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Transcultural Psychiatry

Carla Gramaglia, Eleonora Gambaro, Claudia Delicato, Sarah Di Marco, Elisa Di Tullio, Camilla Vecchi, Fabrizio Bert, Luigi Mario Castello, Roberta Siliquini, Giancarlo Avanzi, Patrizia Zeppegno
The aim of this study was to compare migrants and native Italians on the pathways to care and results of psychiatric consultation (PC) in the emergency department (ED). Patients who were referred from the ED for psychiatric consultation (EDPC) at the Maggiore della Carità Hospital between March 2008 and March 2015 were recruited consecutively. Socio-demographic, clinical and consultation variables were recorded along with information about suicidal behaviours; migrants ( n = 379; 42.74% males, 57.26% females; age: 45...
September 10, 2018: Transcultural Psychiatry
ZhengJia Ren, Catherine Q Howe, Wei Zhang
As a result of societal expectations and to avoid societal homophobia, many lesbians and gay men in China marry heterosexual partners and do not disclose their own sexual orientation. This study used qualitative methods to explore why gay men enter into such marriages of convenience. A total of 17 in-depth interviews were conducted with lesbians and gay men who had entered "formality marriages." All interviews were digitally recorded for transcription; transcripts were analyzed using grounded theory to determine themes...
September 10, 2018: Transcultural Psychiatry
(no author information available yet)
No abstract text is available yet for this article.
September 4, 2018: Transcultural Psychiatry
Kaaren Mathias, Michelle Kermode, Miguel San Sebastian, Bhargavi Davar, Isabel Goicolea
Caring for a family member with a psycho-social disability can be both rewarding and burdensome. This study analyses the experiences of caregivers of people with psychosocial disabilities (PPSDs) in rural communities in North India using relational gender theory. In-depth interviews with 18 female and male caregivers of PPSDs probed the social, emotional and health impacts of their caregiving role. Nine themes were identified that were grouped under three meta-themes: intra-personal, inter-personal and institutional impacts...
August 24, 2018: Transcultural Psychiatry
Amanda Heredia Montesinos, Marion C Aichberger, Selver Temur-Erman, Zohra Bromand, Andreas Heinz, Meryam Schouler-Ocak
Women of Turkish descent in Germany show higher rates of suicidal behavior compared to their host populations and men of Turkish descent. This indicates a demand for a better understanding of suicidality in this group. Nine focus groups ( N = 61) were conducted to assess explanatory models including patterns of distress, perceived causes, course/consequences of and reactions towards a suicidal crisis, help-seeking behavior, and potential intervention and prevention strategies. All participants were of Turkish descent living in Berlin, Germany...
August 22, 2018: Transcultural Psychiatry
Cécile Rousseau, Janique Johnson-Lafleur, Garine Papazian-Zohrabian, Toby Measham
The DSM-5 Cultural Formulation Interview (CFI) may become an important tool to help operationalize culture in the clinical realm. However, challenges exist in teaching its use to avoid the risk of stereotyping and oversimplification, which could result in misunderstanding and stigma. The aim of this article is to document whether the CFI can be taught using regular Interdisciplinary Case Discussion Seminars (ICDSs), proposed as continuing education in child mental health and as part of clinical rotations for new trainees...
August 22, 2018: Transcultural Psychiatry
(no author information available yet)
No abstract text is available yet for this article.
August 22, 2018: Transcultural Psychiatry
JohnBosco Chika Chukwuorji, Emmanuel Abiama Ekpedoho, Chuka Mike Ifeagwazi, Steven Kator Iorfa, Sampson Kelechi Nwonyi
Valid measurement of meaning in life (MIL) is crucial for cross-cultural understanding of the construct. The Meaning in Life Questionnaire (MLQ), a widely used measure of MIL, has yet to be translated into any indigenous African language. The current study presents a preliminary report of a Hausa language translation of the MLQ, the MLQ-Hausa version (MLQ-H), and its reliability and validity in a Nigerian sample. Participants were 809 internally displaced persons (IDPs) (50.7% males) in Kabusa IDP Centre in Abuja Municipal Area Council of the Federal Capital Territory of Nigeria...
