Understanding locally, culturally, and contextually relevant mental health problems among Rwandan children and adolescents affected by HIV/AIDS
Understanding locally, culturally, and contextually relevant mental health problems among Rwandan children and adolescents affected by HIV/AIDS
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DOI：
10.1080/09540121.2010.516333
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发表时间：
2011-01-01
影响因子：
1.7
通讯作者：
Safren, Steven
中科院分区：
文献类型：
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作者：
Betancourt, Theresa S.;Rubin-Smith, Julia E.;Safren, Steven
在评估撒哈拉以南非洲受艾滋病毒/艾滋病影响的儿童和青少年的心理健康时，研究人员经常采用在其他环境中制定的心理健康措施。然而，根据标准的西方精神病学标准得出的衡量标准往往基于疾病的概念性模型或术语，这些术语可能适合也可能不适合不同的人群。了解当地对心理健康问题的看法有助于选择或制定适当的措施。这项研究使用定性方法(免费列表、关键线人访谈和临床医生访谈)来了解当地人对卢旺达Rwinkwau受艾滋病毒/艾滋病影响的青年面临的心理健康问题的看法。参与者确定了几个综合征术语：agahinda Kenshi、kwiheba、guangayika、ihamuka、umushiha和uburara。虽然这些地方性症状与西方情绪、焦虑和品行障碍有一些相似之处，但它们也包含重要的特定文化特征和严重程度。我们的研究结果强调了在进行精神健康评估和为不同环境中受艾滋病毒/艾滋病影响的儿童和青少年规划干预措施时，了解精神健康综合症的当地表现的重要性。
In assessing the mental health of HIV/AIDS-affected children and adolescents in Sub-Saharan Africa, researchers often employ mental health measures developed in other settings. However, measures derived from standard Western psychiatric criteria are frequently based on conceptual models of illness or terminology that may or may not be an appropriate for diverse populations. Understanding local perceptions of mental health problems can aid in the selection or creation of appropriate measures. This study used qualitative methodologies (Free Listing, Key Informant interviews, and Clinician Interviews) to understand local perceptions of mental health problems facing HIV/AIDS-affected youth in Rwinkwavu, Rwanda. Several syndrome terms were identified by participants: agahinda kenshi, kwiheba, guhangayika, ihahamuka, umushiha, and uburara. While these local syndromes share some similarities with Western mood, anxiety, and conduct disorders, they also contain important culture-specific features and gradations of severity. Our findings underscore the importance of understanding local manifestations of mental health syndromes when conducting mental health assessments and when planning interventions for HIV/AIDS-affected children and adolescents in diverse settings.