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Tehrani H, Nejatian M, Jafari A. Use and perception of complementary and alternative medicine among Iranian psychologists. JOURNAL OF COMPLEMENTARY & INTEGRATIVE MEDICINE 2023; 20:181-190. [PMID: 34648698 DOI: 10.1515/jcim-2021-0285] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/02/2021] [Accepted: 10/05/2021] [Indexed: 06/13/2023]
Abstract
OBJECTIVES The seeking and use of Complementary and Alternative Medicine (CAM) modalities by people to treat mental disorders has increased and it is necessary for psychologists to have the necessary information in this field. This study aims to evaluate the use and perception of CAM by Iranian psychologists. METHODS This cross-sectional study was conducted on 100 psychologists selected by the census in 2019. Data collection tools consisted of four sections of the demographic section, the CAM questionnaire for psychologists, awareness of CAM, and use of CAM. The validity and reliability of this questionnaire were confirmed. RESULTS The mean (standard deviation) scores of attitude and educational needs were 40.45 (11.36) and 33.93 (5.96), respectively. Only 19.25% of psychologists had sufficient knowledge of CAM, and most of them (56.34%) reported that there is an educational need for CAM. In this study, 64% of psychologists used CAM for themselves. There was a significant relationship between the attitude toward CAM modalities and the suggestion of CAM to the clients (p=0.025). There was also a significant relationship between the use of CAM by psychologists and the suggestion of these modalities to their clients (p<0.001). CONCLUSIONS Psychologists had not sufficient awareness about CAM and had a moderate attitude. Most of the psychologists reported that there is educational need for CAM. Therefore, it is necessary to design and implement appropriate training courses for psychologists toward CAM modalities.
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Affiliation(s)
- Hadi Tehrani
- Health Education and Health Promotion, Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Mahbobeh Nejatian
- Clinical Psychology, Social Determinants of Health Research Center, Gonabad University of Medical Sciences, Gonabad, Iran
| | - Alireza Jafari
- Department of Health Education and Health Promotion, School of Health, Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran
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2
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The acceptability of cognitive behaviour therapy in Indonesian community health care. COGNITIVE BEHAVIOUR THERAPIST 2022. [DOI: 10.1017/s1754470x22000228] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
Abstract
Cognitive behaviour therapy (CBT) is considered to be the most empirically supported treatment in the Western world. However, many authors emphasize the need for cultural adaptations of CBT for patients in a non-Western context. Before considering such adaptations, it is important to investigate the reasons and the degree to which this type of treatment should be adapted. One important factor is the acceptability of CBT by local health care consumers in non-Western countries, for which there is only very limited empirical evidence. This explorative study aimed to investigate the acceptability of CBT’s principles and specific interventions in Indonesia. Lectures and video clips were developed, demonstrating various mainstream CBT principles and procedures. These were presented to 32 out-patients and mental health volunteers from various Indonesian community health centres (Puskesmas), who were asked to rate to what extent they considered the presented materials to be acceptable in accordance with their personal, family, cultural and religious values. Acceptance in all four value domains was rated as very high for the general features of CBT, as well as for the content of the video clips. There were no significant differences in acceptability between the value domains. The presented study suggests that mainstream CBT applications, which are slightly culturally adapted in terms of language, therapist–patient interaction and presentation, might resonate well with consumers in community health centres in Indonesia.
Key learning aims
(1)
Adapting CBT to non-Western patients should be based on empirical evidence.
(2)
The potential need for adaptation of CBT might depend on the acceptability of unadapted CBT.
(3)
Acceptability is assumed to be related to patients’ values.