August 21, 2018: Transcultural Psychiatry
Dzenana Kartal, Nathan Alkemade, Litza Kiropoulos
This study examined the relationship between traumatic exposure, host language acquisition and mental health (posttraumatic stress, depressive and anxiety symptoms) in long-term resettled refugees. Participants included a community sample of Bosnian refugees ( N = 138, 55% male, mean age of 40 years old) that had resettled in Australia and Austria on average 18 years prior. Two mediation models were tested based on two competing theories. Model A examined whether language acquisition mediates the relationship between traumatic exposure and mental health problems experienced by refugees...
August 17, 2018: Transcultural Psychiatry
Juan Chen
In recent years, various levels of the Chinese government have undertaken the task of developing new models of community-based mental health services. Greater availability and higher quality will not result in substantial improvements if those suffering from mental illnesses do not use the services. This article examines not only people's cultural perception of mental health and help-seeking but also their practical concerns and preferences about mental health service provision in urban China. The study analyzes qualitative data from in-depth interviews with 50 respondents who belong to the most psychologically distressed subgroup (with the Kessler Psychological Distress Scale (K10) score ≥ 25) identified in a household survey in Beijing...
August 16, 2018: Transcultural Psychiatry
April Mazzuca, Dawood Nagarchi, Satyanarayana Ramanaik, T Raghavendra, Prakash Javalkar, Sarojini Rotti, Parinita Bhattacharjee, Shajy Isac, Alex Cohen, Tara Beattie
Adolescent girls vulnerable to early marriage and school dropout in rural India may be at elevated risk of psychosocial problems. However, few screening instruments have been culturally adapted and validated to measure this risk. This paper describes the process by which the Primary Health Questionnaire PHQ-9, a screening instrument for depression, was tested for cultural validity as part of the Samata evaluation - an intervention to support low caste adolescent girls in rural south India to attend and complete secondary school and to delay marriage until adulthood...
August 16, 2018: Transcultural Psychiatry
Pnina Dolberg, Margalit Goldfracht, Khaled Karkabi, Igor Bleichman, Silvia Fleischmann, Liat Ayalon
Previous studies have documented a high prevalence of psychological distress and mental illness among older immigrants from the former Soviet Union (FSU) in Israel. Yet, this population rarely seeks help from mental health providers. The present study aimed to identify beliefs and attitudes about depression and anxiety among older immigrants from the FSU treated in primary care, and among their primary care physicians, who were also FSU immigrants. The study used focus group (FG) interviews with primary care patients (n = 12) and physicians (n = 23)...
August 9, 2018: Transcultural Psychiatry
Lucas Trout, Lisa Wexler, Joshua Moses
Indigenous communities across the Alaskan Arctic have experienced profound revisions of livelihood, culture, and autonomy over the past century of colonization, creating radical discontinuities between the lives of young people and those of their parents and Elders. The disrupted processes of identity development, access to livelihoods, and cross-generational mentorship associated with colonialism have created complex challenges for youth as they envision and enact viable paths forward in the context of a rapidly changing Arctic home...
August 9, 2018: Transcultural Psychiatry
Moritz E Wigand, Hauke F Wiegand, Ertan Altintas, Markus Jäger, Thomas Becker
In 2015, the world saw 244 million international migrants. Migration has been shown to be both a protective and a risk factor for mental health, depending on circumstances. Furthermore, culture has an impact on perceptions and constructions of mental illness and identity, both of which can be challenged through migration. Using a qualitative research approach, we analysed five internationally acclaimed and influential novels and one theatre play that focus on aspects of identity, migration, and threatened mental health...
