尼日利亚精神科患者及其家属的就医寻求行为和对精神疾病病因的看法。
Care seeking and beliefs about the cause of mental illness among Nigerian psychiatric patients and their families.
机构信息
Department of Psychiatry, Bayero University, P.M.B. 3011, Kano 234, Nigeria.
出版信息
Psychiatr Serv. 2012 Jun;63(6):616-8. doi: 10.1176/appi.ps.201000343.
OBJECTIVE
This study examined treatment seeking by 219 psychiatric patients at a teaching hospital in Kano, Nigeria.
METHODS
Patients or their families were interviewed about the types of mental health healers that patients saw before seeking conventional psychiatric treatment and beliefs about the causes of the illness.
RESULTS
The length of illness before the psychiatric consultation was 4.5 years, and 99 (45%) respondents reported that patients had previously sought religious healing. A majority of respondents (N=128, 59%) attributed the illness to supernatural forces. Up to 68% and 75% of respondents who believed in a medical or genetic cause of illness, respectively, reported seeking a psychiatric consultation within six months of onset, and about 70% who believed in supernatural forces reported seeking psychiatric consultation five years after onset or later (p<.05).
CONCLUSIONS
Mental health planners should educate alternative mental health healers and integrate them in the care of mental illness.
目的
本研究调查了尼日利亚卡诺州一家教学医院的 219 名精神科患者的治疗寻求情况。
方法
对患者或其家属进行了访谈，了解他们在寻求传统精神科治疗之前看过哪些类型的心理健康治疗师，以及他们对疾病原因的看法。
结果
在接受精神科咨询前，患者的病程为 4.5 年，99 名（45%）受访者报告患者曾寻求过宗教治疗。大多数受访者（N=128，59%）将疾病归因于超自然力量。分别有 68%和 75%的认为疾病有医学或遗传原因的受访者在发病后六个月内寻求精神科咨询，而约 70%认为疾病有超自然力量的受访者在发病五年后或更晚才寻求精神科咨询（p<.05）。
结论
精神卫生规划者应教育替代心理健康治疗师，并将他们纳入精神疾病的治疗中。
Zotero 插件