Cross-cultural Populations Research Articles

Is there evidence for factorial invariance of the COVID Stress Scales? an analysis of North American and cross-cultural populations.

The COVID-19 pandemic impacted the mental health of more citizens globally than any previous modern viral outbreak. In response to the psychological challenges associated with COVID-19, the COVID Stress Scales (CSS) were developed to assess the presence and severity of COVID-related distress. The initial North American validation study of the CSS identified that the scale comprised five factors: danger and contamination fears, fear of socioeconomic consequences, xenophobia, checking and reassurance seeking, and traumatic stress symptoms. The CSS have since been validated across a multitude of international populations. However, findings support a five- and six-factor model. Methodological issues make interpreting most studies supporting a five-factor model challenging. The purpose of this study was to re-evaluate the factor structure of the CSS using data from North American samples, to assess for potential factorial invariance, and compare these results to cross-cultural findings. Multiple confirmatory factor analyses (mCFA) were conducted across 28 different groups (e.g., age, ethnicity/race, sex) from two large independent North American samples from 2020 (n = 6827) and 2021 (n = 5787), assessing the fit indices of the five-, six-, and alternative-factor model of the CSS. The current results provide evidence for factorial invariance of the six-factor model of the CSS across different North American demographics and highlight potential challenges in interpreting the results of studies that have supported a five-factor model of the CSS.

9 Cross-cultural comparison of cognitive functioning as a predictor of disability in older adults in an Indian and U.S. Sample

Objective:There is a well-established relationship in the literature between cognitive impairment and functional disability, such that, increased cognitive impairment is associated with diminished capacity to perform daily activities independently. However, there has been limited research on the relationship between cognitive impairment and daily functioning in older adults from an Indian population, or differences between Indian and U.S samples. The relationship may differ across these two populations due to their unique cultures. For example, India and the United States have significantly different social systems and family structures, with different emphases placed on the community as compared to the individual. Therefore, the role that older adults play or the support they receive within the family and society differs between the two countries and could significantly impact the relationship between cognitive ability and functional disability. The primary objective of this study is to further explore the similarities and differences in this relationship across cross-cultural populations. We hypothesized that individuals across both samples with lower cognitive functioning will have increased disability. Furthermore, we propose that the relationship between cognitive functioning and functional disability will be stronger in the U.S sample as compared to the Indian sample.Participants and Methods:Community-dwelling older adults were sampled through local senior centers and by convenience sampling in the United State and India, respectively (N = 40 and 36, respectively). All participants were administered the Montreal Cognitive Assessment (MoCA) to evaluate cognitive ability. Functional status was assessed using the Activities of Daily Living section of the OARS multidimensional functional questionnaire and the World Health Organization Disability Assessment Schedule (WHODAS).Results:A significant association between cognitive functioning and functional disability was demonstrated in the combined sample, i.e., the MoCA was correlated with OARS (r[70] = .42, p < .001) and the WHODAS (r[59] = -.32, p = .009). However, when comparing samples, significant differences in associations between the MoCA and functional measures were noted in the Indian and U.S. samples: In the Indian sample, the MoCA was not significantly correlated with either the WHODAS (r[38] = -.28, p = .09) or the OARS (r[39] = .17, p = .31). Comparatively, in the United States, the MoCA was correlated with the OARS (r[32] = .51, p = .002) and the WHODAS (r[26] = -.40, p = .04).Conclusions:These results, in keeping with most previous studies done in the U.S. point to a robust relationship between cognition and functional disability in the U.S sample. However, this association is substantially diminished in the Indian sample. One possible reason maybe, greater support available to older Indians may mitigate the negative effect of cognitive impairment on adaptive function. A major limitation of this study is the small sample size. Additionally, due to vast cultural differences that exist across India, the sample collected from an urban well-education population will likely not generalize to the larger country. Future research from larger and more diverse samples across the country will likely provide more valuable insight.

