Abstract:
:This article presents the results of a large efficacy study comparing different forms of therapy for major depressive disorder (MDD), including interpersonal psychotherapy (IPT) and pharmacotherapy. Patients were randomized to either IPT, IPT in combination with anti-depressant medication, IPT in combination with pill-placebo or medication only. The primary outcome measure was the Hamilton Rating Scale for Depression (HAMD). Patients were treated for 12 to 16 weeks. Ratings were performed at baseline, after 6 weeks of treatment and at the end of treatment. Ethnic minority patients (EMP) had higher scores on the HAMD than non-EMP for every rating period. However, the rate of improvement was the same for EMP and non-EMP. The higher mean scores of EMP on the HAMD could not be explained as solely due to higher scores on somatic items of the rating scales. The attrition rate in EMP (45.9%) was significantly higher than in non-EMP (24.4%), even in the structured treatment format studied. The results suggest that standard antidepressant therapy, be it medication, psychotherapy or both, may be effective for depressed minority patients but therapists should focus on enhancing adherence to treatment.
journal_name
Transcult Psychiatryjournal_title
Transcultural psychiatryauthors
Blom MB,Hoek HW,Spinhoven P,Hoencamp E,Judith Haffmans PM,van Dyck Rdoi
10.1177/1363461510374561subject
Has Abstractpub_date
2010-07-01 00:00:00pages
473-90issue
3eissn
1363-4615issn
1461-7471pii
47/3/473journal_volume
47pub_type
杂志文章,多中心研究,随机对照试验abstract::Transcultural psychiatry has increased awareness of alternative approaches to mental health and wellbeing, influencing developments in Western psychotherapeutic treatments. In this article, I look at the recent interest in alternative therapies by the U.S. military, which has explored the possibilities of lucid dreami...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461520901638
更新日期:2020-12-01 00:00:00
abstract::We investigated feared social situations in individuals with social anxiety disorder from different racial and ethnic groups in the United States. The sample included 247 African Americans, 158 Latinos, and 533 non-Latino Whites diagnosed with social anxiety disorder within the past 12 months from the integrated Colla...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461515576823
更新日期:2015-12-01 00:00:00
abstract::What can an exploration of contemporary Aboriginal healing programs such as those offered in Canadian prisons and urban clinics tell us about the importance of history in understanding social and psychological pathology, and more significantly the salience of the concept of "historical trauma"? The form of Aboriginal ...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461513487671
更新日期:2014-06-01 00:00:00
abstract::This paper reflects upon questions of ontological contingency when the stark, visceral reality of a person's relentless self-destruction unfolds within institutional mechanisms that systematically withhold certain kinds of care. I consider these issues through the lens of "manipulation" as it is elaborated within an A...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461516674874
更新日期:2018-08-01 00:00:00
abstract::There is significant variation in how people experience, emplot and intergenerationally transmit trauma experiences. Despite this variation, the literature rarely illustrates alternative manifestations or resilient responses to the construct of historical trauma. Based upon person-centered ethnographic research, this ...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461508094673
更新日期:2008-09-01 00:00:00
abstract::Interviews conducted with young women of Maghrebine origin in France show that norms of virginity represent a central means by which women negotiate Maghrebine-French identity and handle intergenerational relations. From the legacy of the colonial era to the current interethnic context, notions of virginity have playe...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461510368920
更新日期:2010-04-01 00:00:00
abstract::China is experiencing rapid cultural change and new forms of sociability that are accompanied by social problems and novel humanitarian interventions that have been formulated to address those problems. The pressure related to the rapid transformation of the countryside into mid-level cities has led to recreational dr...
journal_title:Transcultural psychiatry
pub_type: 历史文章,杂志文章
doi:10.1177/1363461518764488
更新日期:2019-06-01 00:00:00
abstract::The study of the relationship between psychiatry and religion has become an issue of increasing importance for both research and clinical practice. This article presents the history of the R. M. Bucke Memorial Society for the Study of Religious Experience, established by Raymond Prince in Montréal in 1964 as one of th...
journal_title:Transcultural psychiatry
pub_type: 传,历史文章,杂志文章
doi:10.1177/1363461506070786
更新日期:2006-12-01 00:00:00
abstract::As the failings of neo-liberalism have recently been revealed through the collapse of much of the banking and financial services sector, it seems an opportune time to think about the impact this economic, political, and social value system has had on the well-being of children. After analyzing how our beliefs and prac...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461510381158
更新日期:2010-11-01 00:00:00
abstract::One hundred Khmer refugees attending a psychiatric clinic were surveyed to determine the prevalence of olfactory-triggered panic attacks as well as certain characteristics of the episodes, including trigger (i.e. type of odor), frequency, length, somatic symptoms, and the rate of associated flashbacks and catastrophic...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461504043564
更新日期:2004-06-01 00:00:00
abstract::Reported suicide rates in Latin America remain low, but there is evidence to suggest they may be increasing, particularly among indigenous populations. To better understand who may be at risk for suicide, we examined the prevalence of suicidal ideation and explored factors contributing to suicidal thoughts in an ethni...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461520976930
更新日期:2021-01-14 00:00:00
abstract::In 2015, a large number of refugees arrived in Germany, mostly driven to emigrate by devastating circumstances in their countries of origin. Arriving refugees are distributed to reception centers within the German federal states, frequently facing marginal conditions in terms of overcrowding or waiting time of several...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461517745473
更新日期:2017-10-01 00:00:00
abstract::Global Mental Health's (GMH) proposition to "scale up" evidence-based mental health care worldwide has sparked a heated debate among transcultural psychiatrists, anthropologists, and GMH proponents; a debate characterized by the polarization of "global" and "local" approaches to the treatment of mental health problems...
