Cultural differences in diagnosis and treatment perceptions: Turkish collectivistic representations of common mental disorders

Purpose Attention-deficit/hyperactivity disorder (ADHD) is less diagnosed among Turkish children, and Turkish clients drop out more often from depression treatments than Dutch clients. This article proposes that cultural differences in collectivistic versus individualistic perceptions of getting an...

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Main Authors: Iclal Yildiz, Els Rommes, Enny Das
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:International Journal of Qualitative Studies on Health & Well-Being
Subjects:
Online Access:http://dx.doi.org/10.1080/17482631.2025.2459353
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author Iclal Yildiz
Els Rommes
Enny Das
author_facet Iclal Yildiz
Els Rommes
Enny Das
author_sort Iclal Yildiz
collection DOAJ
description Purpose Attention-deficit/hyperactivity disorder (ADHD) is less diagnosed among Turkish children, and Turkish clients drop out more often from depression treatments than Dutch clients. This article proposes that cultural differences in collectivistic versus individualistic perceptions of getting an ADHD diagnosis and being treated for depression might explain these ethnic disparities, which have been explored in this study. Methods Nine focus group discussions with Turkish individuals and 18 interviews with primary mental health practitioners were conducted. Results Findings show that Turkish participants do not view ADHD symptoms as problematic. Parents generally do not want children to be labelled as such and get professional help because they fear this will cause interpersonal problems. Depression is seen as problematic, as it disturbs social relationships and communities. However, Turkish participants prefer mediation to cognitive behavioural therapy, since the latter does not solve interpersonal problems. Conclusions Our findings highlight a dissonance between individualistic/biomedical and collectivistic/socioecological views on health and wellbeing, in which the focus is on the individual for the Dutch versus the social group for the Turkish. To match Turkish clients’ needs, mental health professionals should tread carefully in ADHD labelling. With depression, professionals might consider interventions such as mediation in interpersonal conflicts to improve treatment adherence and outcomes.
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series International Journal of Qualitative Studies on Health & Well-Being
spelling doaj-art-a27acf1b884b4ebebddeae4a65c659762025-02-05T12:46:15ZengTaylor & Francis GroupInternational Journal of Qualitative Studies on Health & Well-Being1748-26231748-26312025-12-0120110.1080/17482631.2025.24593532459353Cultural differences in diagnosis and treatment perceptions: Turkish collectivistic representations of common mental disordersIclal Yildiz0Els Rommes1Enny Das2Radboud UniversityRadboud UniversityRadboud UniversityPurpose Attention-deficit/hyperactivity disorder (ADHD) is less diagnosed among Turkish children, and Turkish clients drop out more often from depression treatments than Dutch clients. This article proposes that cultural differences in collectivistic versus individualistic perceptions of getting an ADHD diagnosis and being treated for depression might explain these ethnic disparities, which have been explored in this study. Methods Nine focus group discussions with Turkish individuals and 18 interviews with primary mental health practitioners were conducted. Results Findings show that Turkish participants do not view ADHD symptoms as problematic. Parents generally do not want children to be labelled as such and get professional help because they fear this will cause interpersonal problems. Depression is seen as problematic, as it disturbs social relationships and communities. However, Turkish participants prefer mediation to cognitive behavioural therapy, since the latter does not solve interpersonal problems. Conclusions Our findings highlight a dissonance between individualistic/biomedical and collectivistic/socioecological views on health and wellbeing, in which the focus is on the individual for the Dutch versus the social group for the Turkish. To match Turkish clients’ needs, mental health professionals should tread carefully in ADHD labelling. With depression, professionals might consider interventions such as mediation in interpersonal conflicts to improve treatment adherence and outcomes.http://dx.doi.org/10.1080/17482631.2025.2459353biomedical paradigm of healthadhddepressioncollectivismturkish clients
spellingShingle Iclal Yildiz
Els Rommes
Enny Das
Cultural differences in diagnosis and treatment perceptions: Turkish collectivistic representations of common mental disorders
International Journal of Qualitative Studies on Health & Well-Being
biomedical paradigm of health
adhd
depression
collectivism
turkish clients
title Cultural differences in diagnosis and treatment perceptions: Turkish collectivistic representations of common mental disorders
title_full Cultural differences in diagnosis and treatment perceptions: Turkish collectivistic representations of common mental disorders
title_fullStr Cultural differences in diagnosis and treatment perceptions: Turkish collectivistic representations of common mental disorders
title_full_unstemmed Cultural differences in diagnosis and treatment perceptions: Turkish collectivistic representations of common mental disorders
title_short Cultural differences in diagnosis and treatment perceptions: Turkish collectivistic representations of common mental disorders
title_sort cultural differences in diagnosis and treatment perceptions turkish collectivistic representations of common mental disorders
topic biomedical paradigm of health
adhd
depression
collectivism
turkish clients
url http://dx.doi.org/10.1080/17482631.2025.2459353
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AT elsrommes culturaldifferencesindiagnosisandtreatmentperceptionsturkishcollectivisticrepresentationsofcommonmentaldisorders
AT ennydas culturaldifferencesindiagnosisandtreatmentperceptionsturkishcollectivisticrepresentationsofcommonmentaldisorders