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尼日利亚东南部的精神疾病病因归因。

Causal attribution of mental illness in South-Eastern Nigeria.

机构信息

1University of Wolverhampton, UK.

出版信息

Int J Soc Psychiatry. 2014 May;60(3):274-9. doi: 10.1177/0020764013485331. Epub 2013 May 15.

Abstract

BACKGROUND

Understanding of mental illness in sub-Saharan Africa has remained under-researched in spite of the high and increasing neuropsychiatric burden of disease in the region.

AIMS

This study investigated the causal beliefs that the Igbo people of south-eastern Nigeria hold about schizophrenia, with a view to establishing the extent to which the population makes psychosocial, biological and supernatural attributions.

METHOD

Multi-stage sampling was used to select participants (N = 200) to which questionnaires were administered.

RESULTS

Mean comparison of the three causal models revealed a significant endorsement of supernatural causation. Logistic regressions revealed significant contributions of old age and female gender to supernatural attribution; old age, high education and Catholic religious denomination to psychosocial attributions; and high education to biological attributions.

CONCLUSIONS

It is hoped that the findings would enlighten, augment literature and enhance mental health care service delivery.

摘要

背景

尽管该地区的神经精神疾病负担很高且不断增加,但撒哈拉以南非洲的精神疾病认知仍未得到充分研究。

目的

本研究调查了尼日利亚东南部伊博人对精神分裂症的因果信念,以期确定该人群在多大程度上做出了心理社会、生物和超自然归因。

方法

采用多阶段抽样选择参与者(N=200),并对其进行问卷调查。

结果

三种因果模型的均值比较显示,超自然原因的归因具有显著意义。逻辑回归显示,超自然归因与年龄较大和女性性别有关;心理社会归因与年龄较大、受教育程度较高和天主教教派有关;生物归因与受教育程度较高有关。

结论

希望这些发现能够启发、丰富文献并加强精神卫生保健服务的提供。

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