Evidence map›Paper›PMID 27829384›Full record

ArticleBMC psychiatry2016

Concepts of madness in diverse settings: a qualitative study from the INTREPID project.

Alex Cohen, Ramachandran Padmavati, Maia Hibben, Samuel Oyewusi, Sujit John, Oluyomi Esan, Vikram Patel, Helen Weiss, Robin Murray, Gerard Hutchinson and 3 more

Abstract read
In one paragraph

Article in BMC psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. What does the profile of psychosis in Africa tell us?Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Alex CohenDepartment of Population Health, London School of Hygiene and Tropical Medicine, London, UK.
Ramachandran PadmavatiSchizophrenia Research Foundation, Chennai, India.
Maia HibbenDepartment of Psychiatry, University of the West Indies, St Augustine, Trinidad.
Samuel OyewusiDepartment of Psychiatry, University of Ibadan, Ibadan, Nigeria.
Sujit JohnSchizophrenia Research Foundation, Chennai, India.
Oluyomi EsanDepartment of Psychiatry, University of Ibadan, Ibadan, Nigeria.
Vikram PatelDepartment of Population Health, London School of Hygiene and Tropical Medicine, London, UK.
Helen WeissDepartment of Population Health, London School of Hygiene and Tropical Medicine, London, UK.
Robin MurrayPsychosis Studies Department, Institute of Psychiatry, King's College London, London, UK.
Gerard HutchinsonDepartment of Psychiatry, University of the West Indies, St Augustine, Trinidad.
Oye GurejeDepartment of Psychiatry, University of Ibadan, Ibadan, Nigeria.
Rangaswamy TharaSchizophrenia Research Foundation, Chennai, India.
Craig MorganNational Institute for Health Research (NIHR) Mental Health Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and King's College London, London, UK. craig.morgan@kcl.ac.uk.

Funding

Department of Health RP-PG-0606-1049Medical Research Council G0600972Medical Research Council G0700995Medical Research Council G1100583Medical Research Council MR/K004867/1Medical Research Council MR/K013807/1Wellcome Trust
6 · The paper itself

Abstract

backgroundIn order to facilitate case identification of incident (untreated and recent onset) cases of psychosis and controls in three sites in India, Nigeria and Trinidad, we sought to understand how psychoses (or madness) were conceptualized locally. The evidence we gathered also contributes to a long history of research on concepts of madness in diverse settings.

methodsWe conducted focus group discussions and individual interviews to collect information about how informants in each site make sense of and respond to madness. A coding framework was developed and analyses of transcripts from the FGDs and interviews were conducted.

resultsAnalyses suggest the following: a) disturbed behaviors are the primary sign of madness; b) madness is attributed to a wide range of causes; and, c) responses to madness are dictated by cultural and pragmatic factors. These findings are congruent with similar research that has been conducted over the past 50 years.

conclusionsThe INTREPID research suggests that concepts about madness share similar features across diverse settings: a) terms for madness are often derived from a common understanding that involves disruptions in mental processes and capacities; b) madness is recognized mostly by disruptive behaviours or marked declines in functioning; c) causal attributions are varied; and, d) help-seeking is a complex process.

Indexed as

Attitude of Health PersonnelCaregiversFocus GroupsHumansIndiaNigeriaPsychotic DisordersQualitative ResearchTrinidad and TobagoCross-cultural researchExplanatory modelsHelp-seekingIndiaNigeriaPsychosisTrinidad

Identifiers

PMID27829384
PMCPMC5103598

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.