Skip to content Skip to sidebar Skip to footer
Home / Mental Health in China: Stigma, Family Obligations, and the Potential of Peer Support

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

Post a Comment

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 low in People's republic of china and the potential acceptability of peer support programs. Semi-structured qualitative interviews were conducted with five psychiatrists and sixteen patients receiving care for low from a large psychiatric hospital in Jining, Shandong Province of China. Patients with mental illness reported barriers that prevented them from (a) receiving handling and (b) relying on informal social back up from family members, including stigma, somatization, and customs norms. Circumventing these barriers, peer support (i.e., support from others with depression) was viewed by patients as an adequate ways of exchanging data and relying on others for back up. Determinative research on peer support programs to examine programming and activities may help reduce the burden of unmet mental health care needs in Communist china.

References

  • Berkman, 50. F., & Drinking glass, T. (2000). Social integration, social networks, social support, and health. Social Epidemiology, i, 137–173.

    Google Scholar

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

    Google Scholar

  • 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.

    Article  PubMed  Google Scholar

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

    Article  PubMed  Google Scholar

  • Deng, K., Ren, Y., Luo, Z., Du, K., Zhang, 10., & Zhang, Q. (2016). Peer Support training improved the glycemic control, insulin management, and diabetic behaviors of patients with Type ii diabetes in rural communities of central Communist china: A randomized controlled trial. Medical Science Monitor: International Medical Journal of Experimental and Clinical Research, 22, 267–275.

    Article  Google Scholar

  • Fisher, E. B., Ballesteros, J., Bhushan, N., Coufal, M. K., Kowitt, S. D., McDnough, M., … Sokol, R. (2015). Fundamental Features of Peer Support in Chronic Affliction Prevention and Direction. Health Affairs. https://doi.org/ten.1377/hlthaff.2015.0365.

    PubMed  Article  Google Scholar

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

    Commodity  PubMed  PubMed Cardinal  Google Scholar

  • House, J. Due south., Landis, Thousand. R., & Umberson, D. (1988). Social relationships and health. Science, 241(4865), 540–545.

    Article  PubMed  CAS  Google Scholar

  • Ip, 5., Chan, F., Chan, J. Y., Lee, J. K., Sung, C., & Wilson, E. H. (2015). Factors influencing Chinese college students' preferences for mental wellness professionals. Periodical of Mental Health (Abingdon, England). https://doi.org/10.3109/09638237.2015.1057328.

    Commodity  Google Scholar

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

    Article  PubMed  CAS  Google Scholar

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

    Article  Google Scholar

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

    Commodity  PubMed  Google Scholar

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

    Article  PubMed  Google Scholar

  • Kleinman, A. One thousand. (1977). Low, somatization and the "new cross-cultural psychiatry". Social Scientific discipline and Medicine (1967), 11(1), three–9.

    Article  CAS  Google Scholar

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

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

    Commodity  Google Scholar

  • Li, J., Lambert, C. E., & Lambert, V. A. (2007). Predictors of family unit caregivers' burden and quality of life when providing intendance for a family fellow member with schizophrenia in the People'south Republic of China. Nursing and Health Science, 9(three), 192–198.

    Commodity  Google Scholar

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

    Commodity  Google Scholar

  • Mehta, Northward., & Thornicroft, Chiliad. (2013). Stigma, bigotry, 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.

    Google Scholar

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

    Article  Google Scholar

  • Molassiotis, A., Callaghan, P., Twinn, Due south. F., Lam, South. W., Chung, West. Y., & Li, C. K. (2002). A airplane pilot study of the furnishings 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/x.1089/10872910252806135.

    Commodity  PubMed  CAS  Google Scholar

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

    Article  PubMed  PubMed Central  Google Scholar

  • Patel, 5., Flisher, A. J., Hetrick, Due south., & McGorry, P. (2007). Mental health of young people: A global public-health challenge. Lancet, 369(9569), 1302–1313.

    Commodity  PubMed  Google Scholar

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

    Article  PubMed  PubMed Central  Google Scholar

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

    Google Scholar

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

    Book  Google Scholar

  • Pfeiffer, P. North., Heisler, M., Piette, J. D., Rogers, M. A., & Valenstein, Thousand. (2011). Efficacy of peer back up interventions for low: A meta-analysis. General Hospital Psychiatry, 33(1), 29–36.

    Article  PubMed  Google Scholar

  • Phillips, M. R., Pearson, Five., 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.

    Commodity  PubMed  Google Scholar

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

    Article  PubMed  Google Scholar

  • 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.

