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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Format: | Article |
Language: | English |
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Taylor & Francis Group
2025-12-01
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Series: | International Journal of Qualitative Studies on Health & Well-Being |
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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. |
format | Article |
id | doaj-art-a27acf1b884b4ebebddeae4a65c65976 |
institution | Kabale University |
issn | 1748-2623 1748-2631 |
language | English |
publishDate | 2025-12-01 |
publisher | Taylor & Francis Group |
record_format | Article |
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 |
work_keys_str_mv | AT iclalyildiz culturaldifferencesindiagnosisandtreatmentperceptionsturkishcollectivisticrepresentationsofcommonmentaldisorders AT elsrommes culturaldifferencesindiagnosisandtreatmentperceptionsturkishcollectivisticrepresentationsofcommonmentaldisorders AT ennydas culturaldifferencesindiagnosisandtreatmentperceptionsturkishcollectivisticrepresentationsofcommonmentaldisorders |