Ethnographic perspectives on global mental health

Jain, Sumeet; Orr, D.

doi:10.1177/1363461516679322

Cited by 44 publications

(36 citation statements)

References 28 publications

(38 reference statements)

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“…Most of the reports were, however, from western countries. There has been a movement of Global Mental Health (GMH) to scale up evidence-based interventions in low–middle income countries, however, we should exercise caution when applying ‘universal’ prevention and interventions in culturally-different countries [ 89 , 90 ]. Socio-economic determinants regarding mental health may play a different role depending on each country.…”

Section: Discussionmentioning

confidence: 99%

Cross-National Differences in Psychosocial Factors of Perinatal Depression: A Systematic Review of India and Japan

et al. 2017

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Perinatal depression is prevalent worldwide. However, there are few available studies that discuss the different cultural factors affecting perinatal depression within Asian countries. This study aims to compare the literature regarding related factors relating to perinatal depression in India and Japan, and to synthesize the evidence common to both countries in addition to the country-specific evidence. We conducted a systematic review using several databases (CINAHL, MEDLINE, Pubmed, Ovid, SCOPUS, IndMED, and ICHUSI). Keywords were “antenatal depression” or “postpartum depression”, and “India” or “Japan”. Both Japanese and English language papers were reviewed. The identified evidence was compared between the two countries, as well as with non-Asian countries based on previous reports. In total, 15 articles on India and 35 on Japan were reviewed. Although several factors were shared between the two countries as well as with other non-Asian countries (vulnerable personality, being abused, age, marital conflict, and lower socio-demographic status), some differing factors were identified between India and Japan and non-Asian countries; India: poor socioeconomic status, living only with the husband, pregnancy not welcomed by the husband, a female baby, and poor relationship with in-laws; Japan: infertility treatment, conflict with work–life balance, poor relationships with biological mother or in-laws, and concerns about social relations with the other mother’s friends. To conclude, involving the family and community may be important for implementing both global standardized and culture-specific interventions. In India, treatment involving the in-laws may be effective because large family structure is a significant predictor of perinatal depression. In Japan, a family/community approach involving not only the mother’s family of origin but also the working environment is essential.

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Section: Discussionmentioning

confidence: 99%

Cross-National Differences in Psychosocial Factors of Perinatal Depression: A Systematic Review of India and Japan

et al. 2017

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“…While the majority of the quantitative studies focused on the prevalence of mental illness, considering the social determinants of health, the qualitative studies concentrated on describing specificities in the local experiences. These findings suggest a strong commitment to understanding the local context, unlike Global Mental Health studies that focus less attention on social conditions 10,11,13 .…”

Section: Implications Of the Results For Mental Health Research And Pmentioning

confidence: 86%

Paralelos entre a produção científica sobre saúde mental no Brasil e no campo da Saúde Mental Global: uma revisão integrativa

et al. 2018

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A Saúde Mental Global é um campo de ensino, pesquisa e prática, cuja prioridade é melhorar o acesso e assegurar a equidade no cuidado em saúde mental para todas as pessoas do mundo, propondo ações especialmente em países de média e baixa renda, como o Brasil. Diante desse panorama mundial e considerando o avanço local dos processos das reformas sanitária e psiquiátrica, torna-se importante investigar o estado atual da literatura brasileira e sua relação com a Saúde Mental Global, descrevendo como a produção nacional aborda assuntos enfatizados nesse campo. Assim, adotando abordagem qualitativa e perspectiva descritiva, foi realizada revisão integrativa da literatura do período de 2014-2015, por meio de pesquisa bibliográfica em português e inglês, utilizando os termos saúde mental e Brasil combinados a palavras-chave correspondentes aos principais tópicos discutidos por autores da Saúde Mental Global. Foram encontrados 88 artigos apreciados segundo sua autoria, periódicos e regiões de publicação, metodologia e de acordo com as categorias de análise e acesso; atenção primária; atenção psicossocial; determinantes sociais da saúde; direitos humanos; e equidade. Constatou-se haver na produção científica nacional um conjunto de estudos muito rico e diversificado com paralelos com a literatura da Saúde Mental Global, mas apresenta um baixo índice de sistematização. Esses achados revelam, portanto, que, apesar dos esforços para a geração de conhecimento local, existem barreiras que, possivelmente, comprometem a participação brasileira no debate internacional.

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“…Others suggest that an exclusively biomedical discourse depoliticizes the issue of mental health and detracts attention away from the need to create supportive social contexts (Burgess & Campbell, 2014). Against the backdrop of such critiques, there has been increasing interest in cultural meaning-making systems and articulations of distress (e.g., Jain & Orr, 2016).…”

Section: Perspectives Of Lay Womenmentioning

confidence: 99%

“A woman’s life is tension”: A gendered analysis of women’s distress in poor urban India

Atal

Foster

2020

Transcult Psychiatry

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The mental health of women living in poverty is a growing public health concern, particularly in India where the burden of illness is compounded by critical shortages in mental health providers and fragmented services. This was an exploratory study which sought to examine low-income women’s perceptions of mental illness and its management in the context of urban poverty in India. This research was prompted by the lack of empirical studies documenting how women in marginalized sections of society understand mental illness. Data were collected through a combination of 10 focus group discussions and two individual interviews with a total of 63 women residing in low-income areas of Mumbai. Social representations theory was used to explore shared meanings of mental illness among women in this setting. Thematic analysis of the data showed that women use the expression “tension” to talk about mental illness. Tension was described both as an ordinary part of life and a condition having its origins in more profound gender-related stressors, particularly pressures surrounding motherhood, chronic poverty and domestic conflict. Approaches to managing tension were pluralistic and focused on the resumption of social roles. Findings are consistent with other studies in similar cultural contexts, suggesting a shared, transnational character to women’s distress and the need for scholarship on women’s mental health in low-income settings to be more attuned to gendered forms of marginalization.

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Ethnographic perspectives on global mental health

Cited by 44 publications

References 28 publications

Cross-National Differences in Psychosocial Factors of Perinatal Depression: A Systematic Review of India and Japan

Cross-National Differences in Psychosocial Factors of Perinatal Depression: A Systematic Review of India and Japan

Paralelos entre a produção científica sobre saúde mental no Brasil e no campo da Saúde Mental Global: uma revisão integrativa

“A woman’s life is tension”: A gendered analysis of women’s distress in poor urban India

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