Danielle Groleau

Danielle Groleau
McGill University | McGill · Division of Social and Transcultural Psychiatry

PhD Public Health

About

76
Publications
22,929
Reads
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2,647
Citations
Citations since 2017
23 Research Items
1360 Citations
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Introduction
My current research funded by Brain-Canada is a clinical trial evaluating the impact on wellbeing and emotional literacy of various forms of expressive writing activity (i.e. slam, poetry, narrative) on teenagers living in a youth protection center.
Skills and Expertise
Additional affiliations
January 2001 - present
McGill University
Position
  • Professor (Associate)
May 1999 - present
Lady Davis Institute for Medical Research
Position
  • Senior Investigator

Publications

Publications (76)
Article
Although breastfeeding is beneficial to the health of babies born into poverty, rates have remained consistently low among this group. This paper presents findings from a study conducted with poor French Canadian women, who were exposed to breastfeeding promotion. Analysis of 31 qualitative interviews suggests that the 'good mother' imperative in c...
Article
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Weak external validity of qualitative data has been a subject of debate outside and within the field of qualitative health research. Though some narratives have the power to reveal universal existential issues and inform theoretical development, each story remains unique and cannot be generalized. If the goal of qualitative researchers is to have n...
Article
This study focuses on Brazilian mothers who gave birth to premature babies who were discharged from hospital using the Kangaroo Mother Care Method. While mothers left the hospital breastfeeding exclusively, once back at home, they abandoned exclusive breastfeeding because of insufficient breast milk (IBM). In this project we explored how IBM was in...
Article
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This article summarizes the rationale, development and application of the McGill Illness Narrative Interview (MINI), a theoretically driven, semistructured, qualitative interview protocol designed to elicit illness narratives in health research. The MINI is sequentially structured with three main sections that obtain: (1) A basic temporal narrative...
Article
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Female genital mutilation (FGM) is justified by sociocultural arguments, including that it guarantees girls’/women’s appropriate sexual behavior, thus preserving family honor. We explored the perspectives of Guineans who do not practice FGM (“positive deviants”), as well as of Guineans who still practice FGM but who are supportive of abandoning the...
Article
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Background: While the deleterious effects of FGM/C on physical health are well documented, the psychological experience of this harmful practice is a neglected area of research, which limits global mental health actions. As FGM/C was a traditional practice in some areas of Nigeria, the study aimed to understand the psychological experience of FGM/...
Preprint
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Background: While the deleterious effects of FGM/C on physical health are well documented, the psychological experience of this harmful practice is a neglected area of research, which limit global mental health actions. As FGM/C was a traditional practice in some areas of Nigeria, the study aimed to understand the psychological lived experience of...
Article
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The study explores how children in an inner‐city community of Jamaica deal with everyday violence. Using an art‐based method called body mapping, we explored the ways children made sense of issues related to power, vulnerability, risk and resilience. The findings show how children's narratives and memories of their bodies merged with broader social...
Article
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According to a growing body of research, betrayal by a romantic partner is increasingly considered as a form of interpersonal trauma. Between 30% and 60% of betrayed individuals experience symptoms of posttraumatic stress disorder (PTSD), depression, and anxiety to clinically meaningful levels. From a clinical perspective, this constellation of sym...
Article
Introduction: Women living with HIV in Canada experience barriers to comprehensive HIV care. We sought to describe care gaps across a typology of care. Methods: We analyzed baseline data from the Canadian HIV Women's Sexual and Reproductive Health Cohort Study (CHIWOS). A typology of care was characterized by primary HIV physician and care setting...
Article
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Background: Female genital mutilation (FGM) can give rise to immediate and long-term health problems for girls/women. Numerous studies have identified the sociocultural determinants of this tradition, but so far, in a national context where FGM is highly practiced, virtually none have focused on people refusing to have their daughters cut. We ther...
Article
Evidence about psychological experiences surrounding female genital mutilation/cutting (FGM/C) remains weak and inconclusive. This article is the first of a series that deploys qualitative methods to ascertain the psychological experiences associated with FGM/C through the lifecycle of women. Using the free listing method, 103 girls and women, aged...
Article
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Background: Hyperemesis gravidarum (HG) is a rare complication of pregnancy that involves persistent nausea and extreme vomiting to an intensity that differentiates HG from nausea and vomiting commonly experienced during pregnancy. Research has suggested potential biological and psychological etiological pathways for HG, but the augmented prevalen...
