Transcultural Psychiatry最新文献_第5页

Self-compassion and self-coldness and their relationship with psychological distress and subjective well-being among community-based Hazaras in Australia. 澳大利亚社区哈扎拉人的自我同情和自我冷漠及其与心理困扰和主观幸福感的关系。

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2024-04-01 Epub Date: 2024-02-07 DOI: 10.1177/13634615241227683

Clare Wilson, RoseAnne Misajon, Joanne Brooker

{"title":"Self-compassion and self-coldness and their relationship with psychological distress and subjective well-being among community-based Hazaras in Australia.","authors":"Clare Wilson, RoseAnne Misajon, Joanne Brooker","doi":"10.1177/13634615241227683","DOIUrl":"10.1177/13634615241227683","url":null,"abstract":"Hazaras are a newly emerging community in Australia and limited research has explored their mental health. The first aim of this study was to explore levels of psychological distress and subjective well-being reported by Hazaras in Australia, and whether scores on psychosocial variables (self-compassion, self-coldness, acculturation, resilience, spirituality), psychological distress and domains of subjective well-being differed by sociodemographic groups. The second aim had two parts: (a) to examine bivariate relationships between the psychosocial variables, psychological distress and subjective well-being; and (b) to examine whether the psychosocial predictor variables independently contributed to subjective well-being and psychological distress when controlling for sociodemographic characteristics. Seventy-two Hazaras (58 men and 14 women), with a mean age of 28.82 years (SD = 8.84) and average length of time residing in Australia of 10.17 years (SD = 4.11), completed an online survey. There were sociodemographic differences in relation to key variables of interest; for example, participants who did not have family members in Australia reported lower levels of global life satisfaction. Moderate negative relationships were found between self-compassion and psychological distress and between self-coldness and subjective well-being. Self-coldness, self-compassion, resilience and acculturation contributed uniquely to psychological distress and subjective well-being when controlling for sociodemographic variables. Although migration programmes that provide permanent residency and allow family members to join refugees in Australia are limited, they appear important. Many of the difficulties facing Hazaras are ongoing, external and beyond their control (e.g. visa status); however, there is a possibility that self-compassion can play a role as a protective factor.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139703769","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

Research on psychotherapy for refugees in Germany: A systematic review on its transdisciplinary and transregional opening. 德国难民心理治疗研究：关于跨学科和跨地区开放的系统回顾。

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2024-04-01 Epub Date: 2024-01-17 DOI: 10.1177/13634615231187255

Annika Kleinschmitt

{"title":"Research on psychotherapy for refugees in Germany: A systematic review on its transdisciplinary and transregional opening.","authors":"Annika Kleinschmitt","doi":"10.1177/13634615231187255","DOIUrl":"10.1177/13634615231187255","url":null,"abstract":"Recently, an increasing amount of research has focused on adapting psychotherapy concepts for refugees moving to Germany. For a long time, research from disciplines like anthropology and cultural studies has problematized the eurocentrism of psychology's theoretical premises and methodologies. Currently, scholarship around Global Mental Health and decolonization emphasizes how knowledge production from various disciplines and regions relates to this topic and could contribute to improving respective approaches. Consequently, this review aims at evaluating the actual transdisciplinary and transregional opening of studies on psychotherapeutic interventions for refugees in Germany. It provides a theoretically as well as empirically informed basis for looking at disciplinary premises, practices, and boundaries as well as the regional locatedness of respective research. Fourteen relevant studies, published between January 1, 2007 and March 4, 2022, were identified by systematically searching the databases PubPsych and Web of Science. The studies were reviewed regarding study design, choice and characterization of target groups, regional origin and target group specific adaptations of the therapeutic concepts, integration of elements from and connections to other disciplines, and use of references to scholarship from the Global South. The findings show a pronounced focus on the development of trauma therapy approaches and moreover a broad variety of concept adaptations in response to the assumed characteristics, situations, and needs of the target groups. While the findings reveal a complex transregional pattern of development and adaptation of the therapeutic concepts, transdisciplinary opening and reference to the Global South appear scarce.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10996299/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139486604","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

"Trust in God, but tie your donkey": Holy water priest healers' views on collaboration with biomedical mental health services in Addis Ababa, Ethiopia. "相信上帝，但拴好你的驴子"：埃塞俄比亚亚的斯亚贝巴圣水牧师对与生物医学心理健康服务合作的看法。

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2024-04-01 Epub Date: 2024-02-05 DOI: 10.1177/13634615241227681

