ArticleSocial psychiatry and psychiatric epidemiology2016
Explanatory model of psychosis: impact on perception of self-stigma by patients in three sub-saharan African cities.
Article in Social psychiatry and psychiatric epidemiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 57 citations in OpenAlex.
- Internalised stigma among people with mental illness in Africa, pooled effect estimates and subgroup analysis on each domain: systematic review and meta-analysis.BMC psychiatry · 2023Pooled it
- Self-stigma in Serious Mental Illness: A Systematic Review of Frequency, Correlates, and Consequences.Schizophrenia bulletin · 2021Pooled it
- Honest, Open, Proud (HOP) for people with mental illness in Hong Kong: a randomized controlled trial.Social psychiatry and psychiatric epidemiology · 2024Trial
- Beyond non-adherence: qualitative insights into how patients strategically navigate pluralistic chronic care in West Africa.BMJ open · 2026Article
- The Role of Stigma in Help-Seeking Strategies Among African Migrants in Australia: A Qualitative Study.International journal of mental health nursing · 2025Article
- Applying the Health Stigma and Discrimination Framework to psychosis stigma in Malawi.PLOS mental health · 2025Article
- Early intervention in psychosis programs in Africa, Asia and Latin America; challenges and recommendations.Global mental health (Cambridge, England) · 2025Review
- Gender, Mental Health Stigma, and Help-Seeking in Arabic- and Swahili-Speaking Communities in Australia.International journal of environmental research and public health · 2024Article
- Intersectional HIV- and Depression-Related Stigma Among People with HIV Entering HIV Care in Cameroon.AIDS and behavior · 2024Article
- Discrimination reported by people with schizophrenia: cross-national variations in relation to the Human Development Index.Epidemiology and psychiatric sciences · 2023Article
- Perspectives of university health care students on mental health stigma in Nigeria: Qualitative analysis.Transcultural psychiatry · 2023Article
- Assessing attitudes of fourth year medical students towards psychiatry and mental illness.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2023Article
- The prevalence and factors associated with mental disorders in a community setting in central Uganda.PloS one · 2023Article
- Family members' experiences of courtesy stigma associated with mental illness.Health SA = SA Gesondheid · 2023Article
- Psychosocial rehabilitation of individuals with schizophrenia: a scoping review protocol.Systematic reviews · 2022Article
- Perspectives of Black Immigrant Women on Mental Health: The Role of Stigma.Women's health reports (New Rochelle, N.Y.) · 2022Article
- Perceptions and use of traditional African medicine in Lubumbashi, Haut-Katanga province (DR Congo): A cross-sectional study.PloS one · 2022Article
- Reassessing the Mental Health Treatment Gap: What Happens if We Include the Impact of Traditional Healing on Mental Illness?Community mental health journal · 2021Article
- Exploration of recovery of people living with severe mental illness (SMI) in low/middle-income countries (LMICs): a scoping review.BMJ open · 2021Article
- Mental health stigma among university health care students in Nigeria: a cross-sectional observational study.The Pan African medical journal · 2020Observational
Corrections and comments
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Authors and funding
10 authors at 7 institutions in 6 countries.
Funding
Abstract
backgroundMost cultures in sub-Saharan Africa subscribe to the belief that the root cause of psychosis is supernatural. Individuals in the community who hold a religiomagical explanatory model of causation have been shown to exhibit more stigmatizing attitudes towards people with psychosis. Self-stigma among individuals with psychosis is less frequently studied.
methodWe used a mixed-method approach, consisting of key informant's interviews to elicit information on explanatory models of causation of psychosis and questionnaire assessment of internalized stigma with an adapted version of the Scale for Internalized Stigma of Mental Illness. Twenty-four, 31, and 30 subjects with recent experience of utilizing the service of traditional or faith healers for severe mental disorders in Ibadan (Nigeria), Kumasi (Ghana), and Nairobi (Kenya), respectively, were interviewed.
resultsAbout 44 % (42.1 %) of the Nigerian respondents had a high (severe) level of self-stigma with the respective proportions among Ghanaian and Kenyan respondents being 20.7 and 37.5 %. Compared with 4 out of a total of 12 respondents (33.3 %) who reported low self-stigma reported supernatural attribution, 14 out of 20 respondents (70 %) with the highest level of self-stigma reported supernatural attribution across the three sites. When low scorers ascribed supernatural causation, it was often with a religious focus.
conclusionThere is a greater tendency for persons with high levels of self-stigma than those with low levels to ascribe supernatural attribution to their experience of a severe mental health condition.
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