Understanding Psychosis and Stigma in Chinese Canadian Patients and Their Families
Bibliographic record
Abstract
Background: Psychosis refers to a collection of symptoms in which a person experiences a disconnection from reality. It is often accompanied by stigma, which has negative effects on access to care and mental health outcomes. Stigma is influenced by cultural norms and values. Research indicates that Chinese Canadians with severe mental health conditions face more stigma and worse mental health outcomes than their White counterparts, exacerbated by the limited availability of culturally sensitive mental health resources and services.Aims: This study seeks to (1) document the lived experiences of early psychosis and stigma in Chinese Canadian patients and their families; (2) investigate cultural influences that contribute to heightened stigma within the Chinese Canadian community; (3) propose negotiated solutions to reduce stigma.Methods: This study took place at three early intervention clinics in Montreal, Quebec. Semi-structured interviews were conducted with Chinese Canadian patients and their families using the McGill Illness Narrative Interview (MINI) and the Semi-structured Interview Measure of Stigma (SIMS). Interpretative Phenomenological Analysis (IPA) was used to identify and describe key themes that emerged from the interviews.Results: This study included ten participants, consisting of six patients (2 males, 4 females) and four parents (3 males, 1 female). Three key themes emerged: mental health beliefs (common views and attitudes to care), cultural values (filial piety and face) and communication (diagnostic labels and emotional expression). Endorsement of all superordinate themes was demonstrated in each interview, indicating their significance across all cases. Discussion: The neglect of Chinese Canadians by psychiatric research has resulted in a lack of understanding of their mental health challenges. This study explored the lived experiences of early psychosis and stigma in Chinese Canadian patients and their families in Montreal. There is an urgent need to work closely with Chinese service users to better understand their culture in relation to the diagnosis and treatment process. More culturally sensitive care and increased mental health awareness within the Chinese Canadian community are required. Solutions (i.e., interpretation and translation services, culturally adapted psychoeducation and peer support) can reduce stigma, improve access to care, enhance mental health outcomes and alleviate family burdens, thereby fostering a healing environment for Chinese Canadian patients with first episode psychosis and their families
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.003 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.002 |
| Science and technology studies | 0.017 | 0.005 |
| Scholarly communication | 0.002 | 0.001 |
| Open science | 0.001 | 0.003 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".