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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/29134922/exploring-the-relationship-between-postmigratory-stressors-and-mental-health-for-asylum-seekers-and-refused-asylum-seekers-in-the-uk
#15
Gareth Morgan, Steve Melluish, Alice Welham
Numerous studies have linked the high rates of traumatic events experienced by refugees to the elevated rate of mental health problems in these populations. A growing body of evidence has also highlighted the importance of considering postmigratory stressors when making sense of displaced person distress. This study explored the relationship between mental health and postmigratory stress for asylum seekers and refused asylum seekers in Britain. The study further examined if those refused asylum experienced elevated distress and postmigratory stress compared to those awaiting the outcome of asylum applications...
January 1, 2017: Transcultural Psychiatry
https://www.readbyqxmd.com/read/29130379/trauma-complexity-and-child-abuse-a-qualitative-study-of-attachment-narratives-in-adult-refugees-with-ptsd
#16
Karin Riber
The present study aimed to identify trauma types over the life course among adult refugees and to explore their accounts of childhood maltreatment. A sample of 43 Arabic-speaking refugees with posttraumatic stress disorder (PTSD) attending a treatment context in Denmark were interviewed. Using a "Trauma Coding Manual" developed for this study, trauma types were identified in interview transcripts. In both men and women with Iraqi and Palestinian-Lebanese backgrounds, high levels of trauma complexity and high rates of childhood maltreatment were found (63%, n = 27)...
January 1, 2017: Transcultural Psychiatry
https://www.readbyqxmd.com/read/29115909/individual-premigration-and-postsettlement-factors-and-academic-achievement-in-adolescents-from-refugee-backgrounds-a-systematic-review-and-model
#17
Charissa W S Wong, Robert D Schweitzer
We have limited understanding of the precursors of academic achievement in resettled adolescents from refugee backgrounds. To date, no clear model has been developed to conceptualise the academic trajectories of adolescents from refugee backgrounds at postsettlement. The current review had two aims. First, to propose an integrated adaptive model to conceptualise the impact of individual, premigration, and postsettlement factors on academic achievement at postsettlement; and second, to critically examine the literature on factors that predict academic achievement in adolescents from refugee backgrounds in relation to the proposed model and highlight issues deserving future exploration...
January 1, 2017: Transcultural Psychiatry
https://www.readbyqxmd.com/read/29035144/risk-factors-for-multiple-suicide-attempts-among-roma-in-hungary
#18
Mónika Ditta Tóth, Szilvia Ádám, Tamás Zonda, Emma Birkás, György Purebl
In recent years, suicide rates in Hungary have been among the highest in the European Union. Attempted suicide rates in the Roma population are 2-3 times higher than in the non-Roma population. Since individuals making multiple attempts have a higher pro-bability of eventual death by suicide, and there are limited data on suicidal behaviour of the Roma population, the aim of this study was to explore the sociodemographic and psychological background factors of multiple suicide attempts in the Hungarian Roma population...
January 1, 2017: Transcultural Psychiatry
https://www.readbyqxmd.com/read/29035137/a-review-of-mental-health-treatment-dropout-by-ethnic-minority-youth
#19
Anna M de Haan, Albert E Boon, Joop T V M de Jong, Robert R J M Vermeiren
A large proportion of treatments in youth mental health care are prematurely terminated by the patient. Treatment dropout can have severe consequences. Since ethnic minority youth are treated less often for mental disorders than other youth, it is important to analyse their risk for dropout and to determine if there are ethnicity-specific determinants. This review aimed to provide an overview of the findings from empirical studies on child and adolescent therapy dropout by ethnic minority and to determine if there were ethnicity-specific dropout determinants...
January 1, 2017: Transcultural Psychiatry
https://www.readbyqxmd.com/read/28948878/development-and-evaluation-of-diversity-oriented-competence-training-for-the-treatment-of-depressive-disorders
#20
Gabriela A Sempértegui, Jeroen W Knipscheer, Marrie H J Bekker
Studies in Europe indicate that some ethnic minorities have higher rates of mental disorders and less favorable treatment outcomes than their counterparts from majority groups. To date, efforts regarding training to reduce disparities have mainly focused on ethnocultural competences of therapists, with less attention paid to other aspects of diversity, such as sex/gender and socioeconomic status. In this study, we aim to determine the effectiveness of a population-specific, diversity-oriented competence training designed to increase therapists' competencies to integrate aspects of diversity features in clinical assessment, diagnosis, and treatment of depressive disorders in Turkish- and Moroccan-Dutch patients...
January 1, 2017: Transcultural Psychiatry
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