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传统、宗教和文化视角下的精神疾病:关于因果信念和治疗使用的定性研究。

Traditional, religious, and cultural perspectives on mental illness: a qualitative study on causal beliefs and treatment use.

机构信息

College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates.

Adjunct Faculty, Universitas Binawan, Jakarta, Indonesia.

出版信息

Int J Qual Stud Health Well-being. 2022 Dec;17(1):2123090. doi: 10.1080/17482631.2022.2123090.

DOI:10.1080/17482631.2022.2123090
PMID:36097886
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9481114/
Abstract

PURPOSE

Limited information is known from studies regarding traditional, religious, and cultural perspectives on mental illness and the use of traditional and alternative therapies by mentally ill people in Indonesia. This study explored traditional, religious, and cultural beliefs about causes of mental illness and the use of traditional/alternative treatments for mentally ill patients.

METHOD

We adopted a qualitative content analysis method as proposed by Schreier. This study was conducted at a mental Hospital in Indonesia. We interviewed 15 nurses and 15 patients. Data were analysed using qualitative content analysis method.

RESULTS

Five discrete but interrelated themes emerged: 1) Possessed illness and belief in supernatural forces; 2) Sinful or cursed illness; 3) Witchcraft or human-made illness; 4) traditional/alternative treatments; and 5) Barriers to treatment of mental illness.

CONCLUSION

Traditional/alternative treatments play an important role in meeting the need for mental health treatment. The findings are relevant for mental health nurses who provide direct to their patients, and for other areas of mental health practice. We also found a lack of knowledge about the causes of mental illness among patients and families. Education should be at the heart of mental health promotion to raise the level of mental health literacy in Indonesia.

摘要

目的

从研究中可知,印度尼西亚人对精神疾病的传统、宗教和文化观点以及他们对传统和替代疗法的使用知之甚少。本研究探讨了精神疾病的传统、宗教和文化观念以及对精神疾病患者使用传统/替代疗法的情况。

方法

我们采用了 Schreier 提出的定性内容分析方法。该研究在印度尼西亚的一家精神病院进行。我们采访了 15 名护士和 15 名患者。使用定性内容分析方法对数据进行分析。

结果

出现了五个不同但相互关联的主题:1)被附身的疾病和对超自然力量的信仰;2)有罪或被诅咒的疾病;3)巫术或人为的疾病;4)传统/替代疗法;5)治疗精神疾病的障碍。

结论

传统/替代疗法在满足精神健康治疗需求方面发挥着重要作用。这些发现与为患者提供直接护理的精神科护士以及其他精神卫生实践领域相关。我们还发现患者和家属对精神疾病病因的了解不足。教育应该是精神卫生促进的核心,以提高印度尼西亚的精神卫生素养水平。