nach oben

Community Mental Health Journal

Erschienen in:

28.11.2017 | Original Paper

Mental Health in China: Stigma, Family Obligations, and the Potential of Peer Support

verfasst von: Shelly Yu, Sarah D. Kowitt, Edwin B. Fisher, Gongying Li

Erschienen in: Community Mental Health Journal | Ausgabe 6/2018

Einloggen, um Zugang zu erhalten

Abstract

Some people with mental illness in China do not receive treatment. We explored how stigma and familial obligation influenced accessibility of social support for patients with depression in China and the potential acceptability of peer support programs. Semi-structured qualitative interviews were conducted with five psychiatrists and 16 patients receiving care for depression from a large psychiatric hospital in Jining, Shandong Province of China. Patients with mental illness reported barriers that prevented them from (a) receiving treatment and (b) relying on informal social support from family members, including stigma, somatization, and community norms. Circumventing these barriers, peer support (i.e., support from others with depression) was viewed by patients as an acceptable means of exchanging information and relying on others for support. Formative research on peer support programs to examine programming and activities may help reduce the burden of unmet mental health care needs in China.

Berkman, L. F., & Glass, T. (2000). Social integration, social networks, social support, and health. Social Epidemiology, 1, 137–173.

Boyatzis, R. E. (1998). Transforming qualitative information: Thematic analysis and code development. Newcastle upon Tyne: Sage

Chien, W. T., Chan, S. W., & Morrissey, J. (2007). The perceived burden among Chinese family caregivers of people with schizophrenia. Journal of Clinical Nursing, 16(6), 1151–1161.CrossRefPubMed

Chowdhary, N., Anand, A., Dimidjian, S., Shinde, S., Weobong, B., Balaji, M., … Patel, V. (2016). The Healthy Activity Program lay counsellor delivered treatment for severe depression in India: systematic development and randomised evaluation. British Journal of Psychiatry, 208(4), 381–388. https://doi.org/10.1192/bjp.bp.114.161075.CrossRefPubMed

Deng, K., Ren, Y., Luo, Z., Du, K., Zhang, X., & Zhang, Q. (2016). Peer Support training improved the glycemic control, insulin management, and diabetic behaviors of patients with Type 2 diabetes in rural communities of central China: A randomized controlled trial. Medical Science Monitor: International Medical Journal of Experimental and Clinical Research, 22, 267–275.CrossRef

Fisher, E. B., Ballesteros, J., Bhushan, N., Coufal, M. M., Kowitt, S. D., McDnough, M., … Sokol, R. (2015). Key Features of Peer Support in Chronic Disease Prevention and Management. Health Affairs. https://doi.org/10.1377/hlthaff.2015.0365.PubMedCrossRef

Holt-Lunstad, J., Smith, T. B., & Layton, J. B. (2010). Social relationships and mortality risk: a meta-analytic review. PLoS Medicine, 7(7), e1000316. https://doi.org/10.1371/journal.pmed.1000316.CrossRefPubMedPubMedCentral

House, J. S., Landis, K. R., & Umberson, D. (1988). Social relationships and health. Science, 241(4865), 540–545.CrossRefPubMed

Ip, V., Chan, F., Chan, J. Y., Lee, J. K., Sung, C., & Wilson, E. H. (2015). Factors influencing Chinese college students’ preferences for mental health professionals. Journal of Mental Health (Abingdon, England). https://doi.org/10.3109/09638237.2015.1057328.CrossRef

Katon, W., Ries, R. K., & Kleinman, A. (1984). The prevalence of somatization in primary care. Comprehensive Psychiatry, 25(2), 208–215.CrossRefPubMed

Kelly, T. A. (2007). Transforming China’s mental health system: Principles and recommendations. International Journal of Mental Health, 36(2), 50–64.CrossRef

Kim, H. S., Sherman, D. K., Ko, D., & Taylor, S. E. (2006). Pursuit of comfort and pursuit of harmony: Culture, relationships, and social support seeking. Personality and Social Psychology Bulletin, 32(12), 1595–1607.CrossRefPubMed

Kim, H. S., Sherman, D. K., & Taylor, S. E. (2008). Culture and social support. The American psychologist, 63(6), 518–526. https://doi.org/10.1037/0003-066x.CrossRefPubMed

Kleinman, A. M. (1977). Depression, somatization and the “new cross-cultural psychiatry”. Social Science and Medicine (1967), 11(1), 3–9.CrossRef

Kowitt, S. D., Urlaub, D., Guzman-Corrales, L., Mayer, M., Ballesteros, J., Graffy, J., … Fisher, E. B. (2015). Emotional support for diabetes management: An international cross-cultural study. The Diabetes Educator, 41(3). https://doi.org/10.1177/0145721715574729.

