Spiritual distress: an indigenous model of nonpsychotic mental illness in primary care in Harare, Zimbabwe
Spiritual distress: an indigenous model of nonpsychotic mental illness in primary care in Harare, Zimbabwe
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精神困扰：津巴布韦哈拉雷初级保健中非精神病性精神疾病的本土模式
DOI：
10.1111/j.1600-0447.1995.tb09551.x
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发表时间：
1995
影响因子：
6.7
通讯作者：
Vikram Patel
中科院分区：
文献类型：
--
作者：
Vikram Patel
疾病因果关系的精神模型在非洲很常见。本文报告了对一些相信自己的问题有精神原因的患者的临床相关性的调查。对哈拉雷初级卫生保健诊所和传统医生 (TMP) 的随机就诊者 (n = 302) 进行了横断面调查。访谈包括引出解释模型、本土和外来的精神病学措施。一半的受试者持有疾病的精神模型。根据患者、护理人员和精神科措施的判断，持有这种模型的患者精神障碍程度较高，并且更有可能患有精神疾病。此类患者的症状类似于焦虑的结构。此类患者更有可能咨询 TMP 并患有慢性病。疾病的精神模型可能代表了解释非精神病性精神疾病的令人痛苦的症状的本土模型。让他们参与初级卫生保健提供者的培训可能会提高对精神疾病的认识。
Spiritual models of illness causation are common in Africa. This article reports an investigation of some clinical correlates of patients who believe that their problem has a spiritual cause. A cross‐sectional survey of random attenders at primary health care clinics and traditional medical practitioners (TMP) in Harare (n= 302) was performed. Interviews included eliciting of explanatory models, indigenous and etic psychiatric measures. Spiritual models of illness were held by half the subjects. Patients who hold this model had higher levels of mental disorder and were more likely to have a mental illness as judged by the patient, care provider and psychiatric measures. The symptoms of such patients resemble the construct of anxiety. Such patients are more likely to consult TMP and to have a chronic illness. Spiritual models of illness may represent an indigenous model to explain the distressing symptoms of nonpsychotic mental illness. Including them in training of primary health care providers may improve the recognition of mental illness.