journal_title:Transcultural psychiatry
pub_type: 杂志文章,评审
doi:10.1177/1363461514539830
更新日期:2014-12-01 00:00:00
abstract::This study is an evaluation of clinicians' and patients' experiences of the core Cultural Formulation Interview (CFI) in DSM-5. The CFI provides a framework for gathering culturally relevant information, but its final form has not been sufficiently evaluated. Aims were to assess the Clinical Utility (CU), Feasibility ...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461520938917
更新日期:2020-08-01 00:00:00
abstract::Over the last two decades, the reinforcement of security-related migration policies has resulted in the perception of the foreigner, and especially the irregular migrant, as a category outside the circle of legality. The rights of foreigners in host countries have deteriorated due to the connection made between immigr...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461507081634
更新日期:2007-09-01 00:00:00
abstract::Few empirical studies have detailed the specificities of working with interpreters in mental healthcare for children. The integration of interpreters in clinical teams in child mental healthcare was explored in two clinics, in Montreal and Paris. Four focus groups were conducted with interpreters and clinicians. Parti...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461514558137
更新日期:2015-06-01 00:00:00
abstract::This article considers some of the main features of so-called truth and reconciliation commissions, their history and structure and their characteristic concerns with respect to their central dilemmas, including: how they grapple with notions of truth, justice, liability, reconciliation, apology and forgiveness, and h...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461510362043
更新日期:2010-02-01 00:00:00
abstract::To identify and explore cultural dynamics influencing the psychiatric care of immigrant Somalis in the USA, we reviewed demographic data from Minnesota Departments of Human Services, and interviewed health professionals, exploring community perceptions of medical/psychiatric needs, cultural characteristics, barriers t...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461507083899
更新日期:2007-12-01 00:00:00
abstract::Metaphors are frequently seen in individuals' descriptions of their illness and healing experiences. These figurative phrases are not ornamental, or distracting, but often reveal the particularities of what it is like to be ill or healing. Culture plays a big role in shaping the particular metaphors employed to expres...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461520965424
更新日期:2020-11-18 00:00:00
abstract::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...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461517724985
更新日期:2017-10-01 00:00:00
abstract::This article explores the pragmatic sensibilities that are implicit in idioms of distress among family caregivers for Alzheimer's disease in Teotitlán del Valle, a rural Zapotec-speaking community in Oaxaca, Mexico. Through analysis of caregivers' perceptions of progressive memory loss and related etiological understa...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461519847304
更新日期:2019-08-01 00:00:00
abstract::The manifestations of externalizing and internalizing behaviors among minority adolescents might best be understood by examining their relation to culturally specific factors, such as cultural identity, as well as to factors that seem to be relevant across cultures, such as age and gender. In this study, we examined t...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461519847299
更新日期:2020-04-01 00:00:00
abstract::French ethnopsychoanalytic approaches to therapy with immigrants combine the psychoanalytical interest in subjectivity with a specific concern for cultural factors and with the role migration plays as a crucial life event. Recent approaches consider culture as profoundly hybrid and use the notions of ''métissage'' and...
journal_title:Transcultural psychiatry
pub_type: 杂志文章,评审
doi:10.1177/1363461511402868
更新日期:2011-07-01 00:00:00
abstract::Scholarship on idioms of distress has emphasized cross-cultural variation, but devoted less attention to intra-cultural variation-specifically, how the legitimacy of distress may vary according to the context in which it is expressed, social position, and interaction with medical categories of distress. This variation...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461519833580
更新日期:2019-10-01 00:00:00
abstract::Cross-cultural mental health services were assessed using qualitative interviews and focus groups of 43 mental health clinicians and program directors in one of the most ethnically integrated cities in the U.S. The commonly used strategy of ethnic matching between clinician and patient was found to be difficult to eff...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461505055629
更新日期:2005-09-01 00:00:00
abstract::Transcultural psychiatry was developed in France to promote cultural and linguistic diversity and address the mental health needs of immigrants who were excluded from accessing other public mental health services. Professionals in health and social services refer patients to transcultural psychiatry consultations when...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461519884154
更新日期:2019-11-20 00:00:00
abstract::Videoconferencing is an innovative method that potentially allows medical students exposure to international teachers in refugee mental health who would otherwise be inaccessible. This article reports a pilot study using videoconferencing with international teachers from Australia, Sweden and the USA participating in ...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461504041357
更新日期:2004-03-01 00:00:00
abstract::Taijin Kyofusho (TKS), a disorder characterized by a fear of interpersonal relations, and regarded as a culture-bound disorder in Japan, is related to social anxiety disorder (SAD). A variant of TKS, the 'offensive type' involves fear of offending others by one's inappropriate social behavior or appearance. Reports of...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461504047933
更新日期:2004-12-01 00:00:00
abstract::In a creolizing world, psychotherapy is challenged by the growing influence of cultural standards, systems of meaning and idioms of distress supported by new groups who play a major role in public health policies. While these elements were originally introduced in psychotherapy with ethnic minorities both to improve t...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461506064847
更新日期:2006-06-01 00:00:00
abstract::The Global Assessment of Relational Functioning Scale (GARF) has been proposed as an additional domain on Axis V, yet few validation studies have been conducted. This study examines the validity of the Brazilian-Portuguese version of the GARF. An experienced family therapist interviewed 34 families in which one member...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461507074969
更新日期:2007-03-01 00:00:00