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Medientyp:
E-Artikel
Titel:
Explanatory models of illness in schizophrenia: Comparison of four ethnic groups
Beteiligte:
McCabe, Rosemarie;
Priebe, Stefan
Erschienen:
Royal College of Psychiatrists, 2004
Erschienen in:British Journal of Psychiatry
Sprache:
Englisch
DOI:
10.1192/bjp.185.1.25
ISSN:
0007-1250;
1472-1465
Entstehung:
Anmerkungen:
Beschreibung:
<jats:sec><jats:title>Background</jats:title><jats:p>Explanatory models of illness may differ between ethnic groups and influence treatment satisfaction and compliance.</jats:p></jats:sec><jats:sec><jats:title>Aims</jats:title><jats:p>To compare explanatory models among people with schizophrenia from four cultural backgrounds and explore their relationship with clinical and psychological characteristics.</jats:p></jats:sec><jats:sec><jats:title>Method</jats:title><jats:p>Explanatory models, insight, treatment compliance, health locus of control, quality of life, treatment satisfaction, therapeutic relationships and symptomatology were assessed in UK Whites and Bangladeshis, African-Caribbeans and West Africans.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>When biological and supernatural causes of illness were compared, Whites cited biological causes more frequently than the three non-White groups, who cited supernatural causes more frequently. When biological and social causes were compared, Whites cited biological causes more frequently than African-Caribbeans and Bangladeshis, who cited social causes more frequently. A biological explanatory model was related to enhanced treatment satisfaction and therapeutic relationships but not treatment compliance.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>Explanatory models of illness contribute to patient satisfaction with treatment and relationships with clinicians.</jats:p></jats:sec>