Culture, Medicine and Psychiatry

, Volume 6, Issue 1, pp 29–43 | Cite as

Development of a culture specific (Nigeria) screening scale of somatic complaints indicating psychiatric disturbance

  • P. 0. Ebigbo


In a pre-study it was seen that somatization complaints formed the basis of the distress of the mentally ill in Nigeria and there was need for somatic complaints to be employed in evolving a psychodiagnostic system which would lead to a better understanding of mental illness in Nigeria. In pursuit of this goal, some 65 somatic complaints were drawn from protocols of patients treated at the Psychiatric Hospital, Enugu, from 1978–1981. These complaints were administered in form of questions to 179 psychiatric patients and 349 students (normals) of the Institute of Management and Technology, Enugu. Forty-six of the 65 complaints distinguished male normals from the psychiatric patients and 30 items of the 65 distinguished the female normals from the female psychiatric patients at the 0.05 level or better. In a further step each subject was rated. A positive response to each of the discriminant items was scored as one point. The mean, standard deviation and cumulative frequency percentage of both groups were calculated. These values are recommended for use in discriminating normals from the mentally ill in Nigeria. This study is seen as a first step leading towards a much wider study involving somatizations in a psychodiagnostic endeavor, as well as throwing more light into the problem of classification of psychiatric disorders in Nigeria.


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  1. Ayorinde, A. 1977 Heat in the Head or Body: A Semantic Confusion? African Journal of Psychiatry 1(2): 59–63.Google Scholar
  2. Boroffka, A. and A. A. Marinho 1963 Psychoneurotic Syndromes in Urbanized Nigerians. Transcultural Psychiatric Research Review 15: 44–46.Google Scholar
  3. Collomb, H. and J. Zwingelstein 1961 Depressive States in an African Community. First Pan-African Psychiatric Conference, Abeokuta Nigeria, 12–18 November, T. A. Lambo (ed.), Ibadan, Nigeria: Government Printer, pp. 227–334.Google Scholar
  4. Ebigbo, P. O., U. H. Ihezue, and W. P. J. C. Onyeama in press Uncertainty in the Use of Western Diagnostic Illness Categories for Labelling Mental Illness in Nigeria. Psychopathologie Africaine.Google Scholar
  5. Ebigbo, P. O., U. H. Ihezue 1981 Vom ‘Ameisenkribbeln’ (Crawling Sensation). Sexual Medizin 10: 402–404.Google Scholar
  6. Lambo, T. A. 1963 Psychosomatic Disorders in West Africa. WHO Technical Report Series 275.Google Scholar
  7. Lin, T. Y. and J. C. Stanley 1953 The Scope of Epidemiology and Psychiatry. Public Health Papers No. 16. Geneva: WHO.Google Scholar
  8. Margetts, E. L. 1967 Trepanation of the Skull by the Medicine Man of Primitive Cultures with Particular Reference to Present Day Native East African Practice. In Diseases in Antiquity, D. Brothwell and A. T. Sandison (eds.), Springfield, Illinois: Thomas.Google Scholar
  9. Mbanefo, S. E. 1966 Heat in the Body as a Psychiatric Symptom. J. Coll. Gen. Practit. 11: 235.Google Scholar
  10. Obiako, M. N. and P. O. Ebigbo in press Psychodynamic Observations on Globus Hystericuc Patients Among Nigerians. Ear, Nose, and Throat.Google Scholar
  11. Okhomina, F. O. A. and J. C. Ebie 1973 Heat in the Head as a Psychiatric Symptom. Fourth Pan-African Workshop, Accra, Ghana.Google Scholar
  12. Onyeama, W. P. J. C. 1980 Observations on the Social and Clinical Features of Patients Using a Nigerian State Psychiatric Hospital. International Conference on Social Science and Mental Health Planning in Africa: Priorities in Mental Health Planning, Ibadan, 7–11 December.Google Scholar
  13. Pfeiffer, W. 1978 Transkulturelle Aspekte Pathologischen Verhaltens. In Handbuch der Psychologie, L. J. Pongratz (ed.), 8. Band. 2 Halbband 3145–3171.Google Scholar
  14. Prince, R. 1960 The ‘Brain Fag’ Syndrome in Nigerian Students. Journal of Mental Science 106: 559–570.Google Scholar

Copyright information

© D. Reidel Publishing Co 1982

Authors and Affiliations

  • P. 0. Ebigbo
    • 1
  1. 1.Dept. of Psychological MedicineUniversity of NigeriaNigeria

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