Motivation for Psychotherapy and Illness Beliefs in Turkish Immigrant Inpatients in Germany: Results of a Cultural Comparison Study

Reich, Hanna; Bockel, Luisa; Mewes, Ricarda

doi:10.1007/s40615-014-0054-y

Cited by 35 publications

(30 citation statements)

References 66 publications

(62 reference statements)

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“…Two matched inpatient samples (Turkish immigrants vs. Germans without a migration background, n = 50 each) were recruited in five psychiatric clinics in 2011 and 2012 [ 38 ]. Participants were asked about subjective concepts of mental illness, motivation for psychotherapy, and mental health symptoms.…”

Section: Methodsmentioning

confidence: 99%

Cross-cultural validation of the German and Turkish versions of the PHQ-9: an IRT approach

et al. 2018

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BackgroundThe Patient Health Questionnaire’s depression module (PHQ-9) is a widely used screening tool to assess depressive disorders. However, cross-linguistic and cross-cultural validation of the PHQ-9 is mostly lacking. This study investigates whether scores on the German and Turkish versions of the PHQ-9 are comparable.MethodsData from Germans without a migration background (German version, n = 1670) and Turkish immigrants in Germany (either German or Turkish version, n = 307) were used. Differential Item Functioning (DIF) was assessed using Item Response Theory (IRT) models.ResultsSeveral items of the PHQ-9 were found to exhibit DIF related to language or ethnicity, e.g. ‘sleep problems’, ‘appetite changes’ and ‘anhedonia’. However, PHQ-9 sum scores were found to be unbiased, i.e., DIF had no notable impact on scale levels.ConclusionsPHQ-9 sum scores can be compared between Turkish immigrants and Germans without a migration background without any adjustments, regardless of whether they complete the German or the Turkish version.

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Section: Methodsmentioning

confidence: 99%

Cross-cultural validation of the German and Turkish versions of the PHQ-9: an IRT approach

et al. 2018

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“…An ethnopsychological study showed that Albanian-speaking immigrants in Switzerland understood their suffering as part of normal life, given by god or fate (fati), and something that cannot be cured but has to be borne with endurance (durim) (Shala et al, 2019). Fatalism was also found among Turkish immigrants in Germany (Franz et al, 2007;Reich, Bockel, & Mewes, 2015). When compared to German patients, Turkish immigrants showed more fatalistic-external control attributions for mental distress, which resulted in lower motivation for psychotherapy.…”

Section: Cultural Concepts Of Distressmentioning

confidence: 99%

Cultural Adaptation of Scalable Psychological Interventions: A New Conceptual Framework

Heim

Kohrt

2019

CPE

112

110

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The worldwide mental health treatment gap calls for scaling-up psychological interventions, which requires effective implementation in diverse cultural settings. Evidence from the field of global mental health and cultural clinical psychology indicates cultural variation in how symptoms of common mental disorders are expressed, and how culturally diverse groups explain the emergence of such symptoms. An increasing number of studies have examined to what extent cultural adaptation enhances the acceptability and effectiveness of psychological interventions among culturally diverse groups. To date, this evidence is inconclusive, and there is a lack of studies that dismantle the multiple types of modifications involved in cultural adaptation. Based on empirical evidence from ethnopsychological studies, cultural adaptation research, and psychotherapy research, the present paper offers a new conceptual framework for cultural adaptation that lays the groundwork for future empirical research. The cultural adaptation framework encompasses three elements: i) cultural concepts of distress; ii) treatment components; and iii) treatment delivery. These three elements have been discussed in literature but rarely tested in methodologically rigorous studies. Innovative research designs are needed to empirically test the relevance of these adaptation elements, to better understand the substantial modifications that enhance acceptability and effectiveness of psychological interventions. Using a theory-driven approach and innovative experimental designs, research on cultural adaptation has the potential not only to make psychological treatments more accessible for culturally adverse groups, but also to further advance empirical research on the basic question about the “key ingredients” of psychotherapy. The phenomenology of common mental disorders, as well as mind-body concepts, vary across cultures. Cultural adaptation may enhance the acceptability and effectiveness of psychological interventions. There is a lack of empirical evidence on the substantial modifications in cultural adaptation. Theory-driven, experimental approaches are needed in cultural adaptation research. The phenomenology of common mental disorders, as well as mind-body concepts, vary across cultures. Cultural adaptation may enhance the acceptability and effectiveness of psychological interventions. There is a lack of empirical evidence on the substantial modifications in cultural adaptation. Theory-driven, experimental approaches are needed in cultural adaptation research.

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“…). Also, Turkish-German psychiatric inpatients, compared to natives, expected to assume a mainly passive role during psychotherapy and to benefit more from pharmacological treatment (Reich et al, 2015). Furthermore, a Dutch study found that Turkish-Dutch individuals more often experienced general discordance between their perceived care need and the care they received than natives did, which was partly explained by baseline symptom differences (Fassaert et al, 2009).…”

Section: Obstacles and Facilitators For Treatment Accessibility And Tmentioning

confidence: 99%

Symptom manifestation and treatment effectiveness, -obstacles and -facilitators in Turkish and Moroccan groups with depression in European countries: A systematic review

Sempértegui

Knipscheer

Baliatsas

et al. 2019

Journal of Affective Disorders

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Motivation for Psychotherapy and Illness Beliefs in Turkish Immigrant Inpatients in Germany: Results of a Cultural Comparison Study

Cited by 35 publications

References 66 publications

Cross-cultural validation of the German and Turkish versions of the PHQ-9: an IRT approach

Cross-cultural validation of the German and Turkish versions of the PHQ-9: an IRT approach

Cultural Adaptation of Scalable Psychological Interventions: A New Conceptual Framework

Symptom manifestation and treatment effectiveness, -obstacles and -facilitators in Turkish and Moroccan groups with depression in European countries: A systematic review

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