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Transcultural Psychiatry

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https://www.readbyqxmd.com/read/28691591/culture-in-la-cl%C3%A3-nica-evaluating-the-utility-of-the-cultural-formulation-interview-cfi-in-a-mexican-outpatient-setting
#1
Alyssa M Ramírez Stege, Kristin Elizabeth Yarris
While the classification of psychiatric disorders has been critiqued for failing to adequately account for culture, the inclusion of the Cultural Formulation Interview (CFI) in the DSM-5 has been viewed as a promising development for the inclusion of cultural factors in diagnosis and treatment of mental illness. In this study, we assess the appropriateness, acceptability, and clinical utility of the CFI among outpatients in a Mexican psychiatric hospital. Our assessment included observations of psychiatric residents' application of the CFI with 19 patients during routine outpatient visits, along with pre- and post-CFI interviews to determine providers' and patients' views of the CFI...
August 2017: Transcultural Psychiatry
https://www.readbyqxmd.com/read/28540769/posttraumatic-growth-is-related-to-subjective-well-being-of-aid-workers-exposed-to-cumulative-trauma-in-palestine
#2
Guido Veronese, Alessandro Pepe, Irene Massaiu, Ann-Sophie De Mol, Ian Robbins
The present study examined how stress reactions after traumatic events influence subjective well-being (SWB) via the indirect effect of posttraumatic growth (PTG) in two samples of Palestinian professional helpers from the Gaza Strip and West Bank ( n = 201). Using the General Health Questionnaire (GHQ-12) as a dependent measure of well-being, and PTGI-10, PANAS-20, WHO-5 BREF, and IES-13 questionnaires as independent variables, structural equation modelling (SEM) was used to examine whether: (a) cumulative trauma was negatively and directly related to subjective well-being; (b) levels of trauma were positively and directly related to posttraumatic growth; and (c) PTG was positively and directly related to subjective well-being...
June 2017: Transcultural Psychiatry
https://www.readbyqxmd.com/read/28540768/daily-stressors-trauma-exposure-and-mental-health-among-stateless-rohingya-refugees-in-bangladesh
#3
Andrew Riley, Andrea Varner, Peter Ventevogel, M M Taimur Hasan, Courtney Welton-Mitchell
The Rohingya of Myanmar are a severely persecuted minority who form one of the largest groups of stateless people; thousands of them reside in refugee camps in southeastern Bangladesh. There has been little research into the mental health consequences of persecution, war, and other historical trauma endured by the Rohingya; nor has the role of daily environmental stressors associated with continued displacement, statelessness, and life in the refugee camps, been thoroughly researched. This cross-sectional study examined: trauma history, daily environmental stressors, and mental health outcomes for 148 Rohingya adults residing in Kutupalong and Nayapara refugee camps in Bangladesh...
June 2017: Transcultural Psychiatry
https://www.readbyqxmd.com/read/28540767/the-use-of-pathological-grief-outcomes-in-bereavement-studies-on-african-americans
#4
Leeat Granek, Tal Peleg-Sagy
Pathological bereavement outcomes (i.e., complicated grief, traumatic grief, prolonged grief disorder) are a robust and growing research area in the psychological and medical sciences. Although grief is considered to be a universal phenomenon, it is well documented that grieving processes and outcomes are culturally and contextually bound. The objectives of this study were: (a) to examine representations of African Americans in the grief and mourning literature and to assess the extent to which this research utilizes pathological grief outcomes; and (b) to examine the characteristics of pathological grief constructs in the literature to assess their relevance for African American populations...
June 2017: Transcultural Psychiatry
https://www.readbyqxmd.com/read/28398195/mass-fainting-in-garment-factories-in-cambodia
#5
Maurice Eisenbruch
This paper reports an ethnographic study of mass fainting among garment factory workers in Cambodia. Research was undertaken in 2010-2015 in 48 factories in Phnom Penh and 8 provinces. Data were collected in Khmer using nonprobability sampling. In participant observation with monks, factory managers, health workers, and affected women, cultural understandings were explored. One or more episodes of mass fainting occurred at 34 factories, of which 9 were triggered by spirit possession. Informants viewed the causes in the domains of ill-health/toxins and supernatural activities...
