Transcultural Psychiatry最新文献_第6页

Mental Health Attitudes and Perspectives in Arab American Communities: Beliefs Associated with Stigma, Treatment, and the Origins of Pathology. 阿拉伯裔美国人社区的心理健康态度和观点：与病耻感、治疗和病理起源相关的信念。

IF 2.7 3区医学

Transcultural Psychiatry Pub Date : 2026-02-01 Epub Date: 2025-12-18 DOI: 10.1177/13634615251379444

Liam Browning, Nicole Oska, George G Kidess, Liza Hinchey, Arwa Saleem, Sadie Knill, Malaak Elhage, Arash Javanbakht

{"title":"Mental Health Attitudes and Perspectives in Arab American Communities: Beliefs Associated with Stigma, Treatment, and the Origins of Pathology.","authors":"Liam Browning, Nicole Oska, George G Kidess, Liza Hinchey, Arwa Saleem, Sadie Knill, Malaak Elhage, Arash Javanbakht","doi":"10.1177/13634615251379444","DOIUrl":"10.1177/13634615251379444","url":null,"abstract":"Arab Americans are one of the largest ethnic minority groups in the United States. The mental health of Arab Americans and their opinions on mental health, however, remain understudied despite higher than average rates of mental illness and lower rates of treatment. Culturally-mediated conceptualizations of mental illness may generate stigma, contributing to disparities in treatment. This study aimed to assess the attitudes and perspectives of Arab Americans regarding mental illness in order to address barriers to treatment. Using an anonymous bilingual Qualtrics survey, we collected data from Arab and non-Arab participants (N = 294; ages 18+) on their conceptualizations of the causes of mental illness and on their stigma towards mental illness and mental health treatments. Compared to non-Arabs, Arab participants reported higher average mental illness stigma and were more likely to rate psychiatric medications as addictive and unhelpful. Among Arabs, being Christian, male, and older (>29 years old) were each associated with higher stigma. Arabs were less likely than non-Arabs to endorse biological explanations for mental illness. These are among the first findings to describe mental illness stigma and conceptualizations of mental health in the Arab American population and may inform future community interventions providing culturally competent care to Arab Americans.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"46-55"},"PeriodicalIF":2.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145783419","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

Counselling in zero-COVID China: Affective dissonance and the regime of positivity. 零covid中国的咨询：情感失调和积极机制。

IF 2.7 3区医学

Transcultural Psychiatry Pub Date : 2026-01-09 DOI: 10.1177/13634615251409634

Anna Iskra

{"title":"Counselling in zero-COVID China: Affective dissonance and the regime of positivity.","authors":"Anna Iskra","doi":"10.1177/13634615251409634","DOIUrl":"10.1177/13634615251409634","url":null,"abstract":"This study explores the frictions between state-imposed affective norms and individual emotional realities during the COVID-19 pandemic in Shanghai, focusing on the lived experiences of psychological counsellors. Based on ethnographic research, it examines how the Chinese state's promotion of positive psychology operated as a tool of affective governance, framing gratitude, hope, and optimism as civic virtues amid widespread hardship. During extended confinement, food shortages, and restricted healthcare access, counsellors encountered pervasive anxiety, depression, and anger in both their clients and themselves-emotions at odds with the state's emotionally prescriptive narratives. Trained to validate and explore \"negative\" emotions, counsellors responded in divergent ways: while some affirmed the state-promoted discourse of positivity as a form of coping or professional compliance, others challenged it by attending to the dissonant emotional experiences around them. The concept of affective dissonance serves as the central analytic tool in this article, revealing how emotional misalignment in this context is not merely psychological but also political and structural. For those who resisted, affirming disallowed affects became a mode of preserving self-integrity, fostering solidarity, and opening space for critique. In authoritarian settings where emotions are ideologically scripted, acknowledging dissonant affects becomes central to both therapeutic practice and political consciousness.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"13634615251409634"},"PeriodicalIF":2.7,"publicationDate":"2026-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145946351","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

