Document Detail


Help-seeking pathways among Malay psychiatric patients.
MedLine Citation:
PMID:  11201349     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aim of this study is to explore the help-seeking behaviour of Malay psychiatric patients. A semi-structured interview based on a standard proforma was conducted to assess help seeking process and delays for Malay psychiatric patients attending the psychiatric clinic for the first time. Help-seeking process and delays were defined. Among 134 patients evaluated in the study, 69% had visited traditional healers (bomoh) for the present illness before consulting psychiatrists. The second popular choice of treatment was medical practitioner and only a small percentage of them had consulted homeopathic practitioners and herbalists. Patients who had consulted bomohs were significantly delayed in getting psychiatric treatment compared with those who had not consulted them. Consultation of bomohs was significantly higher among married patients, those with major psychiatric illnesses and in family who believed in supernatural causes of mental illness. However, there was no significant difference in age, gender, educational status and occupation between patients who had consulted and not consulted bomoh. We concluded that majority of the Malay psychiatric patients had sought the traditional treatment prior to psychiatric consultation. The strength of social support and the belief of the patients, friends, and/or relatives in supernatural causes of mental illness were strongly associated with the rate of traditional treatment. Deep-seated cultural beliefs were major barrier to psychiatric treatment.
Authors:
S M Razali; M A Najib
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The International journal of social psychiatry     Volume:  46     ISSN:  0020-7640     ISO Abbreviation:  Int J Soc Psychiatry     Publication Date:  2000  
Date Detail:
Created Date:  2001-01-25     Completed Date:  2001-05-03     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0374726     Medline TA:  Int J Soc Psychiatry     Country:  England    
Other Details:
Languages:  eng     Pagination:  281-9     Citation Subset:  IM    
Affiliation:
Department of Psychiatry, School of Medical Sciences, Universiti Sains Malaysia, Kelantan. mrazali@kb.usm.my
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Complementary Therapies / utilization
Cross-Cultural Comparison*
Ethnic Groups / psychology*
Female
Health Services, Indigenous / utilization
Humans
Magic
Malaysia
Male
Mental Disorders / epidemiology,  ethnology*,  psychology
Middle Aged
Patient Acceptance of Health Care / statistics & numerical data*
Patient Care Team / utilization
Psychiatry / statistics & numerical data
Social Values

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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