The Pathways to the First Contact with Mental Health Services among Patients with Schizophrenia in Lagos, Nigeria.

IF 3.6 Q1 PSYCHIATRY
Schizophrenia Research and Treatment Pub Date : 2013-01-01 Epub Date: 2013-12-31 DOI:10.1155/2013/769161
Increase Ibukun Adeosun, Abosede Adekeji Adegbohun, Tomilola Adejoke Adewumi, Oyetayo O Jeje
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引用次数: 56

Abstract

There is increasing evidence that delay in the commencement of treatment, following the onset of schizophrenia, may be related to the pathways patients navigate before accessing mental health care. Therefore, insight into the pattern and correlates of pathways to mental care of patients with schizophrenia may inform interventions that could fast track their contact with mental health professionals and reduce the duration of untreated psychosis. This study assessed the pathways to mental health care among patients with schizophrenia (n = 138), at their first contact with mental health services at the Federal Neuro-Psychiatric Hospital Yaba Lagos, Nigeria. Traditional and religious healers were the first contact for the majority (69%) of the patients. Service users who first contacted nonorthodox healers made a greater number of contacts in the course of seeking help, eventuating in a longer duration of untreated psychosis (P < 0.001). However, the delay between the onset of psychosis and contact with the first point of care was shorter in patients who patronized nonorthodox practitioners. The findings suggest that collaboration between orthodox and nonorthodox health services could facilitate the contact of patients with schizophrenia with appropriate treatment, thereby reducing the duration of untreated psychosis. The need for public mental health education is also indicated.

尼日利亚拉各斯精神分裂症患者第一次接触精神卫生服务的途径
越来越多的证据表明,精神分裂症发病后开始治疗的延迟可能与患者在获得精神卫生保健之前的途径有关。因此,深入了解精神分裂症患者精神护理途径的模式和相关因素,可能会为干预措施提供信息,从而可以快速追踪他们与精神卫生专业人员的联系,并缩短精神病未治疗的持续时间。本研究评估了138名精神分裂症患者(n = 138)在尼日利亚亚巴拉各斯联邦神经精神病院首次接触精神卫生服务时的精神卫生保健途径。传统和宗教治疗师是大多数(69%)患者的第一个接触者。首次接触非正统治疗师的服务使用者在寻求帮助的过程中接触的次数更多,最终导致精神病未治疗的持续时间更长(P < 0.001)。然而,精神病发作和接触第一个护理点之间的延迟在非正统医生的光顾的病人更短。研究结果表明,正统和非正统卫生服务机构之间的合作可以促进精神分裂症患者与适当治疗的联系,从而缩短精神病未治疗的持续时间。报告还指出,需要开展公共心理健康教育。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.60
自引率
0.00%
发文量
2
审稿时长
14 weeks
期刊介绍: Schizophrenia Research and Treatment is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies related to all aspects of schizophrenia.
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