TRADITIONAL HEALERS IN THE TREATMENT OF COMMON MENTAL DISORDERS IN SOUTH AFRICA
Identifieur interne : 001157 ( Pmc/Corpus ); précédent : 001156; suivant : 001158TRADITIONAL HEALERS IN THE TREATMENT OF COMMON MENTAL DISORDERS IN SOUTH AFRICA
Auteurs : Katherine Sorsdahl ; Dan J. Stein ; Anna Grimsrud ; Soraya Seedat ; Alan J. Flisher ; David R. Williams ; Landon MyerSource :
- The Journal of nervous and mental disease [ 0022-3018 ] ; 2009.
Abstract
There are few population-level insights into the use of traditional healers and other forms of alternative care for the treatment of common mental disorders in sub-Saharan Africa. We examined the extent to which alternative practitioners are consulted, and predictors of traditional healer visits. A national survey was conducted with 3651 adults South African between 2002 and 2004 using the World Health Organization Composite International Diagnostic Interview (CIDI) to generate diagnoses. A minority of participants with a lifetime DSM-IV diagnosis obtained treatment from Western (29%) or alternative (20%) practitioners. Traditional healers were consulted by 9% of the respondents and 11% consulted a religious or spiritual advisor. Use of traditional healers in the full sample was predicted by older age, black race, unemployment, lower education and having an anxiety or a substance use disorder. Alternative practitioners, including traditional healers and religious advisors, appear to play an important role in the delivery of mental health care in South Africa.
Url:
DOI: 10.1097/NMD.0b013e3181a61dbc
PubMed: 19525744
PubMed Central: 3233225
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Stein</name><affiliation><nlm:aff id="A1">Department of Psychiatry and Mental Health; and School of Public Health & Family Medicine, University of Cape Town, Cape Town, South Africa</nlm:aff></affiliation></author><author><name sortKey="Grimsrud, Anna" sort="Grimsrud, Anna" uniqKey="Grimsrud A" first="Anna" last="Grimsrud">Anna Grimsrud</name><affiliation><nlm:aff id="A1">Department of Psychiatry and Mental Health; and School of Public Health & Family Medicine, University of Cape Town, Cape Town, South Africa</nlm:aff></affiliation></author><author><name sortKey="Seedat, Soraya" sort="Seedat, Soraya" uniqKey="Seedat S" first="Soraya" last="Seedat">Soraya Seedat</name><affiliation><nlm:aff id="A2">Department of Psychiatry, University of Stellenbosch, Stellenbosch, South Africa</nlm:aff></affiliation></author><author><name sortKey="Flisher, Alan J" sort="Flisher, Alan J" uniqKey="Flisher A" first="Alan J." last="Flisher">Alan J. Flisher</name><affiliation><nlm:aff id="A1">Department of Psychiatry and Mental Health; and School of Public Health & Family Medicine, University of Cape Town, Cape Town, South Africa</nlm:aff></affiliation><affiliation><nlm:aff id="A3">Research Centre for Health Promotion, University of Bergen, Norway</nlm:aff></affiliation></author><author><name sortKey="Williams, David R" sort="Williams, David R" uniqKey="Williams D" first="David R." last="Williams">David R. Williams</name><affiliation><nlm:aff id="A4">School of Public Health, Harvard University, Cambridge, Massachusetts</nlm:aff></affiliation></author><author><name sortKey="Myer, Landon" sort="Myer, Landon" uniqKey="Myer L" first="Landon" last="Myer">Landon Myer</name><affiliation><nlm:aff id="A1">Department of Psychiatry and Mental Health; and School of Public Health & Family Medicine, University of Cape Town, Cape Town, South Africa</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">19525744</idno><idno type="pmc">3233225</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3233225</idno><idno type="RBID">PMC:3233225</idno><idno type="doi">10.1097/NMD.0b013e3181a61dbc</idno><date when="2009">2009</date><idno type="wicri:Area/Pmc/Corpus">001157</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001157</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">TRADITIONAL HEALERS IN THE TREATMENT OF COMMON MENTAL DISORDERS IN SOUTH AFRICA</title><author><name sortKey="Sorsdahl, Katherine" sort="Sorsdahl, Katherine" uniqKey="Sorsdahl K" first="Katherine" last="Sorsdahl">Katherine Sorsdahl</name><affiliation><nlm:aff id="A1">Department of Psychiatry