Lay beliefs regarding causes of mental illness in Nigeria: pattern and correlates

ORIGINAL PAPER

Abstract

Background

Although studies have shown that views about causation are strongly associated with stigmatising attitudes to mental illness, none have examined the correlates of such causal views in order to identify the population needed to be targeted for education.

Objectives

To evaluate the pattern and correlates of lay beliefs regarding the causes of mental illness in south-western Nigeria.

Method

A cross-sectional survey in which respondents (n = 2,078) were administered questionnaire detailing sociodemographic variables and perceived causation of mental illness.

Results

Beliefs in supernatural factors and the misuse of psychoactive substances were the most prevalent. While urban dwelling, higher educational status and familiarity with mental illness correlated with belief in biological and psychosicial causation, older age, rural dwelling, and lack of familiarity correlated with a belief in supernatural causation. Educational status had no effect on the belief in supernatural causation.

Conclusion

Anti-stigma programmes need to incorporate these factors in order to identify the population at risk, who will actually benefit from targeted education regarding the causes of mental illness.

Key words

stigma developing countries cross culture causation community 

References

  1. 1.
    Addison SJ, Thorpe SJ (2004) Factors involved in the formation of attitudes towards those who are mentally ill. Soc Psychiatry Psychiatr Epidemiol 39:228–234PubMedCrossRefGoogle Scholar
  2. 2.
    Adelekan ML, Makanjuola AB, Ndom RJ (2001). Traditional mental health practitioners in Kwara state, Nigeria. East Afr Med J 78:190–196PubMedGoogle Scholar
  3. 3.
    Akighir A (1982) Traditional and modern psychiatry: a survey of opinions and beliefs amongst people in plateau state, Nigeria. Int J Soc Psychiatry 28:203–209PubMedCrossRefGoogle Scholar
  4. 4.
    Angermeyer MC, Matschinger H (2005) Causal beliefs and attitudes to people with schizophrenia: trend analysis based on data from two population surveys in Germany. Br J Psychiatry 186:331–334PubMedCrossRefGoogle Scholar
  5. 5.
    Angermeyer MC, Matschinger H (1999) Lay beliefs about mental disorders: a comparison between the western and the Eastern parts of Germany. Soc Psychiatry Psychiatr Epidemiol 34:275–281PubMedCrossRefGoogle Scholar
  6. 6.
    Angermeyer MC, Matschinger H, Corrigan PW (2004) Familiarity with mental illness and social distance from people with schizophrenia and major depression: testing a model using data from a representative population survey. Schizophr Res 69:175–182PubMedCrossRefGoogle Scholar
  7. 7.
    Ayorinde O, Gureje O, Rahman L (2004) Psychiatric Research in Nigeria: bridging the tradition and modernisation. Br J Psychiatry 184:536–538CrossRefGoogle Scholar
  8. 8.
    Bag B, Yilmaz S, Kirpinar I (2006) Factors influencing social distance from people with schizophrenia. Int J Clin Pract 60:289–294PubMedCrossRefGoogle Scholar
  9. 9.
    Buizza C, Pioli R, Ponteri M et al (2005) Community attitudes towards mental illness and socio-demographic characteristics: an Italian study. Epidemiol Psychiatry Soc 14:154–162Google Scholar
  10. 10.
    Gaebel W, Baunmann A, Witte AM, Zaeske H (2002) Public attitudes towards people with mental illness in six German cities. Eur Arch Psychiatry Clin Neurosci 252:278–287PubMedCrossRefGoogle Scholar
  11. 11.
    Gureje O, Lasebikan VO, Ephraim-Oluwanuga O, Olley BO, Kola L (2005) Community study of knowledge of and attitude to mental illness in Nigeria. Br J Psychiatry 186:436–441PubMedCrossRefGoogle Scholar
  12. 12.
    Gureje O, Olley OO, Ephraim-Oluwanuga O et al (2006) Do beliefs about causation influence attitudes to mental illness. World Psychiatry 5:104–107PubMedGoogle Scholar
  13. 13.
    Haghighat R (2001) A unitary theory of stigmatisation: pursuit of self interest and routes to destigmatisation. Br J Psychiatry 178:207–215PubMedCrossRefGoogle Scholar
  14. 14.
    James A (1998) Stigma of mental illness: foreword. Lancet 352:1048PubMedGoogle Scholar
  15. 15.
    Kabir M, Iliyasu Z, Abubakar IS, Aliyu MH (2004) Perception and beliefs about mental illness among adults in Karfi village, northern Nigeria. BMC Int Health Hum Rights 4:3PubMedCrossRefGoogle Scholar
  16. 16.
    Malla A, Shaw T (1987) Attitudes towards mental illness: the influence of education and experience. Int J Soc Psychiatry 33:33–41PubMedCrossRefGoogle Scholar
  17. 17.
    Makanjuola ROA (1987) Yoruba traditional healers in psychiatry: 1. Healers concept of the nature and aetiology of mental illness. Afr J Med Sci 16:53–59Google Scholar
  18. 18.
    National Population Commission (1998) Data for the Nigerian 1991 census. Nigeria Official Statistics. Government PressGoogle Scholar
  19. 19.
    Rahav M, Struening EL, Andrews H (1984) Opinions on mental illness in Israel. Soc Sci Med 19:1151–1158PubMedCrossRefGoogle Scholar
  20. 20.
    Shibre T, Negash A, Kullgren G, Kebede D, Alem A, Fekadu A, Fekadu D, Madhin G, Jacobsson L (2001) Perception of stigma among family members of individuals with schizophrenia and major affective disorders in rural Ethiopia. Soc Psychiatry Psychiatr Epidemiol 36:299–303PubMedCrossRefGoogle Scholar
  21. 21.
    Song LY, Chang LY, Shih CY et al (2005) Community attitudes towards the mentally ill: the results of a national survey of the Taiwanese population. Int J Soc Psychiatry 51:162–176PubMedCrossRefGoogle Scholar
  22. 22.
    Stuart H, Arbodela-Florez J (2001) Community attitudes towards people with schizophrenia. Can J Psychiatry 46:245–252PubMedGoogle Scholar
  23. 23.
    Weiner B, Perry RP, Magnusson J (1988) An attribution analysis of reactions to stigmas. J Person Soc Psychol 55:738–748CrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  1. 1.Dept. of PsychiatryCollege of Medicine, Lagos State University, PMB 21266LagosNigeria
  2. 2.Dept. of Mental Health, College of Health SciencesObafemi Awolowo UniversityIle-IfeNigeria

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