Poster
Romantic betrayal may precipitate an adjustment disorder in some individuals, an event-related psychological disturbance that is characterized by anxiety, depression, and posttraumatic stress disorder-like symptoms of intrusions, avoidance, increased vigilance, and failure-to-adapt. Although prior qualitative work suggests that romantic partner bet...
Article
This paper examines the role of culture and place in recovery from severe mental illness amongst a group of Québécois living in Montreal, Canada. Results indicate that dominant cultural characteristics of Québécois, such as a marked Roman Catholic heritage, use of the French language and a close affiliation with the natural territory of Québec can...
Article
Background Contextually appropriate interventions delivered by primary maternal care providers (PMCPs) might be effective in reducing the treatment gap for perinatal depression. Aim To compare high-intensity treatment (HIT) with low-intensity treatment (LIT) for perinatal depression. Method Cluster randomised clinical trial, conducted in Ibadan,...
Article
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Introduction: Expressive writing interventions consist of brief writing sessions on thoughts and emotions and are known to yield positive benefits on adolescents' mental health. However, the psychological mechanisms explaining these effects are not clear. Method: This review explored the psychological processes underlying school-based expressive...
Article
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Background: Despite recent developments aimed at creating international guidelines for ethical global health research, critical disconnections remain between how global health research is conducted in the field and the institutional ethics frameworks intended to guide research practice. Discussion: In this paper we attempt to map out the ethical...
Article
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Background: Women comprise nearly one-quarter of people living with human immunodeficiency virus (HIV) in Canada. Compared with men, women living with HIV experience inequities in HIV care and health outcomes, prompting a need for gendered and tailored approaches to HIV care. Method: Peer and academic researchers from the Canadian HIV Women's Se...
Article
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Background Perinatal maternal depression is common and undertreated in many sub-Saharan African countries, including Nigeria. While culture shapes the social determinants and expression of depressive symptoms, there is a dearth of research investigating these processes in African contexts. Methods To address this gap, we conducted in-depth intervie...
Article
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Background: Female genital mutilation (FGM) is a traditional harmful practice that can cause severe physical and psychological damages to girls and women. Increasingly, trained health-care providers carry out the practice at the request of families. It is important to understand the motivations of providers in order to reduce the medicalization of...
Article
Background: Female genital mutilation (FGM) is a traditional harmful practice that can cause severe physical and psychological damages to girls and women. Increasingly, trained health-care providers carry out the practice at the request of families. It is important to understand the motivations of providers in order to reduce the medicalization of...
Article
The Baby-Friendly Hospital Initiative (BFI) is currently presented worldwide as the gold standard model of care for promoting and supporting breastfeeding. However, there is a lack of understanding about the ways in which health services, including the BFI, address the cultural change from a disembodied practice (formula feeding) to an embodied one...
Article
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Abstract The participation of patients in making decisions about their care is especially important towards the end of life because palliative care decisions involve extensive uncertainty and are heavily influenced by personal values. Yet, there is a scarcity of studies directly observing clinical interactions between palliative patients and their...
Article
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This paper presents the process of translation and cultural adaptation into Portuguese of the McGill Illness Narrative Interview – MINI, an interview protocol that is used to research meanings and modes of narrating illness experiences, tested, in the Brazilian context, for psychiatric and cancer-related problems. Two translations and their respect...
Article
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Purpose: When dealing with health issues, older cancer patients are likely to visit emergency rooms (ER), which are known to expose these patients to the risk of adverse outcomes. Little is known about the profile and reasons for such visits. The aim of this study is (1) to describe the profile of elderly cancer patients aged 70 years and older wh...
Article
Objective: The overall aim of this article is to examine the self-defined role of romantic relationships, intimacy and sexuality in recovery from severe mental illness. Method: Semistructured interviews were conducted with 35 people with severe mental illness, accompanied by participant observation. Data were analyzed using thematic analysis. R...
Article
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Depression is common among women during perinatal period and is associated with long-term adverse consequences for the mother and infant. In Nigeria, as in many other low- and-middle-income countries (LMIC), perinatal depression usually goes unrecognized and untreated. The aim of EXPONATE is to test the effectiveness and cost-effectiveness of an in...