and Mental Health; and School of Public Health & Family Medicine, University of Cape Town, Cape Town, South Africa</nlm:aff></affiliation></author><author><name sortKey="Stein, Dan J" sort="Stein, Dan J" uniqKey="Stein D" first="Dan J." last="Stein">Dan J. Stein</name><affiliation><nlm:aff id="A1">Department of Psychiatry and Mental Health; and School of Public Health & Family Medicine, University of Cape Town, Cape Town, South Africa</nlm:aff></affiliation></author><author><name sortKey="Grimsrud, Anna" sort="Grimsrud, Anna" uniqKey="Grimsrud A" first="Anna" last="Grimsrud">Anna Grimsrud</name><affiliation><nlm:aff id="A1">Department of Psychiatry and Mental Health; and School of Public Health & Family Medicine, University of Cape Town, Cape Town, South Africa</nlm:aff></affiliation></author><author><name sortKey="Seedat, Soraya" sort="Seedat, Soraya" uniqKey="Seedat S" first="Soraya" last="Seedat">Soraya Seedat</name><affiliation><nlm:aff id="A2">Department of Psychiatry, University of Stellenbosch, Stellenbosch, South Africa</nlm:aff></affiliation></author><author><name sortKey="Flisher, Alan J" sort="Flisher, Alan J" uniqKey="Flisher A" first="Alan J." last="Flisher">Alan J. Flisher</name><affiliation><nlm:aff id="A1">Department of Psychiatry and Mental Health; and School of Public Health & Family Medicine, University of Cape Town, Cape Town, South Africa</nlm:aff></affiliation><affiliation><nlm:aff id="A3">Research Centre for Health Promotion, University of Bergen, Norway</nlm:aff></affiliation></author><author><name sortKey="Williams, David R" sort="Williams, David R" uniqKey="Williams D" first="David R." last="Williams">David R. Williams</name><affiliation><nlm:aff id="A4">School of Public Health, Harvard University, Cambridge, Massachusetts</nlm:aff></affiliation></author><author><name sortKey="Myer, Landon" sort="Myer, Landon" uniqKey="Myer L" first="Landon" last="Myer">Landon Myer</name><affiliation><nlm:aff id="A1">Department of Psychiatry and Mental Health; and School of Public Health & Family Medicine, University of Cape Town, Cape Town, South Africa</nlm:aff></affiliation></author></analytic><series><title level="j">The Journal of nervous and mental disease</title><idno type="ISSN">0022-3018</idno><idno type="eISSN">1539-736X</idno><imprint><date when="2009">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="P1">There are few population-level insights into the use of traditional healers and other forms of alternative care for the treatment of common mental disorders in sub-Saharan Africa. We examined the extent to which alternative practitioners are consulted, and predictors of traditional healer visits. A national survey was conducted with 3651 adults South African between 2002 and 2004 using the World Health Organization Composite International Diagnostic Interview (CIDI) to generate diagnoses. A minority of participants with a lifetime DSM-IV diagnosis obtained treatment from Western (29%) or alternative (20%) practitioners. Traditional healers were consulted by 9% of the respondents and 11% consulted a religious or spiritual advisor. Use of traditional healers in the full sample was predicted by older age, black race, unemployment, lower education and having an anxiety or a substance use disorder. Alternative practitioners, including traditional healers and religious advisors, appear to play an important role in the delivery of mental health care in South Africa.</p></div></front></TEI><pmc article-type="research-article" xml:lang="en"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">0375402</journal-id><journal-id journal-id-type="pubmed-jr-id">4993</journal-id><journal-id journal-id-type="nlm-ta">J Nerv Ment Dis</journal-id><journal-title-group><journal-title>The Journal of nervous and mental disease</journal-title></journal-title-group><issn pub-type="ppub">0022-3018</issn><issn pub-type="epub">1539-736X</issn></journal-meta><article-meta><article-id pub-id-type="pmid">19525744</article-id><article-id pub-id-type="pmc">3233225</article-id><article-id pub-id-type="doi">10.1097/NMD.0b013e3181a61dbc</article-id><article-id pub-id-type="manuscript">NIHMS339507</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>TRADITIONAL HEALERS IN THE TREATMENT OF COMMON MENTAL DISORDERS IN SOUTH AFRICA</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Sorsdahl</surname><given-names>Katherine</given-names></name><degrees>MSc</degrees><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Stein</surname><given-names>Dan J.