Yonas Baheretibeb, Dawit Wondimagegn, Samuel Law

{"title":"\"Trust in God, but tie your donkey\": Holy water priest healers' views on collaboration with biomedical mental health services in Addis Ababa, Ethiopia.","authors":"Yonas Baheretibeb, Dawit Wondimagegn, Samuel Law","doi":"10.1177/13634615241227681","DOIUrl":"10.1177/13634615241227681","url":null,"abstract":"This exploratory qualitative study examines holy water priest healers' explanatory models and general treatment approaches toward mental illness, and their views and reflections on a collaborative project between them and biomedical practitioners. The study took place at two holy water treatment sites in Addis Ababa, Ethiopia. Twelve semi-structured interviews with holy water priest healers found eight notable themes: they held multiple explanatory models of illness, dominated by religious and spiritual understanding; they emphasized spiritual healing and empathic understanding in treatment, and also embraced biomedicine as part of an eclectic healing model; they perceived biomedical practitioners' humility and respect as key to their positive views on the collaboration; they valued recognition of their current role and contribution in providing mental healthcare; they recognized and appreciated the biomedical clinic's effectiveness in treating violent and aggressive patients; they endorsed the collaboration and helped to overcome patient and family reluctance to the use of biomedicine; they lamented the lack of spiritual healing in biomedical treatment; and they had a number of dissatisfactions and concerns, particularly the one-way referral from religious healers to the biomedical clinic. The study results show diversity in the religious healers' etiological understanding, treatment approaches and generally positive attitude and views on the collaboration. We present insights and explorations of factors affecting this rare, but much needed collaboration between traditional healers and biomedical services, and potential ways to improve it are discussed.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10943614/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139693244","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

"It will always be Temporary": A qualitative study of Syrian young adults expressing histories of collective violence and forced displacement in participatory theatre. "永远都是暂时的"：对叙利亚青壮年在参与式戏剧中表达集体暴力和被迫流离失所历史的定性研究。

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2024-04-01 Epub Date: 2024-01-17 DOI: 10.1177/13634615231213840

Sofie de Smet, Cécile Rousseau, Christel Stalpaert, Lucia De Haene

{"title":"\"It will always be Temporary\": A qualitative study of Syrian young adults expressing histories of collective violence and forced displacement in participatory theatre.","authors":"Sofie de Smet, Cécile Rousseau, Christel Stalpaert, Lucia De Haene","doi":"10.1177/13634615231213840","DOIUrl":"10.1177/13634615231213840","url":null,"abstract":"Given the increased prevalence of mental health problems in Syrian refugee communities, there have been efforts to develop adequate mental health care for their well-being. Herein, clinical literature is increasingly emphasizing the importance of locating refugees' healing at the nexus of personal and social realities, understanding the process of trauma narration within social restorative spaces of witnessing and communal support. Alongside this debate, there is growing interest in the relevance of participatory theatre for refugees. This innovative approach understands how voicing narratives of life histories within a broader social sphere may support personal and socio-political transformation. In this article, we aim to further the understanding of participatory theatre's relevance to these issues, focusing on the reparative dimensions of trauma narration. Based on a case study of a theatre project with Syrian young adults resettled in Belgium, we explore the different ways participants expressed experiences of collective violence and displacement in dialogue with each other, their diasporic and home communities, and their host society, and consider how these processes relate to their construction and meaning and coping with trauma. In a final section, we discuss the implications of our findings, raising questions about the value of participatory theatre as a reparative space and outlining suggestions to introduce and mobilize reparative modes of trauma narration in therapeutic practices in refugee trauma care.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139486593","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

Understanding how classroom drama workshops can facilitate social capital for newly arrived migrant and refugee adolescents: Insights from Denmark. 了解课堂戏剧工作坊如何促进新移民和难民青少年的社会资本：来自丹麦的启示。

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2024-04-01 Epub Date: 2024-02-02 DOI: 10.1177/13634615231225099

Finja Dähne, Signe Smith Jervelund, Nina Langer Primdahl, Nicoline Siemsen, Ilse Derluyn, An Verelst, Caroline Spaas, Lucia de Haene, Morten Skovdal

{"title":"Understanding how classroom drama workshops can facilitate social capital for newly arrived migrant and refugee adolescents: Insights from Denmark.","authors":"Finja Dähne, Signe Smith Jervelund, Nina Langer Primdahl, Nicoline Siemsen, Ilse Derluyn, An Verelst, Caroline Spaas, Lucia de Haene, Morten Skovdal","doi":"10.1177/13634615231225099","DOIUrl":"10.1177/13634615231225099","url":null,"abstract":"Art-based interventions, such as classroom drama workshops (CDWs), increasingly form part of a collection of mental health-promoting activities introduced in school settings. While research points to the potential benefits of CDWs for the mental well-being of refugee and migrant adolescents, the mechanisms to such improvement are less understood. In this article we respond to the need for qualitative evidence of how CDW interventions affect refugee and migrant adolescents' experience. The study draws on eight focus group discussions (FGDs) with 41 adolescents, four semi-structured interviews with teachers and a school coordinator, and written documents from two drama therapists. Our thematic analysis revealed that the CDWs were found to foster trust and improve social relations in the classroom-key facets of bonding social capital. Several processes were described as being linked to these changes. Participants spoke about how the CDWs were facilitated in an emancipatory and safe manner, creating social spaces where the adolescents could have fun together, share, and bear witness to each other's stories, as well as experiencing a sense of agency. In some cases, however, activities in the CDWs crossed the learners' psychological boundaries, which led to withdrawal and a loss of trust. We conclude that whilst CDWs have the potential to facilitate bonding social capital amongst refugee and migrant adolescents and their teachers, this potential hinges on how the CDWs are facilitated.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139673337","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

