Ediz Çiçek, Uzun Sevda, Mohammadnezhad Masoud, Erdaş Mehmed B
Department of Psychiatric Nursing, Faculty of Health Sciences, University of Hakkari, Hakkari, Turkiye.
Department of Psychiatric Nursing, Faculty of Health Sciences, University of Gümüşhane, Gümüşhane, Turkiye.
Indian J Psychiatry. 2024 Aug;66(8):695-703. doi: 10.4103/indianjpsychiatry.indianjpsychiatry_57_24. Epub 2024 Aug 19.
Cultural beliefs significantly shape societal attitudes toward mental illness, and these social attitudes profoundly impact help-seeking behaviors. Therefore, it is important to focus on understanding and addressing these social behaviors.
This study aimed to evaluate the effect of chronic mental illness interpretations based on culture and religious beliefs on non-medical help-seeking behaviors among patients in Türkiye.
The study was conducted from September to October 2023 using an inductive qualitative approach. In-depth face-to-face interviews were carried out with individuals diagnosed with chronic mental illness and their relatives, registered in a state-owned Community Mental Health Center (CMHC) in Türkiye. Using purposive sampling, 13 individuals who met the criteria were interviewed. Thematic analysis was used to identify themes.
Three main themes and eight sub-themes were identified, including the reasons for seeking non-medical help (psychological challenges, subjective norms, physical requirements), factors contributing to seeking non-medical help (predisposing factors, enabling factors, and myths), and reflections on the benefits of non-medical practices (perceived physical benefits, perceived psychological benefits).
It was concluded that individuals with chronic mental illness and their relatives living in the Eastern Anatolia Region of Türkiye engaged in non-medical help-seeking behaviors and mostly turned to traditional religious practices. Culture and religious beliefs emerged as primary factors leading patients to seek non-medical treatment approaches. Consequently, there is a perceived need to explore non-medical alternative methods across various mental health settings and with diverse samples in future research endeavors.
文化信仰显著塑造了社会对精神疾病的态度，而这些社会态度深刻影响了求助行为。因此，关注理解和解决这些社会行为很重要。
本研究旨在评估基于文化和宗教信仰的慢性精神疾病解读对土耳其患者非医疗求助行为的影响。
本研究于2023年9月至10月采用归纳定性方法进行。对在土耳其一家国有社区心理健康中心登记的患有慢性精神疾病的个体及其亲属进行了深入的面对面访谈。采用目的抽样法，对13名符合标准的个体进行了访谈。采用主题分析法确定主题。
确定了三个主要主题和八个子主题，包括寻求非医疗帮助的原因（心理挑战、主观规范、身体需求）、促成寻求非医疗帮助的因素（ predisposing因素、促成因素和误解）以及对非医疗实践益处的思考（感知到的身体益处、感知到的心理益处）。
得出的结论是，生活在土耳其东安纳托利亚地区的慢性精神疾病患者及其亲属采取了非医疗求助行为，并且大多求助于传统宗教实践。文化和宗教信仰成为导致患者寻求非医疗治疗方法的主要因素。因此，在未来的研究中，有必要在各种心理健康环境中并以不同样本探索非医疗替代方法。