Singapore's Mental Health Peer Movement. 新加坡心理健康同伴运动。

IF 2.7 3区医学

Transcultural Psychiatry Pub Date : 2026-01-06 DOI: 10.1177/13634615251409682

Li Shan Chan Chan Li Shan

引用次数: 0

The significance of lived experience and mental health consumer movements in Indonesia: Experiences and observations from a personal journey. 印度尼西亚生活经验和心理健康消费者运动的意义：个人旅程的经验和观察。

IF 2.7 3区医学

Transcultural Psychiatry Pub Date : 2025-12-29 DOI: 10.1177/13634615251357874

Agus Sugianto

{"title":"The significance of lived experience and mental health consumer movements in Indonesia: Experiences and observations from a personal journey.","authors":"Agus Sugianto","doi":"10.1177/13634615251357874","DOIUrl":"https://doi.org/10.1177/13634615251357874","url":null,"abstract":"This paper explores the significant role of lived experience in shaping mental health advocacy and research initiatives in Indonesia, both now and in the foreseeable future. It offers a comprehensive examination of the author's journey as a mental health advocate, encompassing local and global contexts. The author's ongoing projects and their role as an advisory board member for various groups are discussed, highlighting the valuable insights gained from lived experience. Their roles include active participation in mental health user organizations, peer support, and mental health non-governmental organizations (NGOs). The paper also underscores the presence of mental health user movements and the active engagement of multiple organizations dedicated to advocating for mental health issues in Indonesia. These movements and organizations collectively work to address and enhance mental health concerns across the nation. Despite their valuable contributions, these mental health movements and NGOs face financial challenges due to the scarcity of government funding and the shortage of mental health professionals in Indonesia. The paper emphasizes the need for greater recognition and financial support for these organizations to strengthen the country's mental health services and advocacy.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"13634615251357874"},"PeriodicalIF":2.7,"publicationDate":"2025-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145857217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Experiences of stigma and discrimination and their relationship with internalized stigma in individuals diagnosed with severe mental disorders in Gran Concepción, Chile. 智利Gran Concepción严重精神障碍患者的耻辱和歧视经历及其与内化耻辱的关系

IF 2.7 3区医学

Transcultural Psychiatry Pub Date : 2025-12-01 Epub Date: 2025-10-17 DOI: 10.1177/13634615251379442

Dany Fernández, Pamela Grandón

{"title":"Experiences of stigma and discrimination and their relationship with internalized stigma in individuals diagnosed with severe mental disorders in Gran Concepción, Chile.","authors":"Dany Fernández, Pamela Grandón","doi":"10.1177/13634615251379442","DOIUrl":"10.1177/13634615251379442","url":null,"abstract":"This qualitative study explored the relationship between experiences of stigma and discrimination, and internalized stigma in people with severe mental disorders residing in Gran Concepción, Chile. Twelve participants were selected from a secondary care health center through a maximum variation sampling. Data were collected using semi-structured in-depth interviews, followed by reflective thematic analysis. Responses addressed four themes: 1) perception of the diagnosis; 2) perception and experiences of stigmatization and discrimination; 3) self-perception and internalized stigma; and 4) work. Most participants conceptualized psychiatric diagnoses in negative terms and reported experiences of stigmatization in the family, school, community, work, and health environments. However, only those exposed to stigma in the health area described internalized stigma. This finding highlights the paradoxical role of health services, which, instead of functioning solely as spaces of support and treatment, may also become central settings for the development of internalized stigma, underscoring the need to critically review institutional and professional practices. The study suggests that experiences in the health services may be crucial for the development of internalized stigma.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"761-773"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145309556","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 intercultural development and validation of the Indigenous 'Escala de Bienestar Kankuamo' (Kankuamo Well-Being Scale): A capability approach. 土著“坎库莫幸福量表”（Escala de Bienestar Kankuamo）的跨文化发展和验证：一种能力方法。