Social zeitgeber and sleep loss as risk factors for suicide in American Indian adolescents. 美国印第安青少年自杀的风险因素--社交障碍和睡眠不足。

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2024-04-01 Epub Date: 2024-02-04 DOI: 10.1177/13634615241227679

Cindy L Ehlers, David A Gilder, Jessica Benedict, Derek N Wills, Evie Phillips, Cathy Gonzales, Katherine J Karriker-Jaffe, Rebecca A Bernert

{"title":"Social zeitgeber and sleep loss as risk factors for suicide in American Indian adolescents.","authors":"Cindy L Ehlers, David A Gilder, Jessica Benedict, Derek N Wills, Evie Phillips, Cathy Gonzales, Katherine J Karriker-Jaffe, Rebecca A Bernert","doi":"10.1177/13634615241227679","DOIUrl":"10.1177/13634615241227679","url":null,"abstract":"American Indians / Alaska Natives (AI/AN) bear a high burden of suicide, the reasons for which are not completely understood, and rates can vary by tribal group and location. This article aims to identify circumstances reported by a community group of American Indian adolescent participants to be associated with their depression and/or suicide. American Indian adolescents (n = 360) were recruited from contiguous reservations and were assessed with a semi-structured diagnostic interview. Twenty percent of the adolescents reported suicidal thoughts (ideation, plans), an additional 8% reported a history of suicide attempts, and three deaths due to suicide were reported. Suicidal behaviors and major depressive disorder (MDD) co-occurred and were more common among female adolescents. The distressing events that adolescents most often reported were: death in the family, family disruption, peer relationship problems, and school problems. All of these events were significantly associated with suicidal behaviors, however those with suicidal acts were more likely to report death in the family. Those with MDD but no suicidal behaviors were more likely to report disruptions in the family. Disruptions in falling asleep were also associated with suicidal behaviors and having experienced a death in the family. Disruptions in important relationships, particularly through death or divorce, may be interpreted as a loss or disruption in \"social zeitgebers\" that may in turn disturb biological rhythms, such as sleep, thus potentially increase the risk for MDD and/or suicide. Prevention programs aimed at ameliorating the impact of disruptions in important relationships may potentially reduce suicidal behaviors in AI/AN adolescents.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11376403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139681740","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

Cultural adaptations of third-wave psychotherapies in Gulf Cooperation Council countries: A systematic review. 海湾合作委员会国家第三波心理疗法的文化适应性：系统回顾。

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2024-04-01 Epub Date: 2024-02-08 DOI: 10.1177/13634615241227691

Duaa H Alrashdi, Aisha H Alyafei, Samar A Alanazi, Carly Meyer, Rebecca L Gould

{"title":"Cultural adaptations of third-wave psychotherapies in Gulf Cooperation Council countries: A systematic review.","authors":"Duaa H Alrashdi, Aisha H Alyafei, Samar A Alanazi, Carly Meyer, Rebecca L Gould","doi":"10.1177/13634615241227691","DOIUrl":"10.1177/13634615241227691","url":null,"abstract":"The effectiveness of third-wave psychotherapies has been demonstrated in a range of mental and physical health conditions in Western cultures. However, little is known about the cultural appropriateness and effectiveness of third-wave psychotherapies for Gulf Cooperation Council (GCC) populations. This review aimed to critically evaluate cultural adaptations to third-wave psychotherapies and explored the effectiveness of these interventions on physical and mental health outcomes in GCC populations. Five bibliographic databases and grey literature were searched; both English and Arabic studies conducted in the GCC were included. Mental and physical health-related outcomes were included. Eleven studies were identified. The overall degree of cultural adaptation ranged from 2 to 5, based on Bernal et al.'s cultural adaptation framework. Language and assessment tools were most frequently adapted. Several studies incorporated goal, method, and context adaptations, whereas metaphor and content were least frequently adapted. None of the studies incorporated person or concept adaptations. Culturally adapted third-wave psychotherapies were associated with improvement in numerous mental health outcomes, including psychological distress, well-being, and psychological traits. No physical health outcomes were identified. Although findings are promising with respect to the effectiveness of third-wave psychotherapies for GCC populations, they should be interpreted with caution due to the small number of studies conducted, cultural adaptation evaluations relying on explicit reporting in studies, and the weak methodological quality of studies. Future rigorous research is needed in the evaluation of culturally adapted third-wave psychotherapies in GCC populations, with more comprehensive reporting of cultural considerations.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10943625/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708122","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 association between exposure to hate speech or perceived discrimination and mental health problems among Korean residents in Japan. 在日韩裔居民中，仇恨言论或感知到的歧视与心理健康问题之间的关联。

