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Psikoterapide tek beden herkese uymuyor: Avrupa’da yaşayan Türkiye kökenli hastalarda depresyonu anlamak

机译:一种尺寸并不适合所有人使用心理疗法:了解起源于土耳其的欧洲患者的抑郁症

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摘要

Over the last decades, Europe has become an immigration country hosting an estimated 56 million international immigrants. Yet, a large amount of literature suggests that migration is associated with a higher risk of common mental disorders, such as depression and anxiety. As representatives of one of the largest immigrant groups in Europe, various studies have shown that Turkish immigrants exhibit a higher prevalence of depression and anxiety disorders than do the background population. Nevertheless, it is also well demonstrated that this particular patient group is more likely to terminate treatment prematurely and displays lower rates of treatment compliance than their native counterparts. This reluctance for service utilization might be partially because of the fact that people from non-Western ethnocultural backgrounds (e.g., Turkey) often have a different notion and comprehension of mental health and illness as compared with those of the people from Western societies. Such mismatch often results in discrepancies between the needs and expectations of immigrant patients and clinicians, which attenuate the communication and effectiveness of treatment and lead to unexplained high dropout rates. To provide continued provision of culture-sensitive, high quality, evidence-based mental health care, the advancement of researches exploring such sociocultural differences between the patients’ and the clinicians’ notions of mental health must occur. In response to these problems, the current review aims to explore the interplay between culture and mental processes that associate with the etiology, maintenance, and management of depression among Turkish immigrant patients. This is to inform clinicians regarding culturespecific correlates of depression among Turkish patients to enable them to present interventions that fit the needs and expectations of this particular patient group.
机译:在过去的几十年中,欧洲已经成为一个移民国家,据估计有5600万国际移民。但是,大量文献表明,迁徙与罹患抑郁症和焦虑症等常见精神障碍的风险较高有关。作为欧洲最大的移民群体之一的代表,各种研究表明,土耳其移民的抑郁症和焦虑症患病率比背景移民高。尽管如此,也充分证明了这一特殊的患者群体比本地患者更有可能提前终止治疗并显示出较低的治疗依从性。这种不愿使用服务的原因可能部分是因为,与西方社会的人相比,非西方民族文化背景的人(例如土耳其)通常对精神健康和疾病有不同的观念和理解。这种失配通常会导致移民患者和临床医生的需求和期望之间存在差异,从而削弱了沟通和治疗的有效性,并导致无法解释的高辍学率。为了继续提供对文化敏感的,高质量的,循证的精神卫生保健,必须开展探索患者与临床医生的精神卫生观念之间的这种社会文化差异的研究。针对这些问题,本综述旨在探讨与土耳其移民患者抑郁症的病因,维持和管理相关的文化和心理过程之间的相互作用。这是为了告知临床医生有关土耳其患者中抑郁症的特定文化相关性,以使他们能够提出适合该特定患者群体需求和期望的干预措施。

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