Culture-sensitive psychotraumatology

Schnyder U, Bryant RA, Ehlers A, Foa EB, Hasan A, Mwiti G, Kristensen CH, Neuner F, Oe M, Yule W (2016)

Zeitschriftenaufsatz | Veröffentlicht | Englisch
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Schnyder, Ulrich; Bryant, Richard A.; Ehlers, Anke; Foa, Edna B.; Hasan, Aram; Mwiti, Gladys; Kristensen, Christian H.; Neuner, FrankUniBi; Oe, Misari; Yule, William
Abstract / Bemerkung
Background: Although there is some evidence of the posttraumatic stress disorder (PTSD) construct's cross cultural validity, trauma-related disorders may vary across cultures, and the same may be true for treatments that address such conditions. Experienced therapists tailor psychotherapy to each patient's particular situation, to the nature of the patient's psychopathology, to the stage of therapy, and so on. In addition, culture-sensitive psychotherapists try to understand how culture enhances the meaning of their patient's life history, the cultural components of their illness and help-seeking behaviors, as well as their expectations with regard to treatment. We cannot take for granted that all treatment-seeking trauma survivors speak our language or share our cultural values. Therefore, we need to increase our cultural competencies. Methods: The authors of this article are clinicians and/or researchers from across the globe, working with trauma survivors in various settings. Each author focused on one or more specific cultural aspects of working with trauma survivors and highlighted the following aspects. Results: As a result of culture-specific individual and collective meanings linked to trauma and trauma-related disorders survivors may be exposed to (self-) stigma in the aftermath of trauma. Patients who are reluctant to talk about their traumatic experiences may instead be willing to write or use other ways of accessing the painful memories such as drawing. In other cultures, community and family cohesion are crucial elements of recovery. While awareness of culture-specific aspects is important, we also need to beware of premature cultural stereotyping. When disseminating empirically supported psychotherapies for PTSD across cultures, a number of additional challenges need to be taken into account: many low and middle income countries have very limited resources available and suffer from a poor health infrastructure. Conclusions: In summary, culture-sensitive psychotraumatology means assuming an empathic and non-judgmental attitude, trying to understand each individual's cultural background.
Culture; psychotraumatology; stigma; low and middle income countries; dissemination; evidence-based treatments
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Schnyder U, Bryant RA, Ehlers A, et al. Culture-sensitive psychotraumatology. EUROPEAN JOURNAL OF PSYCHOTRAUMATOLOGY. 2016;7(1): 31179.
Schnyder, U., Bryant, R. A., Ehlers, A., Foa, E. B., Hasan, A., Mwiti, G., Kristensen, C. H., et al. (2016). Culture-sensitive psychotraumatology. EUROPEAN JOURNAL OF PSYCHOTRAUMATOLOGY, 7(1), 31179. doi:10.3402/ejpt.v7.31179
Schnyder, Ulrich, Bryant, Richard A., Ehlers, Anke, Foa, Edna B., Hasan, Aram, Mwiti, Gladys, Kristensen, Christian H., Neuner, Frank, Oe, Misari, and Yule, William. 2016. “Culture-sensitive psychotraumatology”. EUROPEAN JOURNAL OF PSYCHOTRAUMATOLOGY 7 (1): 31179.
Schnyder, U., Bryant, R. A., Ehlers, A., Foa, E. B., Hasan, A., Mwiti, G., Kristensen, C. H., Neuner, F., Oe, M., and Yule, W. (2016). Culture-sensitive psychotraumatology. EUROPEAN JOURNAL OF PSYCHOTRAUMATOLOGY 7:31179.
Schnyder, U., et al., 2016. Culture-sensitive psychotraumatology. EUROPEAN JOURNAL OF PSYCHOTRAUMATOLOGY, 7(1): 31179.
U. Schnyder, et al., “Culture-sensitive psychotraumatology”, EUROPEAN JOURNAL OF PSYCHOTRAUMATOLOGY, vol. 7, 2016, : 31179.
Schnyder, U., Bryant, R.A., Ehlers, A., Foa, E.B., Hasan, A., Mwiti, G., Kristensen, C.H., Neuner, F., Oe, M., Yule, W.: Culture-sensitive psychotraumatology. EUROPEAN JOURNAL OF PSYCHOTRAUMATOLOGY. 7, : 31179 (2016).
Schnyder, Ulrich, Bryant, Richard A., Ehlers, Anke, Foa, Edna B., Hasan, Aram, Mwiti, Gladys, Kristensen, Christian H., Neuner, Frank, Oe, Misari, and Yule, William. “Culture-sensitive psychotraumatology”. EUROPEAN JOURNAL OF PSYCHOTRAUMATOLOGY 7.1 (2016): 31179.

