The content of delusions in a sample of South African Xhosa people with schizophrenia

 

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dc.contributor.author Campbell, Megan M
dc.contributor.author Sibeko, Goodman
dc.contributor.author Mall, Sumaya
dc.contributor.author Baldinger, Adam
dc.contributor.author Nagdee, Mohamed
dc.contributor.author Susser, Ezra
dc.contributor.author Stein, Dan J
dc.date.accessioned 2017-04-03T13:19:51Z
dc.date.available 2017-04-03T13:19:51Z
dc.date.issued 2017-01-24
dc.identifier.citation Campbell, M. M., Sibeko, G., Mall, S., Baldinger, A., Nagdee, M., Susser, E., & Stein, D. J. (2017). The content of delusions in a sample of South African Xhosa people with schizophrenia. BMC psychiatry, 17(1), 41.
dc.identifier.uri http://dx.doi.org/10.1186/s12888-017-1196-3
dc.identifier.uri http://hdl.handle.net/11427/24141
dc.description.abstract Background: Although the relationship between cultural beliefs and schizophrenia has received some attention, relatively little work has emerged from African contexts. In this study we draw from a sample of South African Xhosa people with schizophrenia, exploring their cultural beliefs and explanations of illness. The purpose of the article is to examine the relationship between this cultural context and the content of delusions. Methods: A sample comprising 200 Xhosa people with schizophrenia participating in a South African schizophrenia genomics study were interviewed using the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I). Participant delusions were thematically analyzed for recurring themes. Results: The majority of participants (n = 125 72.5%) believed that others had bewitched them in order to bring about their mental illness, because they were in some way jealous of the participant. This explanation aligns well with the understanding of jealousy-induced witchcraft in Southern African communities and highlights the important role that culture plays in their content of delusions. Conclusions: Improved knowledge of these explanatory frameworks highlights the potential value of culturally sensitive assessment tools and stigma interventions in patient recovery. Furthermore such qualitative analyses contribute towards discussion about aspects of delusional thought that may be more universally stable, and those that may be more culturally variable.
dc.language.iso en
dc.publisher BioMed Central
dc.rights This article is distributed under the terms of the Creative Commons Attribution 4.0 International License
dc.rights.uri https://creativecommons.org/licenses/by/4.0/
dc.source BMC Psychiatry
dc.source.uri https://bmcpsychiatry.biomedcentral.com/
dc.subject.other Schizophrenia
dc.subject.other Delusions
dc.subject.other Illness explanations
dc.subject.other South Africa
dc.subject.other Xhosa people
dc.title The content of delusions in a sample of South African Xhosa people with schizophrenia
dc.type Journal Article
dc.date.updated 2017-01-24T19:02:05Z
dc.rights.holder The Author(s)
uct.type.publication Research en_ZA
uct.type.resource Article en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Department of Psychiatry and Mental Health en_ZA
uct.type.filetype Text
uct.type.filetype Image
dc.identifier.apacitation Campbell, M. M., Sibeko, G., Mall, S., Baldinger, A., Nagdee, M., Susser, E., & Stein, D. J. (2017). The content of delusions in a sample of South African Xhosa people with schizophrenia. <i>BMC Psychiatry</i>, http://hdl.handle.net/11427/24141 en_ZA
dc.identifier.chicagocitation Campbell, Megan M, Goodman Sibeko, Sumaya Mall, Adam Baldinger, Mohamed Nagdee, Ezra Susser, and Dan J Stein "The content of delusions in a sample of South African Xhosa people with schizophrenia." <i>BMC Psychiatry</i> (2017) http://hdl.handle.net/11427/24141 en_ZA
dc.identifier.vancouvercitation Campbell MM, Sibeko G, Mall S, Baldinger A, Nagdee M, Susser E, et al. The content of delusions in a sample of South African Xhosa people with schizophrenia. BMC Psychiatry. 2017; http://hdl.handle.net/11427/24141. en_ZA
dc.identifier.ris TY - Journal Article AU - Campbell, Megan M AU - Sibeko, Goodman AU - Mall, Sumaya AU - Baldinger, Adam AU - Nagdee, Mohamed AU - Susser, Ezra AU - Stein, Dan J AB - Background: Although the relationship between cultural beliefs and schizophrenia has received some attention, relatively little work has emerged from African contexts. In this study we draw from a sample of South African Xhosa people with schizophrenia, exploring their cultural beliefs and explanations of illness. The purpose of the article is to examine the relationship between this cultural context and the content of delusions. Methods: A sample comprising 200 Xhosa people with schizophrenia participating in a South African schizophrenia genomics study were interviewed using the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I). Participant delusions were thematically analyzed for recurring themes. Results: The majority of participants (n = 125 72.5%) believed that others had bewitched them in order to bring about their mental illness, because they were in some way jealous of the participant. This explanation aligns well with the understanding of jealousy-induced witchcraft in Southern African communities and highlights the important role that culture plays in their content of delusions. Conclusions: Improved knowledge of these explanatory frameworks highlights the potential value of culturally sensitive assessment tools and stigma interventions in patient recovery. Furthermore such qualitative analyses contribute towards discussion about aspects of delusional thought that may be more universally stable, and those that may be more culturally variable. DA - 2017-01-24 DB - OpenUCT DO - 10.1186/s12888-017-1196-3 DP - University of Cape Town J1 - BMC Psychiatry LK - https://open.uct.ac.za PB - University of Cape Town PY - 2017 T1 - The content of delusions in a sample of South African Xhosa people with schizophrenia TI - The content of delusions in a sample of South African Xhosa people with schizophrenia UR - http://hdl.handle.net/11427/24141 ER - en_ZA


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