Cultural variability regarding concepts of distress for common mental disorders (CMD) has been reported extensively in cultural clinical psychology across the globe. However, little is known about illness narratives in social communities from Southeast Europe. The purpose of this paper is to identify cultural concepts of distress (CCDs) among Albanian-speaking immigrants in Switzerland and to integrate the findings into literature from other parts of the world. Twenty semi-structured qualitative interviews were conducted using the Barts Explanatory Model Inventory (BEMI). A set of concepts was described through content analysis and semantic network analysis. The results show complex expressions of distress, which are mainly associated with post-migration living difficulties. Social problems and life-changing events mark the onset of the most common symptoms. Self-management and social support were described as the most important coping behaviors. Participants expressed trust in physical health care but little belief in psychotherapy. There is indication that mental illnesses are stigmatized in this population. It is therefore important to use non-stigmatizing terms in health communication. Moreover, individuals from this community consider suffering to be part of life, and they assume that this suffering must be endured with patience. It is vital to address these beliefs in psychological interventions.

中文翻译：

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心中的重点：瑞士讲阿尔巴尼亚语的移民中的情绪困扰概念。

在全球的文化临床心理学中，已广泛报道了有关常见精神障碍（CMD）困扰概念的文化差异。但是，对于东南欧社会社区中的疾病叙事知之甚少。本文的目的是在瑞士讲阿尔巴尼亚语的移民中识别遇险的文化概念（CCD），并将调查结果整合到世界其他地区的文献中。使用Barts解释性模型清单（BEMI）进行了20次半结构化定性访谈。通过内容分析和语义网络分析描述了一组概念。结果表明，遇难表达复杂，主要与迁徙后生活困难有关。社会问题和改变生活的事件标志着最常见症状的发作。自我管理和社会支持被描述为最重要的应对行为。参加者对物理医疗表示信任，但对心理治疗的信心却很小。有迹象表明，该人群中精神疾病受到歧视。因此，重要的是在健康交流中使用非侮辱性的术语。此外，来自这个社区的人们认为痛苦是生活的一部分，他们认为必须忍受这种痛苦。在心理干预中解决这些信念至关重要。有迹象表明，该人群中精神疾病受到歧视。因此，重要的是在健康交流中使用非侮辱性的术语。此外，来自这个社区的人们认为痛苦是生活的一部分，他们认为必须忍受这种痛苦。在心理干预中解决这些信念至关重要。有迹象表明，该人群中精神疾病受到歧视。因此，重要的是在健康交流中使用非侮辱性的术语。此外，来自这个社区的人们认为痛苦是生活的一部分，他们认为必须忍受这种痛苦。在心理干预中解决这些信念至关重要。