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Role of traditional healers in the pathway to care of patients with schizophrenia in Egypt
Background: Traditional healers are considered one of the important stages in the pathway to care of schizophrenia patients because of the confidence in the system, affordability and accessibility of the service, exposing patients to hazardous management, delay in seeking psychiatric help and bad pr...
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| Published in: | International journal of social psychiatry 2020-06, Vol.66 (4), p.382-388 |
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| Main Authors: | , , , , , |
| Format: | Article |
| Language: | English |
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| cites | cdi_FETCH-LOGICAL-c365t-af9a09ed26fea17384e874c255d509995b2dec5d5a34a63f6ad4cafcdb83c6b83 |
| container_end_page | 388 |
| container_issue | 4 |
| container_start_page | 382 |
| container_title | International journal of social psychiatry |
| container_volume | 66 |
| creator | Ibrahim Awaad, Mona Mohsen Ibrahim, Nesreen Naguib, Rehab Mohamed Khalil, Sherien Ahmed Elhabiby, Mahmoud Khaled Mohamed, Zainab |
| description | Background:
Traditional healers are considered one of the important stages in the pathway to care of schizophrenia patients because of the confidence in the system, affordability and accessibility of the service, exposing patients to hazardous management, delay in seeking psychiatric help and bad prognosis.
Aim:
To assess the pathway to care of schizophrenia patients and role of traditional healers into it, the sociodemographic and clinical correlates of those patients.
Methods:
We assessed 232 patients with schizophrenia after confirmation of diagnosis with Structured Clinical Interview for DSM-IV Axis I Disorder (SCID-I) research version using a questionnaire designed by authors to assess help seeking behavior in schizophrenia patients and its sociodemographic and clinical correlates. Positive and Negative Syndrome Scale to identify the presence and severity of symptoms.
Results:
A total of 41.8% sought traditional healers first, 58.1% sought a psychiatric consultation first, main symptoms related to traditional healers seeking were hallucinations in 51.5%, delusions 29.9%, 9.28% bizarre behavior and 9.28% formal though disorder. Main causes of traditional healers’ preference were society acceptance 30.39%, affordability 24.74% and accessibility 16.49%.
Conclusion:
This study shows that a significant percentage of the patients suffering from schizophrenia prefer to approach faith healers first due to their own beliefs, society acceptance, affordability and easy accessibility. |
| doi_str_mv | 10.1177/0020764020910456 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2377683579</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_0020764020910456</sage_id><sourcerecordid>2377683579</sourcerecordid><originalsourceid>FETCH-LOGICAL-c365t-af9a09ed26fea17384e874c255d509995b2dec5d5a34a63f6ad4cafcdb83c6b83</originalsourceid><addsrcrecordid>eNp1kM1P3DAQxa2qCBbKvafKUi-9BOz4KzlWCAoSEhKCSy_RrDPZGGXj1PYKLX89DrstElIvY83M772RHyFfOTvj3JhzxkpmtMy15kwq_YksuJG8KCslP5PFvC7m_RE5jvGJ5Z4zcUiORMlNqZVekN_3fkDqO5oCtC45P8JAe4QBQ6RupKlHOkHqn2FLk6cWwhudRw7HFOmzSz2NtncvfuoDjg5m1eVqO6Uv5KCDIeLp_j0hj1eXDxfXxe3dr5uLn7eFFVqlAroaWI1tqTsEbkQlsTLSlkq1itV1rZZlizY3ICRo0WlopYXOtstKWJ3LCfmx852C_7PBmJq1ixaHAUb0m9iUwhhdCWXqjH7_gD75TchfzpTMx4So-WzIdpQNPsaAXTMFt4awbThr5tybj7lnybe98Wa5xvaf4G_QGSh2QIQVvl_9r-ErTL-KCQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2409933918</pqid></control><display><type>article</type><title>Role of traditional healers in the pathway to care of patients with schizophrenia in Egypt</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>International Bibliography of the Social Sciences (IBSS)</source><source>Sage Journals Online</source><creator>Ibrahim Awaad, Mona ; Mohsen Ibrahim, Nesreen ; Naguib, Rehab Mohamed ; Khalil, Sherien Ahmed ; Elhabiby, Mahmoud ; Khaled Mohamed, Zainab</creator><creatorcontrib>Ibrahim Awaad, Mona ; Mohsen Ibrahim, Nesreen ; Naguib, Rehab Mohamed ; Khalil, Sherien Ahmed ; Elhabiby, Mahmoud ; Khaled Mohamed, Zainab</creatorcontrib><description>Background:
Traditional healers are considered one of the important stages in the pathway to care of schizophrenia patients because of the confidence in the system, affordability and accessibility of the service, exposing patients to hazardous management, delay in seeking psychiatric help and bad prognosis.
