Transcultural Psychiatry最新文献_第9页

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":" ","pages":"95-106"},"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":" ","pages":"47-59"},"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":" ","pages":"60-69"},"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":" ","pages":"30-46"},"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

Mental health and access to care among the Roma population in Europe: A scoping review. 欧洲罗姆人的心理健康和获得护理的机会：范围界定审查。

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2024-02-01 Epub Date: 2023-09-28 DOI: 10.1177/13634615231200853

Zoe Guerrero, Dagmar Civišová, Petr Winkler

{"title":"Mental health and access to care among the Roma population in Europe: A scoping review.","authors":"Zoe Guerrero, Dagmar Civišová, Petr Winkler","doi":"10.1177/13634615231200853","DOIUrl":"10.1177/13634615231200853","url":null,"abstract":"The Roma are Europe's largest ethnic minority group, and often face discrimination and social exclusion. Social strife and lack of access to healthcare are associated with increased symptoms of psychopathology. We aimed to review evidence on mental health outcomes and on access to mental healthcare among the Roma population in Europe. We systematically searched five databases (PsycINFO, Global Health, Social Policy and Practice, Web of Science and PubMed) and conducted a grey literature search in August 2020. We identified 133 studies, 26 of which were included for final analysis. We present the results using a narrative synthesis. The available literature indicates a relatively high prevalence of anxiety, depression and substance abuse among Roma, and females seem to be more affected than males. Roma children exhibit more externalizing and internalizing disorders when compared with non-Roma children. Mental health and perceived well-being among the Roma population are strongly linked to social determinants of health such as housing or economic income. Access to mental healthcare is limited for Roma people because of several barriers pertaining to language, lack of information regarding available services, and the insurance and economic status of Roma people. Roma people report mainly negative experiences with mental health services, including a lack of understanding from healthcare providers, and instances of racism and discrimination. There is a need for more research on mental health and access to healthcare in Roma people. Future studies should be participatory in order to provide guidelines for mental healthcare that addresses the needs of the Roma population.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"118-130"},"PeriodicalIF":2.5,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41158250","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

Recruitment and retention of American Indian youth and caregivers in a culturally adapted prevention program 招募和留住美国印第安青年和照顾者参加适应文化的预防计划

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2023-12-07 DOI: 10.1177/13634615231213836

Jamy K. Rentschler, Maia C. Behrendt, D. Hoyt, L. Whitbeck

{"title":"Recruitment and retention of American Indian youth and caregivers in a culturally adapted prevention program","authors":"Jamy K. Rentschler, Maia C. Behrendt, D. Hoyt, L. Whitbeck","doi":"10.1177/13634615231213836","DOIUrl":"https://doi.org/10.1177/13634615231213836","url":null,"abstract":"This article seeks to understand to what extent cultural engagement and substance use risk factors influence families’ decisions to participate, and ultimately complete, a culturally grounded substance use prevention program. Using data from a 14-week culturally oriented family-based substance use prevention program, we examine predictors of successful recruitment and retention of American Indian youth and their caregivers. Guided by the theoretical model for developing culturally specific preventions, the community-based approach to recruitment resulted in 85.6% of eligible families from two American Indian communities agreeing to participate in the randomized controlled trial. After completion of baseline surveys, 57.3% of the intervention selected families initiated participation in the program sessions and 67.8% of these families completed participation in the program. We used logistic regression to analyze two different models: one that predicted whether invited families chose to participate and whether participating families attended eight or more sessions. Important predictors of participation in the intervention program included single-caregiver households, youth Indigenous language and cultural identity, youth early substance use initiation, and household substance use exposure. Overall, results from this study highlight the importance of fully engaged community research partnerships for multi-session family-based interventions, while identifying potential challenges to program recruitment and participation.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":"9 6","pages":""},"PeriodicalIF":2.5,"publicationDate":"2023-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138591693","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

Evaluation of a culturally adapted reminiscence therapy intervention: Improving mood, family and community connectedness in Spanish- and Vietnamese-speaking older adults. 评估适应文化背景的回忆疗法干预措施：改善讲西班牙语和越南语的老年人的情绪、家庭和社区联系。

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2023-12-01 Epub Date: 2023-08-24 DOI: 10.1177/13634615231191996