Evidence for an emotional adaptive function of dreams: a cross-cultural study

The function of dreams is a longstanding scientific research question. Simulation theories of dream function, which are based on the premise that dreams represent evolutionary past selective pressures and fitness improvement through modified states of consciousness, have yet to be tested in cross-cultural populations that include small-scale forager societies. Here, we analyze dream content with cross-cultural comparisons between the BaYaka (Rep. of Congo) and Hadza (Tanzania) foraging groups and Global North populations, to test the hypothesis that dreams in forager groups serve a more effective emotion regulation function due to their strong social norms and high interpersonal support. Using a linear mixed effects model we analyzed 896 dreams from 234 individuals across these populations, recorded using dream diaries. Dream texts were processed into four psychosocial constructs using the Linguistic Inquiry and Word Count (LIWC-22) dictionary. The BaYaka displayed greater community-oriented dream content. Both the BaYaka and Hadza exhibited heightened threat dream content, while, at the same time, the Hadza demonstrated low negative emotions in their dreams. The Global North Nightmare Disorder group had increased negative emotion content, and the Canadian student sample during the COVID-19 pandemic displayed the highest anxiety dream content. In conclusion, this study supports the notion that dreams in non-clinical populations can effectively regulate emotions by linking potential threats with non-fearful contexts, reducing anxiety and negative emotions through emotional release or catharsis. Overall, this work contributes to our understanding of the evolutionary significance of this altered state of consciousness.

Challenges With Using Transformative Mixed Methods Research Among Vulnerable Populations: Reflections From a Study Among US-resettled Refugees

The present methodological discussion describes and reflects on the challenges with decisions made at the planning, implementation, and closure phases of a transformative mixed methods research study aimed at exploring the social connectedness of Burmese, Congolese, Iraqi, and Somali resettled refugees and their perceptions of well-being and belongingness. Although the field of mixed methods research calls for advancement in advocacy, participation, and innovation, little research provides clear guidance in this process. Therefore, this article contributes to the field by providing tangible recommendations to direct mixed methods researchers in their work with vulnerable, cross-cultural populations, promoting a transformative approach to scholarship with vulnerable populations that creates innovative research alongside the community, appropriately representing and empowering participant voices.

Spiritual over physical formidability determines willingness to fight and sacrifice through loyalty in cross-cultural populations

Across 11 studies involving six countries from four continents (n = 3,285), we extend insights from field investigations in conflict zones to offline and online surveys to show that personal spiritual formidability-the conviction and immaterial resources (values, strengths of beliefs, character) of a person to fight-is positively associated with the will to fight and sacrifice for others. The physical formidability of groups in conflict has long been promoted as the primary factor in human decisions to fight or flee in times of conflict. Here, studies in Spain, Iraq, Lebanon, Palestine, and Morocco reveal that personal spiritual formidability, a construct distinct from religiosity, is more strongly associated with the willingness to fight and make costly self-sacrifices for the group than physical formidability. A follow-on study among cadets of the US Air Force Academy further indicates that this effect is mediated by a stronger loyalty to the group, a finding replicated in a separate study with a European sample. The results demonstrate that personal spiritual formidability is a primary determinant of the will to fight across cultures, and this individual-level factor, propelled by loyal bonds made with others, disposes citizens and combatants to fight at great personal risk.

Triguna (three qualities) personality model and two-factor conceptualization of self-compassion: a new insight to understand achievement goal orientations

BackgroundAlthough the three-dimensional Vedic personality model (Triguna) and self-compassion have been linked with a variety of life outcomes, little is known about their interplay in shaping goal orientations. We explored the interrelationships and interplay of the Triguna (Sattva, Rajas and Tamas) with positive and negative self-compassion in shaping the goal orientations of Indian students.Participants and procedureUsing convenience sampling, 190 males (M = 20.13, SD = 2.21) and 187 females (M = 19.88, SD = 1.81) were assessed on self-report measures. Data were analysed using correlational statistics, factor analysis and path analysis.ResultsFactor analyses supported our speculation that the Self-Compassion Scale is best represented by a two-factor model (positive and negative). Positive self-compassion and Sattva Guna showed positive correlations with mastery and performance goals while negative self-compassion showed an opposite pattern. Rajas and Tamas Gunas were negatively correlated with mastery and positively with performance goals. Gender, Sattva Guna and positive self-compassion accounted for significant variance in mastery while gender, Sattva and Rajas Gunas and negative self-compassion contributed to performance-approach. Sattva Guna and self-compassion (positive and negative) contributed significantly to performance-avoidance. Path analysis revealed direct as well as indirect effects of the three Gunas on the goal orientations through positive and negative self-compassion.ConclusionsThe Triguna personality and two-factor conceptualization of self-compassion evinced their relevance in understanding the goal orientations of Indian students. Re-conceptualization of the Self-Compassion Scale and its interplay with Triguna personality dimensions in shaping the goal orientations of students need further verification in diverse and cross-cultural populations.