April 2017: Transcultural Psychiatry
https://www.readbyqxmd.com/read/28398194/causal-attributions-of-mental-health-problems-and-depressive-symptoms-among-older-somali-refugees-in-finland
#6
Saija Kuittinen, Mulki Mölsä, Raija-Leena Punamäki, Marja Tiilikainen, Marja-Liisa Honkasalo
Causal attributions of mental health problems play a crucial role in shaping and differentiating illness experience in different sociocultural and ethnic groups. The aims of this study were (a) to analyze older Somali refugees' causal attributions of mental health problems; (b) to examine the associations between demographic and diagnostic characteristics, proxy indicators of acculturation, and causal attributions; and (c) to analyze the connections between causal attributions and the manifestation of somatic-affective and cognitive depressive symptoms...
April 2017: Transcultural Psychiatry
https://www.readbyqxmd.com/read/28345389/ethnic-status-and-engagement-with-health-services-attitudes-toward-help-seeking-and-intercultural-willingness-to-interact-among-south-east-asian-students-in-australia
#7
Shanna Logan, Zachary Steel, Caroline Hunt
Previous research has demonstrated the importance of intercultural willingness to interact; however, these investigations have yet to be applied to a health context or to compare an ethnic minority with a majority sample. Consequently, the current study sought to better understand engagement with health services by investigating both attitudes towards seeking psychological help and intercultural willingness to interact within an ethnic minority South East Asian population, relative to an Anglo Australian sample...
April 2017: Transcultural Psychiatry
https://www.readbyqxmd.com/read/28157448/the-lived-experience-of-paroled-offenders-with-fetal-alcohol-spectrum-disorder-and-comorbid-psychiatric-disorder
#8
Caroline L Tait, Mansfield Mela, Garth Boothman, Melissa A Stoops
This case study presents the life history and postincarceration experiences of two forensic psychiatric patients diagnosed with comorbid mental illness and fetal alcohol spectrum disorder (FASD). The men first met in prison and a few years after their release became roommates at the suggestion of their community support worker and parole officer. With shared and coordinated clinical and mentorship supports, the men were able to establish stability in their lives and manage their mental illness. However, changes in support and gaps within the continuum of care contributed to a sudden breakdown in their stability...
February 2017: Transcultural Psychiatry
https://www.readbyqxmd.com/read/28157447/can-we-really-use-available-scales-for-child-and-adolescent-psychopathology-across-cultures-a-systematic-review-of-cross-cultural-measurement-invariance-data
#9
Dejan Stevanovic, Peyman Jafari, Rajna Knez, Tomislav Franic, Olayinka Atilola, Nikolina Davidovic, Zahra Bagheri, Aneta Lakic
In this systematic review, we assessed available evidence for cross-cultural measurement invariance of assessment scales for child and adolescent psychopathology as an indicator of cross-cultural validity. A literature search was conducted using the Medline, PsychInfo, Scopus, Web of Science, and Google Scholar databases. Cross-cultural measurement invariance data was available for 26 scales. Based on the aggregation of the evidence from the studies under review, none of the evaluated scales have strong evidence for cross-cultural validity and suitability for cross-cultural comparison...
February 2017: Transcultural Psychiatry
https://www.readbyqxmd.com/read/28157446/implementation-of-the-cultural-formulation-through-a-newly-developed-brief-cultural-interview-pilot-data-from-the-netherlands
#10
Simon P N Groen, Annemiek Richters, Cornelis J Laban, Walter L J M Devillé
The Outline for a Cultural Formulation (OCF) has remained underutilized in clinical practice since its publication in the DSM-IV in 1994. In the Netherlands, a Cultural Interview (CI) was developed in 2002 as a tool to facilitate use of the OCF in clinical practice. The time needed to conduct the interview, however, prevented its systematic implementation within mental health institutions. This article presents the development of a shortened and adapted version, the Brief Cultural Interview (BCI), and a pilot study on the feasibility, acceptability, and utility of its implementation with refugee and asylum seeking patients in a Dutch centre for transcultural psychiatry...
