ArticleBMC psychiatry2017
The content of delusions in a sample of South African Xhosa people with schizophrenia.
Article in BMC psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 42 citations in OpenAlex.
- Differential Impact of Social and Non-social Cues on Decision-making Across At-risk Mental State, Early Psychosis, and Healthy Participants.Schizophrenia bulletin open · 2026Article
- Suicidality among inpatients who absconded from a tertiary mental health facility in Uganda: a retrospective study.BMC psychiatry · 2025Article
- Lessons learned from the translation of the Internalised Stigma of Mental Illness (ISMI) scale into isiXhosa for use with South African Xhosa people with schizophrenia.Transcultural psychiatry · 2025Article
- A description of COVID-19 related delusional content in admissions to an acute psychiatric unit.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2024Article
- Practitioner Review: Psychosis in children and adolescents.Journal of child psychology and psychiatry, and allied disciplines · 2023Review
- Psychometric evaluation of the psychosis screening questionnaire in South Africa with attention to overlap between symptoms and normative cultural beliefs.World cultural psychiatry research review : official journal of World Association of Cultural 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
- A retrospective study exploring how South African newspapers framed Schizophrenia and other psychotic disorders over an 11-year period (2004-2014).BMC psychiatry · 2022Article
- Structural validity of a computerized neurocognitive battery for youth affected by human immunodeficiency virus in Botswana.Psychological assessment · 2022Article
- The development of a Community Mental Health Education and Detection (CMED) tool in South Africa.SSM. Mental health · 2021Article
- Adaptation and validation of a computerized neurocognitive battery in the Xhosa of South Africa.Neuropsychology · 2021Article
- Descriptive study of cases of schizophrenia in the Malian population.BMC psychiatry · 2021Article
- Peripandemic psychiatric emergencies: impact of the COVID-19 pandemic on patients according to diagnostic subgroup.European archives of psychiatry and clinical neuroscience · 2021Article
- Exploring how a genetic attribution to disease relates to stigma experiences of Xhosa patients with schizophrenia in South Africa.Social psychiatry and psychiatric epidemiology · 2020Article
- Association between referral source and duration of untreated psychosis in pathways to care among first episode psychosis patients in Northern Malawi.Early intervention in psychiatry · 2020Article
- Article
- The relationship between childhood trauma and schizophrenia in the Genomics of Schizophrenia in the Xhosa people (SAX) study in South Africa.Psychological medicine · 2020Article
- Cultural formulation interview: Awareness and attitudes of South African psychiatrists and psychiatry registrars.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2020Article
- Article
- An evolutionary perspective on paranoia.Nature human behaviour · 2019Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 2 countries.
Funding
Abstract
backgroundAlthough the relationship between cultural beliefs and schizophrenia has received some attention, relatively little work has emerged from African contexts. In this study we draw from a sample of South African Xhosa people with schizophrenia, exploring their cultural beliefs and explanations of illness. The purpose of the article is to examine the relationship between this cultural context and the content of delusions.
methodsA sample comprising 200 Xhosa people with schizophrenia participating in a South African schizophrenia genomics study were interviewed using the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I). Participant delusions were thematically analyzed for recurring themes.
resultsThe majority of participants (n = 125 72.5%) believed that others had bewitched them in order to bring about their mental illness, because they were in some way jealous of the participant. This explanation aligns well with the understanding of jealousy-induced witchcraft in Southern African communities and highlights the important role that culture plays in their content of delusions.
conclusionsImproved knowledge of these explanatory frameworks highlights the potential value of culturally sensitive assessment tools and stigma interventions in patient recovery. Furthermore such qualitative analyses contribute towards discussion about aspects of delusional thought that may be more universally stable, and those that may be more culturally variable.
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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.