    Article  PubMed  PubMed Central  Google Scholar

  • Rebeiro Gruhl, Yard. L., LaCarte, S., & Calixte, Due south. (2016). Authentic peer support work: challenges and opportunities for an evolving occupation. Journal of Mental Health (Abingdon, England), 25(i), 78–86. https://doi.org/x.3109/09638237.2015.1057322.

    Article  Google Scholar

  • Sandelowski, 1000. (2000). Focus on research methods-whatever happened to qualitative description? Enquiry in Nursing and Health, 23(4), 334–340.

    Article  PubMed  CAS  Google Scholar

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

    PubMed  Google Scholar

  • 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.

    Article  PubMed  Google Scholar

  • Thomas, K. N., Macfarlane, D. J., Guo, B., Cheung, B. Chiliad., McGhee, South. M., Chou, K. Fifty., … 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.

    Article  PubMed  Google Scholar

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

    Article  PubMed  Google Scholar

  • Uchino, B. N. (2004). Social back up and concrete health: Understanding the health consequences of relationships. New Oasis: Yale University Press.

    Book  Google Scholar

  • Wang, J., & Zhao, 10. (2012). Family functioning and social support for older patients with depression in an urban area of Shanghai, China. Athenaeum of gerontology and elderliness, 55(three), 574–579. https://doi.org/10.1016/j.archger.2012.06.011.

    Article  PubMed  Google Scholar

  • Yang, Grand., Wang, Y., Zeng, Y., Gao, G. F., Liang, X., Zhou, M., … Naghavi, One thousand. (2013). Rapid health transition in China, 1990–2010: Findings from the Global Burden of Affliction Written report 2010. The Lancet, 381(9882), 1987–2015.

    Article  Google Scholar

  • Yang, J. P., Leu, J., Simoni, J. Chiliad., 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/ten.1007/s10461-015-1041-y.

    Article  PubMed  PubMed Primal  Google Scholar

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

    PubMed  CAS  Google Scholar

  • Zhao, W., Law, S., Luo, Ten., Grub, Due west., Zhang, J., Zhu, Y., … Wang, 10. (2015). First adaptation of a family-based Deed model in Mainland Communist china: A pilot project. Psychiatric Services (Washington, D. C.), 66(4), 438–441. https://doi.org/x.1176/appi.ps.201400087.

    Article  Google Scholar

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

    Article  PubMed  Google Scholar

Download references

Funding

Ms. Kowitt, Ms. Yu and Dr. Fisher were supported by Peers for Progress at the Gillings School of Global Public Health at the Academy of North Carolina. At the fourth dimension the enquiry was conducted, it was a program of the American Academy of Family unit Physicians Foundation, supported by the Eli Lilly and Company Foundation and the Bristol-Myers Squibb Foundation.

Author information

Affiliations

  1. Peers for Progress and Department of Wellness Beliefs, Gillings School of Global Public Health, University of Due north Carolina at Chapel Hill, Rosenau Hall, CB #7440, Chapel Hill, NC, 27599-7440, USA

    Shelly Yu, Sarah D. Kowitt & Edwin B. Fisher

  2. School of Mental Health and Constitute of Behavioral Medicine, Jining Medical University, No. 16 Hehua Rd. Taibaihu New Commune, Jining, 272067, Shandong, Cathay

    Gongying Li

  3. School of Mental Health and Institute of Behavioral Medicine, Jining Medical University, No. sixteen Hehua Rd. Taibaihu New District, Jining, 272013, Shandong, China

    Gongying Li

  4. The Second Affiliated Infirmary, Jining Medical University, North Dai Zhuang, Rencheng District, Jining, 272051, Shandong, Mainland china

    Gongying Li

Corresponding authors

Correspondence to Sarah D. Kowitt or Gongying Li.

Ethics declarations

Conflict of involvement

The authors declare that they have no disharmonize of interest.

Ethical Blessing

All procedures performed in studies involving human participants were in accordance with the upstanding standards of the institutional and/or national research commission and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

About this article

Verify currency and authenticity via CrossMark

Cite this commodity

Yu, S., Kowitt, S.D., Fisher, Due east.B. et al. Mental Health in China: Stigma, Family Obligations, and the Potential of Peer Back up. Community Ment Wellness J 54, 757–764 (2018). https://doi.org/x.1007/s10597-017-0182-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Engagement:

  • DOI : https://doi.org/10.1007/s10597-017-0182-z

Keywords

  • Depression
  • Mental wellness
  • People's republic of china
  • Peer support
  • Stigma

thomasablared.blogspot.com

Source: https://link.springer.com/article/10.1007/s10597-017-0182-z

Post a Comment for "Mental Health in China: Stigma, Family Obligations, and the Potential of Peer Support"