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Dual jeopardy for Indian service users: Qualitative study of managing comorbid schizophrenia and diabetes mellitus.

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Title: Dual jeopardy for Indian service users: Qualitative study of managing comorbid schizophrenia and diabetes mellitus.
Authors: Pavagada, Rajendra (AUTHOR), Ko, Kitty SW (AUTHOR), Lai, Simon (AUTHOR), Zeng, Irene (AUTHOR), Sanchez, Denisse (AUTHOR), Ng, Lillian (AUTHOR)
Source: Australasian Psychiatry. Jun2025, Vol. 33 Issue 3, p394-400. 7p.
Subjects: Schizophrenia, Diabetes, Mental health, Cross-cultural studies, Culture, Qualitative research, Comorbidity, Public health
Abstract: Objective: Diabetes mellitus is a sequelae of antipsychotic medication in people of Indian descent with schizophrenia. The Indian socio-cultural context amplifies challenges of managing chronic illness. The aim of this study was to explore Indian mental health service users' perspectives of managing comorbid psychosis and diabetes mellitus, specifically culture-related difficulties. Methods: In this exploratory study, people with an Indian cultural background recruited from community mental health clinics were interviewed by an Indian psychiatrist using a semi-structured questionnaire. Interviews were professionally transcribed. Reflexive thematic analysis was used to develop central organising concepts and identify themes. Results: Four themes were identified: culture-specific views on comorbidity, preferences for tailoring education to Indian language and culture, changes in interpersonal relationships within extended family and relationships with healthcare professionals. Advice from hospital services was not specific to Indian culture and there were wider impacts of illness for wider family. Conclusion: Indian New Zealanders have challenges in managing dual mental and physical illnesses. Further research is needed to develop approaches to care that emphasise service users' culture as core to understanding illness and treatment. This includes consideration of gender roles, families, communities, food, language, lifestyle and barriers to treatment. [ABSTRACT FROM AUTHOR]
Copyright of Australasian Psychiatry is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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DbLabel: Psychology and Behavioral Sciences Collection
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  Label: Title
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  Data: Dual jeopardy for Indian service users: Qualitative study of managing comorbid schizophrenia and diabetes mellitus.
– Name: Author
  Label: Authors
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  Data: <searchLink fieldCode="AR" term="%22Pavagada%2C+Rajendra%22">Pavagada, Rajendra</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ko%2C+Kitty+SW%22">Ko, Kitty SW</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lai%2C+Simon%22">Lai, Simon</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zeng%2C+Irene%22">Zeng, Irene</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sanchez%2C+Denisse%22">Sanchez, Denisse</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ng%2C+Lillian%22">Ng, Lillian</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Australasian+Psychiatry%22">Australasian Psychiatry</searchLink>. Jun2025, Vol. 33 Issue 3, p394-400. 7p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Schizophrenia%22">Schizophrenia</searchLink><br /><searchLink fieldCode="DE" term="%22Diabetes%22">Diabetes</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health%22">Mental health</searchLink><br /><searchLink fieldCode="DE" term="%22Cross-cultural+studies%22">Cross-cultural studies</searchLink><br /><searchLink fieldCode="DE" term="%22Culture%22">Culture</searchLink><br /><searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink><br /><searchLink fieldCode="DE" term="%22Comorbidity%22">Comorbidity</searchLink><br /><searchLink fieldCode="DE" term="%22Public+health%22">Public health</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: Diabetes mellitus is a sequelae of antipsychotic medication in people of Indian descent with schizophrenia. The Indian socio-cultural context amplifies challenges of managing chronic illness. The aim of this study was to explore Indian mental health service users' perspectives of managing comorbid psychosis and diabetes mellitus, specifically culture-related difficulties. Methods: In this exploratory study, people with an Indian cultural background recruited from community mental health clinics were interviewed by an Indian psychiatrist using a semi-structured questionnaire. Interviews were professionally transcribed. Reflexive thematic analysis was used to develop central organising concepts and identify themes. Results: Four themes were identified: culture-specific views on comorbidity, preferences for tailoring education to Indian language and culture, changes in interpersonal relationships within extended family and relationships with healthcare professionals. Advice from hospital services was not specific to Indian culture and there were wider impacts of illness for wider family. Conclusion: Indian New Zealanders have challenges in managing dual mental and physical illnesses. Further research is needed to develop approaches to care that emphasise service users' culture as core to understanding illness and treatment. This includes consideration of gender roles, families, communities, food, language, lifestyle and barriers to treatment. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Australasian Psychiatry is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=185681931
RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1177/10398562251316145
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      – Code: eng
        Text: English
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        PageCount: 7
        StartPage: 394
    Subjects:
      – SubjectFull: Schizophrenia
        Type: general
      – SubjectFull: Diabetes
        Type: general
      – SubjectFull: Mental health
        Type: general
      – SubjectFull: Cross-cultural studies
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      – SubjectFull: Culture
        Type: general
      – SubjectFull: Qualitative research
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      – SubjectFull: Comorbidity
        Type: general
      – SubjectFull: Public health
        Type: general
    Titles:
      – TitleFull: Dual jeopardy for Indian service users: Qualitative study of managing comorbid schizophrenia and diabetes mellitus.
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            NameFull: Pavagada, Rajendra
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            NameFull: Ko, Kitty SW
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            NameFull: Lai, Simon
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            – D: 01
              M: 06
              Text: Jun2025
              Type: published
              Y: 2025
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              Value: 33
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