10 Zitationen in Europe PMC

Daten bereitgestellt von Europe PubMed Central.

Editorial: Refugee Mental Health.
Zipfel S, Pfaltz MC, Schnyder U., Front Psychiatry 10(), 2019
PMID: 30863324
Measuring and modelling the quality of 40 post-disaster mental health and psychosocial support programmes.
Dückers MLA, Thormar SB, Juen B, Ajdukovic D, Newlove-Eriksson L, Olff M., PLoS One 13(2), 2018
PMID: 29489888
Knowledge and training in paediatric medical traumatic stress and trauma-informed care among emergency medical professionals in low- and middle-income countries.
Hoysted C, Babl FE, Kassam-Adams N, Landolt MA, Jobson L, Van Der Westhuizen C, Curtis S, Kharbanda AB, Lyttle MD, Parri N, Stanley R, Alisic E., Eur J Psychotraumatol 9(1), 2018
PMID: 29760867
Children and natural disasters.
Dyregrov A, Yule W, Olff M., Eur J Psychotraumatol 9(suppl 2), 2018
PMID: 30128084
Trauma Exposure Among Women in the Pacific Rim.
Reeves E, de PB, Silva SG, Jaramillo D, Uribe T, Tiwari A, Canaval GE, Flores MEM, Belknap RA, Humphreys JC., J Nurs Scholarsh 49(3), 2017
PMID: 28388838
Traumatized refugees: identifying needs and facing challenges for mental health care.
Knaevelsrud C, Stammel N, Olff M., Eur J Psychotraumatol 8(sup2), 2017
PMID: 29152160
The global collaboration on traumatic stress.
Schnyder U, Schäfer I, Aakvaag HF, Ajdukovic D, Bakker A, Bisson JI, Brewer D, Cloitre M, Dyb GA, Frewen P, Lanza J, Le Brocque R, Lueger-Schuster B, Mwiti GK, Oe M, Rosner R, Schellong J, Shigemura J, Wu K, Olff M., Eur J Psychotraumatol 8(sup7), 2017
PMID: 29435201

39 References

Daten bereitgestellt von Europe PubMed Central.

EMDR for Syrian refugees with posttraumatic stress disorder symptoms: results of a pilot randomized controlled trial.
Acarturk C, Konuk E, Cetinkaya M, Senay I, Sijbrandij M, Cuijpers P, Aker T., Eur J Psychotraumatol 6(), 2015
PMID: 25989952
Fresh eyes on the European refugee crisis.
Alisic E, Letschert RM., Eur J Psychotraumatol 7(), 2016
PMID: 27178392
Psychological therapies for chronic post-traumatic stress disorder (PTSD) in adults
Bisson J.I, Roberts N.P, Andrew M, Cooper R, Lewis C., 2013
A transdiagnostic community-based mental health treatment for comorbid disorders: Development and outcomes of a randomized controlled trial among Burmese refugees in Thailand
Bolton P, Lee C, Haroz E.E, Murray L, Dorsey S, Robinson C, Bass J., 2014
A multidimensional meta-analysis of psychotherapy for PTSD.
Bradley R, Greene J, Russ E, Dutra L, Westen D., Am J Psychiatry 162(2), 2005
PMID: 15677582
Problem Management Plus (PM+): a WHO transdiagnostic psychological intervention for common mental health problems.
Dawson KS, Bryant RA, Harper M, Kuowei Tay A, Rahman A, Schafer A, van Ommeren M., World Psychiatry 14(3), 2015
PMID: 26407793
Is the culture always right?
Dyregrov A, Gupta L, Gjestad R, Raundalen M., 2002
Implementation of cognitive therapy for PTSD in routine clinical care: effectiveness and moderators of outcome in a consecutive sample.
Ehlers A, Grey N, Wild J, Stott R, Liness S, Deale A, Handley R, Albert I, Cullen D, Hackmann A, Manley J, McManus F, Brady F, Salkovskis P, Clark DM., Behav Res Ther 51(11), 2013
PMID: 24076408
The epidemiological modelling of major depressive disorder: Application for the global burden of disease study 2010
Ferrari A.J, Charlson F.J, Norman R.E, Flaxman A.D, Patten S.B, Vos T, Whiteford H.A., 2013
Is traumatic stress research global? A bibliometric analysis
Fodor K, Unterhitzenberger J, Chou C, Kartal D, Leistner S, Milosavljevic M, Alisic E., 2014