February 2017: Transcultural Psychiatry
https://www.readbyqxmd.com/read/28121243/local-terms-and-understandings-of-mental-health-problems-in-burundi
#11
Pacifique Irankunda, Laurie Heatherington, Jessica Fitts
A pilot study and two intensive studies were conducted to document the local vocabularies used by Burundians to describe mental health problems and their understandings about the causes. The pilot study-in which 14 different large groups of community members awaiting appointments at a village health clinic were engaged in open-ended discussions of the local terminology and causal beliefs about mental health problems-suggested three key syndromes: akabonge (a set of depression-like symptoms), guhahamuka (a set of trauma-related symptoms), and ibisigo (a set of psychosis-like symptoms)...
February 2017: Transcultural Psychiatry
https://www.readbyqxmd.com/read/28116981/pastoral-care-of-mental-illness-and-the-accommodation-of-african-christian-beliefs-and-practices-by-uk-clergy
#12
Gerard Leavey, Kate Loewenthal, Michael King
Faith-based organisations, especially those related to specific ethnic or migrant groups, are increasingly viewed by secular Western government agencies as potential collaborators in community health and welfare programmes. Although clergy are often called upon to provide mental health pastoral care, their response to such problems remains relatively unexamined. This paper examines how clergy working in multiethnic settings do not always have the answers that people want, or perhaps need, to problems of misfortune and suffering...
February 2017: Transcultural Psychiatry
https://www.readbyqxmd.com/read/27550374/-it-comes-down-to-just-how-human-someone-can-be-a-qualitative-study-with-young-people-from-refugee-backgrounds-about-their-experiences-of-australian-mental-health-services
#13
Madeleine C Valibhoy, Ida Kaplan, Josef Szwarc
While much literature documents the mental health needs of young people from refugee backgrounds, and the barriers they face in accessing mental health services, researchers have yet to document the perspectives of service users from this population about their contacts with clinicians and services. We therefore individually interviewed 16 young people (aged 18-25 years) who were refugees about their experiences of seeing mental health professionals. Participants were born in 9 different countries and had lived in Australia for an average of 5...
February 2017: Transcultural Psychiatry
https://www.readbyqxmd.com/read/27317669/mental-health-treatment-outcome-expectancies-in-burundi
#14
Pacifique Irankunda, Laurie Heatherington
Best practices in global mental health stress the importance of understanding local values and beliefs. Research demonstrates that expectancies about the effectiveness of a given treatment significantly predicts outcome, beyond the treatment effect itself. To help inform the development of mental health interventions in Burundi, we studied expectancies about the effectiveness of four treatments: spiritual healing, traditional healing, medication, and selected evidence-based psychosocial treatments widely used in the US...
February 2017: Transcultural Psychiatry
https://www.readbyqxmd.com/read/28854861/beyond-the-clinic-eluding-a-medical-diagnosis-of-anorexia-through-narrative
#15
Merav Shohet
The persistence and recurrence of anorexia nervosa poses a clinical challenge, and provides support for critiques of oppressive and injurious facets of society inscribed on women's bodies. This essay illustrates how a phenomenological, linguistic anthropological approach fruitfully traverses clinical and cultural perspectives by directing attention beyond the embodied experience of patients diagnosed with anorexia nervosa to those who are not clinically diagnosed. Extending a model of illness and recovery as entailing sufferers' emplotting of past, present, and imagined future selves, I argue that women's accounts of their experiences do not simply reflect lived reality, but actually propel health-relevant states of being by enlivening and creating these realities in the process of their telling...
