Cultural Correlates and Clinical Consequences DOI

Barry S. Fogel,

Xiaoling Jiang

Oxford University Press eBooks, Год журнала: 2025, Номер unknown, С. 140 - 160

Опубликована: Янв. 30, 2025

Abstract Cultural identity is associated with diet, activities, sleeping habits, and patterns of substance use. All directly relate to the risk expressions depression bipolar spectrum. Related structural factors include housing quality; environmental hazards; quality food, healthcare, public education; availability highly lethal means self-harm. It influences prevalence phenotypes: melancholic, anxious, primarily somatic, or externalized “masculine depression.” External stigma universal, but its details are culture-dependent. The acceptability feasibility specific treatments vary by culture. Before prescribing against a patient’s culturally based biases, clinician should consider not only medication psychotherapy also lifestyle changes; complementary, alternative, integrative medicine; antidepressant smartphone apps; light therapy; non-invasive brain stimulation. Depression biomarkers soon may have role in selection that both compatible likely work.

Язык: Английский

Picturing Depression: Faces, Backgrounds, and Foregrounds DOI

Barry S. Fogel,

Xiaoling Jiang

Oxford University Press eBooks, Год журнала: 2025, Номер unknown, С. 3 - 22

Опубликована: Янв. 30, 2025

Abstract Depression takes diverse forms, each with distinctive epidemiology, phenomenology, and optimal treatments. In case of depression, culture is background; unique individual circumstances are foreground. Exemplary cases described. historical contemporary Japan, older people often devalued socially excluded; this can lead to “lonely deaths” from self-neglect or unnatural deaths including suicides. China’s long-standing tradition authoritarian parenting burdensome filial obligation underlies depression in younger adults. American regions have depression-relevant cultural differences as large those between nations. Utah, high gender inequality associated a prevalence young women. Connecticut income wealth entail problematic substance use among lower socioeconomic class. Cultural awareness, knowledge different communication styles, empower clinicians make more accurate diagnoses build therapeutic relationships.

Язык: Английский

Процитировано

0

Copyright Page DOI

Barry S. Fogel,

Xiaoling Jiang

Опубликована: Янв. 30, 2025

Процитировано

0

Cultural Identity and Personal Biography DOI

Barry S. Fogel,

Xiaoling Jiang

Oxford University Press eBooks, Год журнала: 2025, Номер unknown, С. 88 - 98

Опубликована: Янв. 30, 2025

Abstract Cultural identity strongly influences the personal meaning of common life events like marriage or retirement and probability adverse childhood (ACEs) intimate partner violence (IPV). Some cultures normalize ACEs IPV. Life can require adaptation to a new environment, involving acculturative stress sometimes family distancing. These include not only immigration but also migration within countries, changes in socioeconomic class, onset major illness disability, composition, aging. Acculturation is most successful when people become bicultural, integrating old identities. Depression risk greatest feel isolated: disconnected from both their native culture that environment. Second-generation immigrants experience “acculturative distancing.” Effective psychotherapy depression often requires addressing acculturation-related issues recognition traumas stresses normalized by patient’s culture.

Язык: Английский

Процитировано

0

Truck-Driving Blues DOI

Barry S. Fogel,

Xiaoling Jiang

Oxford University Press eBooks, Год журнала: 2025, Номер unknown, С. 652 - 684

Опубликована: Янв. 30, 2025

Abstract Truck drivers have a high prevalence of depression. Their life expectancies are short, in part due to unhealthy lifestyles and associated chronic diseases. Depressed more likely be involved crashes. occupational risk factors for injury, general medical illness, depression include chronobiologic stress; continual exposure noise, vibration, polluted air; poor-quality food at truck stops; prolonged periods sitting; time pressures; loneliness when away from home; work–family conflicts; work schedules that interfere with consistent healthcare. Obesity sleep apnea prevalent challenging treat. Drivers’ culture contributes normalization illness pain, denial or externalization depression, internal stigma. Evaluation depressed driver should identify addressable job-related neglected problems. Enhancement function crash prevention non-stigmatizing foci clinical intervention compatible culture.

Язык: Английский

Процитировано

0

Cultural Correlates and Clinical Consequences DOI

Barry S. Fogel,

Xiaoling Jiang

Oxford University Press eBooks, Год журнала: 2025, Номер unknown, С. 140 - 160

Опубликована: Янв. 30, 2025

Abstract Cultural identity is associated with diet, activities, sleeping habits, and patterns of substance use. All directly relate to the risk expressions depression bipolar spectrum. Related structural factors include housing quality; environmental hazards; quality food, healthcare, public education; availability highly lethal means self-harm. It influences prevalence phenotypes: melancholic, anxious, primarily somatic, or externalized “masculine depression.” External stigma universal, but its details are culture-dependent. The acceptability feasibility specific treatments vary by culture. Before prescribing against a patient’s culturally based biases, clinician should consider not only medication psychotherapy also lifestyle changes; complementary, alternative, integrative medicine; antidepressant smartphone apps; light therapy; non-invasive brain stimulation. Depression biomarkers soon may have role in selection that both compatible likely work.

Язык: Английский

Процитировано

0