International Medical Graduates in Psychiatry: Cultural Issues in Training and Continuing Professional Development.

A position paper developed by the Canadian Psychiatric Association's Education Committee and approved by the CPA's Board of Directors on August 15, 2016.

Perinatal depression in Nigeria: perspectives of women, family caregivers and health care providers.

Background: Perinatal maternal depression is common and undertreated in many sub-Saharan African countries, including Nigeria. While culture shapes the social determinants and expression of depressive symptoms, there is a dearth of research investigating these processes in African contexts.

Methods: To address this gap, we conducted in-depth interviews with 14 women with perinatal depression, 14 of their family caregivers and 11 health providers, using the as part of a larger trial of a stepped-care intervention.

The University of Manitoba Psychiatry Toolkit: Development and Evaluation.

Objective: The authors developed and measured the subsequent utilization of a web-based point-of-care information tool and meta-search filter, the University of Manitoba Psychiatry Toolkit, as well as conduct an evaluation of its impact on physicians' information seeking.

Methods: Evaluation entailed analysis of toolkit web page utilization data from user visits to the web-based toolkit, as well as an online survey distributed to psychiatrists and resident trainees to assess information gathering behaviors and attitudes regarding various sources of medical information.

Results: Electronic resources and colleagues were the preferred sources for gathering health information, while inadequate time and search skills were ranked as important barriers.

Clinician reasoning in the use of cultural formulation to resolve uncertainty in the diagnosis of psychosis.

We examined how the process of cultural formulation contributes to diagnostic assessment of patients with psychotic disorders at a specialized Cultural Consultation Service (CCS). Specifically, we investigated the reasoning process used to resolve uncertainty of psychotic disorder diagnosis in African immigrant patients referred to the CCS for assessment of possible psychotic disorder. Qualitative thematic analysis of 23 clinical case conference transcripts was used to identify clinicians' reasoning styles.

Comparing gendered and generic representations of mental illness in Canadian newspapers: an exploration of the chivalry hypothesis.

Purpose: The 'chivalry hypothesis' posits that woman are treated more compassionately by the media when compared with men. To our knowledge, no research study has explored the chivalry hypothesis as applied to people with mental illness. As such, we set out to compare three types of newspaper articles, those that focus on (1) mental illness generically; (2) a woman with mental illness; and (3) a man with mental illness.

Using the cultural formulation to resolve uncertainty in diagnoses of psychosis among ethnoculturally diverse patients.

Objective: The aim of the study was to assess the impact of systematic use of the DSM-IV-TR cultural formulation on diagnoses of psychotic disorders among patients of ethnic minority and immigrant backgrounds referred to a cultural consultation service (CCS) in Canada.

Methods: The study entailed a review of medical records and case conference transcripts of 323 patients seen in a ten-year period at the CCS to determine factors associated with change in the diagnosis of psychotic disorders by the CCS. Logistic regression analysis was used to identify variables associated with changes in diagnosis.

A brief scale to assess hospital doctors' attitudes toward collaborative care for mental health.

Objective: Collaborative care may improve mental health management in hospital settings. However, no scales assess doctors' attitudes toward its 2 core components: mental health management by nonpsychiatric physicians and psychiatric consultation. Our objective was to develop and assess the reliability and validity of the Doctors' Attitudes Toward Collaborative Care for Mental Health (DACC-MH) Scale.

Family participation in treatment, post-discharge appointment and medication adherence at a Nigerian psychiatric hospital.

In low-income countries, clinicians must seek strategies to improve treatment adherence that are non-resource intensive and easily integrated into existing treatment structures. We conducted a prospective observational cohort study to investigate the relationship of family engagement in treatment during hospitalisation with post-discharge appointment and medication adherence in 81 patients from a Nigerian psychiatric hospital. After controlling for gender, diagnosis, mental state at discharge, and marital status, family involvement was significantly associated with appointment (P=0.

A comparison of quality-of-life in schizophrenia and affective disorder patients in a Nigerian tertiary hospital.

This study determined the degree of satisfaction with various aspects of life in patients with affective disorders and schizophrenia in a Nigerian tertiary hospital. We compared quality-of-life (QOL) at onset-of-illness (first episode) with QOL at time of study and identified sociodemographic and clinical variables that may predict QOL. All consenting patients with ICD-10 compatible diagnosis of schizophrenia (n = 100) and affective disorders (n = 35) receiving treatment in the study center during the study period were interviewed.