Supernatural versus medical: Responses to mental illness from undergraduate university students in Trinidad
Supernatural versus medical: Responses to mental illness from undergraduate university students in Trinidad
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DOI：
10.1177/0020764017702412
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发表时间：
2017-06-01
影响因子：
7.5
通讯作者：
Hutchinson, Gerard
中科院分区：
文献类型：
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作者：
Ramkissoon, AnMarie Kamanie;Donald, Casswina;Hutchinson, Gerard
背景/引言：对精神疾病病因的认识可能会影响寻求帮助的行为。了解求助行为将改善服务的提供和获得。因此，这可能会改善治疗结果。方法：我们评估的看法和寻求帮助的行为周围的精神疾病在特立尼达人口的158个高等教育水平的学生（136名女性，22名男性;平均年龄30岁），通过分析他们对问卷的回答，问卷要求对一名25岁的年轻女性表现出精神分裂症症状的情况进行回答。在受访者中，32.3%的人将这些症状归因于超自然原因。具体来说，27.8%的人做她的坏和24.1%的邪恶的灵魂。总体而言，77.2%的受访者表示精神疾病是由医疗问题引起的，63.3%的受访者表示是由工作压力引起的。因此，至少有9.5%的学生对因果关系有双重看法（77.2+32.3=109.5）。那些认为因果关系是超自然的学生说，他们会从医学（p= 0.000）和超自然（p= 0.000）两种方式寻求帮助。这也适用于那些说因果关系是医学的人，也就是说，寻求宗教干预（p= 0.000）和医疗干预（.000）作为寻求健康途径的第一条路径。双重帮助-寻求行为似乎是精神疾病因果关系的宗教和医学模型整合的功能结果，即使在明确确定其中一种为可能是疾病行为的原因。
Background/Introduction: Perceptions about the aetiology of mental illness are likely to influence help-seeking behaviour. Understanding help-seeking behaviour will improve service provision and access. Therefore, this is likely to improve treatment outcomes.Methods: We assessed the perceptions and help-seeking behaviours surrounding mental illness in a Trinidadian population of 158 tertiary-level students (136 female, 22 male; mean age 30) by analysing their responses to a questionnaire which asked for responses regarding a case vignette of a 25-year-old young woman exhibiting symptoms suggestive of schizophrenia.Results: Of the respondents, 32.3% attributed the symptoms to supernatural causes. Specifically, 27.8% to someone doing her bad and 24.1% to evil spirits. In all, 77.2% of respondents indicated that mental illness was caused by medical problems and 63.3% to work stress. A minimum of 9.5% of the students therefore have dual perceptions regarding causation (77.2+32.3=109.5) Those who perceived causation to be supernatural said they would seek help from both medical (p=.000) and supernatural (p=.000) modalities. This also applied significantly to those who said the causation was medical, that is, seeking both religious intervention (p=.000) and medical intervention (.000) as the first path in the health-seeking pathway.Conclusion: Dual help-seeking behaviour seems to be the functional result of an integration of religious and medical models of mental illness causation even in respondents who clearly identified only one of these as the likely cause of the illness behaviour.