Article
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Conversations about end-of-life care remain challenging for health care providers. The tendency to delay conversations about care options represents a barrier that impedes the ability of terminally-ill patients to participate in decision-making. Family physicians with a palliative care practice are often responsible for discussing end-of-life care...
Article
We examined how the process of cultural formulation contributes to diagnostic assessment of patients with psychotic disorders at a specialized Cultural Consultation Service (CCS). Specifically, we investigated the reasoning process used to resolve uncertainty of psychotic disorder diagnosis in African immigrant patients referred to the CCS for asse...
Chapter
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In this chapter, we describe the development, implementation and evaluation of the cultural consultation service (CCS). We begin with some background on the development of intercultural services in Montreal. The next section describes the rationale for the CCS approach and the steps involved in setting up the service. The third section provides an...
Article
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We explored the experiences of Ashkenazi Jewish and French Canadian women and meanings attributed to their hereditary breast and ovarian cancer (HBOC) risk. We purposively sampled 40 BRCA1 or BRCA2 (BRCA) mutation carriers and conducted theoretically driven semistructured interviews. According to content analysis, participants from these two ethnoc...
Article
Emotional distress is common among patients with chronic medical illnesses, but the nature of the distress is not well understood. Our objective was to understand patients' experiences of emotional distress by conducting in-depth interviews using the McGill Illness Narrative Interview with women affected by scleroderma (N = 16). We sought to determ...
Article
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Despite growing evidence for the positive impact of the Baby-Friendly Initiative (BFI) on breastfeeding outcomes, few studies have investigated the barriers and facilitators to the implementation of Baby-Friendly practices that can be used to improve uptake of the BFI at the local or country levels. This integrative review aimed to identify and syn...
Article
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The Diagnostic and Statistical Manual of Mental Disorders of the American Psychiatric Association (DSM-IV-TR) includes an Outline for Cultural Formulation (CF) that identifies cultural information that can be used to modify diagnosis, clinical assessment and treatment plan. This study examined the use of the CF by a Cultural Consultation Service in...
Article
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The aim of the study was to assess the impact of systematic use of the DSM-IV-TR cultural formulation on diagnoses of psychotic disorders among patients of ethnic minority and immigrant backgrounds referred to a cultural consultation service (CCS) in Canada. The study entailed a review of medical records and case conference transcripts of 323 patie...
Conference Paper
Purpose: In the field of palliative care, there is a scarcity of studies exploring how clinical conversations and interactions frame the decision-making process. The aim of this paper is to propose an ontology of shared decision-making (SDM) that differs from mainstream empirical measurements, and a methodological approach that would explicitly add...
Article
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This paper wishes to contribute to the debate around citizen participation in health system decision-making that has been present internationally for the last 30 years. I argue that if we aim to change health inequalities, health professionals and planners need to understand the illness and health service experience of citizens. The concept of 'hea...
Article
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The aim of this study is to synthesize knowledge about the process of shared decision-making (SDM) in palliative care. Medline, EMBASE, CINAHL, PsychInfo, Web of Science were searched with core concepts: shared decisions, patient participation in decision-making, and palliative care. Titles and abstracts were screened according to inclusion criteri...
Article
The objective of this qualitative study was to examine how patients with nonepileptic seizures (NES) make sense of their illness experience in light of the many obstacles they may face when seeking treatment. We conducted semistructured interviews with five patients with NES to explore their illness perspectives and different modes of reasoning in...
Article
This study explored illness narratives following a myocardial infarction (MI) in French Canadians. Qualitative interviews were completed using the McGill Illness Narrative Interview with 51 patients following a first MI. Content analysis of interviews suggested that the heart was perceived as a receptacle that contained an accumulation of life's or...
Article
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La "enseñanza-aprendizaje" integra el Método Mamá Canguro brasileño para promover las habilidades maternas en la acción de amamantar a bebés prematuros o con bajo peso. Por desconocer si lo que fue enseñado integró al círculo interno de la familia, nuestro objetivo fue el de analizar como ese conocimiento sobre lactancia exclusiva fue incorporado e...
Article
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This study focuses on the therapeutic process and perceived helpfulness of dang-ki, a form of Chinese shamanistic healing, in Singapore. It aims to understand the healing symbols employed in dang-ki, whether or not patients find them helpful and whether their perceived helpfulness can be explained by the symbolic healing model (Dow, Am Anthropol 88...
