Cultural differences in shame-focused attitudes towards mental health problems in Asian and Non-Asian student women

Gilbert, Paul; Bhundia, Rakhee; Mitra, Ranjana; McEwan, Kirsten; Irons, Chris; Sanghera, Jasvinder

doi:10.1080/13694670500415124

Cited by 83 publications

(121 citation statements)

References 18 publications

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“…Another factor that prevents the family from seeking help may be related to the fear that the dementia sufferer will be labeled ‘mentally ill’, which is socially stigmatized [49]. Gilbert et al [26] further argued that the shame and stigma of mental health problems, and accessing services, are related with ‘discovery’ and confidentiality. For example, some Asians have fears that any sensitive information about mental states and difficulties they might share with healthcare professionals will be revealed to others [26].…”

Section: Coping With the Task Of Caregivingmentioning

confidence: 99%

“…Gilbert et al [26] further argued that the shame and stigma of mental health problems, and accessing services, are related with ‘discovery’ and confidentiality. For example, some Asians have fears that any sensitive information about mental states and difficulties they might share with healthcare professionals will be revealed to others [26]. Thus, they are reluctant to use mental health services.…”

Section: Coping With the Task Of Caregivingmentioning

confidence: 99%

“…It affects how the family assigns meaning to dementia [26]. For example, a study on India or the Indian origin of Hindi- and Punjabi-speaking caregivers found they perceived symptoms of dementia as partly resulting from lack of effort by the persons themselves and possibly lack of family care.…”

Section: Conceptualization Of Dementiamentioning

confidence: 99%

“…The Family Caregiving Burden Inventory [24] has also been validated and used in Asian studies and found to be a valid and reliable tool [3,25]. The Screen for Caregiver Burden is another instrument that has been used in family caregiver studies [26]. To gain a better understanding of family caregiver burden as well as comparing studies across cultures, it is desirable to have a standardized instrument that can measure family caregiver burden.…”

Section: Caregiver Burdenmentioning

confidence: 99%

“…Caregivers who are unable to adapt or modify their strategies to meet care demands experience burden [11]. However, research has pointed to differences between Eastern and Western conceptualization of dementia and expected coping behaviors, which have implications for caregivers’ perceived burden, problem recognition, help seeking, service engagement and service delivery [26]. …”

Section: Conceptualization Of Dementiamentioning

confidence: 99%

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Family Caregiving in Dementia: The Asian Perspective of a Global Problem

Chan

2010

Dement Geriatr Cogn Disord

146

143

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Background/Aims: With an increasing life expectancy, the number of people suffering from dementia globally will rise to about 115.4 million by 2050. It is projected that in the 21st century, the majority of the world’s older people will be living in Asia. This paper examines the global issues of family caregiving for older persons with dementia from an Asian perspective. Methods: Literature review of published empirical studies from 1990 to October 2010. Results: A full understanding of the specific way that culture could influence family caregivers’ burdens may play an important part in the development of a holistic model for family-centered care. Well-designed psychoeducation interventions or multicomponent interventions could help in reducing caregivers’ burden. With socio-economical and demographical changes, families need to be supported when taking on the caregiving role and be offered alternatives of care. Conclusion: There is a need for future trials with more rigorous randomization and longitudinal follow-up to assess family caregiver burdens at different illness stages. Future studies could focus on protective factors that promote caregivers’ resilience. It is essential to develop psychometrically robust measures for family caregiver burden and gain.

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Section: Coping With the Task Of Caregivingmentioning

confidence: 99%

Section: Coping With the Task Of Caregivingmentioning

confidence: 99%

Section: Conceptualization Of Dementiamentioning

confidence: 99%

Section: Caregiver Burdenmentioning

confidence: 99%

Section: Conceptualization Of Dementiamentioning

confidence: 99%

See 3 more Smart Citations

Family Caregiving in Dementia: The Asian Perspective of a Global Problem

Chan

2010

Dement Geriatr Cogn Disord

146

143

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Mental health shame, self‐compassion and sleep in UK nursing students: Complete mediation of self‐compassion in sleep and mental health

et al. 2020

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Aims To explore relationships between mental health problems, mental health shame, self‐compassion and average length of sleep in UK nursing students. The increasing mental health problems in nursing students may be related to a strong sense of shame they experience for having a mental health problem. Self‐compassion has been identified as a protective factor for mental health and shame in other student populations. Further, studies highlight the importance of sleep relating to mental health. Design A cross‐sectional design. Methods A convenient sampling of 182 nursing students at a university in the East Midlands completed a paper‐based questionnaire regarding these four constructs, from February to April 2019. Correlation, regression and mediation analyses were conducted. Results Mental health problems were positively related to shame and negatively related to self‐compassion and sleep. Mental health shame positively predicted and self‐compassion negatively predicted mental health problems: sleep was not a significant predictor of mental health problems. Lastly, self‐compassion completely mediated the impacts of sleep on mental health problems (negative relationship between mental health problems and sleep was fully explained by self‐compassion). Conclusion The importance of self‐compassion was highlighted as it can reduce mental health problems and shame. Self‐compassion can protect nursing students from mental distress when they are sleep deprived. Impact Nurses and nursing students are required to work irregular hours (e.g. COVID‐19) and mental distress can cause serious consequences in clinical practice. Our findings suggest that nurturing self‐compassion can protect their mental health and the negative impacts of sleep deprivation on mental health.

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