Aim:
To assess the pathway to care of schizophrenia patients and role of traditional healers into it, the sociodemographic and clinical correlates of those patients.
Methods:
We assessed 232 patients with schizophrenia after confirmation of diagnosis with Structured Clinical Interview for DSM-IV Axis I Disorder (SCID-I) research version using a questionnaire designed by authors to assess help seeking behavior in schizophrenia patients and its sociodemographic and clinical correlates. Positive and Negative Syndrome Scale to identify the presence and severity of symptoms.
Results:
A total of 41.8% sought traditional healers first, 58.1% sought a psychiatric consultation first, main symptoms related to traditional healers seeking were hallucinations in 51.5%, delusions 29.9%, 9.28% bizarre behavior and 9.28% formal though disorder. Main causes of traditional healers’ preference were society acceptance 30.39%, affordability 24.74% and accessibility 16.49%.
Conclusion:
This study shows that a significant percentage of the patients suffering from schizophrenia prefer to approach faith healers first due to their own beliefs, society acceptance, affordability and easy accessibility.</description><identifier>ISSN: 0020-7640</identifier><identifier>EISSN: 1741-2854</identifier><identifier>DOI: 10.1177/0020764020910456</identifier><identifier>PMID: 32172656</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Acceptance ; Access ; Adolescent ; Adult ; Affordability ; Attitude to Health ; Clinical interviews ; Delusions ; Delusions - epidemiology ; Egypt ; Faith healing ; Faith Healing - statistics & numerical data ; Female ; Hallucinations ; Hallucinations - epidemiology ; Humans ; Male ; Medical diagnosis ; Medical prognosis ; Medicine, Arabic ; Middle Aged ; Patient Acceptance of Health Care - psychology ; Patient Acceptance of Health Care - statistics & numerical data ; Patients ; Psychiatric symptoms ; Religious beliefs ; Schizophrenia ; Schizophrenia - therapy ; Schizophrenic Psychology ; Sociodemographics ; Suffering ; Surveys and Questionnaires ; Traditional healers ; Young Adult</subject><ispartof>International journal of social psychiatry, 2020-06, Vol.66 (4), p.382-388</ispartof><rights>The Author(s) 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c365t-af9a09ed26fea17384e874c255d509995b2dec5d5a34a63f6ad4cafcdb83c6b83</citedby><cites>FETCH-LOGICAL-c365t-af9a09ed26fea17384e874c255d509995b2dec5d5a34a63f6ad4cafcdb83c6b83</cites><orcidid>0000-0003-2984-0292</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925,30999,33223,79364</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32172656$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ibrahim Awaad, Mona</creatorcontrib><creatorcontrib>Mohsen Ibrahim, Nesreen</creatorcontrib><creatorcontrib>Naguib, Rehab Mohamed</creatorcontrib><creatorcontrib>Khalil, Sherien Ahmed</creatorcontrib><creatorcontrib>Elhabiby, Mahmoud</creatorcontrib><creatorcontrib>Khaled Mohamed, Zainab</creatorcontrib><title>Role of traditional healers in the pathway to care of patients with schizophrenia in Egypt</title><title>International journal of social psychiatry</title><addtitle>Int J Soc Psychiatry</addtitle><description>Background:
Traditional healers are considered one of the important stages in the pathway to care of schizophrenia patients because of the confidence in the system, affordability and accessibility of the service, exposing patients to hazardous management, delay in seeking psychiatric help and bad prognosis.
Aim:
To assess the pathway to care of schizophrenia patients and role of traditional healers into it, the sociodemographic and clinical correlates of those patients.
Methods:
We assessed 232 patients with schizophrenia after confirmation of diagnosis with Structured Clinical Interview for DSM-IV Axis I Disorder (SCID-I) research version using a questionnaire designed by authors to assess help seeking behavior in schizophrenia patients and its sociodemographic and clinical correlates. Positive and Negative Syndrome Scale to identify the presence and severity of symptoms.
