Culture and Psychosis in Clinical Practice

Jarvis, G. Eric; Iyer, Srividya N.; Andermann, Lisa; Fung, Kenneth

doi:10.1016/b978-0-12-815012-2.00004-3

Cited by 6 publications

(2 citation statements)

References 111 publications

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“…Even in a context of full entitlement to healthcare, limited familiarity with or trust towards the mental healthcare system among immediate family members may impair help-seeking, as significant others tend to play a crucial role in initiating and persisting in what can be experienced as a complex process of help-seeking [ 48 , 49 ]. Minority individuals may also be more likely to feel misunderstood or unwelcome in mental healthcare settings, and such experiences can inform future expectations and help-seeking behaviour [ 50 ].…”

Section: Discussionmentioning

confidence: 99%

Incidence of non-affective psychotic disorders in refugees and peers growing up in Denmark and Sweden: a registry linkage study

de Montgomery,

Cullen,

Taipale

et al. 2023

Soc Psychiatry Psychiatr Epidemiol

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Purpose Higher rates of non-affective psychotic disorders (NAPD) in minority groups have been reported in many countries. However, few studies have explored how rates differ between refugees and other minority groups and none with an international comparative angle. A comparative perspective makes it possible to relate group differences to aspects national context that underpin the social determinants of disease. Methods We compared the incidence of treated NAPD among youth born in or who immigrated to Denmark/Sweden before turning 18. Youth aged 18–35 during 2006–2018 were included (NDenmark/NSweden = 1,606,423/2,614,721) and were followed until first NAPD treatment (cases [Denmark/Sweden] = 12,193/9,641), 36th birthday, emigration or death. Incidence rates (IR) and ratios (IRR) comparing refugees, non-refugee migrants, descendants of non-refugee migrants and majority youth were obtained through Poisson regression on data aggregated by country, sex and age, contrasted by sex and country. Complementary analyses on individual-level data adjusting for further socio-demographic factors were conducted in each country separately. Results Incidence rates were higher in all groups compared with the majority group (IRRrange = 1.4–2.9, 95% CI[min, max] = 1.2–3.1). Relative differences between the three minority groups were smaller (IRRrange = 0.7–1.0, 95% CI[min, max] = 0.5–1.2). Although incidence rates were higher in Denmark than Sweden, relative group differences were similar. Conclusion Exposures shared between young refugees and other minority groups growing up in Denmark and Sweden may be especially important for their excess risk of NAPD. Further studies should investigate the mechanisms behind the elevated rates in minority groups with special paid attention to factors such as discrimination, social exclusion and acculturation stress.

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Section: Discussionmentioning

confidence: 99%

Incidence of non-affective psychotic disorders in refugees and peers growing up in Denmark and Sweden: a registry linkage study

de Montgomery,

Cullen,

Taipale

et al. 2023

Soc Psychiatry Psychiatr Epidemiol

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“… 31 , 32 Voice-hearing experiences tend to be viewed as more negative and threatening in high-income countries and more benign in low- or middle-income countries. 33 Consequently, official guidelines and training programs now include cultural diversity as part of competency-based curricula, 34 and developing culturally safe practice is considered particularly important when working with indigenous people, First Nations, Native peoples, or Aboriginal and Torres Strait Islander communities in Australia. 35…”

Section: Workforce Competencies and Training Issuesmentioning

confidence: 99%

Hallucinations in Older Adults: A Practical Review

Badcock

Larøi

Kamp

et al. 2020

Schizophrenia Bulletin

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Abstract Older adults experience hallucinations in a variety of social, physical, and mental health contexts. Not everyone is open about these experiences, as hallucinations are surrounded with stigma. Hence, hallucinatory experiences in older individuals are often under-recognized. They are also commonly misunderstood by service providers, suggesting that there is significant scope for improvement in the training and practice of professionals working with this age group. The aim of the present article is to increase knowledge about hallucinations in older adults and provide a practical resource for the health and aged-care workforce. Specifically, we provide a concise narrative review and critique of (1) workforce competency and training issues, (2) assessment tools, and (3) current treatments and management guidelines. We conclude with a brief summary including suggestions for service and training providers and future research.

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