Pub Date : 2018-05-11DOI: 10.1080/17542863.2018.1468786
Caroline H. Yang, G. Nestadt, J. Samuels, L. Doerfler
ABSTRACT This study investigated cultural differences in beliefs about the etiology and management of OCD. Participants were 428 individuals from 13 countries in North America, Western Europe and South Asia who completed a questionnaire about a hypothetical individual who experienced OCD. Principal components analysis of the questionnaire items identified four factors; comparison of the four subscales revealed significant cross-cultural differences in how participants viewed the individual with OCD and ideas about how to help someone with the disorder. Compared to individuals in the USA and Western Europe, participants in East Asia had a more negative view of the person with OCD, were more likely to blame the person, to consider the obsessions and compulsions to be part of the individual’s personality and to recommend that the person not seek help from others. Participants from East Asian countries also were more likely to recommend alternative therapies like acupuncture and taking herbal medicines. Participants from Western countries had a more favourable view of psychosocial influences and psychosocial interventions for these problems.
{"title":"Cross-cultural differences in the perception and understanding of obsessive-compulsive disorder in East Asian and Western cultures","authors":"Caroline H. Yang, G. Nestadt, J. Samuels, L. Doerfler","doi":"10.1080/17542863.2018.1468786","DOIUrl":"https://doi.org/10.1080/17542863.2018.1468786","url":null,"abstract":"ABSTRACT This study investigated cultural differences in beliefs about the etiology and management of OCD. Participants were 428 individuals from 13 countries in North America, Western Europe and South Asia who completed a questionnaire about a hypothetical individual who experienced OCD. Principal components analysis of the questionnaire items identified four factors; comparison of the four subscales revealed significant cross-cultural differences in how participants viewed the individual with OCD and ideas about how to help someone with the disorder. Compared to individuals in the USA and Western Europe, participants in East Asia had a more negative view of the person with OCD, were more likely to blame the person, to consider the obsessions and compulsions to be part of the individual’s personality and to recommend that the person not seek help from others. Participants from East Asian countries also were more likely to recommend alternative therapies like acupuncture and taking herbal medicines. Participants from Western countries had a more favourable view of psychosocial influences and psychosocial interventions for these problems.","PeriodicalId":38926,"journal":{"name":"International Journal of Culture and Mental Health","volume":"2 1","pages":"616 - 625"},"PeriodicalIF":0.0,"publicationDate":"2018-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85194844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-05-09DOI: 10.1080/17542863.2018.1470658
N. Khosravi, M. Rezaei, H. Matlabi
ABSTRACT Elder abuse is the result of different socio-economic, cultural, psychological and individual factors. The aim of this study was to investigate the individual contexts which are relevant to elder abuse in a Kurdish rural community in Iran. The study was conducted based on qualitative approach. Potential and eligible participants consisting of 38 females and 18 males were selected through purposive sampling. Individual interviews as well as focus group discussions were applied for collecting data. Conventional content analysis was implemented by two independent researchers for analyzing data manually. Viewpoints of the participants were finally characterized into six themes including age, gender, interactive limitation, physical disability, multiple chronic difficulties, and adopting of passive status. The findings showed that personal conditions were the main factor which facilitate elder abuse and neglect. Learning the ethical norms and adopting supportive laws may eliminate all forms of neglect, abuse and violence against older people.
