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

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dc.contributor.authorCampbell, Megan M
dc.contributor.authorSibeko, Goodman
dc.contributor.authorMall, Sumaya
dc.contributor.authorBaldinger, Adam
dc.contributor.authorNagdee, Mohamed
dc.contributor.authorSusser, Ezra
dc.contributor.authorStein, Dan J
dc.date.accessioned2017-04-03T13:19:51Z
dc.date.available2017-04-03T13:19:51Z
dc.date.issued2017-01-24
dc.date.updated2017-01-24T19:02:05Z
dc.description.abstractBackground: 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.identifier.apacitationCampbell, 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/11427/24141en_ZA
dc.identifier.chicagocitationCampbell, 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/11427/24141en_ZA
dc.identifier.citationCampbell, 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.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
dc.identifier.urihttp://dx.doi.org/10.1186/s12888-017-1196-3
dc.identifier.urihttp://hdl.handle.net/11427/24141
dc.identifier.vancouvercitationCampbell 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.language.isoen
dc.publisherBioMed Central
dc.publisher.departmentDepartment of Psychiatry and Mental Healthen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License
dc.rights.holderThe Author(s)
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.sourceBMC Psychiatry
dc.source.urihttps://bmcpsychiatry.biomedcentral.com/
dc.subject.otherSchizophrenia
dc.subject.otherDelusions
dc.subject.otherIllness explanations
dc.subject.otherSouth Africa
dc.subject.otherXhosa people
dc.titleThe content of delusions in a sample of South African Xhosa people with schizophrenia
dc.typeJournal Article
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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