January 1, 2017: Transcultural Psychiatry
https://www.readbyqxmd.com/read/28854860/predictors-of-positive-mental-health-among-refugees-results-from-canada-s-general-social-survey
#16
Morton Beiser, Feng Hou
Do refugees have lower levels of positive mental health than other migrants? If so, to what extent is this attributable to post-migration experiences, including discrimination? How does gender affect the relationships between post-migration experience and positive mental health? To address these questions, the current study uses data from Statistics Canada's 2013 General Social Survey (GSS), a nationally representative household study that included 27,695 Canadians 15 years of age and older. The study compares self-reported positive mental health among 651 refugees, 309 economic immigrants, and 448 family class immigrants from 50 source countries...
January 1, 2017: Transcultural Psychiatry
https://www.readbyqxmd.com/read/28847227/-our-lifestyle-is-a-mix-match-traditional-healers-talk-about-suicide-and-suicide-prevention-in-south-africa
#17
Jason Bantjes, Leslie Swartz, Sithembile Cembi
Practitioners of traditional African medicine (traditional healers) are an important part of the health care system in South Africa, yet their voices are often absent from discussions about public health. In this context, we set out to investigate how a group of traditional healers in South Africa understand suicide and suicide prevention. In-depth, semistructured interviews were conducted with 6 traditional healers and analysed using thematic content analysis. The traditional healers report they are frequently consulted by suicidal individuals and they are confident about their ability to help people in a suicidal crisis...
January 1, 2017: Transcultural Psychiatry
https://www.readbyqxmd.com/read/28820354/validity-of-screening-for-psychiatric-disorders-in-unaccompanied-minor-asylum-seekers-use-of-computer-based-assessment
#18
Marianne Jakobsen, Melinda A Meyer DeMott, Trond Heir
Self-report screening is an important element of transcultural research. Problems concerning illiteracy, cultural sensitivity, and possible misunderstandings have been handled differently in different settings. The aim of this study was to evaluate the validity of two well-known instruments: the Hopkins Symptoms Check List (HSCL-25), and the Harvard Trauma Questionnaire (HTQ, Part IV), with a sample of 160 unaccompanied asylum-seeking adolescents from Afghanistan and Somalia. Assessments were performed 4 months after arrival in Norway, and the screening instruments were presented to the informants on computers with touch-screen function, using the program MultiCASI...
January 1, 2017: Transcultural Psychiatry
https://www.readbyqxmd.com/read/28776452/evaluation-of-cultural-responsiveness-using-a-transcultural-secondary-consultation-model
#19
Radhika Santhanam-Martin, Natalie Fraser, Anna Jenkins, Can Tuncer
This article describes the expansion of a transcultural secondary consultation model run by a state-wide transcultural unit. The model aims to enhance cultural responsiveness in partnership with mental health services. We discuss a series of 12 consultations that occurred between 2011 and 2012. We outline the processes of setting up the structure of secondary consultation, the actual consultation-facilitation format, and methods of evaluation. Evaluations were done in two phases: the first immediately after the consult and the second after a period of 3-6 months...
January 1, 2017: Transcultural Psychiatry
https://www.readbyqxmd.com/read/28756734/adapting-services-to-the-needs-of-children-and-families-with-complex-migration-experiences-the-toulouse-university-hospital-s%C3%A2-intercultural%C3%A2-consultation
#20
Gesine Sturm, Zohra Guerraoui, Sylvie Bonnet, Françoise Gouzvinski, Jean-Philippe Raynaud
This article presents the recently created intercultural consultation at the Medical and Psychological Health Care Service (CMP) of the University Hospital la Grave at Toulouse. The approach of the intercultural consultation was elaborated in response to the increasing diversity of children and families using the service in Toulouse. It is also based on local research that indicates the difficulties service providers encounter when trying to establish a solid therapeutic alliance with families with complex migration backgrounds who accumulate different disadvantaging factors...
January 1, 2017: Transcultural Psychiatry
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