Lauber, C., & Rössler, W. (2007). Stigma towards people with mental illness in developing countries in Asia. International Review of Psychiatry (Abingdon, England), 19(2), 157–178.CrossRef

Li, J., Lambert, C. E., & Lambert, V. A. (2007). Predictors of family caregivers’ burden and quality of life when providing care for a family member with schizophrenia in the People’s Republic of China. Nursing and Health Science, 9(3), 192–198.CrossRef

Mak, W. W., & Cheung, R. Y. (2008). Affiliate stigma among caregivers of people with intellectual disability or mental illness. Journal of applied research in intellectual disabilities, 21(6), 532–545.CrossRef

Mehta, N., & Thornicroft, G. (2013). Stigma, discrimination, and promoting human rights. In V. Patel, H. Minas, A. Cohen & M. J. Prince (Eds.), Global mental health: Principles and practice (pp. 401–424). New York: Oxford.

Milne, J., & Oberle, K. (2005). Enhancing rigor in qualitative description. Journal of Wound Ostomy and Continence Nursing, 32(6), 413–420.CrossRef

Molassiotis, A., Callaghan, P., Twinn, S. F., Lam, S. W., Chung, W. Y., & Li, C. K. (2002). A pilot study of the effects of cognitive-behavioral group therapy and peer support/counseling in decreasing psychologic distress and improving quality of life in Chinese patients with symptomatic HIV disease. AIDS Patient Care and STDs, 16(2), 83–96. https://doi.org/10.1089/10872910252806135.CrossRefPubMed

Neergaard, M. A., Olesen, F., Andersen, R. S., & Sondergaard, J. (2009). Qualitative description–the poor cousin of health research? BMC Medical Research Methodology, 9(1), 52.CrossRefPubMedPubMedCentral

Patel, V., Flisher, A. J., Hetrick, S., & McGorry, P. (2007). Mental health of young people: A global public-health challenge. Lancet, 369(9569), 1302–1313.CrossRefPubMed

Patel, V., & Thornicroft, G. (2009). Packages of care for mental, neurological, and substance use disorders in low-and middle-income countries. PLoS Medicine, 6(10), e1000160.CrossRefPubMedPubMedCentral

Patton, M. Q. (1990). Qualitative evaluation and research methods (2nd edn.). Newbury Park, CA: SAGE Publications, inc.

Patton, M. Q. (2005). Qualitative research. Hoboken: Wiley Online Library.CrossRef

Pfeiffer, P. N., Heisler, M., Piette, J. D., Rogers, M. A., & Valenstein, M. (2011). Efficacy of peer support interventions for depression: A meta-analysis. General Hospital Psychiatry, 33(1), 29–36.CrossRefPubMed

Phillips, M. R., Pearson, V., Li, F., Xu, M., & Yang, L. (2002). Stigma and expressed emotion: A study of people with schizophrenia and their family members in China. British Journal of Psychiatry, 181, 488–493.CrossRefPubMed

Phillips, M. R., Zhang, J., Shi, Q., Song, Z., Ding, Z., Pang, S., … Wang, Z. (2009). Prevalence, treatment, and associated disability of mental disorders in four provinces in China during 2001–05: An epidemiological survey. Lancet, 373(9680), 2041–2053.CrossRefPubMed

Rahman, A., Malik, A., Sikander, S., Roberts, C., & Creed, F. (2008). Cognitive behaviour therapy-based intervention by community health workers for mothers with depression and their infants in rural Pakistan: A cluster-randomised controlled trial. Lancet, 372(9642), 902–909.CrossRefPubMedPubMedCentral

Rebeiro Gruhl, K. L., LaCarte, S., & Calixte, S. (2016). Authentic peer support work: challenges and opportunities for an evolving occupation. Journal of Mental Health (Abingdon, England), 25(1), 78–86. https://doi.org/10.3109/09638237.2015.1057322.CrossRef

Sandelowski, M. (2000). Focus on research methods-whatever happened to qualitative description? Research in Nursing and Health, 23(4), 334–340.CrossRefPubMed

Sandelowski, M. (2010). What’s in a name? Qualitative description revisited. Research in Nursing and Health, 33(1), 77–84.PubMed

