International Review of Psychiatry最新文献

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Breaking barriers: a psychobiography of Siya Kolisi from a sociocultural perspective 打破障碍:社会文化视角下的西娅·科利西心理传记
4区 医学
International Review of Psychiatry Pub Date : 2023-09-14 DOI: 10.1080/09540261.2023.2257330
Tinashe Harry
{"title":"Breaking barriers: a psychobiography of Siya Kolisi from a sociocultural perspective","authors":"Tinashe Harry","doi":"10.1080/09540261.2023.2257330","DOIUrl":"https://doi.org/10.1080/09540261.2023.2257330","url":null,"abstract":"AbstractSiyamthanda (Siya) Kolisi OIG (1992-) is the first black captain of the South African rugby team (Springboks) in its 128 years of existence. The Springboks have long been associated with Afrikaner people and a history of racism. Siya had to navigate a tumultuous upbringing in an environment characterised by various issues such as socioeconomic inequalities, high unemployment among Black people, and lack of resources. Siya was purposively selected for this study as he has become one of the most influential individuals in South Africa. Publicly available biographical data was gathered, analysed, and interpreted using the Phenomenological Variant of Ecological Systems Theory (PVEST; Spencer, Citation2006). I used the theoretical lens to understand the role of social and cultural context, meaning-making processes in human development, and the transition between different worlds. The findings indicated a need to consider the role of context as a source of consonance or dissonance in human development. The study also sheds light on the importance of viewing marginalised individuals holistically to facilitate smooth boundary transitions. Furthermore, it underscores the importance of recognising that maladaptive and adaptive coping strategies exist on a continuum. The study contributes towards non-WEIRD psychobiographical studies and understanding culture’s role on human development.Keywords: Siya Kolisinon-WEIRDPsychobiographyIdentityCultureRugbyPVEST Disclosure statementNo potential conflict of interest was reported by the author(s).Notes1 Siyamthanda means we love him.2 Phakama means rise (the title of his autobiography).3 Ubuntu, as a philosophy, “is based on generic life values of justice, responsibility, equality, collectiveness, relatedness, reciprocity, love, respect, helpfulness, community, caring, dependability, sharing, trust, integrity, unselfishness and social change” (Mayaka & Truell, Citation2021, p. 3).","PeriodicalId":51391,"journal":{"name":"International Review of Psychiatry","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134912743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Cross-cultural experiences and self-development: a psychobiographical study of Bruce Lee 跨文化体验与自我发展:李小龙的心理传记研究
4区 医学
International Review of Psychiatry Pub Date : 2023-09-13 DOI: 10.1080/09540261.2023.2257326
Xia Xie, Chao Pan, Min Xu, Ao He, Yueyu Shu
{"title":"Cross-cultural experiences and self-development: a psychobiographical study of Bruce Lee","authors":"Xia Xie, Chao Pan, Min Xu, Ao He, Yueyu Shu","doi":"10.1080/09540261.2023.2257326","DOIUrl":"https://doi.org/10.1080/09540261.2023.2257326","url":null,"abstract":"A common challenge people face in today’s cross-cultural world is how to solve a series of adaptation problems caused by cultural conflict. Exploring Bruce Lee’s successful cross-cultural experiences through psychobiography offers some inspiration and thoughts. How did Bruce Lee successfully integrate martial arts, symbolising the Eastern culture, with films representing the Western culture, finally propelling kung fu films onto the international stage? Numerous publicly available materials about Bruce Lee were collected for this study, and the research data were evaluated using thematic analysis. Bruce Lee’s success benefitted from reconstructing cultural environment information and exercising his initiative to shape a new cultural environment. His life experiences reflect individual cognition behaviour and social and cultural environments as two aspects of a dynamic circulation system and show that the two have reached internal and spiralling harmony through mutual integration. In the context of the Oriental collectivism culture’s family narrative, Chinese adults’ personality development features the unique theme of ‘inheritance and innovation’. Dealing with the relationship between self-actualisation and familism is another important and challenging task in developing the Chinese personality.","PeriodicalId":51391,"journal":{"name":"International Review of Psychiatry","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135734025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Forensic psychiatry in Turkiye 土耳其的法医精神病学