</given-names></name><degrees>MD, PhD</degrees><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Grimsrud</surname><given-names>Anna</given-names></name><degrees>MPH</degrees><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Seedat</surname><given-names>Soraya</given-names></name><degrees>FCPsych, PhD</degrees><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Flisher</surname><given-names>Alan J.</given-names></name><degrees>PhD, FCPsych</degrees><xref ref-type="aff" rid="A1">1</xref><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Williams</surname><given-names>David R.</given-names></name><degrees>PhD, MPH</degrees><xref ref-type="aff" rid="A4">4</xref></contrib><contrib contrib-type="author"><name><surname>Myer</surname><given-names>Landon</given-names></name><degrees>MBChB, PhD</degrees><xref ref-type="aff" rid="A1">1</xref></contrib></contrib-group><aff id="A1"><label>1</label>Department of Psychiatry and Mental Health; and School of Public Health & Family Medicine, University of Cape Town, Cape Town, South Africa</aff><aff id="A2"><label>2</label>Department of Psychiatry, University of Stellenbosch, Stellenbosch, South Africa</aff><aff id="A3"><label>3</label>Research Centre for Health Promotion, University of Bergen, Norway</aff><aff id="A4"><label>4</label>School of Public Health, Harvard University, Cambridge, Massachusetts</aff><pub-date pub-type="nihms-submitted"><day>23</day><month>11</month><year>2011</year></pub-date><pub-date pub-type="ppub"><month>6</month><year>2009</year></pub-date><pub-date pub-type="pmc-release"><day>7</day><month>12</month><year>2011</year></pub-date><volume>197</volume><issue>6</issue><fpage>434</fpage><lpage>441</lpage><abstract><p id="P1">There are few population-level insights into the use of traditional healers and other forms of alternative care for the treatment of common mental disorders in sub-Saharan Africa. We examined the extent to which alternative practitioners are consulted, and predictors of traditional healer visits. A national survey was conducted with 3651 adults South African between 2002 and 2004 using the World Health Organization Composite International Diagnostic Interview (CIDI) to generate diagnoses. A minority of participants with a lifetime DSM-IV diagnosis obtained treatment from Western (29%) or alternative (20%) practitioners. Traditional healers were consulted by 9% of the respondents and 11% consulted a religious or spiritual advisor. Use of traditional healers in the full sample was predicted by older age, black race, unemployment, lower education and having an anxiety or a substance use disorder. Alternative practitioners, including traditional healers and religious advisors, appear to play an important role in the delivery of mental health care in South Africa.</p></abstract><funding-group><award-group><funding-source country="United States">National Institute of Mental Health : NIMH</funding-source><award-id>R13 MH066849-05 || MH</award-id></award-group><award-group><funding-source country="United States">Fogarty International Center : FIC</funding-source><award-id>R03 TW006481-03 || TW</award-id></award-group><award-group><funding-source country="United States">National Institute of Mental Health : NIMH</funding-source><award-id>R01 MH070884-05 || MH</award-id></award-group><award-group><funding-source country="United States">National Institute of Mental Health : NIMH</funding-source><award-id>R01 MH069864-04 || MH</award-id></award-group><award-group><funding-source country="United States">National Institute of Mental Health : NIMH</funding-source><award-id>R01 MH059575-09 || MH</award-id></award-group><award-group><funding-source country="United States">National Institute on Drug Abuse : NIDA</funding-source><award-id>R01 DA016558-06 || DA</award-id></award-group></funding-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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