Psychiatric, cognitive functioning and socio-cultural views of menstrual psychosis in Oman: an idiographic approach

BackgroundMost documented cases of menstrual psychosis have been from Euro-American populations with reports from cross-cultural populations being only a few. A primary aim was to determine whether the cyclical/episodic nature of menstrual psychosis among case series observed at a tertiary care unit in Oman fulfills the diagnostic criteria of the International Classification of Diseases (ICD-10) and diverge into Brockington’s sub-types (World Psychiatry. 2005;4(1):9–17). Related aims were to solicit measures of psychometric functioning of those with menstrual psychosis and associated idioms of distress.MethodsA series of consecutive patients seeking psychiatric consultation from January 2016 to December 2017 were screened via structured interview—Composite-International Diagnostic Interview (CIDI) and Brockington’s sub-types. The identified patients (n = 4) also underwent psychometric evaluation including examination of affective functioning, intellectual capacity and neuropsychological functioning (i.e.attention and concentration, learning and remembering, executive function, processing speed and speech and language). The analysis of outcome measures was via an idiographic approach.ResultsThe spectrum of distress among people with menstrual psychosis does not fit existing psychiatric nosology. Evaluations revealed that a majority of the participants displayed something akin to morbid phenomena relating to manic and psychotic symptoms. In the parlance of traditional Omani society, this would be termed “spirit possession”. In terms of classification by timing within the menstrual cycle as expounded by Brockington, the present case series in Oman fulfilled the definition of catamenial psychosis and paramenstrual psychosis. With regard to psychometric function, all participants performed adequately on indices of intellectual functioning but appeared to have impairments in neuropsychological functioning, including the dimensions of processing speed, episodic memory, and executive functioning. Within the given society, the periodicity of mind alteration has been attributed to spirit possession.ConclusionsThis is one of the first case series of its kind in the country elucidating whether the manifestation of menstrual psychosis among individuals in Oman fulfills the subtypes postulated by Brockington. The present case series suggests that menstrual psychosis is marked with neuropsychological impairments that were previously observed in other phasic manic episodes or brief psychotic disorders.

Cultural adaptation of a supportive care needs measure for Hispanic men cancer survivors

ABSTRACTObjective. Research with ethnic minority populations requires instrumentation that is cultural and linguistically relevant. The aim of this study was to translate and culturally adapt the Cancer Survivor Unmet Needs measure into Spanish. Methods. We describe the iterative, community-engaged consensus-building approaches used to adapt the instrument for Hispanic male cancer survivors. We used an exploratory sequential mixed method study design. Methods included translation and back-translation, focus groups with cancer survivors (n = 18) and providers (n = 5), use of cognitive interview techniques to evaluate the comprehension and acceptability of the adapted instrument with survivors (n = 12), ongoing input from the project's community advisory board, and preliminary psychometric analysis (n = 84). Results. The process emphasized conceptual, content, semantic, and technical equivalence. Combining qualitative and quantitative approaches offered a rigorous, systematic, and contextual approach to translation alone and supports the cultural adaptation of this measure in a purposeful and relevant manner. Conclusion. Our findings highlight the importance of going beyond translation when adapting measures for cross-cultural populations and illustrate the importance of taking culture, literacy, and language into consideration.

TENI: A comprehensive battery for cognitive assessment based on games and technology

TENI (Test de Evaluación Neuropsicológica Infantil) is an instrument developed to assess cognitive abilities in children between 3 and 9 years of age. It is based on a model that incorporates games and technology as tools to improve the assessment of children’s capacities. The test was standardized with two Chilean samples of 524 and 82 children living in urban zones. Evidence of reliability and validity based on current standards is presented. Data show good levels of reliability for all subtests. Some evidence of validity in terms of content, test structure, and association with other variables is presented. This instrument represents a novel approach and a new frontier in cognitive assessment. Further studies with clinical, rural, and cross-cultural populations are required.

The psychology of Vietnamese tiger mothers: Qualitative insights into the parenting beliefs and practices of Vietnamese-Australian mothers

To remedy the obscurity in perceptions linked with the Tiger mother phenomenon, and the dearth of research within immigrant-Asian subgroups, we attempted to provide an exploratory analysis on the parenting beliefs and practices of Vietnamese mothers. The voices of seven immigrant Vietnamese-Australian mothers from Western Australia were presented through Interpretive Phenomenological Analysis. The emergent themes revealed the development of a bi-cultural identity, education, respect, and parental control. Moreover, we found that many beliefs and practices hinge upon the cultural concepts of filial piety and Confucianism. Our findings also support the growing concern which suggest that parenting styles under Baumrinde (1971) typology are inaccurate for cross-cultural populations. Implications pertaining to culturally competent practice and directions for future research are discussed.

