meet the needs of Indigenous people in Canada; however, little is known regarding best practices in implementing these adaptations. The present study first provides a review of the research process used to adapt a previous evidence-based housing initiative for Indigenous youth in Northwestern Ontario. Second, it includes an overview of the adaptations that were made and the associated rationale for such adaptations. Third, it examines the experiences of participants and staff involved in the cultural adaptation of the Housing Outreach Program Collaborative (HOP-C), a health intervention re-designed to improve physical and mental health outcomes, wellbeing, and social support for formerly homeless Indigenous youth as they secure housing. Qualitative feedback from interviews with 15 participants and eight program staff, in addition to one focus group with an additional six frontline workers, described perceived outcomes of the program's cultural adaptations. Modifications to the overall program structure, specific roles within the program (including counseling services, peer mentorship, cultural services, and case management), and adaptations to general implementation within the health organization providing the intervention were described by participants and staff as effective and helpful adaptations. The focus of Indigenous values at an organizational level led to consistent adaptations in counseling and case management to best meet the unique needs of the youth involved. Based upon participant interviews, recommendations to future adaptations are provided.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"457-472"},"PeriodicalIF":2.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11531070/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10780052","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 interview-based evaluation of an Indigenous traditional spirituality program at an urban American Indian health clinic. 以访谈为基础，对一家城市美国印第安人健康诊所的土著传统精神计划进行评估。

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2024-06-01 Epub Date: 2022-02-24 DOI: 10.1177/13634615221076706

Tony V Pham, Andrew Pomerville, Rachel L Burrage, Joseph P Gone

{"title":"An interview-based evaluation of an Indigenous traditional spirituality program at an urban American Indian health clinic.","authors":"Tony V Pham, Andrew Pomerville, Rachel L Burrage, Joseph P Gone","doi":"10.1177/13634615221076706","DOIUrl":"10.1177/13634615221076706","url":null,"abstract":"American Indians suffer from disproportionately high rates of mental health problems. Professional therapies may not meet the specific mental health needs of American Indians, owing to cultural mismatch and long histories of political disempowerment. Instead, Indigenous traditional spiritual practices are often promoted as alternative sources of health and help in these communities. In response to a community needs assessment, we developed a 12-week traditional spirituality curriculum in partnership with the urban American Indian health clinic in Detroit. Centered on the sweat lodge ceremony, the program was pilot tested with 10 community members. Semi-structured interviews were conducted with nine participants following the program. Based on our analyses, all participants endorsed responses within two overarching themes: impact on personal well-being, and suggestions for improvement reflecting their desire for an ongoing program. Participant responses about the program's impact comprised four themes: (1) improved psychological and spiritual well-being, (2) community benefit, (3) increase in cultural knowledge, and (4) a desire for further learning and sharing. Participant responses about their desire for an ongoing program also comprised four themes: (1) drop-in classes may be more practical as regular attendance was difficult for some, (2) future classes should include more areas of knowledge, (3) the program could be expanded to include more knowledge-holders and perspectives, and (4) the program should include a progression of classes to accommodate more diversity. Overall, participants reported benefit from participation in Indigenous spiritual practices; however, the program can be improved by further adapting the curriculum to the sometimes-challenging lives of its participants.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"488-503"},"PeriodicalIF":2.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39949549","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