Gersons B.P.R, Meewisse M.L, Nijdam M.J, Olff M., 2011
Admitting and caring for refugees. Can their sense of self-worth be reclaimed?
Hasan A., 2015
The cross-cultural validity of posttraumatic stress disorder: implications for DSM-5.
Hinton DE, Lewis-Fernandez R., Depress Anxiety 28(9), 2010
PMID: 21910185
Cultural aspects in social anxiety and social anxiety disorder.
Hofmann SG, Anu Asnaani MA, Hinton DE., Depress Anxiety 27(12), 2010
PMID: 21132847
Trauma and posttraumatic stress disorder in Japan: results from the World Mental Health Japan Survey.
Kawakami N, Tsuchiya M, Umeda M, Koenen KC, Kessler RC; World Mental Health Survey Japan., J Psychiatr Res 53(), 2014
PMID: 24572682
Social integration is crucial for traumatized refugees
Knipscheer J, Hasan A., 2013

Knipscheer J, Kleber R., 2012
The Great East Japan earthquake: Tsunami and nuclear disaster
Maeda M, Oe M., 2015
Crime and violence in Brazil: Systematic review of time trends, prevalence rates and risk factors.
Murray J, Cerqueira DR, Kahn T., Aggress Violent Behav 18(5), 2013
PMID: 24027422
Homicide and impunity: an ecological analysis at state level in Brazil.
Nadanovsky P, Celeste RK, Wilson M, Daly M., Rev Saude Publica 43(5), 2009
PMID: 19851630
Mental health in low- and middle-income countries
Patel V., 2007
Packages of care for mental, neurological, and substance use disorders in low- and middle-income countries: PLoS medicine series
Patel V, Thornicroft G., 2009
Posttraumatic stress disorder among ethnoracial minorities in the United States
Pole N, Gone J.P, Kulkarni M., 2008
Violence and injuries in Brazil: The effect, progress made, and challenges ahead
Reichenheim M.E, Souza E.R, Moraes C.L, Jorge M.H.P.M, Silva C.M.F.P, Minayo M.C.S., 2011
The Impact of epidemic violence on the prevalence of psychiatric disorders in Sao Paulo and Rio de Janeiro, Brazil
Ribeiro W.S, Mari J.D.J, Quintana M.I, Dewey M.E, Evans-Lacko S, Vilete L.M.P, Andreoli S.B., 2013
The 10/90 divide in mental health research: trends over a 10-year period.
Saxena S, Paraje G, Sharan P, Karam G, Sadana R., Br J Psychiatry 188(), 2006
PMID: 16388075
A short-term treatment for traumatic stress disorders
Schauer M, Neuner F, Elbert T., 2011
Trauma is a global issue
Schnyder U., 2013

Psychotherapies for PTSD: what do they have in common?
Schnyder U, Ehlers A, Elbert T, Foa EB, Gersons BP, Resick PA, Shapiro F, Cloitre M., Eur J Psychotraumatol 6(), 2015
PMID: 26290178
The case for cultural competency in psychotherapeutic interventions.
Sue S, Zane N, Nagayama Hall GC, Berger LK., Annu Rev Psychol 60(), 2009
PMID: 18729724

Refugee blues: a UK and European perspective.
Turner S., Eur J Psychotraumatol 6(), 2015
PMID: 26514159

Waiselfisz J.J., 2010
Worldwide use of mental health services for anxiety, mood, and substance disorders in 17 countries in the WHO world mental health (WMH) surveys
Wang P.S, Aguilar-Gaxiola S, Alonso J, Angermeyer M.C, Borges G, Bromet E.J, Wells J.E., 2007
Meta-analysis of the efficacy of treatments for posttraumatic stress disorder.
Watts BV, Schnurr PP, Mayo L, Young-Xu Y, Weeks WB, Friedman MJ., J Clin Psychiatry 74(6), 2013
PMID: 23842024
Global status report on violence prevention

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