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Videnscenter for Transkulturel Psykiatri. Psykiatrisk Center København Helle Rasmussen, Informationskoordinator The validity of a brief 10-item instrument for the assessment of stressors potentially related to migration and migration background (MIGSTR10) was evaluated in a retrospective analysis. To show convergent and discriminant validity, MIGSTR10 scores and general psychosocial stressors derived from DSM-IV axis IV (DSMSTR9) were compared between a randomly selected group of 30 inpatients with Turkish migration background (MIG) and a native German control group (CON), matched for age, gender, and diagnosis. The differential contribution of MIGSTR10 and DSMSTR9 to global functioning (GAF scores) was calculated. Multivariate analysis showed significantly higher distress in MIG compared to CON with regard to MIGSTR10 (λ=0.33; P
Videnscenter for Transkulturel Psykiatri. Psykiatrisk Center København Helle Rasmussen, Informationskoordinator Practical implications The present findings suggest BAH psychiatric inpatients with ASPD are at greater risk of alcohol dependence and drug misuse and report a greater number of unmet needs thus requiring a greater volume of services; however, current services are not meeting these needs. Mental health teams should ensure thorough needs assessment procedures are incorporated into general psychiatric service practice ensuring effective treatment packages are tailored to these patients needs. Originality/value The research identifies a previously under-researched sub-group of psychiatric inpatients with a high proportion of unmet health and social needs and suggests further research to develop service improvements supporting their management. Keywords:Antisocial personality disorder, Black African and Caribbean Heritage service users, Mental illness, Personal needs, Unmet needs Ethnicity and inequalities in health and social care 4(1), 38 – 48, 2011 Use of Indigenous cultural idioms by Chinese immigrant relatives for psychosis : impacts on stigma and psychoeducational approaches Yang, Lawrence H.; Singla, Daisy R. Indigenous interpretations of mental illness might negatively impact treatment adherence. However, psychiatric "labeling" potentially leads to stigma among Chinese groups, thus encouraging the use of indigenous idioms. We examined how relatives' use of indigenous labeling varied with the consumers' experience of illness and whether indigenous labeling protected relatives from internalized and experienced forms of stigma. Forty-nine relatives of Chinese-immigrant consumers with psychosis were sampled. Although consumers had progressed to the middle stages of psychosis, 39% of relatives used indigenous idioms to label psychosis. Indigenous labeling decreased when illness duration increased and when visual hallucinations were present. Indigenous labeling further predicted lower internalized stigma among relatives. Relatives who used indigenous labeling also reported fewer indirect stigma experiences, although not after controlling for illness severity. The frequency of direct discrimination among relatives did not differ by labeling. These forms of felt stigma might be embedded into relatives' psychoeducation programs to mitigate adverse consequences of psychiatric labeling. Keywords: Stigma, explanatory models, indigenous labeling, schizophrenia, Chinese Journal of Nervous and mental disease 199(11), 872-878, 2011 NYHEDSBREVE International Psychiatry The influence of war and terrorism on post-traumatic distress among Israeli children Post-traumatic stress disorder and attention-deficit hyperactivity disorder in Palestinian children affected by the war on Gaza Being monolingual, bilingual or multilingual: pros and cons in patients with dementia Læs nyhedsbrevet her: http://www.rcpsych.ac.uk/pdf/IPv8n4.pdf ANMELDELSER Rahul Bhattacharya, Sean Cross, & Dinesh Bhugra (Eds.), Clinical Topics in Cultural Psychiatry. London: Royal College of Psychiatrists Publications, 2010. 432 pp. £30.00 (pb), ISBN 9781904671824. Reviewed by: Suman Fernando, University of Kent and London Metropolitan University, UK The past 30 years has seen major changes in the understanding of ‗‗culture‘‘ in relation to mental health and psychiatric practice. Prior to the 1960s, cultures as applied to individuals were seen as fairly static ‗‗patterns of belief, feeling and adaptation which people carry in their minds‘‘ (Leighton & Hughes, 1961, p. 447) – entities that were inherited and passed on within families. Today they are seen as dynamic systems of knowledge and practice, sustained by cognitive models, interpersonal interactions and social institutions, that give rise to 11
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