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神秘信仰和传统疗法对中低收入国家转换障碍患者求医行为的影响

Impact of mystical belief and traditional healing on the health-seeking practice of conversion disorder in middle- and low-income countries.

作者信息

Sumbal Anusha, Baig Mirza M A, Sumbal Ramish

机构信息

Dow University of Health Sciences, Karachi, Pakistan.

出版信息

Ann Med Surg (Lond). 2023 Feb 17;85(3):567-568. doi: 10.1097/MS9.0000000000000109. eCollection 2023 Mar.

Abstract

Conversion disorder is a somatoform condition in which patients present with a range of neurologic deficits and sensorimotor loss with no obvious pathology. There has been a rising trend in the incidence of conversion disease in countries with low socioeconomic backgrounds, accounting to be one-third of ambulatory visits in middle and low-income countries (MLIC). However, even with such a high prevalence health-seeking practice for conversion disorder is low in MLIC. One possible reason for such behavior could be the high prevalence of mystical beliefs and traditional healing in MLIC. Existing economic distress with limited healthcare resources convinces people to opt for traditional and local healers who make use of mystical and superstition beliefs prevalent in those regions to offer prospering and cheaper methods of treatment. In this scenario, addressing and counseling mythological fallacies and the use of an economically friendly 'holistic model' of treatment should be adopted in these countries.

摘要

转换障碍是一种躯体形式障碍,患者表现出一系列神经功能缺损和感觉运动丧失,却没有明显的病理学依据。在社会经济背景较低的国家,转换障碍的发病率呈上升趋势,在中低收入国家(MLIC)占门诊就诊人数的三分之一。然而,即便患病率如此之高,在中低收入国家,因转换障碍而寻求医疗帮助的行为却很少。这种行为的一个可能原因是中低收入国家普遍存在神秘主义信仰和传统疗法。现有的经济困境和有限的医疗资源使人们选择传统的当地治疗师,这些治疗师利用这些地区普遍存在的神秘主义和迷信信仰,提供兴旺且廉价的治疗方法。在这种情况下,这些国家应采用解决和咨询神话谬误的方法,并采用经济实惠的“整体模式”进行治疗。

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