{"title":"Abuse in later life: viewpoints of illiterate rural older people","authors":"N. Khosravi, M. Rezaei, H. Matlabi","doi":"10.1080/17542863.2018.1470658","DOIUrl":"https://doi.org/10.1080/17542863.2018.1470658","url":null,"abstract":"ABSTRACT Elder abuse is the result of different socio-economic, cultural, psychological and individual factors. The aim of this study was to investigate the individual contexts which are relevant to elder abuse in a Kurdish rural community in Iran. The study was conducted based on qualitative approach. Potential and eligible participants consisting of 38 females and 18 males were selected through purposive sampling. Individual interviews as well as focus group discussions were applied for collecting data. Conventional content analysis was implemented by two independent researchers for analyzing data manually. Viewpoints of the participants were finally characterized into six themes including age, gender, interactive limitation, physical disability, multiple chronic difficulties, and adopting of passive status. The findings showed that personal conditions were the main factor which facilitate elder abuse and neglect. Learning the ethical norms and adopting supportive laws may eliminate all forms of neglect, abuse and violence against older people.","PeriodicalId":38926,"journal":{"name":"International Journal of Culture and Mental Health","volume":"11 1","pages":"626 - 637"},"PeriodicalIF":0.0,"publicationDate":"2018-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78481443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-05-08DOI: 10.1080/17542863.2018.1468473
Lily N. A. Kpobi, L. Swartz
ABSTRACT Traditional and alternative medicine is an integral part of the mental healthcare system of many African countries. The treatments and practices of these traditional and alternative healers will be influenced by their ideas about the causes and effects of mental disorders. With the concept of explanatory models of illness as a framework, we examined the notions of different categories of traditional and faith healers about mental disorders. Using case vignettes, we conducted interviews with 36 participants to explore their beliefs about the causes, course and effects of a serious mental disorder, a common mental disorder and a disorder driven by social circumstances. From our data, there was consensus about what constituted a serious mental disorder. However, the other disorders were not seen as mental disorders. Although there was an acknowledgement of biological and social causes of serious mental illness, the dominant view was that of supernatural causes. The most significant effect of mental illness reported was a loss of social connectedness and productivity. These models are discussed with reference to their implications for collaboration, mental health literacy efforts, as well as biomedical practice.
{"title":"Explanatory models of mental disorders among traditional and faith healers in Ghana","authors":"Lily N. A. Kpobi, L. Swartz","doi":"10.1080/17542863.2018.1468473","DOIUrl":"https://doi.org/10.1080/17542863.2018.1468473","url":null,"abstract":"ABSTRACT Traditional and alternative medicine is an integral part of the mental healthcare system of many African countries. The treatments and practices of these traditional and alternative healers will be influenced by their ideas about the causes and effects of mental disorders. With the concept of explanatory models of illness as a framework, we examined the notions of different categories of traditional and faith healers about mental disorders. Using case vignettes, we conducted interviews with 36 participants to explore their beliefs about the causes, course and effects of a serious mental disorder, a common mental disorder and a disorder driven by social circumstances. From our data, there was consensus about what constituted a serious mental disorder. However, the other disorders were not seen as mental disorders. Although there was an acknowledgement of biological and social causes of serious mental illness, the dominant view was that of supernatural causes. The most significant effect of mental illness reported was a loss of social connectedness and productivity. These models are discussed with reference to their implications for collaboration, mental health literacy efforts, as well as biomedical practice.","PeriodicalId":38926,"journal":{"name":"International Journal of Culture and Mental Health","volume":"106 1","pages":"605 - 615"},"PeriodicalIF":0.0,"publicationDate":"2018-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89942598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-04-25DOI: 10.1080/17542863.2018.1461913
Z. Shechtman, Eman Alim, Rachel E. Brenner, D. Vogel
ABSTRACT The current study examined a mediation model of help-seeking stigma towards group therapy in a community sample of clinical and non-clinical Arabs adults in Israel (n = 196). Path analyses indicated that public stigma demonstrated an indirect effect with intentions to seek group therapy through self-stigma, and self-stigma demonstrated a direct relationship with intentions. The strengths of these paths did not differ based on gender or clinical/non-clinical presentation. Examination of differences in public stigma, self-stigma and intentions based on gender and mental health group (clinical/non-clinical) revealed a significant interaction between mental health group and gender. Clinical males demonstrated greater public stigma, self-stigma and intentions compared with non-clinical males. Clinical women demonstrated reported self-stigma, but there were no differences in public stigma or intentions based on mental health group. Among non-clinical participants, women reported lower public stigma and intentions than men, but there were no gender differences observed among clinical participants. These findings build upon group therapy research that has examined help-seeking stigma in samples of non-Israeli Arabs, samples of predominantly Jewish Israeli participants and/or undergraduate students. Implications for future research are discussed.