August 9, 2018: Transcultural Psychiatry
Rony Berger, Joy Benatov, Raphael Cuadros, Jacob VanNattan, Marc Gelkopf
Children in Sub-Saharan Africa are living under chronic adversity due to poverty, serious health issues, physical and sexual abuse, and armed conflicts. These highly stressful conditions have deleterious effects on their mental health and socio-emotional adjustment. Since many children lack adequate access to mental health care, culturally adapted school-based resiliency programs could provide a resource to scaffold their development and promote their mental health. This study evaluated the efficacy of a universal school-based intervention in enhancing the resiliency of Tanzanian primary school children and cultivating prosocial behaviors...
August 9, 2018: Transcultural Psychiatry
Carlo Calizaya-Gallegos, Percy Mayta-Tristán, Reneé Pereyra-Elías, Juan José Montenegro-Idrogo, Johana Avila-Figueroa, Ingrid Benítez-Ortega, John Cabrera-Enriquez, Omar-Javier Calixto, Juan Pablo Cardozo-López, José Antonio Grandez-Urbina, Oscar Moreno-Loaiza, Manuel A Rodriguez, Roxana Sepúlveda-Morales, Jairo A Sierra-Avendaño, Fabian Carreño, Gelsing Richard Vásquez-García, Roy R Vasquez-Sullca, Gilberto Yescas, Red-Lirhus
The worldwide scarcity of psychiatrists makes the identification of the factors associated with the intention to choose this specialty an important issue. This study aims to evaluate the association between religious affiliation and the intention to choose psychiatry as a specialty among medical students from 11 Latin American countries. We conducted a cross-sectional, multi-country study that included first- and fifth-year students of 63 medical schools in 11 Latin-American countries between 2011 and 2012...
August 8, 2018: Transcultural Psychiatry
Quynh Nhu Natasha Bui, Meekyung Han, Sadhna Diwan, Tran Dao
While involvement of family caregivers can play an important role in the recovery process of persons with serious mental illness (SMI), family caregivers often endure poor health and mental health issues due to caregiving-related distress. These challenges may be exacerbated for Vietnamese American families due to cultural values (e.g., familism and stigma). This qualitative exploratory study examined how Vietnamese American family caregivers of persons with SMI describe their caregiving experience. Using convenience and snowball sampling, the study recruited 21 participants who took part in two Vietnamese-language focus groups...
August 8, 2018: Transcultural Psychiatry
Ross G White
There is growing recognition that "human development" frameworks, such as the Capabilities Approach (CA) with its emphasis on the promotion of justice, offer promise for guiding efforts aimed at enhancing mental wellbeing. This article explores challenges that might arise when there is a need to arbitrate among the competing demands of different parties in their efforts to enhance capabilities. Particular tensions can arise when the efforts of particular individuals to enhance their capabilities exert pressure on scarce resources, or threaten the safety and security of people living in precarious environmental contexts...
August 3, 2018: Transcultural Psychiatry
Leeat Granek, Merav Ben-David, Gil Bar-Sela, Shahar Shapira, Samuel Ariad
Expressions of anger within the healthcare context are a common occurrence, particularly in clinical situations where patients can experience emotional distress in the face of illness. The purpose of this study was to examine one aspect of this phenomenon by looking at expressions and causes of anger among Israeli cancer patients and their families from the perspective of oncologists who treat them. Twenty-two Israeli oncologists were interviewed from three oncology centers between March 2013 and June 2014...
July 27, 2018: Transcultural Psychiatry
Minsun Lee, Arthur M Nezu, Christine Maguth Nezu
The present study examined the relationship among acculturative stress, social problem solving, and depressive symptoms among 107 Korean American immigrants. Hierarchical regression analysis showed that acculturative stress significantly predicted depressive symptoms controlling for different domains of acculturation. With regard to the role of social problem solving, among the five dimensions of social problem solving (i.e., positive problem orientation, negative problem orientation, rational problem solving, impulsive/careless style, and avoidant style), negative problem orientation and impulsive/careless style significantly predicted depressive symptoms...
October 2018: Transcultural Psychiatry
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