4区 医学
International Review of Psychiatry Pub Date : 2023-09-12 DOI: 10.1080/09540261.2023.2255255
Yasin Hasan Balcioglu, Fatih Oncu, Harry G. Kennedy
{"title":"Forensic psychiatry in Turkiye","authors":"Yasin Hasan Balcioglu, Fatih Oncu, Harry G. Kennedy","doi":"10.1080/09540261.2023.2255255","DOIUrl":"https://doi.org/10.1080/09540261.2023.2255255","url":null,"abstract":"Turkiye, with its origins in an enduring civilisation rooted in preceding Turkish states from ancient and medieval eras, possesses its own firmly established legal traditions. Legislation concerning to the mentally ill was introduced post the French Revolution in the Ottoman Empire and underwent reforms with the advent of Turkiye’s modern Republic in 1923, led by Mustafa Kemal Atatürk. This remains an ongoing process of enhancement, despite the absence of a well-established mental health law. Although forensic psychiatry is not considered to be an official subspecialty of psychiatry in Turkiye, the former constitutes a considerable amount of psychiatric practice in the country today. This article provides an overview of the legal basis and the organisation of forensic psychiatry in Turkiye. The primary forensic psychiatric practices of expertise, court-ordered treatments and prison psychiatry are described. Facilities as well as models of care are outlined. Finally, we consider the strengths and challenges of forensic psychiatry in Turkiye, to summarise the practice and system as well as to address rooms for improvement and highlight their possible reflections on the future.","PeriodicalId":51391,"journal":{"name":"International Review of Psychiatry","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135786446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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: 2
Facilitating difficult conversations through art: creating an anti-racism digital image library for health professions education 通过艺术促进困难的对话:为卫生专业教育创建反种族主义数字图像库
4区 医学
International Review of Psychiatry Pub Date : 2023-09-11 DOI: 10.1080/09540261.2023.2252920
Kamna S. Balhara, Philip Yenawine, Nathan Irvin, Lauren Eller, Leila Habib, Claire Tatham, Margaret Chisolm
{"title":"Facilitating difficult conversations through art: creating an anti-racism digital image library for health professions education","authors":"Kamna S. Balhara, Philip Yenawine, Nathan Irvin, Lauren Eller, Leila Habib, Claire Tatham, Margaret Chisolm","doi":"10.1080/09540261.2023.2252920","DOIUrl":"https://doi.org/10.1080/09540261.2023.2252920","url":null,"abstract":"AbstractRacism has been recognised as a threat to patient outcomes, public health, and the healthcare workforce, and health professions (HP) educators and learners alike are seeking effective ways to teach anti-racism in HP education. However, facilitating conversations on race and racism in healthcare contexts can be challenging. Integrative arts and humanities approaches can engage learners in the critical dialogue necessary to educational interventions focused on anti-racism. Discussions of works of visual art, for instance, can leverage visual art as an avenue for indirection to balance introspection and revelation with psychological safety. Structured pedagogical frameworks that emphasise the perspectives and experiences of participants, such as the Visual Thinking Strategies approach, can lead to open-ended and collaborative discussions where participants can safely explore their assumptions in a space that encourages productive discomfort. Visual arts-based programs on anti-racism in HP are limited, though, in part because no collection of images exists to support HP educators in this endeavour. This paper describes the process of developing a digital image library to support HP educators seeking to generate discussions on race and racism as part of anti-racism curricula. We also highlight common themes, best practices, and potential pitfalls associated with use of the image library.Keywords: Humanitiesanti-racismvisual artvisual thinking strategiesmedical education AcknowledgementsThe authors thank all advisory panel members and pilot discussion participants.Disclosure statementNo potential conflict of interest was reported by the author(s)Additional informationFundingThis work was funded by the Johns Hopkins Institute for Excellence in Education (https://www.hopkinsmedicine.org/institute-excellence-education). Dr. Chisolm is the Director of the Paul McHugh Program for Flourishing, through which her work is supported. Philip Yenawine is a creator of VTS and leads the Watershed Collaborative.","PeriodicalId":51391,"journal":{"name":"International Review of Psychiatry","volume":"107 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135980731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Literacy and stigma of suicide among Islamic religious leaders (Imams) in Bangladesh: a cross-sectional study 孟加拉国伊斯兰宗教领袖(伊玛目)的识字率和自杀的耻辱:一项横断面研究
