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  • 1.
    Ahmad, Abdulbaghi
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Child and Adolescent Psychiatry.
    Reporting Questionnaire for Children as a screening instrument for child mental health problems in Iraqi Kurdistan2007In: Transcultural Psychiatry, ISSN 1363-4615, E-ISSN 1461-7471, Transcultural Psychiatry,, ISSN ISSN 1363-4615, EISSN 1461-7471, Vol. 44, no 1, p. 5-26Article in journal (Refereed)
  • 2.
    Ahmad, Abdulbaghi
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Child and Adolescent Psychiatry.
    Abdul-Majeed, Anas M
    Siddiq, Aras A
    Jabar, Fatima
    Qahar, Jabar
    Rasheed, Jihan
    von Knorring, Anne-Liis
    Reporting questionnaire for children as a screening instrument for child mental health problems in Iraqi Kurdistan.2007In: Transcultural Psychiatry, ISSN 1363-4615, E-ISSN 1461-7471, Vol. 44, no 1, p. 5-26Article in journal (Refereed)
    Abstract [en]

    To identify child mental health problems in a mid-sized to large city in Iraqi Kurdistan, the Reporting Questionnaire for Children (RQC), followed by the Child Behaviour Checklist (CBCL) and the Post-traumatic Stress Symptom Checklist for Children (PTSS-C), were administered in interview form to the caregivers of 806 school-aged children. To cover different categories of children, four samples were randomly selected from among the general population (n = 201), orphans (n = 241), primary medical care patients (n = 199), and hospital patients (n = 165). The RQC revealed satisfactory validity against a deviant CBCL cut-off. The screening capacity of the RQC was further supported by its similarity to the CBCL in distribution of problem scores among the four samples and its positive correlation with the CBCL, but not with the trauma-related PTSS-C. Although the general population showed lower problem scores than the orphans and the two clinical samples, problem scores in all instruments were considerably higher than those reported from other societies. The RQC seems to be useful as a first-stage screening instrument for child mental health problems in Kurdistan.

  • 3.
    Baarnhielm, Sofie
    et al.
    Stockholm Cty Council, Transcultural Ctr, Stockholm, Sweden.;Karolinska Inst, S-10401 Stockholm, Sweden..
    Wistedt, Anna Aberg
    Karolinska Inst, Psychiat, S-10401 Stockholm, Sweden..
    Rosso, Marco Scarpinati
    Univ Uppsala Hosp, Uppsala, Sweden.;Univ Uppsala Hosp, Dept Emergency & Consultat Psychiat, Uppsala, Sweden.;Karolinska Inst, Dept Clin Neurosci, Doctoral Res Program, S-10401 Stockholm, Sweden..
    Revising psychiatric diagnostic categorisation of immigrant patients after using the Cultural Formulation in DSM-IV2015In: Transcultural Psychiatry, ISSN 1363-4615, E-ISSN 1461-7471, Vol. 52, no 3, p. 287-310Article in journal (Refereed)
    Abstract [en]

    This study evaluated the use of the Outline for Cultural Formulation (OCF) from the DSM-IV in the diagnosis of immigrants and refugee patients at an outpatient psychiatric clinic in Sweden. Using the OCF in conjunction with standard diagnostic procedures led to major revisions of diagnoses for 56.5% of patients. Anxiety disorders, especially PTSD, constitute the disorder group in which the most changes were made. In order to understand how information from the OCF interview led clinicians to revise diagnoses, data from clinical discussions were analysed through qualitative content analysis. This revealed four major themes related to the reevaluation, and at times confirmation, of given clinical psychiatric diagnoses: new information; expression of distress in emotional language; expression of distress in relation to life experiences; and improved understanding of the patient's suffering. The findings suggest that the OCF may be useful for: (a) formulating culture in relation to illness experiences, (b) contextualising diagnostic categorisation, and (c) improving overall understanding of the patient that may facilitate individualised planning of treatment and therapy.

  • 4.
    Hermansson, Ann-Charlotte
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, Division of Preventive and Social Medicine and Public Health Science. Östergötlands Läns Landsting, PC - Psykiatricentrum, FMC - Flyktingmedicinskt centrum.
    Timpka, Toomas
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, Division of Preventive and Social Medicine and Public Health Science. Östergötlands Läns Landsting, Centre for Public Health Sciences, Centre for Public Health Sciences.
    How do you feel? A self-rating scale for measuring well-being in refugees. 1999In: Transcultural Psychiatry, ISSN 1363-4615, E-ISSN 1461-7471, Vol. 36, p. 317-328Article in journal (Refereed)
  • 5.
    Mathias, Kaaren
    et al.
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.
    Kermode, M
    San Sebastian, Miguel
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.
    Davar, B
    Goicolea, Isabel
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.
    An asymmetric burden gendered experiences of caregivers of people with psycho-social disabilities in North IndiaIn: Transcultural Psychiatry, ISSN 1363-4615, E-ISSN 1461-7471Article in journal (Refereed)
  • 6. Mathias, Kaaren
    et al.
    Kermode, Michelle
    San Sebastian, Miguel
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.
    Davar, Bhargavi
    Goicolea, Isabel
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.
    An asymmetric burden: experiences of men and women as caregivers of people with psycho-social disabilities in rural North India2019In: Transcultural Psychiatry, ISSN 1363-4615, E-ISSN 1461-7471, Vol. 56, no 1, p. 76-102Article in journal (Refereed)
    Abstract [en]

    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. Under the intra-personal meta-theme, all caregivers experienced high tension, with women describing almost overwhelming stress. Women minimised their role as caregivers, and felt negative and hopeless about their futures, while men had a more positive view of the future and themselves. Embodied experiences of psychological and social distress were consistently described by women, but not by men. Within the interpersonal meta-theme, men experienced opportunity for social connection and social support that was seldom available to women. Interpersonal violence with other household members was described by both men and women. Within the institutional meta-theme, both men and women described strength in unity, and gestures leading to the reordering of gender relations. These findings underline the significant and diffuse impacts of a gender order that values males and disadvantages females as caregivers of PPSDs, with the asymmetry of a greater burden for women. The findings point to the urgent need for global mental health policies that support and empower caregivers and that strengthen gender equality.

  • 7.
    Teferra, Solomon
    et al.
    Addis Ababa University .
    Hanlon, Charlotte
    Institute of Psychiatry, London .
    Alem, Atalay
    Addis Ababa University .
    Jacobsson, Lars
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Psychiatry.
    Shibre, Teshome
    Addis Ababa University .
    Khat-chewing in persons with severe mental illness in Ethiopia: A qualitative study exploring perspectives of patients and caregivers2011In: Transcultural Psychiatry, ISSN 1363-4615, E-ISSN 1461-7471, Vol. 28, no 4, p. 455-472Article in journal (Refereed)
    Abstract [en]

    People with severe mental illness (SMI) in Ethiopia chew khat despite advice from their physicians to desist. We wanted to better understand their reasons for khat chewing, including any benefits that they might gain. A qualitative study was conducted involving patients with SMI and their caregivers in Butajira. Reasons given by patients as well as caregivers were more or less congruent: social pressure, a means for survival by improving function, combating medication side effects, to experience pleasure and curbing appetite. These findings will be of value to health workers, caregivers and policymakers alike in improving care and understanding for this patient group. Furthermore, our study indicates a role for future research to explore potentially beneficial effects of khat in this population.

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