Profiles and outcome of traditional healing practices for severe mental illnesses in two districts of Eastern Uganda.
Profiles and outcome of traditional healing practices for severe mental illnesses in two districts of Eastern Uganda.
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DOI：
10.3402/gha.v4i0.7117
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发表时间：
2011
影响因子：
2.6
通讯作者：
Abbo C
中科院分区：
文献类型：
--
作者：
Abbo C
世界卫生组织估计，超过80%的非洲人因为健康原因去看传统治疗师，其中40%-60%的人患有某种精神疾病。然而，人们对这种传统治疗方法的概况和结果知之甚少。本研究的目的是描述乌干达东部布索加地区金贾和伊甘加地区严重精神疾病的传统治疗方法的概况和结果。共进行了四项研究。研究一采用焦点小组讨论（fgd），与当地社区成员和传统治疗师进行案例讨论，探讨精神病的外行概念。研究II和III是对18岁以上的传统治疗师神殿患者的横断面调查，研究IV是对研究III中诊断为精神病的患者的前瞻性队列进行的。研究1采用手工含量分析；研究II、III和IV的定量数据在单变量、双变量和多变量水平上进行分析，以确定心理困扰与社会人口因素之间的关系；在研究IV中，分析与结果相关的因素。研究IV使用了独立样本的单因素方差分析。社区给精神病（躁狂症、精神分裂症和精神病性抑郁症）起了土著名称，并对它们有多种解释模型。因此，为这些问题寻求多种解决办法。在387名受访者中，心理困扰的患病率为65.1%，其中60.2%患有可诊断的当前精神疾病，16.3%在其一生中患有一种疾病。超过80%的精神病患者同时使用生物医学和传统治疗系统。那些结合这两种系统的人似乎有更好的结果。在3个月和6个月的随访中，所有症状量表都显示减少了20%以上。传统治疗师肩负着照顾有精神健康问题的病人的重任。这就要求所有以改善个人心理健康为共同目标的人与传统治疗师接触。
The WHO estimates that more than 80% of African populations attend traditional healers for health reasons and that 40%–60% of these have some kind of mental illness. However, little is known about the profiles and outcome of this traditional approach to treatment. The purpose of this study was to describe the profiles and outcome of traditional healing practices for severe mental illnesses in Jinja and Iganga districts in the Busoga region of Eastern Uganda. Four studies were conducted. Study I used focus group discussions (FGDs) with case vignettes with local community members and traditional healers to explore the lay concepts of psychosis. Studies II and III concerned a cross-sectional survey of patients above 18 years at the traditional healer's shrines and study IV was made on a prospective cohort of patients diagnosed with psychosis in study III. Manual content analysis was used in study I; quantitative data in studies II, III, and IV were analyzed at univariate, bivariate, and multivariate levels to determine the association between psychological distress and socio-demographic factors; for study IV, factors associated with outcome were analyzed. One-way ANOVA for independent samples was the analysis used in Study IV. The community gave indigenous names to psychoses (mania, schizophrenia, and psychotic depression) and had multiple explanatory models for them. Thus multiple solutions for these problems were sought. Of the 387 respondents, the prevalence of psychological distress was 65.1%, where 60.2% had diagnosable current mental illness, and 16.3% had had one disorder in their lifetime. Over 80% of patients with psychosis used both biomedical and traditional healing systems. Those who combined these two systems seemed to have a better outcome. All the symptom scales showed a percentage reduction of more than 20% at the 3- and 6-month follow-ups. Traditional healers shoulder a large burden of care of patients with mental health problems. This calls for all those who share the goal of improving the mental health of individuals to engage with traditional healers.
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影响因子：
5.4
作者：
GREEN, EC;MAKHUBU, L
通讯作者：
MAKHUBU, L
影响因子：
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作者：
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作者：
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Abbo C
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作者：
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通讯作者：
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作者：
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