Explanatory model of psychosis: impact on perception of self-stigma by patients in three sub-saharan African cities.
Explanatory model of psychosis: impact on perception of self-stigma by patients in three sub-saharan African cities.
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DOI：
10.1007/s00127-016-1274-8
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发表时间：
2016-12
影响因子：
4.4
通讯作者：
Gureje O
中科院分区：
文献类型：
--
作者：
Makanjuola V;Esan Y;Oladeji B;Kola L;Appiah-Poku J;Harris B;Othieno C;Price L;Seedat S;Gureje O
背景撒哈拉以南非洲的大多数文化都相信精神病的根源是超自然的。社区中持有宗教魔法因果关系解释模型的个人对精神病患者表现出更多的污名化态度。自我污名与精神病之间的个人是不太频繁studied.MethodWe采用了混合方法的方法，包括关键线人的访谈，以引起精神病的因果关系和问卷调查评估的解释模型的信息与适应版本的量表内化的耻辱精神疾病。分别在伊巴丹（尼日利亚）、库马西（加纳）和内罗毕（肯尼亚）有24、31和30例近期使用传统或信仰治疗师治疗严重精神障碍的受试者，结果约44%（42.1%）的尼日利亚受访者有高（严重）水平的自我-加纳和肯尼亚受访者的比例分别为20.7%和37.5%。与12名自我污名水平较低的受访者中有4人（33.3%）报告了超自然归因相比，20名自我污名水平最高的受访者中有14人（70%）报告了超自然归因。当低得分者归因于超自然的因果关系，它往往是与宗教focus.ConclusionThere是一个更大的倾向，高水平的自我耻辱的人比那些低水平的归因于超自然的归因于他们的经验，一个严重的心理健康状况。
BackgroundMost cultures in sub-Saharan Africa subscribe to the belief that the root cause of psychosis is supernatural. Individuals in the community who hold a religiomagical explanatory model of causation have been shown to exhibit more stigmatizing attitudes towards people with psychosis. Self-stigma among individuals with psychosis is less frequently studied.MethodWe used a mixed-method approach, consisting of key informant’s interviews to elicit information on explanatory models of causation of psychosis and questionnaire assessment of internalized stigma with an adapted version of the Scale for Internalized Stigma of Mental Illness. Twenty-four, 31, and 30 subjects with recent experience of utilizing the service of traditional or faith healers for severe mental disorders in Ibadan (Nigeria), Kumasi (Ghana), and Nairobi (Kenya), respectively, were interviewed.ResultsAbout 44 % (42.1 %) of the Nigerian respondents had a high (severe) level of self-stigma with the respective proportions among Ghanaian and Kenyan respondents being 20.7 and 37.5 %. Compared with 4 out of a total of 12 respondents (33.3 %) who reported low self-stigma reported supernatural attribution, 14 out of 20 respondents (70 %) with the highest level of self-stigma reported supernatural attribution across the three sites. When low scorers ascribed supernatural causation, it was often with a religious focus.ConclusionThere is a greater tendency for persons with high levels of self-stigma than those with low levels to ascribe supernatural attribution to their experience of a severe mental health condition.
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影响因子：
7.5
作者：
Charles, Helen;Manoranjitham, S. D.;Jacob, K. S.
通讯作者：
Jacob, K. S.
DOI：
10.1177/002076408803400305
发表时间：
1988-01-01
期刊：
The International journal of social psychiatry
影响因子：
--
作者：
Ilechukwu, S T
通讯作者：
Ilechukwu, S T
影响因子：
2.6
作者：
Abbo C
通讯作者：
Abbo C
影响因子：
1.7
作者：
Khoury, Nayla M.;Kaiser, Bonnie N.;Kohrt, Brandon A.
通讯作者：
Kohrt, Brandon A.
影响因子：
7.3
作者：
Boyd, Jennifer E.;Adler, Emerald P.;Peters, Townley
通讯作者：
Peters, Townley