Psychiatrist on Mission to Help Mentally Ill People in Poor Countries

Brandon Kohrt, M.D., Ph.D., studied to become a medical anthropologist and psychiatrist. With his formal education completed, he sees his destiny as helping people in low-income countries.

Age identity, self-rated health, and life satisfaction among older adults in Dakar, Senegal.

The objectives of this quantitative study were to (1) ascertain to what extent older adults aged 50 and above feel and desire to be younger than their age, and classify themselves as young versus old; (2) compare these patterns with those found among other cross-cultural populations; and (3) assess the extent to which self-rated health and life satisfaction predict age identities. This study was carried out on a sample of 500 dwellers of the Senegalese capital aged 50 and older. This sample was constructed using the quota method to strive for representativeness. Most of the respondents wanted to be younger than their chronological age (51.8%), but only 27.8% felt younger than they were. Moreover, 80% of the sample claimed to be old. Self-rated health predicted felt age and the feeling of being old. Furthermore, the less-satisfied Dakar residents were with their life, the younger they wanted to be. We first discuss our results in a comparative perspective focused on how orientations toward individualism and collectivism could be related to age identity, and on demographic characteristics of the Senegalese population-where life expectancy is 59.3years old. We then analyze the relevance of age identity dimensions as indicators of successful aging in Dakar.

Unequal Treatment in the US

Despite interventions that have improved the overall health of the majority of Americans, racial and ethnic minorities have benefited less from these advances. Research has shown that multiple factors contribute to racial and ethnic disparities in health, health care, and cancer care. The Institute of Medicine Report, "Unequal Treatment" provides a detailed examination of racial/ethnic disparities in health care in the U.S., highlighting three clinical contributors--poor provider-patient communication, stereotyping in clinical decisionmaking, and patient mistrust. Although the findings and recommendations in "Unequal Treatment" are broad in scope, they provide a blueprint for how to address disparities in health care in general-as well as cancer care-and have direct implications for clinical practice, both nationally and internationally. We propose a patient-based approach to cross-cultural care as a model to improve communication with racial and ethnic minorities, and cross-cultural populations in general. We also highlight the importance of community based interventions, such as those that use health care navigators to promote cancer screening. If we hope to provide effective cancer care around the world, we must be attentive to the factors that impact minorities and vulnerable populations, and be prepared to address them.

Penn State Worry Questionnaire: structure and psychometric properties of the Chinese version

The Penn State Worry Questionnaire (PSWQ) is a measure of worry phenomena and has been demonstrated valid in cross-cultural populations. The present study examined the factor structure and psychometric properties of the Chinese version of PSWQ (Ch-PSWQ) in a Chinese college sample (n=1243). Exploratory factor analysis of the Ch-PSWQ revealed a two-factor solution (engagement of worry and absence of worry). Confirmatory factor analysis and model comparison supported that the model of one factor with method effect provided the best fit to the data. The Ch-PSWQ and its factors evidenced good internal consistency and both convergent and discriminate validity. The present study supports the opinion that the second factor of PSWQ not only contains the component of evaluating pathological worry, but also might represent other traits.

"trazados orales": un test neurológico multicultural con bajos requerimientos académicos

"TRAIL MAKING TEST" (TMT) is a two-part neuropsychological test we cannot administer to younger or less educated subjects, or to any subjects who have not learned the sequence of the letters of the alphabet; its two trails also have dissimilar length. This oral version is based on the mental routine of reciting 20 numbers from one to 20, paired at random with four recurrent fruits. On the color-interfered part B the subjects must inhibit a response and switch to another. Parts A and B correlated .66 y .70 with the TMT. OTT appears to explore executive functions in cross-cultural populations with subjects that we are now unable to test.

Common Mental Disorders among HIV-Infected Individuals in South Africa: Prevalence, Predictors, and Validation of Brief Psychiatric Rating Scales

