诊断和治疗观念的文化差异:土耳其集体主义对常见精神障碍的表现
Iclal Yildiz1, Els Rommes1, Enny Das2
1Department of Gender & Diversity Studies, Radboud Social Cultural Research, Radboud University, Nijmegen, The Netherlands.
概括
文化观念对土耳其儿童的ADHD诊断和抑郁症治疗有影响. 集体主义观点优先考虑社会和,影响了对注意力缺陷/多动症 (ADHD) 和心理健康干预措施的看法.
科学领域:
- 跨文化心理学跨文化心理学
- 心理健康差异 心理健康差异
- 社会生态模型社会生态模型
背景情况:
- 土耳其儿童的注意力缺陷/多动症 (ADHD) 诊断不足.
- 与荷兰客户相比,土耳其人的抑郁症治疗中学率更高.
- 文化认知可能是精神卫生保健获得和结果的种族差异的基础.
研究的目的:
- 探索对ADHD诊断和抑郁症治疗的集体主义和个人主义看法之间的文化差异.
- 了解这些观念如何导致精神卫生保健中的种族差异.
主要方法:
- 与土耳其个人进行了9次焦点小组讨论.
- 与初级心理健康从业人员进行了18次采访.
主要成果:
- 土耳其参与者并不认为ADHD的症状有问题,因为他们担心被负面地贴上人际关系的标签.
- 抑郁症被认为会破坏社会关系,人们更喜欢调解而不是认知行为疗法.
- 土耳其的文化观点强调社会群体,与荷兰的个人主义方法形成鲜明对比.
结论:
- 在个人主义/生物医学和集体主义/社会生态主义对健康的看法之间存在矛盾.
- 心理健康专业人员应对土耳其客户的ADHD标签保持谨慎.
- 对人际冲突进行调解等干预措施可能会改善土耳其人口对抑郁症治疗的坚持.
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