Joining psychiatric care and faith healing in a prayer camp in Ghana: randomised trial
Joining psychiatric care and faith healing in a prayer camp in Ghana: randomised trial
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DOI：
10.1192/bjp.2017.12
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发表时间：
2018-01-01
影响因子：
10.5
通讯作者：
Rosenheck, R.
中科院分区：
文献类型：
--
作者：
Ofori-Atta, A.;Attafuah, J.;Rosenheck, R.
背景在低收入国家的祈祷营中对严重精神疾病患者的护理给结果研究人员带来了人权问题和伦理挑战。目的从伦理上评估将传统的信仰治疗与包括药物在内的精神护理结合起来(临床试验。加纳一个祈祷营的居民被随机分配到在通常的祈祷营活动(祈祷、锁链束缚和禁食)的同时接受指定的治疗精神分裂症或情绪障碍的药物(n=71)；或者只接受祈祷营活动(n=68)。蒙面心理学家在2周、4周和6周评估简明精神病评定量表(BPRS)的结果。研究人员不鼓励使用连锁，但连锁决定仍在祈祷营工作人员的控制之下。结果实验组的简明精神病总症状显著低于对照组(P=0.003，效应值-0.48)。链条上的天数没有显著差异。结论精神科和祈祷营护理的结合带来了症状缓解，但从短期来看，并不能显著减少链条上的天数。
BackgroundCare of people with serious mental illness in prayer camps in low-income countries generates human rights concerns and ethical challenges for outcome researchers.AimsTo ethically evaluate joining traditional faith healing with psychiatric care including medications (Clinical trials. gov identifier NCT02593734).MethodResidents of a Ghana prayer camp were randomly assigned to receive either indicated medication for schizophrenia or mood disorders along with usual prayer camp activities (prayers, chain restraints and fasting) (n = 71); or the prayer camp activities alone (n = 68). Masked psychologists assessed Brief Psychiatric Rating Scale (BPRS) outcomes at 2, 4 and 6 weeks. Researchers discouraged use of chaining, but chaining decisions remained under the control of prayer camp staff.ResultsTotal BPRS symptoms were significantly lower in the experimental group (P = 0.003, effect size -0.48). There was no significant difference in days in chains.ConclusionsJoining psychiatric and prayer camp care brought symptom benefits but, in the short-run, did not significantly reduce days spent in chains.