Article
Background: The rationale for conducting mixed-method studies is usually based on the desire to combine the complementary strengths of qualitative and quantitative research. Typically, the former provides in-depth descriptions offering strong internal validity while the latter provides strong external validity. The exclusive use of quantitative met...
Conference Paper
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Background: The real magnitude of the HIV/AIDS epidemic in rural areas of Brazil is unknown. This study investigated social and cultural constructions of HIV/AIDS and implications for prevention activities in rural areas of Northen Minas Gerais State, Brazil. Method: An ethnographic methodology was used including semi-structured in-depth interviews...
Conference Paper
Though some narratives have the power to reveal universal existential issues and inform theoretical development, each story remains unique and cannot be generalized. If the goal of qualitative researchers is to have narrative knowledge effect social change in public health, we are faced with a pervasive problem. This paper’s main objective is to ar...
Article
Culture is an essential variable of diagnosis and treatment. A cultural perspective draws attention to the social context within which symptoms arise, are given meaning, and are managed. Ethno-cultural work on illness narratives suggests that most people can provide culturally-based explanations for their symptoms. While these explanations are inco...
Article
Full-text available
The authors aim to summarize the pedagogical approaches and curriculum used in the training of researchers in cultural psychiatry at the Division of Social and Transcultural Psychiatry at McGill University. We reviewed available published and unpublished reports on the history and development of the McGill cultural psychiatry programs to identify t...
Article
This study aimed to identify cultural factors involved in the abandonment of breastfeeding amongst Vietnamese immigrant women in Canada. Qualitative interviews were conducted with 19 mothers, exploring their perinatal experience from Vietnam to Canada. The results suggest that the decision to bottle-feed was not related to acculturation to local pr...
Article
Some evidence suggests that West Indian immigrants in Canada are a marginalized and over-burdened group. However, little attention has been given to examining health status and beliefs. We partly redress this gap by investigating health beliefs of West Indian immigrants in Montreal with somatic, emotional, or medically unexplained symptoms. The ove...
Article
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Studies suggest that non-European immigrants to Canada tend to under use mental health services, compared with Canadian-born people. Social, cultural, religious, linguistic, geographic, and economic variables may contribute to this underuse. This paper explores the reasons for underuse of conventional mental health services in a community sample of...
Article
Hyperemesis Gravidarum (HG) is a medical condition that occurs during pregnancy, which manifests itself by very severe nausea and vomiting that can require hospitalization. Patients'caracteristics include ketone bodies in the urine, altered levels of electrolytes, dehydration, and for many women a weight loss of over 5%. More recently the literatur...
Article
Full-text available
Patients with medically unexplained symptoms comprise from 15% to 30% of all primary care consultations. Physicians often assume that psychological factors account for these symptoms, but current theories of psychogenic causation, somatization, and somatic amplification cannot fully account for common unexplained symptoms. Psychophysiological and s...
Article
We examined the symptom experience and illness explanations of Vietnamese immigrants to Canada through narratives collected during a study of pathways and barriers to mental health care. The narratives presented two culture-related explanatory models: phong thâp and uâ't u'ć. Common elements in the narratives of those who suffered from uâ't u'ć wer...
Article
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This paper reports results from the evaluation of a cultural consultation service (CCS) for mental health practitioners and primary care clinicians. The service was designed to improve the delivery of mental health services in mainstream settings for a culturally diverse urban population including immigrants, refugees, and ethnocultural minority gr...
Article
Objectives This paper reports results from the evaluation of a cultural consultation service (CCS) for mental health practitioners and primary care clinicians. The service was designed to improve the delivery of mental health services in mainstream settings for a culturally diverse urban population including immigrants, refugees, and ethnocultural...
Article
This article reviews epidemiologic and ethnographic evidence for the cultural shaping of the causes, symptomatology, and course of affective disorders. Cross-cultural research demonstrates much overlap of depression with anxiety, somatoform, and dissociative disorders, raising questions about the universality of the prototypical representation of d...
Article
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Cette présentation a été effectuée le 22 novembre 2010, au cours de la journée « Approches qualitatives pour l'évaluation de la mise en oeuvre des actions de santé publique » dans le cadre des 14es Journées annuelles de santé publique (JASP 2010). L'ensemble des présentations est disponible sur le site Web des JASP, à l'adresse http://www.inspq.qc....
Article
Thèse (M.Sc.) - Université de Montréal, 1988. Bibliogr. : f. i-vii. Microfiche du ms dactylographié.

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