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Setiyawati D, Jatmika WN, Puspakesuma N, Retnowati S, Colucci E. Suicide first aid guidelines for Indonesia: a Delphi consensus study. J Ment Health 2022; 31:410-431. [DOI: 10.1080/09638237.2021.2022632] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Diana Setiyawati
- Center for Public Mental Health, Faculty of Psychology, Universitas Gadjah Mada, Yogyakarta, Indonesia
| | - Wulan Nur Jatmika
- Center for Public Mental Health, Faculty of Psychology, Universitas Gadjah Mada, Yogyakarta, Indonesia
| | - Nabila Puspakesuma
- Center for Public Mental Health, Faculty of Psychology, Universitas Gadjah Mada, Yogyakarta, Indonesia
- Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
| | - Sofia Retnowati
- Center for Public Mental Health, Faculty of Psychology, Universitas Gadjah Mada, Yogyakarta, Indonesia
| | - Erminia Colucci
- Department of Psychology, School of Science and Technology, Middlesex University London, London, UK
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Praharso NF, Pols H, Tiliopoulos N. Mental health literacy of Indonesian health practitioners and implications for mental health system development. Asian J Psychiatr 2020; 54:102168. [PMID: 33271677 DOI: 10.1016/j.ajp.2020.102168] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/09/2020] [Revised: 05/07/2020] [Accepted: 05/11/2020] [Indexed: 12/21/2022]
Abstract
Compared to other countries in the South-East Asian region, Indonesia's mental health system remains underdeveloped from significant treatment gaps, which subsequently contribute to human rights violations of mental health patients who do not receive adequate medical care. In line with the introduction of universal health coverage in 2014, the Indonesian government plans to redress this by delegating detection and early intervention of mental health services to health practitioners without specialist training in mental health, however, there is limited evidence that they can perform this role effectively. This study aims to evaluate current workforce capacity by assessing differences in mental health literacy between Indonesian mental health and non-mental health practitioners. Compared to non-mental health practitioners, mental health practitioners are significantly less likely to hold stigmatising views towards individuals with mental illness. They are also significantly more likely to correctly recognise symptoms of depression and schizophrenia and recommend and implement evidence-based interventions for these conditions. These findings suggest that task-shifting is unlikely to be an effective solution to reduce the mental health treatment gap, and it is recommended that mental health system reform in Indonesia should initially focus on expansion and retention of the specialist mental health workforce.
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Affiliation(s)
- Nurul F Praharso
- School of Psychology, The University of Sydney, NSW, Australia; School of History and Philosophy of Science, The University of Sydney, NSW, Australia.
| | - Hans Pols
- School of History and Philosophy of Science, The University of Sydney, NSW, Australia
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Liem A. "Doing My Profession is also Part of Worship": How Clinical Psychologists Address Aspects of Spirituality and Religion in Indonesia. JOURNAL OF RELIGION AND HEALTH 2020; 59:1434-1457. [PMID: 31286337 DOI: 10.1007/s10943-019-00880-0] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
This study aimed to explore how Indonesian clinical psychologists (CPs) address aspects of spirituality and religion (SR), particularly their attitudes towards and experience of it, on the mental health context. Semi-structured interviews were conducted with 43 CPs in public health centres in Yogyakarta Province, Indonesia. Data were analysed using deductive thematic analysis and they generated ten sub-themes which were merged into three central themes. The first theme was experiences related to SR, particularly in Indonesian sociocultural context. The second theme concentrated on participants' clinical experience related to SR integration into clinical practice. The last theme highlighted the effort made by participants to create holistic mental health services. The originality of this study was represented by the interview quote in the title, "Doing my profession is also part of worship". It was found that SR is part of culture and belief among Indonesian people, including CPs and mental health treatment clients. In summary, participants genuinely acknowledged that they were not able to completely detach SR from their professional practice. However, participants also pointed out that they were different with spiritual-religious healers (SRHs) and favourably welcomed future collaboration with credible SRHs. This positive attitude embodied a holistic care approach that recognises the diverse biopsycho-social-spiritual needs of clients. Therefore, professional organisations and psychology faculties should establish regulations and education of SR in psychology curricula and conventional psychotherapy to achieve this holistic mental health services in Indonesia.
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Affiliation(s)
- Andrian Liem
- School of Psychology, The University of Queensland, Room 303, McElwain Building, St Lucia, 4072, Australia.
- Indigenous Mental Health Research Centre, St Lucia, 4072, Australia.
