ArticleBMC psychiatry2024
A qualitative study about explanatory models of alcohol use disorder among patients and relatives in a Ugandan mental hospital.
Article in BMC psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 5 citations in OpenAlex.
- Portrayals of alcohol use disorder treatment outcomes and their effects on stigma: Population-based, randomized survey experiment in rural Uganda.Drug and alcohol dependence · 2025Trial
- Experienced Stigma Related to Common Mental Illness and Alcohol Use Disorder in Rural Uganda: A Qualitative Study.SSM. Mental health · 2026Article
- Explanatory models and coping with alcohol misuse among conflict-affected men in Ukraine.SSM. Mental health · 2025Article
- "I don't belong here": experiences of substance use and treatment compliance among young adults in Lango, Uganda.Frontiers in public health · 2025Article
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
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Abstract
backgroundAlcohol use disorder (AUD) is a major clinical problem in Uganda. Explanatory models (EMs) of illness are important as they have consequences for treatment. Clinicians´ knowledge about patients´ EMs can improve understanding of the latter´s perspectives and adapting treatments. There is a lack of African studies about EMs of AUD. The aim of this study was to explore EMs for AUD among hospitalized patients and their relatives at the alcohol and drug unit (ADU) at Butabika hospital in Uganda.
methodsAn adapted version of the Explanatory Model Interview Catalogue (EMIC) was used for interviews with ten patients and five relatives to investigate how both hospitalized patients with AUD and their relatives understand the disease. Data were analysed for themes with a qualitative content analysis and support of the software program, OpenCode 4.03.
resultsFive major themes were identified from the patient interviews: "Context promotes AUD"; "Alcohol is part of culture"; "Spiritual causes of AUD in the community"; "Help through Western medicine and religious sources is preferred" and "Social problems and stigmatization". Six major themes identified from the interviews with relatives were: "Numerous causes of drinking alcohol"; "Devastating consequences of drinking alcohol"; "Exploiting persons with AUD"; "Others' suffering"; "Relatives struggling for help" and "Suggested solutions".
conclusionsPatients' EMs of AUD included social and spiritual explanations. Alcohol is seen as an important part of the Ugandan culture among both patients and their relatives. The results indicate it is important in clinical contexts to investigate the EMs of the patients and relatives to individually tailor treatment interventions.
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