A study of the role of socio-cultural factors in the treatment of mental illness in Nigeria

Jegede, R. Olukayode

doi:10.1016/0271-7123(81)90045-6

Cited by 14 publications

(13 citation statements)

References 8 publications

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“…In addition to a significant delay before referral to hospital, over 60 % of the patients had spent various lecgths of time with traditional and religious healers before coming to hospital, while about 7% had shunted between traditional and religious healers on the one hand and orthodox medical facilities on the other. This type of illness behaviour is comparable to observations made by other workers in relation to general psychiatric patients (16,22,(28)(29)(30)(31), and is not only wasteful of time and financial resources, but could lead to chronicity before presentation at formal medical facilities. It has been thought of as deriving from a cultural belief in witchcraft, the handiwork of malevolent persons, and the supernatural origin of disease, including mental disorder, in African societies.…”

Section: Discussionsupporting

confidence: 88%

Psychiatric disorders of old age in Enugu, Nigeria

Ihezue

Okpara

1989

Acta Psychiatr Scand

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A retrospective study of the demographic and clinical characteristics of 73 consecutive patients aged 60 years and over admitted for the first time into a psychiatric hospital in Nigeria shows that they constituted about 5% of all admissions over a 2-year period. While the majority (58%) were aged below 70 years, 8% were aged over 80 years, with more females than males living to the older age groups. Single status, separation and divorce were more common among males; widowhood was more common among the females. A high illiteracy rate of 86% was recorded, with more males than females being literate. More than 84% belonged to the 2 lowest socioeconomic classes. There was a significant difference in the distribution of diagnostic categories, with senile dementia, affective psychosis, neurotic disorders and paranoid states more common among the females, while arteriosclerotic dementia and schizophrenia were diagnosed more often among the males. Functional psychosis (49%) was the largest diagnostic category, followed by organic psychosis (30%), while neurotic disorders (10%) ranked third. Within the functional psychoses, paranoid states (30%) predominated, followed by affective disorders (14%) consisting mainly of depressive symptoms; 6% presented with schizophrenic illness; and 11% presented with physical illness with associated psychiatric manifestations. There was a long delay before referral to hospital, associated with use of alternative medical facilities (traditional and spiritual healers). The probable sociocultural antecedents and medical and social implications of these findings are discussed.

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Section: Discussionsupporting

confidence: 88%

Psychiatric disorders of old age in Enugu, Nigeria

Ihezue

Okpara

1989

Acta Psychiatr Scand

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“…Many Nigerians might view trauma from a sociocultural lens that will likely lead to the creation of an adaptive or maladaptive cultural meanings of traumatic events. Some of the factors which may determine the way Nigerian people understands trauma include familial and cultural norms, mores, beliefs, values, and practices, religion, gender orientation, extent of acculturation, level of social support, social network, ethnicity, socioeconomic status, family types, and level of literacy among others (Anugwom & Anugwom, 2016; Anum, Zawua, & Sar, 2016; Dada-Adegbola, 2004;Jegede, 1981;Lasebikan, Owoaje, & Asuzu, 2012). Oluwabamide, & Umoh, 2011).…”

Section: Cultural Considerations In Trauma-specific Beliefsmentioning

confidence: 99%

“…Oluwabamide, & Umoh, 2011). Historically, in our cultures, many individuals also frame their reactions to trauma within the context of religion, with clergies, priests, diviners and herbalists interpreting the causes and meanings of traumatic events, while also serving as trauma-informed traditional healers (Ademuwagun, 1969;Dada, Yinusa, & Giwa, 2011;Herbert & Forman, 2010;Jegede, 1981;Oluwabamide & Umoh, 2011;Osuji, 1993;Oyebola, 1980;Udosen, Otei, & Onuba, 2006). Since culture-related beliefs could be possible antecedents of mental illness, the need for cultural sensitivity in healing trauma cannot be overemphasized (Cooper et al, 2017;Erinosho, 2015;Eseadi & Ikechukwu-Ilomuanya, 2015).…”

Section: Cultural Considerations In Trauma-specific Beliefsmentioning

confidence: 99%

Rational-Emotive Behavior Therapy Program for Trauma-Specific Beliefs Among Undergraduate Students: Testing the Effect of A Group Therapy

Eseadi¹,

Oyeoku²,

Onuigbo³

et al. 2019

GJHS

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Background/Objective: The identification of trauma and posttraumatic stress disorder and its treatment is critically important in contemporary society. This preliminary research aimed to investigate the effect that rational-emotive behavior therapy (REBT) had on trauma-specific beliefs. Method:This study used a randomized controlled trial design. The study participants were 182 undergraduate students. A self-report questionnaire which measures trauma-specific irrational beliefs was used for data collection. A trauma-focused REBT manual guided the group intervention. Within x Between-subjects and paired t-test statistic were used for data analysis. Results:The results show that REBT brought about a significant reduction in trauma-specific irrational beliefs among the students in the treatment group compared to their counterparts in the waitlist control group. Finally, the results indicate that the positive gains were significantly maintained by the treatment group at four months follow-up. Conclusion:The current study suggests that an REBT program can be helpful in altering trauma-specific irrational beliefs. The authors employed this model of psychological intervention in an African society in which trauma is significant. The authors demonstrated a model for evaluation and a model of intervention that appears to be of a significant and enduring impact as reported in this study.

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“…5,6 Jegede explored the concept of 'Were' (psychosis) among the Yoruba, and concluded that the people's world view played a major part in defining the concept. 7 The outcomes of these investigations strongly indicate that socio-cultural factors play a significant role in treatment. 8 Elsewhere the conceptualizations of mental illness by South Africans of Indian descent and their mothers were studied by Bhana et al, and the relationship of Caribbean folk beliefs with Western Psychiatry were reported by Schwartz.…”

Section: Introductionmentioning

confidence: 95%