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Liem A, Newcombe PA. Development of complementary and alternative medicine (CAM) education for clinical psychologists: An example from Indonesia. INTERNATIONAL JOURNAL OF MENTAL HEALTH 2020. [DOI: 10.1080/00207411.2019.1680079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- Andrian Liem
- School of Psychology, University of Queensland, Brisbane, Australia
- Global and Community Mental Health Research Group, Department of Psychology, Faculty of Social Sciences, University of Macau, Macao (SAR), China
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Liem A, Newcombe PA. Knowledge, attitudes, and usage of complementary-alternative medicine (CAM): A national survey of clinical psychologists in Indonesia. CURRENT PSYCHOLOGY 2019. [DOI: 10.1007/s12144-019-00290-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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Beliefs, attitudes towards, and experiences of using complementary and alternative medicine: A qualitative study of clinical psychologists in Indonesia. Eur J Integr Med 2019. [DOI: 10.1016/j.eujim.2019.01.003] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Himawan KK, Bambling M, Edirippulige S. Singleness, Religiosity, and the Implications for Counselors: The Indonesian Case. EUROPES JOURNAL OF PSYCHOLOGY 2018; 14:485-497. [PMID: 30008958 PMCID: PMC6016032 DOI: 10.5964/ejop.v14i2.1530] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2017] [Accepted: 11/12/2017] [Indexed: 11/20/2022]
Abstract
This paper explores the unique role of religiosity in assisting Indonesian singles (extensively refer to those who are never married) and how it relates to the counseling and therapeutic practices with never-married clients. Whereas the role of religiosity has been drawn into scholarly attention for its effectiveness in dealing with many situations that are particularly related to social stigma, little is known regarding its role in assisting singles to overcoming stigma due to their singleness. Indonesian society regards marriage as a social achievement and this perception places singles in an undervalued position. On the contrary, the society regards positively those who demonstrate religious attributes. Therefore, religiosity is a potential factor that mediates social perception of singles who attach themselves to religious attributes (such as: religious symbols and rituals). Using database search methodology, this paper presents an overview of how religiosity assists singles in overcoming their challenges and discusses the implications of those dynamics in counseling settings.
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Affiliation(s)
- Karel Karsten Himawan
- Faculty of Medicine, University of Queensland, Brisbane, Australia
- Faculty of Psychology, Universitas Pelita Harapan, Tangerang, Indonesia
| | - Matthew Bambling
- Faculty of Medicine, University of Queensland, Brisbane, Australia
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Evaluation of complementary-alternative medicine (CAM) questionnaire development for Indonesian clinical psychologists: A pilot study. Complement Ther Med 2017; 33:14-19. [DOI: 10.1016/j.ctim.2017.05.003] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2016] [Revised: 04/24/2017] [Accepted: 05/15/2017] [Indexed: 11/23/2022] Open
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Liem A, Newcombe PA. Indonesian provisional clinical psychologists' knowledge, attitudes, and behaviours towards complementary-alternative medicine (CAM). Complement Ther Clin Pract 2017; 28:204-211. [PMID: 28779931 DOI: 10.1016/j.ctcp.2017.06.007] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2017] [Revised: 06/07/2017] [Accepted: 06/29/2017] [Indexed: 01/30/2023]
Abstract
Sixty provisional clinical psychologists in Indonesia were emailed to seek their participation in an online-questionnaire that reflected: CAM knowledge, attitudes CAM, and CAM behaviours. Of the 60 participants approached, 44 with majority of female (95%) completed the questionnaire. The mean age of participants was 25 years. Overall, participants reported low knowledge of CAM and attitudes towards CAM were positive. While 73% reported having recommended CAM to their clients, only 39% had ever made referral. Most of the participants (98%) had used CAM personally but just over half (59%) had ever used it in clinical practice. It was found that knowledge and attitudes towards CAM did not predict CAM recommendation, personal use, nor professional use among the participants. However, CAM knowledge was found to predict CAM referrals. It is assumed that positive attitudes towards CAM integration among participants has been conflicted with their concern for CAM safety.
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Affiliation(s)
- Andrian Liem
- School of Psychology, University of Queensland, Australia.