4区 医学
International Review of Psychiatry Pub Date : 2023-09-09 DOI: 10.1080/09540261.2023.2252507
Md. Khayrul Islam, Mohammad Muntasir Maruf, Md Abdullah Saeed Khan, S. M. Yasir Arafat
{"title":"Literacy and stigma of suicide among Islamic religious leaders (Imams) in Bangladesh: a cross-sectional study","authors":"Md. Khayrul Islam, Mohammad Muntasir Maruf, Md Abdullah Saeed Khan, S. M. Yasir Arafat","doi":"10.1080/09540261.2023.2252507","DOIUrl":"https://doi.org/10.1080/09540261.2023.2252507","url":null,"abstract":"","PeriodicalId":51391,"journal":{"name":"International Review of Psychiatry","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136192345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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 Greek photographer Nelly’s: the interplay of personal and socio-cultural theme of ‘rebirth’ 希腊摄影师Nelly’s:“重生”这一个人与社会文化主题的相互作用
4区 医学
International Review of Psychiatry Pub Date : 2023-09-09 DOI: 10.1080/09540261.2023.2248240
Athena Androutsopoulou, Christos Korovilas
{"title":"The Greek photographer <i>Nelly’s</i>: the interplay of personal and socio-cultural theme of ‘rebirth’","authors":"Athena Androutsopoulou, Christos Korovilas","doi":"10.1080/09540261.2023.2248240","DOIUrl":"https://doi.org/10.1080/09540261.2023.2248240","url":null,"abstract":"This article presents a psychobiography study of the famous Greek photographer Ellie Sougioultzoglou-Seraidari (Nelly’s) (1899–1998). Nelly’s was born in Aidini (Asia Minor), and in her early years she experienced the tragic events of the Greek-Turkish War (1919–1923). She studied photography in Dresden (Germany), and worked in Athens (Greece) and New York (U.S.A.). A narrative and cultural psychology framework was adopted to explore the way that Nelly’s constructed her life story. An adjusted version of the ‘Life-Story Interview’ (McAdams & Bowman, 2001 McAdams, D. P., & Bowman, P. J. (2001). Narrating life’s turning points: Redemption and contamination. In D. P. McAdams, R. Josselson, & A. Lieblich (Eds.), Turns in the road: Narrative studies of lives in transition (pp. 3–34). American Psychological Association. doi:10.1037/10410-000.[Crossref] , [Google Scholar]) was used that distinguishes between redemption versus contamination narratives. The narrative analysis of autobiographical materials revealed turning points and a central life theme. The photographer appeared to construct her life story as a process of reinventing herself or managing ‘rebirth’. This construction matches the dominant narrative of Greek refugees of Asia Minor, following what is known in European history as the Asia Minor ‘Great Catastrophe’ (1922). Both narratives are surviving and thriving stories of ‘rebirth’. The importance of making meaning of life stories within a specific socio-cultural and historical context is emphasised. Practice and research suggestions are provided.","PeriodicalId":51391,"journal":{"name":"International Review of Psychiatry","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136192184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Developing non-opioid therapeutics to alleviate pain among persons with opioid use disorder: a review of the human evidence. 开发非阿片类药物治疗以减轻阿片类药物使用障碍患者的疼痛:对人类证据的回顾
IF 3.7 4区 医学
International Review of Psychiatry Pub Date : 2023-08-01 Epub Date: 2023-06-28 DOI: 10.1080/09540261.2023.2229430
Debora Oliveira, Rodrigo Fontenele, Jeremy Weleff, Mehmet Sofuoglu, Joao P De Aquino
{"title":"Developing non-opioid therapeutics to alleviate pain among persons with opioid use disorder: a review of the human evidence.","authors":"Debora Oliveira, Rodrigo Fontenele, Jeremy Weleff, Mehmet Sofuoglu, Joao P De Aquino","doi":"10.1080/09540261.2023.2229430","DOIUrl":"10.1080/09540261.2023.2229430","url":null,"abstract":"<p><p>The opioid crisis remains a major public health concern, causing significant morbidity and mortality worldwide. Pain is frequently observed among individuals with opioid use disorder (OUD), and the current opioid agonist therapies (OAT) have limited efficacy in addressing the pain needs of this population. We reviewed the most promising non-opioid analgesic therapies for opioid-dependent individuals synthesising data from randomised controlled trials in the Medline database from December 2022 to March 2023. Ketamine, gabapentin, serotoninergic antidepressants, and