{"title":"Public stigma, self-stigma, and group therapy help-seeking intentions among clinical and non-clinical Arab adults in Israel","authors":"Z. Shechtman, Eman Alim, Rachel E. Brenner, D. Vogel","doi":"10.1080/17542863.2018.1461913","DOIUrl":"https://doi.org/10.1080/17542863.2018.1461913","url":null,"abstract":"ABSTRACT The current study examined a mediation model of help-seeking stigma towards group therapy in a community sample of clinical and non-clinical Arabs adults in Israel (n = 196). Path analyses indicated that public stigma demonstrated an indirect effect with intentions to seek group therapy through self-stigma, and self-stigma demonstrated a direct relationship with intentions. The strengths of these paths did not differ based on gender or clinical/non-clinical presentation. Examination of differences in public stigma, self-stigma and intentions based on gender and mental health group (clinical/non-clinical) revealed a significant interaction between mental health group and gender. Clinical males demonstrated greater public stigma, self-stigma and intentions compared with non-clinical males. Clinical women demonstrated reported self-stigma, but there were no differences in public stigma or intentions based on mental health group. Among non-clinical participants, women reported lower public stigma and intentions than men, but there were no gender differences observed among clinical participants. These findings build upon group therapy research that has examined help-seeking stigma in samples of non-Israeli Arabs, samples of predominantly Jewish Israeli participants and/or undergraduate students. Implications for future research are discussed.","PeriodicalId":38926,"journal":{"name":"International Journal of Culture and Mental Health","volume":"1 1","pages":"595 - 604"},"PeriodicalIF":0.0,"publicationDate":"2018-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75480450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-04-03DOI: 10.1080/17542863.2017.1340969
Natasha Thapar-Olmos, H. Myers
ABSTRACT This study examined differences in stigmatizing attributions, affect, and treatment recommendations between South Asian and Caucasian college students in response to a vignette describing a hypothetical friend who was either male or female, and either South Asian or Caucasian, experiencing symptoms of depression. South Asian participants made significantly higher attributions of responsibility and reported more anger in response to the vignette compared to Caucasian participants, regardless of vignette ethnicity. Both South Asian and Caucasian participants attributed more responsibility and control to the vignette of the same ethnicity compared to the vignette of a different ethnicity, although this effect was slightly stronger for the South Asian participants. Exploratory analyses conducted to examine interactions between participant ethnicity and vignette gender yielded no significant effects. This study suggests that South Asians may have a more stigmatized view of depression than Caucasians, especially when the depressed person is South Asian.
{"title":"Stigmatizing attributions towards depression among South Asian and Caucasian college students","authors":"Natasha Thapar-Olmos, H. Myers","doi":"10.1080/17542863.2017.1340969","DOIUrl":"https://doi.org/10.1080/17542863.2017.1340969","url":null,"abstract":"ABSTRACT This study examined differences in stigmatizing attributions, affect, and treatment recommendations between South Asian and Caucasian college students in response to a vignette describing a hypothetical friend who was either male or female, and either South Asian or Caucasian, experiencing symptoms of depression. South Asian participants made significantly higher attributions of responsibility and reported more anger in response to the vignette compared to Caucasian participants, regardless of vignette ethnicity. Both South Asian and Caucasian participants attributed more responsibility and control to the vignette of the same ethnicity compared to the vignette of a different ethnicity, although this effect was slightly stronger for the South Asian participants. Exploratory analyses conducted to examine interactions between participant ethnicity and vignette gender yielded no significant effects. This study suggests that South Asians may have a more stigmatized view of depression than Caucasians, especially when the depressed person is South Asian.","PeriodicalId":38926,"journal":{"name":"International Journal of Culture and Mental Health","volume":"5 1","pages":"134 - 145"},"PeriodicalIF":0.0,"publicationDate":"2018-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82334275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-04-03DOI: 10.1080/17542863.2017.1358755
Kasia E Maciagowska, T. Hanley
ABSTRACT Migration has been associated with distress and severe mental health problems among a range of populations around the world, including the Polish people. Poles are currently the largest immigrant population in the UK and, despite these statistics, little is still known about mental health needs of this group. This study adopted a systematic review design to explore the existing literature in the area. Five electronic databases were searched with eight studies meeting the inclusion criteria. These studies were analysed by means of thematic synthesis. Three main themes were observed in these studies: (1) The negative mental health aspects of migration – this included frustration and multiple stresses; language difficulties; financial hardship; discrimination and isolation; unfamiliarity with the culture; cultural stigma and shame; 2) The positive mental health aspects of migration – comprised of freedom and new opportunities; and (3) Coping – this incorporated personal traits; social capital; and culture as well as individual differences. Current findings support broader literature into migrant stress and highlight a range of mental health needs of the studied population. The discursive component of this paper considers the implications for professionals working with this group and highlights the need for more specific research in this area.
