scholarly journals Migration-related emotional distress among Vietnamese psychiatric patients in Germany: An interdisciplinary, mixed methods study

2020 ◽  
pp. 136346152092032
Author(s):  
Main Huong Nguyen ◽  
Jörg-Christian Lanca ◽  
Eric Hahn ◽  
Anita von Poser ◽  
Edda Heyken ◽  
...  

Culture and socialization influence how individuals perceive and express emotional distress. Research therefore, must consider the context to capture individual experiences. However, the majority of studies on factors associated with emotional distress among migrants use quantitative approaches, limiting an in-depth understanding. This study investigates emic themes of emotional distress among Vietnamese migrants by integrating anthropological and psychiatric approaches. The mixed methods study first quantified differences in reported themes of distress between Vietnamese ( n = 104) and German ( n = 104) patients, who utilized two psychiatric outpatient clinics in Berlin, Germany. Based on these differences, ethnographic interviews were conducted with 20 Vietnamese patients. In the quantitative part, differences in frequency of reported distress between Vietnamese and German patients indicate cultural and migration-related issues among Vietnamese migrants, such as the upbringing of children in a transcultural context. In the qualitative part, interviews with Vietnamese patients elicited contextualizing information and additional themes of distress. Besides commonly expressed socioeconomic themes, such as work and finances, we identified affectively charged themes concerning roles toward partnership and children. A central emic theme is expressed as “moments of speechlessness,” which go beyond a lack of language proficiency and challenge patients in different spheres of life. Migration entails complex affective dynamics, determined by a specific migratory and post-migratory context. Within this context, norms and values determine which themes of distress patients articulate openly. Therefore, an interdisciplinary, mixed-methods approach can yield a contextualized understanding of emotional distress and the complex nature of migration.

Author(s):  
Stephanie D. Preston ◽  
Julia D. Liao ◽  
Theodore P. Toombs ◽  
Rainer Romero-Canyas ◽  
Julia Speiser ◽  
...  

AbstractWhat makes a flagship species effective in engaging conservation donors? Large, charismatic mammals are typically selected as ambassadors, but a few studies suggest butterflies—and monarchs in particular—may be even more appealing. To gather more information about people’s responses to monarchs, we conducted an empirical study of member submissions to a successful conservation campaign, the Monarch Story Campaign, conducted by the Environmental Defense Fund (EDF). The set of 691 stories along with their associated demographic and donation data was analyzed in a mixed-methods study using qualitative analysis and tests of association. The results showed that people often described encounters with monarchs in childhood and as adults. They expressed strong, positive emotions, and lauded the monarch’s beauty and other “awe-inspiring” qualities and expressed wonder at their lifecycle (i.e., metamorphosis and migration). They also raised conservation themes of distress at monarch loss, calls for action, and caretaking, such as being “fragile” and “in need.” Sharing personal encounters was associated with current efforts to save the species and more past financial donations, while a second pattern tied more donations to awe at the monarch’s mass migration. These results imply that conservation campaigns built around species people encounter may build lifelong awareness, concern, and actions towards conservation.


2015 ◽  
Vol 30 ◽  
pp. 861
Author(s):  
A. Ventriglio ◽  
M. Pascucci ◽  
E. Cuozzo ◽  
E. Stella ◽  
G. Vitrani ◽  
...  

2020 ◽  
Vol 30 (12) ◽  
pp. 4911-4918
Author(s):  
Anna Lena Brorsson ◽  
Karin Nordin ◽  
Kerstin Ekbom

Abstract Purpose Adherence to vitamin supplementation recommendations after bariatric surgery is generally poor, which is associated with nutritional deficiencies. Patients’ own perspectives and reasons for poor adherence to vitamin supplementation recommendations have not yet been studied in depth. The purpose of this study was first to measure the accuracy of self-reported adherence to supplementation recommendations by using objective measures of vitamin D levels in blood and thereafter to explore perceptions of barriers and facilitators to participants’ adherence to supplementation recommendations. Material and Method Participants were recruited from a prospective study investigating the outcome of bariatric surgery in adolescents with severe obesity. Mixed methods were used, including a quantitative part where vitamin D levels were analysed through 25(OH)D levels in blood and/or a questionnaire on adherence to supplementation programmes 5 years after surgery (n = 40) plus a qualitative part with semi-structured interviews (n = 20). Results We found a convergence between self-reported adherence to vitamin supplementation and vitamin D 25(OH)D levels in blood indicating honestly in self-reported responses. The qualitative evaluations resulted in the categories awareness and personal capability and external factors. In the analysis, an overall theme emerged; capacity is crucial for adherence in youth who have undergone bariatric surgery. Conclusion Bariatric surgery is a comprehensive procedure that requires lifelong treatment afterwards. There is coherence between what adolescents actually do and what they say they do. Capacity is crucial for adherence and social support has been shown to be important.


2015 ◽  
Vol 17 (1) ◽  
pp. 5-22 ◽  
Author(s):  
Frida Besong ◽  
Charlotte Holland

Abstract The concepts of sustainability and sustainability competence are controversial, complex, difficult to define and measure, and have varied meanings for different people and practices. Given the complex nature of sustainability, there is limited availability of paradigmatic frameworks to guide educators in assessing sustainability competencies. This paper introduces the Dispositions, Abilities and Behaviours (DAB) framework, which influenced the design of an intervention in 2013-2014 that profiled sustainability competencies among final year undergraduate students in a higher education institution. The results of the mixed methods study indicate that the DAB framework has good potential as a guide to educators or researchers in understanding and profiling sustainability- related abilities, attitudes and actions (areas of performance) of cohorts of students within higher education settings.


2020 ◽  
Author(s):  
Kassahun Habtamu ◽  
Abebaw Minaye ◽  
Fantahun Admas ◽  
Mesay Gebremariam ◽  
Abera Tibebu ◽  
...  

Abstract Background Several studies investigated risk and protective factors for unsafe youth migration. However, evidence on what interventions help to reduce unsafe youth migration is lacking. This study aimed primarily to identify interventions that may help to reduce unsafe youth migration from the perspectives of key stakeholders.Methods A mixed methods study was conducted in eight migration hotspot areas in Ethiopia. For the qualitative study, in-depth interviews and focus group discussions (FGD) were used to collect data. FGDs were conducted with students, teachers and parents separately. A school principal, heads of relevant offices of the local government, a community representative and a religious leader were interviewed. Thematic analysis was used to identify the prominent issues. Quantitative data were collected from students (n=800), teachers (n= 240) and parents (n=160) who were selected using multistage sampling. We developed a structured questionnaire to collect data. Descriptive statistics, t-test and one-way analysis of variance (ANOVA) were used to analyze the data.Results We identified potential interventions to reduce unsafe youth migration and grouped them into five domains: awareness and attitudinal/behavioral changes, job opportunities and training, governmental and parental roles, improving the education system, and law enforcement and migration management. The need for cooperation among stakeholders was cross-cutting. More than 80% of the survey respondents agreed or strongly agreed in that the interventions would potentially be relevant and effective. We found significant mean difference in the degree of endorsement due to age and level of education in two of the domains of interventions (i.e. enhancing access to resources and jobs and law enforcement and managing migration). Older and more educated respondents were highly likely to endorse intervention strategies more than younger and less educated respondents. Significant mean difference was observed in one of the domains (i.e. law enforcement and managing migration) due to respondent type. Teachers and parents were more likely than students to endorse the intervention.Conclusion We identified contextually relevant intervention strategies that would potentially be effective to reduce unsafe youth migration in Ethiopia. We suggest that there is to prioritize and empirically test the effectiveness of these intervention strategies.


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