Despite the high prevalence of both mental disorders and HIV infection in much of sub-Saharan Africa, little is known about the occurrence of mental health disorders among HIV-infected individuals. We conducted a cross-sectional study among individuals enrolled into HIV care and treatment services near Cape Town, South Africa. Psychiatric diagnoses were measured using the Mini-International Neuropsychiatric Interview (MINI) administered by trained research nurses. In addition, all participants were administered brief rating scales for depression (the Center for Epidemiological Studies Depression Scale [CES-D]), posttraumatic stress disorder (PTSD), the Harvard Trauma Questionnaire (HTQ), and alcohol dependence/abuse (the Alcohol Use Disorders Identification Test [AUDIT]). The median age among the 465 participants was 33 years and 75% were female; 48% were receiving antiretroviral therapy. Overall, the prevalence of depression, PTSD and alcohol dependence/abuse was 14% (n = 62), 5% (n = 24), and 7% (n = 35), respectively. In multivariate analysis, the prevalence of all disorders was significantly higher among individuals who spoke Afrikaans compared to Xhosa. While the AUDIT showed excellent sensitivity and specificity in detecting MINI-defined dependence/abuse (area under the receiver-operating characteristic curve, 0.96), the HTQ and CES-D had lower performance characteristics in detecting PTSD (0.74) and depression (0.76), respectively. These data demonstrate high levels of depression, PTSD and alcohol dependence/abuse among HIV-infected individuals in this setting. Additional research is required to refine these rating scales for maximum applicability in cross-cultural populations. More generally, HIV care and treatment services represent an important venue to identify and manage individuals with common mental disorders in resource-limited settings.

Psychometric analyses of the Clinician-Administered PTSD Scale (CAPS)--Bosnian Translation.

Methods for assessing psychological distress in culturally diverse populations are not firmly established. This study was designed to examine the psychometric properties of the Bosnian translation of the Clinician-Administered PTSD Scale (CAPS; D. D. Blake, F. W. Weathers, L. M. Nagy, D. Kaloupek, G. Klauminzer, D. Charney, et al., 1995) in a Bosnian refugee sample. The authors interviewed 115 help-seeking Bosnian refugees with the CAPS-Bosnian translation to examine its internal consistency and convergent validity, and to provide an assessment of its factor structure. This study demonstrated optimal fit with a 2-factor model of posttraumatic stress disorder (PTSD); the authors also found high reliability with a coefficient alpha of 0.92 and strong convergent validity with instruments measuring depression, anxiety, and levels of psychosocial functioning. Future directions for the assessment of PTSD in cross-cultural populations are discussed.

Menopause-related definitions

Introduction: There is confusion in the use of terminology relating to the human female menopause. In turn, this can lead to misinterpretation of research publications and an adverse effect on health care provided to women. Methods: The history of attempts to define terminology related to the human menopause is reviewed and placed in scientific and clinical perspective. Appropriate terminology has been used in developing a staging system for reproductive aging. Commentary: The combination of appropriate definitions of the terminology around menopause with categorization in phases of the reproductive aging process allows for accurate selection of study populations in clinical research studies related to the menopause transition and beyond. In turn, this will allow for direct comparison of results of studies conducted in different geographic centers and cross-cultural populations. This is mandatory for future progress and to obviate errors that have occurred in translation of study results into guidelines for clinical practice.

Job Satisfaction Among Faculty Members in Select B-Schools

Job satisfaction has been one of the major facets of research in behavioural sciences covering wide range of cross-cultural populations. Nevertheless, researching on the satisfaction among faculty members has been unexplored, at least in India. The present paper intends to study the level of job satisfaction among the faculty members at select B-schools in the twin cities of Hyderabad and Secunderabad. The objectives of the study are to find the ranking preference for job satisfaction dimensions and to assess the satisfaction in relation to demographic variables of the faculty members. A random sample of 53 faculty from 29 B-schools, to whom a questionnaire was administered. The results reveal that faculty members prefer teaching, pay, coworkers, management and research as the top satisfaction dimensions. Further, there is significant difference between job satisfaction score according to age and designation. Implications were drawn for improving job satisfaction and also for future research considerations.

Parent-Adolescent Conflict and Its Resolution in Monogamous and Polygamous Bedouin Arab Families in Southern Israel

The purpose of this study was twofold: (1) to compare whether children from polygamous family structures significantly differ from children from monogamous family structures with regard to the frequency of parent-child conflict, and (2) whether children from these two structures employ different patterns of family conflict resolution.To address these questions, a random sample of 212 high school students (60.8% monogamous) completed a self-administered survey. The results of MANOVA show no significant differences (p > 0.05) between these two structures with regard to the frequency of parent-child conflict. The results also show similar conflict management styles between these two family structures within each of the following five domains (privacy, school and career, money spending, going out and leisure, and physical appearance).This study is unique in that it is the first empirical research to be conducted in the field of conflict resolution among youth and adolescents in polygamous marital structures and therefore, further investigation is needed to replicate these results utilizing different cross-cultural populations practicing polygamy.