GABAergic drugs were found to be the most extensively studied non-opioid analgesics with positive results. Additionally, we explored the potential of cannabinoids, glial activation inhibitors, psychedelics, cholecystokinin antagonists, alpha-2 adrenergic agonists, and cholinergic drugs. Methodological improvements are required to advance the development of novel analgesic strategies and establish their safety profile for opioid-dependent populations. We highlight the need for greater integration of experimental pain methods and abuse liability assessments, more granular assessments of prior opioid exposure, greater uniformity of pain types within study samples, and a particular focus on individuals with OUD receiving OAT. Finally, future research should investigate pharmacokinetic interactions between OAT and various non-opioid analgesics and perform reverse translation basic experiments, particularly with methadone and buprenorphine, which remain the standard OUD treatment.</p>","PeriodicalId":51391,"journal":{"name":"International Review of Psychiatry","volume":"1 1","pages":"377-396"},"PeriodicalIF":3.7,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10835074/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41345674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Bariatric surgery and its influence on alcohol consumption: Differences before and after surgery - A systematic review and meta-analysis. 减肥手术及其对饮酒的影响:手术前后的差异 - 系统回顾和荟萃分析。
IF 2.8 4区 医学
International Review of Psychiatry Pub Date : 2023-08-01 Epub Date: 2023-06-28 DOI: 10.1080/09540261.2023.2223317
Mariana Capelo Vides, Mariana Campello de Oliveira, Dangela Layne Silva Lassi, André Malbergier, Ligia Florio, Cintia de Azevedo-Marques Périco, Ricardo Abrantes do Amaral, Julio Torales, Antonio Ventriglio, André Brooking Negrão, João Mauricio Castaldelli-Maia
{"title":"Bariatric surgery and its influence on alcohol consumption: Differences before and after surgery - A systematic review and meta-analysis.","authors":"Mariana Capelo Vides, Mariana Campello de Oliveira, Dangela Layne Silva Lassi, André Malbergier, Ligia Florio, Cintia de Azevedo-Marques Périco, Ricardo Abrantes do Amaral, Julio Torales, Antonio Ventriglio, André Brooking Negrão, João Mauricio Castaldelli-Maia","doi":"10.1080/09540261.2023.2223317","DOIUrl":"10.1080/09540261.2023.2223317","url":null,"abstract":"<p><strong>Background: </strong>Through new publications on the subject, the main goal of this article is to seek a change in the pattern of alcohol use before and after bariatric surgery.</p><p><strong>Methods: </strong>We searched the National Library of Medicine, CINAHL, and PsycINFO databases. We included original articles regarding alcohol consumption before and after bariatric surgery to conduct the systematic review.</p><p><strong>Results: </strong>Our systematic review, which included 18 articles, yielded mixed results. Meta-analysis of six articles did not reveal statistically significant differences in alcohol use behaviours before and one year after bariatric surgery. However, throughout the perspective of follow-up after bariatric surgery, nine out of the twelve articles showed improvement in the pattern of alcohol consumption when evaluated up to two years after the end of the surgical period, and four out of the five articles with monitoring beyond two years showed worsening in consumption, compared to pre-surgery alcohol use behaviours.</p><p><strong>Conclusions: </strong>Conclusions about the relationship between alcohol consumption and bariatric surgery are challenging primarily because of the variety of the methods used and the alcohol consumption measures. Despite that, our research pointed to an increased risk of alcohol use disorders two years after bariatric surgery.</p>","PeriodicalId":51391,"journal":{"name":"International Review of Psychiatry","volume":"1 1","pages":"367-376"},"PeriodicalIF":2.8,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59969955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Profiles of online racism exposure and mental health among Asian, Black, and Latinx emerging adults in the United States. 美国亚裔、黑人和拉美裔新兴成年人的网络种族主义暴露和心理健康概况。
IF 3.7 4区 医学
International Review of Psychiatry Pub Date : 2023-05-01 Epub Date: 2023-02-27 DOI: 10.1080/09540261.2023.2180346
Brian TaeHyuk Keum, Andrew Young Choi
