The content of delusions in a sample of South African Xhosa people with schizophrenia.
The content of delusions in a sample of South African Xhosa people with schizophrenia.
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DOI：
10.1186/s12888-017-1196-3
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发表时间：
2017-01-24
期刊：
影响因子：
4.4
通讯作者：
Stein, Dan J
中科院分区：
文献类型：
--
作者：
Campbell, Megan M;Sibeko, Goodman;Stein, Dan J
背景技术背景：虽然文化信仰和精神分裂症之间的关系得到了一些关注，相对较少的工作已经出现在非洲的背景下。在这项研究中，我们从南非科萨人的精神分裂症患者的样本，探索他们的文化信仰和疾病的解释。文章的目的是探讨这种文化背景和内容之间的关系delusions.METHODS：一个样本，包括200科萨人与精神分裂症参加南非精神分裂症基因组学研究进行了采访，使用结构化临床访谈DSM-IV轴I障碍（SCID-I）。参与者的妄想进行了主题分析，经常性themes.RESULTS：大多数参与者（n=125 72.5%）认为，其他人蛊惑他们，以使他们的精神疾病，因为他们在某种程度上嫉妒的参与者。这种解释符合以及在南部非洲社区的理解，journousy-induced巫术，并强调文化在其内容的delusions.CONCLUSIONS的重要作用：这些解释性框架的知识提高突出了潜在的价值，文化敏感的评估工具和污名干预患者的恢复。此外，这种定性分析有助于讨论妄想思想的各个方面，这些方面可能更普遍稳定，而那些方面可能更具文化差异。
BACKGROUND: Although the relationship between cultural beliefs and schizophrenia has received some attention, relatively little work has emerged from African contexts. In this study we draw from a sample of South African Xhosa people with schizophrenia, exploring their cultural beliefs and explanations of illness. The purpose of the article is to examine the relationship between this cultural context and the content of delusions.METHODS: A sample comprising 200 Xhosa people with schizophrenia participating in a South African schizophrenia genomics study were interviewed using the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I). Participant delusions were thematically analyzed for recurring themes.RESULTS: The majority of participants (n=125 72.5%) believed that others had bewitched them in order to bring about their mental illness, because they were in some way jealous of the participant. This explanation aligns well with the understanding of jealousy-induced witchcraft in Southern African communities and highlights the important role that culture plays in their content of delusions.CONCLUSIONS: Improved knowledge of these explanatory frameworks highlights the potential value of culturally sensitive assessment tools and stigma interventions in patient recovery. Furthermore such qualitative analyses contribute towards discussion about aspects of delusional thought that may be more universally stable, and those that may be more culturally variable.