IF 2.7 3区医学

Transcultural Psychiatry Pub Date : 2025-12-01 Epub Date: 2025-08-17 DOI: 10.1177/13634615251359777

C F Van der Boor, D M Agudelo-Ortiz, G C Sánchez Díaz, C I Molina-Bulla, L J Guevara Morales, A Chiumento, D M Aponte Canencio, R White

{"title":"The intercultural development and validation of the Indigenous 'Escala de Bienestar Kankuamo' (Kankuamo Well-Being Scale): A capability approach.","authors":"C F Van der Boor, D M Agudelo-Ortiz, G C Sánchez Díaz, C I Molina-Bulla, L J Guevara Morales, A Chiumento, D M Aponte Canencio, R White","doi":"10.1177/13634615251359777","DOIUrl":"10.1177/13634615251359777","url":null,"abstract":"This article describes the development and validation of a capability-based well-being scale: 'Escala de Bienestar Kankuamo' (EBK; the Kankuamo Well-Being Scale). The EBK is designed to measure the well-being of the Indigenous Kankuamo community of Colombia from an intercultural perspective. The mixed-methods study was composed of two phases. In phase I, an initial 27 items, which had been generated using qualitative data from a previous study, were reviewed and adjusted through workshops with the Kankuamo community. In phase II, an adapted list of 28 items was piloted within the Kankuamo communities (sample N = 213). A preliminary exploratory factor analysis was carried out. The internal consistency of the EBK was measured using McDonald's ω. Convergent and divergent validity were tested with the World Health Organization-Five Well-Being Index (WHO-5) and the Patient Health Questionnaire-9. Incremental validity was tested through a hierarchical regression analysis to determine the effect on the WHO-5 of age, gender, community and EBK. The exploratory factor analysis resulted in a 14-item scale with seven domains: (1) Relating (to others and one's emotions), (2) Guiding principles, (3) Choice of healthcare, (4) Self-grown food, (5) Community contributions, (6) Agency and (7) Respect and equality. The EBK had high internal consistency (McDonald's ω = 0.86). Statistical analyses aimed at determining the convergent and divergent validity were inconclusive, suggesting a need for caution in using western standardised mental health measures in Indigenous communities because these may lack adequate cultural fit. The findings of the current study identify local priorities and needs, and evidence the feasibility of operationalising the capability approach for Indigenous populations.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"722-736"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12672941/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144875956","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

Mental health interventions for African refugees resettled in North America: A systematic review. 重新安置在北美的非洲难民的心理健康干预措施：系统回顾。

IF 2.7 3区医学

Transcultural Psychiatry Pub Date : 2025-12-01 Epub Date: 2025-07-28 DOI: 10.1177/13634615251327884

Evalyne K Orwenyo, Betty C Tonui, Cecilia Mengo

{"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":"10.1177/13634615251327884","url":null,"abstract":"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 (n = 1,164), screened (n = 989), assessed (n = 79), and included (n = 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.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"709-721"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","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}

引用次数: 0

Understanding treatment barriers for major depressive disorder in the Latino community: A qualitative study stratified by language preference. 了解拉丁裔社区重度抑郁症的治疗障碍：一项以语言偏好分层的定性研究。

IF 2 3区医学

Transcultural Psychiatry Pub Date : 2025-12-01 Epub Date: 2025-08-01 DOI: 10.1177/13634615251359457