Results:
A total of 41.8% sought traditional healers first, 58.1% sought a psychiatric consultation first, main symptoms related to traditional healers seeking were hallucinations in 51.5%, delusions 29.9%, 9.28% bizarre behavior and 9.28% formal though disorder. Main causes of traditional healers’ preference were society acceptance 30.39%, affordability 24.74% and accessibility 16.49%.
Conclusion:
This study shows that a significant percentage of the patients suffering from schizophrenia prefer to approach faith healers first due to their own beliefs, society acceptance, affordability and easy accessibility.</description><subject>Acceptance</subject><subject>Access</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Affordability</subject><subject>Attitude to Health</subject><subject>Clinical interviews</subject><subject>Delusions</subject><subject>Delusions - epidemiology</subject><subject>Egypt</subject><subject>Faith healing</subject><subject>Faith Healing - statistics & numerical data</subject><subject>Female</subject><subject>Hallucinations</subject><subject>Hallucinations - epidemiology</subject><subject>Humans</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Medical prognosis</subject><subject>Medicine, Arabic</subject><subject>Middle Aged</subject><subject>Patient Acceptance of Health Care - psychology</subject><subject>Patient Acceptance of Health Care - statistics & numerical data</subject><subject>Patients</subject><subject>Psychiatric symptoms</subject><subject>Religious beliefs</subject><subject>Schizophrenia</subject><subject>Schizophrenia - therapy</subject><subject>Schizophrenic Psychology</subject><subject>Sociodemographics</subject><subject>Suffering</subject><subject>Surveys and Questionnaires</subject><subject>Traditional healers</subject><subject>Young Adult</subject><issn>0020-7640</issn><issn>1741-2854</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>8BJ</sourceid><recordid>eNp1kM1P3DAQxa2qCBbKvafKUi-9BOz4KzlWCAoSEhKCSy_RrDPZGGXj1PYKLX89DrstElIvY83M772RHyFfOTvj3JhzxkpmtMy15kwq_YksuJG8KCslP5PFvC7m_RE5jvGJ5Z4zcUiORMlNqZVekN_3fkDqO5oCtC45P8JAe4QBQ6RupKlHOkHqn2FLk6cWwhudRw7HFOmzSz2NtncvfuoDjg5m1eVqO6Uv5KCDIeLp_j0hj1eXDxfXxe3dr5uLn7eFFVqlAroaWI1tqTsEbkQlsTLSlkq1itV1rZZlizY3ICRo0WlopYXOtstKWJ3LCfmx852C_7PBmJq1ixaHAUb0m9iUwhhdCWXqjH7_gD75TchfzpTMx4So-WzIdpQNPsaAXTMFt4awbThr5tybj7lnybe98Wa5xvaf4G_QGSh2QIQVvl_9r-ErTL-KCQ</recordid><startdate>202006</startdate><enddate>202006</enddate><creator>Ibrahim Awaad, Mona</creator><creator>Mohsen Ibrahim, Nesreen</creator><creator>Naguib, Rehab Mohamed</creator><creator>Khalil, Sherien Ahmed</creator><creator>Elhabiby, Mahmoud</creator><creator>Khaled Mohamed, Zainab</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>8BJ</scope><scope>FQK</scope><scope>JBE</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2984-0292</orcidid></search><sort><creationdate>202006</creationdate><title>Role of traditional healers in the pathway to care of patients with schizophrenia in Egypt</title><author>Ibrahim Awaad, Mona ; Mohsen Ibrahim, Nesreen ; Naguib, Rehab Mohamed ; Khalil, Sherien Ahmed ; Elhabiby, Mahmoud ; Khaled Mohamed, Zainab</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c365t-af9a09ed26fea17384e874c255d509995b2dec5d5a34a63f6ad4cafcdb83c6b83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Acceptance</topic><topic>Access</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Affordability</topic><topic>Attitude to Health</topic><topic>Clinical interviews</topic><topic>Delusions</topic><topic>Delusions - epidemiology</topic><topic>Egypt</topic><topic>Faith healing</topic><topic>Faith Healing - statistics & numerical data</topic><topic>Female</topic><topic>Hallucinations</topic><topic>Hallucinations - epidemiology</topic><topic>Humans</topic><topic>Male</topic><topic>Medical diagnosis</topic><topic>Medical prognosis</topic><topic>Medicine, Arabic</topic><topic>Middle Aged</topic><topic>Patient Acceptance of Health Care - psychology</topic><topic>Patient Acceptance of Health Care - statistics & numerical data</topic><topic>Patients</topic><topic>Psychiatric symptoms</topic><topic>Religious