Sadhna Diwan, Angelica Eliazar, Duy Pham, Maria Fuentes

{"title":"Evaluation of a culturally adapted reminiscence therapy intervention: Improving mood, family and community connectedness in Spanish- and Vietnamese-speaking older adults.","authors":"Sadhna Diwan, Angelica Eliazar, Duy Pham, Maria Fuentes","doi":"10.1177/13634615231191996","DOIUrl":"10.1177/13634615231191996","url":null,"abstract":"Reminiscence therapy (RT) is an evidence-based treatment for alleviating depression and improving life satisfaction among elders, yet less is known about its efficacy in diverse ethnic groups. We report on the evaluation of a cultural adaptation of the RT intervention that combines reminiscence with three innovative elements: including family members in RT; conducting community events for participants to present their artwork and life-story books created during the intervention; and using ethnically matched bilingual community workers. The 12-week intervention with pre- and post-test assessments was completed by 73 Hispanic and 92 Vietnamese elders (mean age = 75 years; 62% female; mostly foreign-born, with limited English proficiency). Paired t-tests indicated statistically significant improvement in depression, loneliness, and life satisfaction. Sixty-two percent of participants noted improved relationships with family/friends through improved communication and shared understanding of the participant's life story. Fifty percent of respondents participated in a community event and the qualitative comments noted improved connection with their community through listening to others' life experiences and sharing their own. Participant perceptions of ethnically matched community workers were positive, but several indicated they could work with someone from a different ethnic background. Similar to general RT findings, the culturally adapted RT intervention demonstrated improvement in depression, loneliness, and life satisfaction among elders from two different ethnic backgrounds. Implications for future projects are discussed based on the findings and experience of conducting this intervention.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"973-984"},"PeriodicalIF":2.5,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10059651","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

"They should ask about our feelings": Mongolian women's experiences of postpartum depression. “她们应该询问我们的感受”：蒙古妇女产后抑郁症的经历。

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2023-12-01 Epub Date: 2023-09-20 DOI: 10.1177/13634615231187256

Mellissa Withers, Justin Trop, Munkhuu Bayalag, Simone H Schriger, Solongo Ganbold, Doljinsuren Doripurev, Enkhmaa Davaasambuu, Undral Bat-Erdene, Battulga Gendenjamts

{"title":"\"They should ask about our feelings\": Mongolian women's experiences of postpartum depression.","authors":"Mellissa Withers, Justin Trop, Munkhuu Bayalag, Simone H Schriger, Solongo Ganbold, Doljinsuren Doripurev, Enkhmaa Davaasambuu, Undral Bat-Erdene, Battulga Gendenjamts","doi":"10.1177/13634615231187256","DOIUrl":"10.1177/13634615231187256","url":null,"abstract":"Between 16 and 20% of perinatal women in low- and middle-income countries experience depression. Addressing postpartum depression (PPD) requires an appreciation of how it manifests and is understood in different cultural settings. This study explores postpartum Mongolian women's perceptions and experiences of PPD. We conducted interviews with 35 postpartum women who screened positive for possible depression to examine: (1) personal experiences of pregnancy/childbirth; (2) perceived causes and symptoms of PPD; and (3) strategies for help/support for women experiencing PPD. Unless extreme, depression was not viewed as a disease but rather as a natural condition following childbirth. Differences between a biomedical model of PPD and local idioms of distress could explain why awareness about PPD was low. The most reported PPD symptom was emotional volatility expressed as anger and endorsement of fear- or anxiety-related screening questions, suggesting that these might be especially relevant in the Mongolian context. Psychosocial factors, as opposed to biological, were common perceived causes of PPD, especially interpersonal relationship problems, financial strain, and social isolation. Possible barriers to PPD recognition/treatment included lack of awareness about the range of symptoms, reluctance to initiate discussions with providers about mental health, and lack of PPD screening practices by healthcare providers. We conclude that educational campaigns should be implemented in prenatal/postnatal clinics and pediatric settings to help women and families identify PPD symptoms, and possibly destigmatize PPD. Healthcare providers can also help to identify women with PPD through communication with women and families.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"1005-1016"},"PeriodicalIF":2.5,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41173494","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