Explanatory models of psychosis amongst British South Asians

被引:21
作者
Bhikha, Aqeela [1 ]
Farooq, Saeed [2 ,3 ]
Chaudhry, Nasim [4 ,5 ]
Naeem, Farooq [6 ,7 ]
Husain, Nusrat [1 ]
机构
[1] Univ Manchester, Inst Brain Behav & Mental Hlth, Jean McFarlane Bldg,Oxford Rd, Manchester M13 9PL, Lancs, England
[2] Staffordshire Univ, Stafford ST18 0AD, Staffs, England
[3] Staffordshire Univ, Black Cty Partnership, NHS Fdn Trust, Stafford ST18 0AD, Staffs, England
[4] Greater Manchester West Mental Hlth Fdn Trust, Salford M68HG, Lancs, England
[5] Univ Manchester, Meadowbrook Psychiat Unit, Salford M68HG, Lancs, England
[6] Queens Univ, Kingston, ON, Canada
[7] AMHS KFLA, Kingston, ON K7L 1B9, Canada
关键词
Explanatory models; Illness beliefs; Psychosis; Schizophrenia; British South Asian; Faith healers;
D O I
10.1016/j.ajp.2015.05.042
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Purpose: A strong interest in the understanding, exploring, and extracting explanatory models of psychosis has recently arisen. Explanatory models (EMs) offer justifications and propose explanations when coping with and treating illnesses. Therefore, they may be important predictors of clinical outcome. Explanatory models of psychosis have been explored in many non-Western countries. However, very little research has examined EMs of psychosis in the UK. We therefore, aimed to elicit and describe explanatory models of psychosis amongst British South Asians, using both quantitative and qualitative methods. Method: EMs of psychosis were examined using the Short Explanatory Model Interview (SEMI) in a cross-sectional sample of 45 patients. Results: Most patients (55.5%) attributed their illness to supernatural causes. Few patients cited a biological (4.4%) cause. Majority of patients held dual EMs of psychosis (77.7%), combining prescribed medication and seeing a traditional healer as a treatment method. Duration of Untreated Psychosis (DUP) was not significantly associated with EMs of psychosis. Conclusion: The results suggest that patients hold multi-explanatory models in order to make sense of their illness and these stem from deep rooted traditional beliefs. This highlights the importance of educational intervention, culturally adapted psychological interventions and possibly working together with traditional healers in the UK to provide a positive support system. Further work is required in order to fully understand the relationship between EMs of psychosis and DUP. (C) 2015 Elsevier B.V. All rights reserved.
引用
收藏
页码:48 / 54
页数:7
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