beliefs</topic><topic>Schizophrenia</topic><topic>Schizophrenia - therapy</topic><topic>Schizophrenic Psychology</topic><topic>Sociodemographics</topic><topic>Suffering</topic><topic>Surveys and Questionnaires</topic><topic>Traditional healers</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ibrahim Awaad, Mona</creatorcontrib><creatorcontrib>Mohsen Ibrahim, Nesreen</creatorcontrib><creatorcontrib>Naguib, Rehab Mohamed</creatorcontrib><creatorcontrib>Khalil, Sherien Ahmed</creatorcontrib><creatorcontrib>Elhabiby, Mahmoud</creatorcontrib><creatorcontrib>Khaled Mohamed, Zainab</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of social psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ibrahim Awaad, Mona</au><au>Mohsen Ibrahim, Nesreen</au><au>Naguib, Rehab Mohamed</au><au>Khalil, Sherien Ahmed</au><au>Elhabiby, Mahmoud</au><au>Khaled Mohamed, Zainab</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Role of traditional healers in the pathway to care of patients with schizophrenia in Egypt</atitle><jtitle>International journal of social psychiatry</jtitle><addtitle>Int J Soc Psychiatry</addtitle><date>2020-06</date><risdate>2020</risdate><volume>66</volume><issue>4</issue><spage>382</spage><epage>388</epage><pages>382-388</pages><issn>0020-7640</issn><eissn>1741-2854</eissn><abstract>Background:
Traditional healers are considered one of the important stages in the pathway to care of schizophrenia patients because of the confidence in the system, affordability and accessibility of the service, exposing patients to hazardous management, delay in seeking psychiatric help and bad prognosis.
Aim:
To assess the pathway to care of schizophrenia patients and role of traditional healers into it, the sociodemographic and clinical correlates of those patients.
Methods:
We assessed 232 patients with schizophrenia after confirmation of diagnosis with Structured Clinical Interview for DSM-IV Axis I Disorder (SCID-I) research version using a questionnaire designed by authors to assess help seeking behavior in schizophrenia patients and its sociodemographic and clinical correlates. Positive and Negative Syndrome Scale to identify the presence and severity of symptoms.
Results:
A total of 41.8% sought traditional healers first, 58.1% sought a psychiatric consultation first, main symptoms related to traditional healers seeking were hallucinations in 51.5%, delusions 29.9%, 9.28% bizarre behavior and 9.28% formal though disorder. Main causes of traditional healers’ preference were society acceptance 30.39%, affordability 24.74% and accessibility 16.49%.
Conclusion:
This study shows that a significant percentage of the patients suffering from schizophrenia prefer to approach faith healers first due to their own beliefs, society acceptance, affordability and easy accessibility.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>32172656</pmid><doi>10.1177/0020764020910456</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-2984-0292</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0020-7640 |
| ispartof | International journal of social psychiatry, 2020-06, Vol.66 (4), p.382-388 |
| issn | 0020-7640 1741-2854 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2377683579 |
| source | Applied Social Sciences Index & Abstracts (ASSIA); International Bibliography of the Social Sciences (IBSS); Sage Journals Online |
| subjects | Acceptance Access Adolescent Adult Affordability Attitude to Health Clinical interviews Delusions Delusions - epidemiology Egypt Faith healing Faith Healing - statistics & numerical data Female Hallucinations Hallucinations - epidemiology Humans Male Medical diagnosis Medical prognosis Medicine, Arabic Middle Aged Patient Acceptance of Health Care - psychology Patient Acceptance of Health Care - statistics & numerical data Patients Psychiatric symptoms Religious beliefs Schizophrenia Schizophrenia - therapy Schizophrenic Psychology Sociodemographics Suffering Surveys and Questionnaires Traditional healers Young Adult |
| title | Role of traditional healers in the pathway to care of patients with schizophrenia in Egypt |
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