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2024-04-01 Epub Date: 2024-01-31 DOI: 10.1177/13634615231225127

Takuya Matsumoto, Shiro Kitada, Shiro Suda

引用次数: 0

Cross-cultural validation of the Spanish version of the mini cambridge-exeter repetitive thought scale (Mini-CERTS) in two Spanish-speaking populations. 迷你剑桥-埃克塞特重复思维量表（Mini-CERTS）西班牙语版在两个西班牙语国家人群中的跨文化验证。

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2024-04-01 Epub Date: 2023-12-13 DOI: 10.1177/13634615231209143

Laura Ros, Tom J Barry, Rigoberto López-Honrubia, Maritza E Villanueva-Benite, Alberto Morcillo, Jorge J Ricarte

{"title":"Cross-cultural validation of the Spanish version of the mini cambridge-exeter repetitive thought scale (Mini-CERTS) in two Spanish-speaking populations.","authors":"Laura Ros, Tom J Barry, Rigoberto López-Honrubia, Maritza E Villanueva-Benite, Alberto Morcillo, Jorge J Ricarte","doi":"10.1177/13634615231209143","DOIUrl":"10.1177/13634615231209143","url":null,"abstract":"The Mini Cambridge-Exeter Repetitive Thoughts Scale (Mini-CERTS) captures constructive and unconstructive aspects of repetitive thinking, but there is a need to revise and improve it given its novelty. For this reason, we present a validation and factor analysis of the Spanish version of the Mini-CERTS. Given that it is important to take cultural issues into account in instrument adaptation, we also assess its measurement invariance across Spanish (N = 430) and Peruvian (N = 394) populations. After deleting conflictive items, a 9-items version of the Mini-CERTS showed a two-factor model distinguishing constructive and unconstructive repetitive thinking, although this solution was not invariant across groups. Results also showed that the unconstructive factor was positively associated with anxiety, depression and stress measures. Despite its acceptable internal consistency, the absence of measurement invariance across groups does not recommend its use in cross-group comparisons in these populations. Cultural issues that could explain this result are discussed. Our findings highlight the importance of performing cross-cultural adaptations of assessment instruments even with the same language.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138811637","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 Chinese help-seeking model for psychological distress in primary care: An adaptation of Andersen's Behavioral Model of Health Services Use. 中国基层医疗机构心理困扰求助模式：改编自安徒生的医疗服务使用行为模型。

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2024-04-01 Epub Date: 2024-01-17 DOI: 10.1177/13634615231225130

Kai Sing Sun, Tai Pong Lam, Dan Wu, Tak Hon Chan, Graeme Browne, Sally Wai Chi Chan

{"title":"A Chinese help-seeking model for psychological distress in primary care: An adaptation of Andersen's Behavioral Model of Health Services Use.","authors":"Kai Sing Sun, Tai Pong Lam, Dan Wu, Tak Hon Chan, Graeme Browne, Sally Wai Chi Chan","doi":"10.1177/13634615231225130","DOIUrl":"10.1177/13634615231225130","url":null,"abstract":"Help-seeking for depression and anxiety disorders from primary care physicians in Western countries is at three times the rate of China. Western help-seeking models for common mental disorders have limitations in the Chinese settings. This article argues that an adapted model based on Andersen's Behavioral Model of Health Services Use could be an appropriate tool to better understand patients' help-seeking behaviors and improve outcomes. We applied a narrative review approach to integrate research findings from China into Andersen's model to generate a model that fits the Chinese context. We found 39 relevant articles in PubMed, MEDLINE, and Chinese journal databases from 1999 to 2022. Findings were mapped onto predisposing, enabling, and need factors of the model. This model emphasizes that predisposing factors including demographics, social norms, and health beliefs influence help-seeking preferences. Mental health service users in China tend to be older and female. Chinese generally have high concern about psychotropic medications, and social norms that consider psychological distress a personal weakness may discourage help-seeking. However, help-seeking can be enhanced by enabling factors in the health system, including training of primary care physicians, longer consultation time, and continuity of care. Need factors for treatment increase with the severity of distress symptoms, and doctor's skills and attitudes in recognizing psychosomatic symptoms. While predisposing factors are relatively hard to change, enabling factors in the health system and need factors for treatment can be targeted by enhancing the role of family doctors and training in mental health.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139486596","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