Explanatory models of psychosis amongst British South Asians

Bhikha, Aqeela; Farooq, Saeed; Chaudhry, Nasim; Naeem, F.; Husain, Nusrat

doi:10.1016/j.jpsychores.2015.03.028

Cited by 4 publications

(9 citation statements)

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“…This is especially true as supernatural or religious beliefs can affect help-seeking behaviours, for example some may disregard mental health professionals as an appropriate avenue for help as they feel mental professionals disregard religious values and thus prefer to approach traditional healers for treatment (Al-Krenawi & Graham, 2000; Bhikha et al . 2015). Indeed, 7.6% of people with mental illness in Singapore reported seeking help from religious/spiritual advisors or other healers (Chong et al .…”

Section: Discussionmentioning

confidence: 99%

“…2011), engaging traditional healers and religious leaders to increase mental health literacy is important (Bhikha et al . 2015). Engaging these key avenues may not only reduce the treatment gap but also reduce stigma and provide social support for those with mental illness.…”

Section: Discussionmentioning

confidence: 99%

“…As causal beliefs are thought to affect help-seeking behaviour (Chen & Mak, 2008; Bhikha et al . 2015), public education for MHL should be delivered in a format that is easily understandable for those with less education so that they may understand the causes of mental illness and treatment options.…”

Section: Discussionmentioning

confidence: 99%

“…Interestingly, Bhikha et al . (2015) found that 55.5% of British South Asians in their study endorsed supernatural causes of psychosis but the majority of them (77.7%) had a dual explanatory model – endorsing both supernatural and biological causes – which was reflected in their help-seeking behaviour through a combination of prescribed medication and traditional healing. It appeared that the respondents were able to hold supposedly conflicting beliefs simultaneously, suggesting that lay beliefs are multidimensional and inform help-seeking choices.…”

Section: Introductionmentioning

confidence: 93%

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The Singaporean public beliefs about the causes of mental illness: results from a multi-ethnic population-based study

Pang

Subramaniam

Lee

et al. 2017

Epidemiol Psychiatr Sci

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Aims. To identify the common causal beliefs of mental illness in a multi-ethnic Southeast Asian community and describe the sociodemographic associations to said beliefs. The factor structure to the causal beliefs scale is explored. The causal beliefs relating to five different mental illnesses (alcohol abuse, depression, obsessive-compulsive disorder (OCD), dementia and schizophrenia) and desire for social distance are also investigated.Methods. Data from 3006 participants from a nationwide vignette-based study on mental health literacy were analysed using factor analysis and multiple logistic regression to address the aims. Participants answered questions related to sociodemographic information, causal beliefs of mental illness and their desire for social distance towards those with mental illness.Results. Physical causes, psychosocial causes and personality causes were endorsed by the sample. Sociodemographic differences including ethnic, gender and age differences in causal beliefs were found in the sample. Differences in causal beliefs were shown across different mental illness vignettes though psychosocial causes was the most highly attributed cause across vignettes (endorsed by 97.9% of respondents), followed by personality causes (83.5%) and last, physical causes (37%). Physical causes were more likely to be endorsed for OCD, depression and schizophrenia. Psychosocial causes were less often endorsed for OCD. Personality causes were less endorsed for dementia but more associated with depression.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 93%

See 2 more Smart Citations

The Singaporean public beliefs about the causes of mental illness: results from a multi-ethnic population-based study

Pang

Subramaniam

Lee

et al. 2017

Epidemiol Psychiatr Sci

View full text Add to dashboard Cite

show abstract

“…16 A study by Bhikha et al (2005) suggests that lay beliefs about the causes of mental illness informs help-seeking choices; where the majority of participants who endorsed a dual explanatory model (both supernatural and biological causes) for psychosis took both the prescribed medication and followed the treatment prescribed by a faith healer. 17 Rickwood et al (2005) proposed a model for the process of help-seeking for mental health problems among young people. According to this model, help-seeking begins with an individual's awareness or appraisal of problems before expression of one's symptoms and needs to others, and finally the willingness to seek help from available sources.…”

Section: Open Accessmentioning

confidence: 99%

Causal beliefs of mental illness and its impact on help-seeking attitudes: a cross-sectional study among university students in Singapore

et al. 2020

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ObjectivesA considerable proportion of those who suffer from mental illnesses in Singapore do not seek any form of professional help. The reluctance to seek professional help could be due to misconceptions about the causes of mental illnesses. Research has shown that help-seeking attitudes can predict actual service use. As young adults are most at risk of developing mental illnesses, this study aims to elucidate the impact of causal beliefs about mental illness on help-seeking attitudes among university students in Singapore.DesignPrior to attending an anti-stigma intervention, data on the Causal Beliefs about Mental Illness, Inventory of Attitudes towards Seeking Mental Health services and questions pertaining to sociodemographic background were collected from participants using a self-administered questionnaire. Multiple linear regressions were performed to examine the relationship between causal beliefs and help-seeking, as well as their sociodemographic correlates.SettingsA university in Singapore.Participants390 students who were studying in a University in Singapore.ResultsYounger age was associated with higher scores on psychosocial attribution, while prior social contact with individuals with mental illness was significantly associated with lower scores on personality attribution. With regard to help-seeking attitudes; being a male and personality attribution were significantly associated with lower scores on ‘Psychological Openness’ and ‘Indifference to Stigma’, while psychosocial attribution was significantly associated with higher scores on ‘Help-seeking Propensity’. Having prior social contact also predicted higher ‘Psychological Openness’, while being in Year 2 and 3 predicted lower scores on ’Indifference to Stigma’.ConclusionFindings from this study suggest that help-seeking attitudes might be influenced by causal beliefs, with personality attribution being the most impairing. Hence, to reduce the wide treatment gap in Singapore, anti-stigma interventions targeting young people could focus on addressing beliefs that attribute mental illness to the personality of the individual.

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An intercultural perspective toward supporting antipsychotic medication adherence in clinical practice

Zacharia

2022

BJPsych Bull

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In the UK, the incidence of schizophrenia appears highest in Black Caribbean and Black African communities (four- to six-fold that of the White British population). The incidence of psychosis in other minority ethnic groups is also raised, but to a lesser magnitude. Although there are numerous environmental confounding factors, the data stresses the importance of optimising treatment in high-risk (minority) groups. Antipsychotic nonadherence is the most common reason for schizophrenia relapse, and is associated with increased rates of relapse, readmission to hospital and suicide. This article examines available literature to discover how culture can affect antipsychotic nonadherence, and considers culture-based solutions that could enhance antipsychotic adherence. Acknowledging the importance of the therapeutic alliance and sociocultural aspects in antipsychotic adherence, I argue that current cultural competence training provided to clinicians is inadequate. Organisational- and system-level approaches are required to reduce oppressive practise and promote culturally competent, person-centred care.

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Explanatory models of psychosis amongst British South Asians

Cited by 4 publications

References 0 publications

The Singaporean public beliefs about the causes of mental illness: results from a multi-ethnic population-based study

The Singaporean public beliefs about the causes of mental illness: results from a multi-ethnic population-based study

Causal beliefs of mental illness and its impact on help-seeking attitudes: a cross-sectional study among university students in Singapore

An intercultural perspective toward supporting antipsychotic medication adherence in clinical practice

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