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Setiyawati D, Colucci E, Blashki G, Wraith R, Minas H. International experts' perspectives on a curriculum for psychologists working in primary health care: implication for Indonesia. Health Psychol Behav Med 2014; 2:770-784. [PMID: 25750818 PMCID: PMC4346057 DOI: 10.1080/21642850.2014.929005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2013] [Accepted: 04/15/2014] [Indexed: 10/25/2022] Open
Abstract
Enhancing primary health care to incorporate mental health services is a key strategy for closing the treatment gap for people with mental disorders. The integration of psychological care into primary health care is a critical step in addressing poor access to mental health specialists. As the psychology profession is increasingly called upon to prepare psychologists for primary health care settings, an international experts' consensus is valuable in guiding the development of a high-quality curriculum for psychologists working in the primary health care context. A Delphi method was used to gain a consensus on the most appropriate roles and training for psychologists. Initial constructs and themes were derived from a detailed literature review and sent to 114 international experts in primary mental health care from five continents. Overall, 52 experts who participated agreed that psychologists should have wide-ranging roles and skills including clinical, health promotion and advocacy skills. This study has identified the specific roles and training needed by psychologists to enable them to work more effectively in primary health care settings. The consensus will inform the development of a curriculum for psychologists working in primary health care in Indonesia, and is part of a broader suite of studies.
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Affiliation(s)
- Diana Setiyawati
- Global and Cultural Mental Health Unit, Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne , Melbourne , Australia ; Faculty of Psychology, Universitas Gadjah Mada , Yogyakarta , Indonesia
| | - Erminia Colucci
- Global and Cultural Mental Health Unit, Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne , Melbourne , Australia
| | - Grant Blashki
- Nossal Institute for Global Health, The University of Melbourne , Melbourne , Australia
| | - Ruth Wraith
- Global and Cultural Mental Health Unit, Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne , Melbourne , Australia
| | - Harry Minas
- Global and Cultural Mental Health Unit, Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne , Melbourne , Australia
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Setiyawati D, Blashki G, Wraith R, Colucci E, Minas H. Australian experts' perspectives on a curriculum for psychologists working in primary health care: implication for Indonesia. Health Psychol Behav Med 2014; 2:970-982. [PMID: 25750829 PMCID: PMC4346017 DOI: 10.1080/21642850.2014.951937] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2013] [Accepted: 07/16/2014] [Indexed: 11/05/2022] Open
Abstract
In Indonesia there is a pressing need to scale up mental health services due to a substantial unmet need for mental health care. Integrating psychologists into primary health care can potentially deliver affordable mental health services to communities and help to close the treatment gap. Australia is one of the pioneers in integrating mental health into primary health care, and the mental health reforms in Australia may have some implications for Indonesia. The aim of this paper is to examine the Australian experience and to reflect in particular on lessons that may be learnt to inform the development of curriculum for psychologists working in primary health care in Indonesia. Data were collected through semi-structured interviews with 12 Australian experts in primary mental health care. The focus of the interview was on the roles and skills of psychologists working in primary health care with a particular focus on the appropriate curriculum for psychologists. Overall, the Australian experts agreed that psychologists' roles and training should include both clinical skills and public mental health skills. The experts also agreed that psychologists should be able to educate the community about mental health issues and be capable of undertaking research and evaluation of programs. A central theme was the need for strong collaborations with general practitioners and existing agencies in the community so that psychologists are able to make appropriate referrals and also accept referrals. The lessons learnt from the Australian experience, which are most applicable to the Indonesian setting are: (1) the importance of adequate government funding of psychologists; (2) the value of evidence-based treatments such as Cognitive Behavioural Therapy; (3) the need to specifically train psychologists for primary care; (4) the need for flexibility in the psychologist workforce (e.g. location); and (5) the value of continuing supervision for psychologists to support them in their role.
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Affiliation(s)
- Diana Setiyawati
- Global and Cultural Mental Health Unit, Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia
- Faculty of Psychology, Universitas Gadjah Mada, Yogyakarta, DIY, Indonesia
| | - Grant Blashki
- Nossal Institute for Global Health, The University of Melbourne, Melbourne, Victoria, Australia
| | - Ruth Wraith
- Global and Cultural Mental Health Unit, Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia
| | - Erminia Colucci
- Global and Cultural Mental Health Unit, Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia
| | - Harry Minas
- Global and Cultural Mental Health Unit, Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia
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