The integration of idioms of distress into mental health assessments and interventions: a systematic review

Background.Psychiatric diagnostic manuals recognise the importance of local expressions of distress in culturally diverse settings [i.e. idioms/cultural concepts of distress (CCDs)], yet there is a lack of consensus on how these should be incorporated into mental health related research.Aims.To perf...

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Main Authors: C. Cork, B. N. Kaiser, R. G. White
Format: Article
Language:English
Published: Cambridge University Press 2019-01-01
Series:Cambridge Prisms: Global Mental Health
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S2054425119000050/type/journal_article
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author C. Cork
B. N. Kaiser
R. G. White
author_facet C. Cork
B. N. Kaiser
R. G. White
author_sort C. Cork
collection DOAJ
description Background.Psychiatric diagnostic manuals recognise the importance of local expressions of distress in culturally diverse settings [i.e. idioms/cultural concepts of distress (CCDs)], yet there is a lack of consensus on how these should be incorporated into mental health related research.Aims.To perform a narrative synthesis and critical review of research exploring how idioms/CCDs have been integrated into assessment measures and interventions.Method.A systematic review was conducted in accordance with PRISMA guidelines. An adapted version of the COSMIN checklist was used to assess the quality of the linguistic translation of the idioms/CCDs.Results.Twenty-nine papers were included in the final review. Primary qualitative research was the most common method of gathering information about idioms/CCDs. The majority of studies described integrating idioms/CCDs into assessment measures as opposed to interventions. Some studies used information relating to idioms/CCDs to develop novel assessment measures, while others adapted pre-existing assessment measures. The measures generated moderate to high levels of validity. Information relating to the linguistic translation conducted in the completion of the studies tended to be inadequately reported.Conclusions.Integrating information about idioms/CCDs into assessment measures can enhance the validity of these assessments. Allocating greater research attention to idioms/CCDs can also promote more equitable exchanges of knowledge about mental health and wellbeing between the Global North and the Global South.
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spelling doaj.art-1b74427c574247328c6a3e0f1af313662023-03-09T12:35:36ZengCambridge University PressCambridge Prisms: Global Mental Health2054-42512019-01-01610.1017/gmh.2019.5The integration of idioms of distress into mental health assessments and interventions: a systematic reviewC. Cork0https://orcid.org/0000-0001-8753-7502B. N. Kaiser1https://orcid.org/0000-0003-0742-1302R. G. White2School of Education, University of Glasgow, 11 Eldon Street, Glasgow G3 6NH, UKDepartment of Anthropology, University of California San Diego, La Jolla, CA, USAInstitute of Human and Life Sciences, University of Liverpool, G.10, Whelan Building, Brownlow Hill, Liverpool L69 3GQ, UKBackground.Psychiatric diagnostic manuals recognise the importance of local expressions of distress in culturally diverse settings [i.e. idioms/cultural concepts of distress (CCDs)], yet there is a lack of consensus on how these should be incorporated into mental health related research.Aims.To perform a narrative synthesis and critical review of research exploring how idioms/CCDs have been integrated into assessment measures and interventions.Method.A systematic review was conducted in accordance with PRISMA guidelines. An adapted version of the COSMIN checklist was used to assess the quality of the linguistic translation of the idioms/CCDs.Results.Twenty-nine papers were included in the final review. Primary qualitative research was the most common method of gathering information about idioms/CCDs. The majority of studies described integrating idioms/CCDs into assessment measures as opposed to interventions. Some studies used information relating to idioms/CCDs to develop novel assessment measures, while others adapted pre-existing assessment measures. The measures generated moderate to high levels of validity. Information relating to the linguistic translation conducted in the completion of the studies tended to be inadequately reported.Conclusions.Integrating information about idioms/CCDs into assessment measures can enhance the validity of these assessments. Allocating greater research attention to idioms/CCDs can also promote more equitable exchanges of knowledge about mental health and wellbeing between the Global North and the Global South.https://www.cambridge.org/core/product/identifier/S2054425119000050/type/journal_articleAssessmentcultural concepts of distressidioms of distressinterventiontranslation
spellingShingle C. Cork
B. N. Kaiser
R. G. White
The integration of idioms of distress into mental health assessments and interventions: a systematic review
Cambridge Prisms: Global Mental Health
Assessment
cultural concepts of distress
idioms of distress
intervention
translation
title The integration of idioms of distress into mental health assessments and interventions: a systematic review
title_full The integration of idioms of distress into mental health assessments and interventions: a systematic review
title_fullStr The integration of idioms of distress into mental health assessments and interventions: a systematic review
title_full_unstemmed The integration of idioms of distress into mental health assessments and interventions: a systematic review
title_short The integration of idioms of distress into mental health assessments and interventions: a systematic review
title_sort integration of idioms of distress into mental health assessments and interventions a systematic review
topic Assessment
cultural concepts of distress
idioms of distress
intervention
translation
url https://www.cambridge.org/core/product/identifier/S2054425119000050/type/journal_article
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