Perceptions of psychosocial disability amongst psychiatric service users and caregivers in South Africa
Perceptions of psychosocial disability amongst psychiatric service users and caregivers in South Africa
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DOI：
10.4102/ajod.v3i1.146
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发表时间：
2014-01-01
影响因子：
1.7
通讯作者：
Petersen, Inge
中科院分区：
文献类型：
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作者：
Brooke-Sumner, Carrie;Lund, Crick;Petersen, Inge
工作背景：在南非的许多地方，除了提供精神药物外，对精神分裂症造成的心理残疾人几乎没有什么支助。适当的社区为基础的心理社会康复干预措施是一个重要的因素，精神卫生服务development.Objectives：本研究旨在使用一个解释性的疾病框架模型，以记录的经验，疾病，残疾和恢复之间的服务用户与精神分裂症和他们的照顾者在资源贫乏的地区在西北省。数据被用来提供一个上下文适当的非专家促进组psychosocial rehabilitation intervention.Method的建议：进行了18个深入的个人访谈：9与精神分裂症服务用户和9与照顾者。访谈由两名训练有素的实地研究人员进行，这两名临床心理学家都能流利地使用参与者的第一语言。所有访谈都进行了录音、翻译和转录。使用NVivo 9对数据进行主题分析。结果：参与者将疾病与巫术、贫困和压力联系起来。在疾病过程中认识到家庭冲突，造成情绪健康的压力和挑战。对诊断和生物医学治疗的了解很少。服务用户认可的关键因素是促进恢复的工作能力，和传统的治疗师和宗教structure.Conclusion的支持：根据本研究的结果，一组心理社会康复干预出现的建议，与心理教育，坚持支持，应对技能，创收和生产活动的机会。还强调了争取宗教领袖和传统治疗师支持恢复的重要性。
Background: In many parts of South Africa there is little support for people with psychosocial disability caused by schizophrenia, beyond provision of psychotropic medications. Appropriate community-based psychosocial rehabilitation interventions are a crucial element of mental health service development.Objectives: This study aimed to use an explanatory model of illness framework to document experiences of illness, disability and recovery amongst service users with schizophrenia and their caregivers in a poorly resourced area in the North West Province. Data were used to provide recommendations for a contextually appropriate non-specialist facilitated group psychosocial rehabilitation intervention.Method: Eighteen in-depth individual interviews were conducted: nine with schizophrenia service users and nine with caregivers. Interviews were conducted by two trained field researchers; both clinical psychologists fluent in the first language of participants. All interviews were recorded, translated and transcribed. Data were thematically analysed using NVivo 9.Results: Participants linked the illness to witchcraft, poverty and stress. Family conflict was recognised in the course of the illness, causing stress and challenges for emotional well-being. Knowledge of diagnosis and biomedical treatment was minimal. Key factors recognised by service users as promoting recovery were the ability to work, and the support of traditional healers and religious structures.Conclusion: Based on the findings of this study, a group psychosocial rehabilitation intervention emerged as a recommendation, with the incorporation of psycho-education, adherence support, coping skills, and opportunities for income generation and productive activity. The importance of also enlisting the support of religious leaders and traditional healers in supporting recovery is emphasised.