{"title":"What is known about mental health needs of the post-European Union accession Polish immigrants in the UK? A systematic review","authors":"Kasia E Maciagowska, T. Hanley","doi":"10.1080/17542863.2017.1358755","DOIUrl":"https://doi.org/10.1080/17542863.2017.1358755","url":null,"abstract":"ABSTRACT Migration has been associated with distress and severe mental health problems among a range of populations around the world, including the Polish people. Poles are currently the largest immigrant population in the UK and, despite these statistics, little is still known about mental health needs of this group. This study adopted a systematic review design to explore the existing literature in the area. Five electronic databases were searched with eight studies meeting the inclusion criteria. These studies were analysed by means of thematic synthesis. Three main themes were observed in these studies: (1) The negative mental health aspects of migration – this included frustration and multiple stresses; language difficulties; financial hardship; discrimination and isolation; unfamiliarity with the culture; cultural stigma and shame; 2) The positive mental health aspects of migration – comprised of freedom and new opportunities; and (3) Coping – this incorporated personal traits; social capital; and culture as well as individual differences. Current findings support broader literature into migrant stress and highlight a range of mental health needs of the studied population. The discursive component of this paper considers the implications for professionals working with this group and highlights the need for more specific research in this area.","PeriodicalId":38926,"journal":{"name":"International Journal of Culture and Mental Health","volume":"61 1","pages":"220 - 235"},"PeriodicalIF":0.0,"publicationDate":"2018-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78323443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-04-03DOI: 10.1080/17542863.2017.1356337
S. Lafont, E. Brondolo, A. Dumas, N.C. Lynk, B. Gump
ABSTRACT Perceived discrimination can affect psychological and physical health, starting in childhood. Yet, the measures that exist for measuring perceived discrimination among children have methodological limitations and structural/theoretical inconsistencies. The Child Perceived Discrimination Questionnaire (CPDQ) fills the gaps in the current measures by assessing two dimensions of everyday discrimination from both child and adult sources. To assess the reliability and validity of the CPDQ, we examined data from 163 participants, aged 9–11 years, 52.15% female, 57.67% Black. Results indicated that the CPDQ has good to excellent internal consistency and provided preliminary support for an a priori hypothesized factor structure. The CPDQ also discriminated between different race groups and demonstrated construct validity. Future research should seek additional evidence of reliability and validity for the CPDQ, though this preliminary evidence suggests that the CPDQ is appropriate for assessing perceived discrimination in children.