{"title":"Profiles of online racism exposure and mental health among Asian, Black, and Latinx emerging adults in the United States.","authors":"Brian TaeHyuk Keum, Andrew Young Choi","doi":"10.1080/09540261.2023.2180346","DOIUrl":"10.1080/09540261.2023.2180346","url":null,"abstract":"<p><p>Online racism is a digital social determinant to health inequity and an acute and widespread public health problem. To explore the heterogeneity of online racism exposure within and across race, we latent class modelled this construct among Asian (<i>n</i> = 310), Black (<i>n</i> = 306), and Latinx (<i>n</i> = 163) emerging adults in the United States and analysed key demographic and psychosocial health correlates. We observed <i>Low</i> and <i>Mediated Exposure</i> classes across all racial groups, whereas <i>High Exposure</i> classes appeared among Asian and Black people and the <i>Systemic Exposure</i> classes emerged uniquely in Asian and Latinx people. Generally, the <i>High Exposure</i> classes reported the greatest psychological distress and unjust views of society compared to all other classes. The <i>Mediated</i> and <i>Systemic Exposure</i> classes reported greater mental health costs than the <i>Low Exposure</i> classes. Asian women were more likely to be in the <i>Mediated Exposure</i> class compared to the <i>Low Exposure</i> class, whereas Black women were more likely to be in the <i>Mediated Exposure</i> class compared to both <i>High</i> and <i>Low Exposure</i> classes. About a third of each racial group belonged to the <i>Low Exposure</i> classes. Our findings highlight the multidimensionality of online racism exposure and identify hidden yet divergently risky subgroups. Research implications include examination of class membership chronicity and change over time, online exposure to intersecting oppressions, and additional antecedents and health consequences of diverse forms of online racism exposure.</p>","PeriodicalId":51391,"journal":{"name":"International Review of Psychiatry","volume":"35 3-4","pages":"310-322"},"PeriodicalIF":3.7,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9583054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Post-migration living difficulties, discrimination, and mental health of traumatized refugees in Germany: data from the refuKey project for timely and need-adapted treatment in a stepped-care setting. 德国境内受创伤难民的移民后生活困难、歧视和心理健康:来自在逐步护理环境中及时和适应需要治疗的refuKey项目的数据。
IF 2.8 4区 医学
International Review of Psychiatry Pub Date : 2023-05-01 DOI: 10.1080/09540261.2022.2164181
Iris Tatjana Graef-Calliess, Lena Erdmann, Vera Mohwinkel, Ibrahim Özkan, Daniela Finkelstein, Karin Loos, Gisela Penteker, Beata Trilesnik
{"title":"Post-migration living difficulties, discrimination, and mental health of traumatized refugees in Germany: data from the <i>refuKey</i> project for timely and need-adapted treatment in a stepped-care setting.","authors":"Iris Tatjana Graef-Calliess,&nbsp;Lena Erdmann,&nbsp;Vera Mohwinkel,&nbsp;Ibrahim Özkan,&nbsp;Daniela Finkelstein,&nbsp;Karin Loos,&nbsp;Gisela Penteker,&nbsp;Beata Trilesnik","doi":"10.1080/09540261.2022.2164181","DOIUrl":"https://doi.org/10.1080/09540261.2022.2164181","url":null,"abstract":"<p><p>Asylum seekers and refugees (ASR) experience many short-term and long-term post-migration stressors, e.g. discrimination after resettlement, leading to increased psychiatric morbidity in this population. Using data from the state-funded stepped-care project <i>refuKey</i> based in Lower Saxony, Germany, that aims to provide better mental health care access for ASR, we investigated the relationship between post-migration stressors and mental health in treatment-seeking ASR. In our naturalistic multi-centric study we assessed mental health (e.g. symptoms of depression, anxiety, traumatization, etc.), post-migration living difficulties, and perceived discrimination in ASR before and after treatment using questionnaires in eight languages consisting of internationally validated scales. Participants displayed poor mental health before, and significantly improved mental health parameters after treatment (<i>p</i> < 0.001). Post-migration living difficulties and perceived discrimination significantly predicted all mental health outcomes before treatment (<i>p</i> < 0.001) but not the treatment effects. However, perceived discrimination only contributed significantly to the prediction of quality-of-life and traumatization. Our findings suggest that <i>refuKey</i>-treatment helps despite the presence of post-migration living difficulties. Asylum policies should aim at reducing and overcoming post-migration living difficulties due to the strong association to mental health levels in treatment-seeking ASR.</p>","PeriodicalId":51391,"journal":{"name":"International Review of Psychiatry","volume":"35 3-4","pages":"339-351"},"PeriodicalIF":2.8,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9955568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
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