Berhanu G Debela, Lulu Abebe, Habtamu Endashaw Hareru, Zemachu Ashuro
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Five qualitative and twelve quantitative primary studies that focused on the community's perceptions of mental health problems in Ethiopia were included. The Joanna Briggs Institute (JBI) guidance for conducting a mixed-method systematic review approach was used. A narrative synthesis following thematic analysis was conducted using a combination of the transformed quantitative data and the data from qualitative studies.</p><p><strong>Results: </strong>The review findings were classified into four domains, which are: perceived causes, identification symptoms, severity of mental disorders, and preferred treatment options. The community's perceptions of the causes of mental health problems consist of supernatural agents, socio-economic factors, and biochemical factors. Perceptions of treatment options comprise: religious treatment, modern medicine, psychosocial support, and traditional treatment.</p><p><strong>Conclusion: </strong>A variety of community perceptions towards mental health problems were seen. The community's perceptions vary from person to person and among types of mental health problems. 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引用次数: 0
摘要
背景:几乎在世界每个国家,心理健康问题都在以惊人的速度增长。在不同的社区中,存在着各种与科学观点相背离的有关精神健康的神话和信仰。这可能会对精神病患者寻求治疗和坚持治疗产生负面影响。我们的目的是系统回顾埃塞俄比亚社区对精神健康问题的看法:我们系统地检索了 MEDLINE/Pub Med、PsycINFO、Cochrane Library、Scopus/Science Direct、Hinari 和 Google Scholar。综述采用了混合方法叙事综合法和系统综述和元分析首选报告项目(PRISMA)指南。其中包括五项定性研究和十二项定量研究,主要关注埃塞俄比亚社区对心理健康问题的看法。研究采用了乔安娜-布里格斯研究所(Joanna Briggs Institute,JBI)的混合方法系统综述指南。在进行主题分析后,结合转化的定量数据和定性研究数据进行了叙述性综合:综述结果分为四个方面,即:感知原因、识别症状、精神障碍严重程度和首选治疗方案。社区对精神健康问题成因的看法包括超自然因素、社会经济因素和生化因素。对治疗方案的看法包括:宗教治疗、现代医学、社会心理支持和传统治疗:结论:社区对精神健康问题的看法多种多样。社区对精神健康问题的看法因人而异,也因精神健康问题的类型而异。考虑社区持有的观念有助于计划制定者和实施者设计心理健康问题的预防、控制和管理策略。
Community perception towards mental health problems in Ethiopia: a mixed-method narrative synthesis.
Background: In almost every country in the world, mental health problems are alarmingly on the rise. There are various myths and beliefs regarding mental health across various communities' that deviate from the scientific view. This may negatively affect treatment seeking and adherence among people with mental illness. We aimed to systematically review community perceptions of mental health problems in Ethiopia.
Methods: MEDLINE/Pub Med, PsycINFO, Cochrane Library, Scopus/Science Direct, Hinari, and Google Scholar were systematically searched. The review was carried out following a mixed-method narrative synthesis approach and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline. Five qualitative and twelve quantitative primary studies that focused on the community's perceptions of mental health problems in Ethiopia were included. The Joanna Briggs Institute (JBI) guidance for conducting a mixed-method systematic review approach was used. A narrative synthesis following thematic analysis was conducted using a combination of the transformed quantitative data and the data from qualitative studies.
Results: The review findings were classified into four domains, which are: perceived causes, identification symptoms, severity of mental disorders, and preferred treatment options. The community's perceptions of the causes of mental health problems consist of supernatural agents, socio-economic factors, and biochemical factors. Perceptions of treatment options comprise: religious treatment, modern medicine, psychosocial support, and traditional treatment.
Conclusion: A variety of community perceptions towards mental health problems were seen. The community's perceptions vary from person to person and among types of mental health problems. Considering community-held beliefs helps programmers and implementers to design prevention, control, and management strategies for mental health problems.
期刊介绍:
BMC Psychiatry is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of psychiatric disorders, as well as related molecular genetics, pathophysiology, and epidemiology.