{"title":"The development and initial validation of the child perceived discrimination questionnaire","authors":"S. Lafont, E. Brondolo, A. Dumas, N.C. Lynk, B. Gump","doi":"10.1080/17542863.2017.1356337","DOIUrl":"https://doi.org/10.1080/17542863.2017.1356337","url":null,"abstract":"ABSTRACT Perceived discrimination can affect psychological and physical health, starting in childhood. Yet, the measures that exist for measuring perceived discrimination among children have methodological limitations and structural/theoretical inconsistencies. The Child Perceived Discrimination Questionnaire (CPDQ) fills the gaps in the current measures by assessing two dimensions of everyday discrimination from both child and adult sources. To assess the reliability and validity of the CPDQ, we examined data from 163 participants, aged 9–11 years, 52.15% female, 57.67% Black. Results indicated that the CPDQ has good to excellent internal consistency and provided preliminary support for an a priori hypothesized factor structure. The CPDQ also discriminated between different race groups and demonstrated construct validity. Future research should seek additional evidence of reliability and validity for the CPDQ, though this preliminary evidence suggests that the CPDQ is appropriate for assessing perceived discrimination in children.","PeriodicalId":38926,"journal":{"name":"International Journal of Culture and Mental Health","volume":"35 1","pages":"208 - 219"},"PeriodicalIF":0.0,"publicationDate":"2018-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74632411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-04-03DOI: 10.1080/17542863.2017.1353639
J. Torales, Iván Iván
Excoriation (skin picking) disorder is characterized by the need or urge to pick, scratch, pinch or touch the skin. Patients affected by this disorder feel bound to perform those actions compulsively until typical lesions appear. The patient is aware of his/her self-destructive behaviour but feels unable to give up this habit, despite repeated attempts to decrease or cease it. Excoriation (skin picking) disorder can cause significant clinical distress or social, occupational and other impairments. The symptoms are not better explained by other mental or medical disorders (Torales, 2014) Three elements are found in patients with excoriation (skin picking) disorder (Torales, 2014):
{"title":"Excoriation (skin picking) disorder: a skin-centred addiction?","authors":"J. Torales, Iván Iván","doi":"10.1080/17542863.2017.1353639","DOIUrl":"https://doi.org/10.1080/17542863.2017.1353639","url":null,"abstract":"Excoriation (skin picking) disorder is characterized by the need or urge to pick, scratch, pinch or touch the skin. Patients affected by this disorder feel bound to perform those actions compulsively until typical lesions appear. The patient is aware of his/her self-destructive behaviour but feels unable to give up this habit, despite repeated attempts to decrease or cease it. Excoriation (skin picking) disorder can cause significant clinical distress or social, occupational and other impairments. The symptoms are not better explained by other mental or medical disorders (Torales, 2014) Three elements are found in patients with excoriation (skin picking) disorder (Torales, 2014):","PeriodicalId":38926,"journal":{"name":"International Journal of Culture and Mental Health","volume":"40 1","pages":"176 - 177"},"PeriodicalIF":0.0,"publicationDate":"2018-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84636252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-04-03DOI: 10.1080/17542863.2017.1334076
Reni Thomas, R. Pandian, P. Murthy
ABSTRACT Research indicates that clinical services for addiction treatment that address gender specific issues are more effective for women than traditional programs, designed originally for men. However, there are very few studies from India that assess the treatment needs and concerns of women with substance use disorders (SUDs). This study aims to understand the treatment service-related needs and concerns of women with SUDs in the Indian context. Ten women with SUDs were selected for this qualitative study using a purposive sampling technique. Data was collected using an in-depth interview method. All interviews were audio taped and transcribed into English. Directed content analysis was used to analyze the data. The four major themes that emerged from the qualitative data in relation to treatment needs and concerns were: Quality of therapeutic relationship, Stigma and discrimination from health care system, Support needs, and Informational needs. Women with SUDs have unique treatment needs and concerns. Addressing these issues may help in designing or developing specific psychosocial interventions for women with SUDs. Further studies in this area are required for a comprehensive understanding and for tailored interventions.
