Psychiatric and Mental Health Commons^™

Association Between Cultural Factors And Postpartum Depression, Usha Modukuru

Rowan-Virtua Research Day

Postpartum depression (PPD) is present in 17.22% of the world population. The negative physical and psychological impacts of PPD impact not only the mother, but also those around her. This raises the importance of identifying factors contributing to its onset. Studies have shown that PPD prevalence rates vary between non-Western and Western regions of the world. Cultural postpartum practices differed significantly region to region. Search terms including postpartum depression and cultures were used to find peer-reviewed articles, primary surveys, and patient interviews between 2013-2023. Qualitative analyses were performed on the results. Ethnokinship cultures, commonly present in non-Western countries, prioritized social …

Utilization Of Mental Health Services For Caregivers Of Hemophiliacs, Anna Maria Bell

Walden Dissertations and Doctoral Studies

The utilization of mental health services for caregivers of hemophiliacs is an underserved area. Andersen’s behavioral model of utilization was the conceptual framework in this generic qualitative study. I used surveys and semi-structured interviews to obtain 20 participants’ information for nonprobability sampling, specifically purposive sampling. Narrative analysis was used as the foundation of the coding process The study findings revealed seven themes: cultural impact/stigma of mental health services; normalizing mental health services in the hemophilia community (national impact); inconsistencies in hemophilia treatment centers’ (HTCs’) service delivery; clarity of the role of the HTC social worker; member organizations emphasis on mental …

Improving Patients' Engagement And Retention In Intensive Outpatient Substance Abuse Treatment, Leo W. Lavender

Walden Dissertations and Doctoral Studies

Substance use disorder continues to be a major health crisis in the United States. Thousands of people die yearly due to substance use and related criminal activity. Substance abuse treatment is a remedy to the disorder and treatment centers admit thousands of patients yearly to address the dilemma. Throughout the years retention has been an ongoing barrier to successful treatment. This study explored significant obstacles to retention: motivation and engagement. The Baldrige Excellence Framework was utilized to assess the training, supervision, procedures, and leadership roles at an intensive outpatient substance abuse treatment center. This study utilized a qualitative approach case …

The Critical Need For A Culturally Sensitive Suicide Risk Assessment Instrument For American Indian And Alaska Native Youth, Courtney E. Shaw

All Graduate Theses, Dissertations, and Other Capstone Projects

Objective: This systematic literature review was conducted to better understand why there has been a significant increase in America Indian/Alaska Native (AI/AN) youth suicides in tribes across the United States today. The intent of this review is to understand key issues surrounding the increasing numbers of AI/AN youth with suicide ideation, plans, and attempt in order to be able to answer the following clinical question: Is there a valid and reliable culturally sensitive assessment tool designed to recognize at-risk AI/AN youth presenting for primary care? If not, what are key aspects to consider for developing an instrument that could …

Assessment And Awareness Of Mental Health Conditions Among Refugees In Vermont, Sandi Caus

Family Medicine Clerkship Student Projects

Refugees experience profound hardship in their home-country, displaced country and throughout the period of re-settlement. Experiences like direct or indirect exposure to traumatic events, torture, sexual abuse and stigmatized refugee identity post-resttlement are major risk factors for the development of mental health coniditions inlcuding PTSD, depression and psychosis. Despite major risk factors for the development of mental health conditions, culturally-specific mental health stigma persists as a major barrier to addressing mental health among refugees. This project emphasizes techniques and self-education that can be utilized to improve mentah health screening and identification among refugee patients in Vermont.

Reconnecting The Mind And Body: A Pilot Study Of Developing Compassion For Persistent Pain, Sarah L. Parry Dr, Zoey Malpus Dr

Patient Experience Journal

As an alternative to the more typical cognitive behavioural approach to pain management, a novel pain management group based on the principles of compassionate mind training was developed for a particular sub-group of patients. Participants were patients of a community pain clinic, who were invited to participate in this alternative approach to pain management. The eight-week Compassion in Pain Groups included psychoeducation around persistent pain, the underlying principles of compassionate mind training, practical exercises such as diaphragmatic breathing, followed by a series of compassionate imagery exercises and group discussions. Both quantitative and qualitative analyses were undertaken to gain further insights …

Selection Of Depression Measures For Use Among Vietnamese Populations In Primary Care Settings: A Scoping Review, Jill Murphy, Elliot M. Goldner, Charles H. Goldsmith, Pham Thi Oanh, William Zhu, Kitty Corbett, Vu Cong Nguyen

Dartmouth Scholarship

Depression is an important and growing contributor to the burden of disease around the world and evidence suggests the experience of depression varies cross-culturally. Efforts to improve the integration of services for depression in primary care are increasing globally, meaning that culturally valid measures that are acceptable for use in primary care settings are needed. We conducted a scoping review of 27 studies that validated or used 10 measures of depression in Vietnamese populations. We reviewed the validity of the instruments as reported in the studies and qualitatively assessed cultural validity and acceptability for use in primary care. We found …

Measuring Patient Experience In A Safety Net Setting: Lessons Learned, Nina Shabbat, Katy Dobbins, Sonja Seglin, Kristin Davis

Patient Experience Journal

Safety net providers have faced barriers in administering patient experience surveys due to a lack of resources and survey expertise, but this problem has received little attention in the literature. In this manuscript, we offer lessons learned from the administration of a patient experience survey at a mid-size behavioral health care agency serving a safety net population. Specifically, we discuss resource needs, methods of increasing response rate among transient populations, methods for engaging stakeholders and clinical staff in quality improvement initiatives, and considerations for responding to setbacks and challenges dynamically. We also offer insight on the effective dissemination of results …

The Role Of Culture In Making Psychiatric Diagnosis: Hwabyung (火病) And Neurasthenia (神經衰弱), Jonghyun Lee

2013 New England Association for Asian Studies Conference

The Role of Culture in Making Psychiatric Diagnosis: Hwabyung (火病) and Neurasthenia (神經衰弱)

My paper looks at two psychiatric illnesses and discusses their social and cultural dimensions. The two illnesses to be compared are the Korean affliction called hwabyung, and the once-popular Western malady labeled neurasthenia, a common ailment in 19th century America.

Neurasthenia was defined as “a disorder characterized by feelings of fatigue and lassitude,” which is caused by the nervous system. That definition could fit most people at some time or another. Hwabyung, on the other hand, means “fire illness.” Koreans believe that chronic distress can …

The Cultural Manifestations Of Anorexia Nervosa, Aaron Volk

Tredway Library Prize for First-Year Research

No abstract provided.

Preliminary Development And Content Validity Of A Measure Of Australian Aboriginal Cultural Engagement, Stacey L. Berry, Trevor P. Crowe, Frank P. Deane

Aboriginal Policy Research Consortium International (APRCi)

Objectives. Aboriginal people form one of the populations most in need of mental health and substance abuse services within Australia, although many services are not adequately sensitive to, or inclusive of, relevant aspects of Aboriginal culture in their programmes. The Aboriginal Cultural Engagement Survey (ACES) was developed with the objective of assessing the level of cultural engagement of Aboriginal clients. A measure of cultural engagement is an important step in establishing an association between culture and health benefits, so that future interventions may be designed which better meet the cultural needs of Aboriginal Australians within health services.

Design. The process …