Sullivan-Bolyai, S., Bova, C., & Harper, D. (2005). Developing and refining interventions in persons with health disparities: The use of qualitative description. Nursing Outlook, 53(3), 127–133.CrossRefPubMed

Thomas, G. N., Macfarlane, D. J., Guo, B., Cheung, B. M., McGhee, S. M., Chou, K. L., … Tomlinson, B. (2012). Health promotion in older Chinese: a 12-month cluster randomized controlled trial of pedometry and “peer support”. Medicine and Science in Sports and Exercise, 44(6), 1157–1166. https://doi.org/10.1249/MSS.0b013e318244314a.CrossRefPubMed

Tse, S., Tsoi, E. W., Wong, S., Kan, A., & Kwok, C. F. (2014). Training of mental health peer support workers in a non-western high-income city: preliminary evaluation and experience. The International Journal of Social Psychiatry, 60(3), 211–218. https://doi.org/10.1177/0020764013481427.CrossRefPubMed

Uchino, B. N. (2004). Social support and physical health: Understanding the health consequences of relationships. New Haven: Yale University Press.CrossRef

Wang, J., & Zhao, X. (2012). Family functioning and social support for older patients with depression in an urban area of Shanghai, China. Archives of gerontology and geriatrics, 55(3), 574–579. https://doi.org/10.1016/j.archger.2012.06.011.CrossRefPubMed

Yang, G., Wang, Y., Zeng, Y., Gao, G. F., Liang, X., Zhou, M., … Naghavi, M. (2013). Rapid health transition in China, 1990–2010: Findings from the Global Burden of Disease Study 2010. The Lancet, 381(9882), 1987–2015.CrossRef

Yang, J. P., Leu, J., Simoni, J. M., Chen, W. T., Shiu, C. S., & Zhao, H. (2015). “Please Don’t Make Me Ask for Help”: Implicit Social Support and Mental Health in Chinese Individuals Living with HIV. AIDS and Behavior. https://doi.org/10.1007/s10461-015-1041-y.CrossRefPubMedPubMedCentral

Yang, L. (2007). Application of mental illness stigma theory to Chinese societies: synthesis and new directions. Singapore Medical Journal, 48(11), 977–985.PubMed

Zhao, W., Law, S., Luo, X., Chow, W., Zhang, J., Zhu, Y., … Wang, X. (2015). First adaptation of a family-based ACT model in Mainland China: A pilot project. Psychiatric Services (Washington, D. C.), 66(4), 438–441. https://doi.org/10.1176/appi.ps.201400087.CrossRef

Zhong, X., Wang, Z., Fisher, E. B., & Tanasugarn, C. (2015). Peer support for diabetes management in primary care and community settings in Anhui Province, China. The Annals of Family Medicine, 13(Suppl 1), S50–S58.CrossRefPubMed

Titel: Mental Health in China: Stigma, Family Obligations, and the Potential of Peer Support
verfasst von: Shelly Yu
Sarah D. Kowitt
Edwin B. Fisher
Gongying Li
Publikationsdatum: 28.11.2017
Verlag: Springer US
Erschienen in: Community Mental Health Journal / Ausgabe 6/2018
Print ISSN: 0010-3853
Elektronische ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-017-0182-z

Neu im Fachgebiet Psychiatrie

23.04.2024 | Demenz | Nachrichten

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Mental Health in China: Stigma, Family Obligations, and the Potential of Peer Support

Abstract

Neu im Fachgebiet Psychiatrie

Demenzkranke durch Antipsychotika vielfach gefährdet

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

Update Psychiatrie

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 6/2018

Sun Exposure and Behavioral Activation for Hypovitaminosis D and Depression: A Controlled Pilot Study

Impact of a Pilot Videogame-Based Physical Activity Program on Walking Speed in Adults with Schizophrenia

Recovery in Psychosis from a Service User Perspective: A Systematic Review and Thematic Synthesis of Current Qualitative Evidence

“I Believe I Know Better Even than the Psychiatrists What Caused It”: Exploring the Development of Causal Beliefs in People Experiencing Psychosis

Lifetime Trauma and Depressive Symptomatology Among Older American Indians: The Native Elder Care Study

Reasons for Nonadherence to Psychiatric Medication and Cardiovascular Risk Factors Treatment Among Latino Bipolar Disorder Patients Living in Puerto Rico: A Qualitative Study

Neu im Fachgebiet Psychiatrie

Demenzkranke durch Antipsychotika vielfach gefährdet

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

Update Psychiatrie