{"title":"Treatment service related needs and concerns of women with substance use disorders: a qualitative study","authors":"Reni Thomas, R. Pandian, P. Murthy","doi":"10.1080/17542863.2017.1334076","DOIUrl":"https://doi.org/10.1080/17542863.2017.1334076","url":null,"abstract":"ABSTRACT Research indicates that clinical services for addiction treatment that address gender specific issues are more effective for women than traditional programs, designed originally for men. However, there are very few studies from India that assess the treatment needs and concerns of women with substance use disorders (SUDs). This study aims to understand the treatment service-related needs and concerns of women with SUDs in the Indian context. Ten women with SUDs were selected for this qualitative study using a purposive sampling technique. Data was collected using an in-depth interview method. All interviews were audio taped and transcribed into English. Directed content analysis was used to analyze the data. The four major themes that emerged from the qualitative data in relation to treatment needs and concerns were: Quality of therapeutic relationship, Stigma and discrimination from health care system, Support needs, and Informational needs. Women with SUDs have unique treatment needs and concerns. Addressing these issues may help in designing or developing specific psychosocial interventions for women with SUDs. Further studies in this area are required for a comprehensive understanding and for tailored interventions.","PeriodicalId":38926,"journal":{"name":"International Journal of Culture and Mental Health","volume":"54 4 1","pages":"123 - 133"},"PeriodicalIF":0.0,"publicationDate":"2018-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78046134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-04-03DOI: 10.1080/17542863.2017.1355397
Fatema-Zahra El Rhermoul, F. Naeem, D. Kingdon, L. Hansen, J. Toufiq
ABSTRACT Moroccans make up a large immigrant population but no prior research has been carried out with them. This paper focused on understanding depression and its management among Moroccan women through exploration of their view of the cause, presentation and treatment of depression, as well as that of their carers and mental health professionals. This study was conducted in a Moroccan psychiatric hospital. Data was collected using audiotaped, semi-structured interviews carried out by psychiatrists, lasting 30 minutes. Participants included: (1) outpatients with a diagnosis of depression, (2) relatives of patients and (3) psychiatrists and psychologists. A total of 30 interviews were conducted in French/Arabic and translated into English. The analysis involved NVivo. The results highlight delayed presentations in the majority of patients and physical symptoms of depression with an emphasis on anger. Most patients and relatives ascribed depression to a social problem, with an emphasis on depleted patience. Patients’ expectations of management depicted a bio-psycho-spiritual-social model of illness. Although half of all patients mentioned the evil eye as a potential cause, few saw traditional healers. Patient socioeconomic conditions and insufficient psychological training render psychotherapy an unexploited tool. This study reflects the importance of educating professionals with regards to diagnosis and therapy in non-Western cultures.
{"title":"A qualitative study to explore views of patients, carers and mental health professionals’ views on depression in Moroccan women","authors":"Fatema-Zahra El Rhermoul, F. Naeem, D. Kingdon, L. Hansen, J. Toufiq","doi":"10.1080/17542863.2017.1355397","DOIUrl":"https://doi.org/10.1080/17542863.2017.1355397","url":null,"abstract":"ABSTRACT Moroccans make up a large immigrant population but no prior research has been carried out with them. This paper focused on understanding depression and its management among Moroccan women through exploration of their view of the cause, presentation and treatment of depression, as well as that of their carers and mental health professionals. This study was conducted in a Moroccan psychiatric hospital. Data was collected using audiotaped, semi-structured interviews carried out by psychiatrists, lasting 30 minutes. Participants included: (1) outpatients with a diagnosis of depression, (2) relatives of patients and (3) psychiatrists and psychologists. A total of 30 interviews were conducted in French/Arabic and translated into English. The analysis involved NVivo. The results highlight delayed presentations in the majority of patients and physical symptoms of depression with an emphasis on anger. Most patients and relatives ascribed depression to a social problem, with an emphasis on depleted patience. Patients’ expectations of management depicted a bio-psycho-spiritual-social model of illness. Although half of all patients mentioned the evil eye as a potential cause, few saw traditional healers. Patient socioeconomic conditions and insufficient psychological training render psychotherapy an unexploited tool. This study reflects the importance of educating professionals with regards to diagnosis and therapy in non-Western cultures.","PeriodicalId":38926,"journal":{"name":"International Journal of Culture and Mental Health","volume":"77 1","pages":"178 - 193"},"PeriodicalIF":0.0,"publicationDate":"2018-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74203600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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