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Dinesh Bhugra

Bio: Dinesh Bhugra is an academic researcher from King's College London. The author has contributed to research in topics: Mental health & Mental illness. The author has an hindex of 70, co-authored 682 publications receiving 18690 citations. Previous affiliations of Dinesh Bhugra include World Psychiatric Association & University of Cambridge.


Papers
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Journal ArticleDOI
TL;DR: The aim of this review is to distil existing information on how migration influences individuals’ mental state and how it determines help seeking as well as pathways to care.
Abstract: Objective: Migration and its accompanying stressors affect migrating individuals and their families The process of migration is not simple or straightforward The aim of this review is to distil existing information on how migration influences individuals’ mental state and how it determines help seeking as well as pathways to care Method: The review relies on published studies in both MEDLINE and non-MEDLINE journals as well as relevant monographs The search was employed using migration, ethnic communities, stress and other relevant words for purposes of the review Results: The review provides a background on the typology of migration, its impact on communities as well as individuals Furthermore, the relationship of mental illness to migration is explored and described Future research plans are advocated in relationship with these findings Conclusion: Migration is and can be a very stress-inducing phenomenon Yet not all migrants go through the same process The clinician needs to be aware of coping strategies as well as resilience among migrants

908 citations

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TL;DR: In the second British National Survey of Psychiatric Morbidity as discussed by the authors, the authors examined associations between psychotic disorders and a number of early victimisation experiences and found that there is a marked excess of victimising experiences.
Abstract: Background Adverse early circumstances may be more common in people who later develop psychotic disorders. Aims To use data from the second British National Survey of Psychiatric Morbidity to examine associations between psychotic disorders and a number of early victimisation experiences. Method Psychiatric disorders were identified through structured assessment of adults resident in private households in Britain ( n =8580). Respondents were asked whether they had experienced selected events displayed on cards. Results Compared with respondents with other psychiatric disorders or with none, the prevalence of every experience bar one was significantly elevated in those with definite or probable psychosis. The largest odds ratio was for sexual abuse. Controlling for depressed mood somewhat reduced the odds ratios for the individual experiences. Conclusions In people with psychosis, there is a marked excess of victimising experiences, many of which will have occurred during childhood. This is suggestive of a social contribution to aetiology.

544 citations

Journal Article
TL;DR: The complex interplay of the migration process, cultural bereavement, cultural identity, and cultural congruity, along with biological, psychological and social factors, is hypothesized as playing a major role in the increased rates of mental illness in affected migrant groups.

490 citations

Journal ArticleDOI
TL;DR: There is limited evidence on the effectiveness of cultural competency training and service delivery and further work is required to evaluate improvement in service users' experiences and outcomes.
Abstract: Cultural competency is now a core requirement for mental health professionals working with culturally diverse patient groups. Cultural competency training may improve the quality of mental health care for ethnic groups. A systematic review that included evaluated models of professional education or service delivery. Of 109 potential papers, only 9 included an evaluation of the model to improve the cultural competency practice and service delivery. All 9 studies were located in North America. Cultural competency included modification of clinical practice and organizational performance. Few studies published their teaching and learning methods. Only three studies used quantitative outcomes. One of these showed a change in attitudes and skills of staff following training. The cultural consultation model showed evidence of significant satisfaction by clinicians using the service. No studies investigated service user experiences and outcomes. There is limited evidence on the effectiveness of cultural competency training and service delivery. Further work is required to evaluate improvement in service users' experiences and outcomes.

391 citations

01 Jan 2011

388 citations


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5,680 citations

Journal Article
TL;DR: This research examines the interaction between demand and socioeconomic attributes through Mixed Logit models and the state of art in the field of automatic transport systems in the CityMobil project.
Abstract: 2 1 The innovative transport systems and the CityMobil project 10 1.1 The research questions 10 2 The state of art in the field of automatic transport systems 12 2.1 Case studies and demand studies for innovative transport systems 12 3 The design and implementation of surveys 14 3.1 Definition of experimental design 14 3.2 Questionnaire design and delivery 16 3.3 First analyses on the collected sample 18 4 Calibration of Logit Multionomial demand models 21 4.1 Methodology 21 4.2 Calibration of the “full” model. 22 4.3 Calibration of the “final” model 24 4.4 The demand analysis through the final Multinomial Logit model 25 5 The analysis of interaction between the demand and socioeconomic attributes 31 5.1 Methodology 31 5.2 Application of Mixed Logit models to the demand 31 5.3 Analysis of the interactions between demand and socioeconomic attributes through Mixed Logit models 32 5.4 Mixed Logit model and interaction between age and the demand for the CTS 38 5.5 Demand analysis with Mixed Logit model 39 6 Final analyses and conclusions 45 6.1 Comparison between the results of the analyses 45 6.2 Conclusions 48 6.3 Answers to the research questions and future developments 52

4,784 citations

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TL;DR: The authors found that people are much more likely to believe stories that favor their preferred candidate, especially if they have ideologically segregated social media networks, and that the average American adult saw on the order of one or perhaps several fake news stories in the months around the 2016 U.S. presidential election, with just over half of those who recalled seeing them believing them.
Abstract: Following the 2016 U.S. presidential election, many have expressed concern about the effects of false stories (“fake news”), circulated largely through social media. We discuss the economics of fake news and present new data on its consumption prior to the election. Drawing on web browsing data, archives of fact-checking websites, and results from a new online survey, we find: (i) social media was an important but not dominant source of election news, with 14 percent of Americans calling social media their “most important” source; (ii) of the known false news stories that appeared in the three months before the election, those favoring Trump were shared a total of 30 million times on Facebook, while those favoring Clinton were shared 8 million times; (iii) the average American adult saw on the order of one or perhaps several fake news stories in the months around the election, with just over half of those who recalled seeing them believing them; and (iv) people are much more likely to believe stories that favor their preferred candidate, especially if they have ideologically segregated social media networks.

3,959 citations