Linda E Guzman, Kristen M Fite, Hannah E Frank, Ruben G Martinez, Ana J Bridges

{"title":"Understanding treatment barriers for major depressive disorder in the Latino community: A qualitative study stratified by language preference.","authors":"Linda E Guzman, Kristen M Fite, Hannah E Frank, Ruben G Martinez, Ana J Bridges","doi":"10.1177/13634615251359457","DOIUrl":"10.1177/13634615251359457","url":null,"abstract":"This qualitative study explores barriers to accessing treatment for Major Depressive Disorder (MDD) among Latino adults in the United States, with a novel focus on how these barriers were described based on participants' preferred language. Fifty Latino individuals (n = 24 primarily Spanish-speaking; n = 26 primarily English-speaking) participated in Zoom interviews and completed a demographic survey and the Patient Health Questionnaire-9 (PHQ-9) MDD self-report measure in their preferred language. Thematic analysis of interview data identified barriers across three levels: individual (e.g., stigma, service literacy, treatment readiness, caretaking responsibilities), provider (e.g., language barriers, cultural humility, perceived care quality), and clinic (e.g., cost, time constraints, waitlists, geographical access). While many challenges were shared across groups, key differences emerged. Spanish-speaking participants emphasized the importance of bilingual providers and described feelings of mistrust, communication fears, and concerns about emotional safety when language concordance was absent. English-speaking participants described prioritizing working with bicultural providers who demonstrated cultural humility and a nuanced understanding of possible intergenerational and structural stressors. Structural barriers, such as cost and scheduling, were often compounded by emotional experiences such as shame and mistrust, underscoring the need for both system-level and culturally responsive solutions. These findings reinforce the need for equity-informed strategies that attend to the intersection of language, culture, and structural barriers to MDD treatment.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"683-699"},"PeriodicalIF":2.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12626192/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761796","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

Unseen scars: Exploring the mental health challenges of Black college students in the dual contexts of racial violence and the COVID-19 crisis. 看不见的伤疤：在种族暴力和COVID-19危机的双重背景下，探索黑人大学生的心理健康挑战。

IF 2.7 3区医学

Transcultural Psychiatry Pub Date : 2025-12-01 Epub Date: 2025-09-12 DOI: 10.1177/13634615251371010

Kamesha S Spates, Matthew Craver, Imani Reynolds, Cryshanna A Jackson Leftwich, Danette Y Conklin

引用次数: 0

Mental health among Sweden Finns: A systematic scoping review. 瑞典芬兰人的心理健康：一项系统的范围审查。

IF 2 3区医学

Transcultural Psychiatry Pub Date : 2025-12-01 Epub Date: 2025-10-25 DOI: 10.1177/13634615251379430

Mattias Strand, Mona Lindqvist

{"title":"Mental health among Sweden Finns: A systematic scoping review.","authors":"Mattias Strand, Mona Lindqvist","doi":"10.1177/13634615251379430","DOIUrl":"10.1177/13634615251379430","url":null,"abstract":"Sweden Finns are one of five officially recognized national minority groups in Sweden. As a group, Sweden Finns have been socioeconomically underprivileged in comparison with the Swedish majority population, and tend to be worse off in terms of somatic health. However, the literature on mental health among Sweden Finns has not previously been systematically appraised. The aim of this scoping review was to synthesize the available evidence on mental health among Sweden Finns or, when the minority terminology is not used in the literature, among individuals in Sweden with a Finnish background (including the so-called Finnish war children). Systematic literature searches in MEDLINE, Web of Science, and PsychINFO were performed. A total of 46 publications met the inclusion criteria; however, very few made use of the self-identification principle central to official Swedish minority politics. The synthesized evidence shows that Sweden Finns tend to be worse off in terms of mental health compared with the Swedish-born majority population, even after adjusting for socioeconomic factors. They are more often diagnosed with various serious psychiatric disorders, such as schizophrenia and other psychotic disorders. Alcohol and other substance-use disorders are also more common. Moreover, substantially higher suicide rates are consistently reported in this group, although no recent studies exist. The few published qualitative studies emphasize the importance of cultural competence in the care of elderly Sweden Finns with neurocognitive deficits. More qualitative and ethnographically oriented research is needed to explore causal pathways behind the observed patterns and to guide potential preventive measures.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"774-794"},"PeriodicalIF":2.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12672943/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145370524","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