Reactions to symptoms of mental disorder and help seeking in Sabah, Malaysia.

Journal article


Shoesmith, Wendy Diana, Borhanuddin, Awang Faisal Bin Awang, Yong Pau Lin, Pauline, Abdullah, Ahmad Faris, Nordin, Norhayati, Giridharan, Beena, Forman, Dawn and Fyfe, Sue 2017. Reactions to symptoms of mental disorder and help seeking in Sabah, Malaysia. International Journal of Social Psychiatry. https://doi.org/10.1177/0020764017739643
AuthorsShoesmith, Wendy Diana, Borhanuddin, Awang Faisal Bin Awang, Yong Pau Lin, Pauline, Abdullah, Ahmad Faris, Nordin, Norhayati, Giridharan, Beena, Forman, Dawn and Fyfe, Sue
Abstract

Abstract Background: A better understanding is needed about how people make decisions about help seeking. Materials: Focus group and individual interviews with patients, carers, healthcare staff, religious authorities, traditional healers and community members. Discussion: Four stages of help seeking were identified: (1) noticing symptoms and initial labelling, (2) collective decision-making, (3) spiritual diagnoses and treatment and (4) psychiatric diagnosis and treatment. Conclusion: Spiritual diagnoses have the advantage of being less stigmatising, giving meaning to symptoms, and were seen to offer hope of cure rather than just symptom control. Patients and carers need help to integrate different explanatory models into a meaningful whole.

Abstract
Background:
A better understanding is needed about how people make decisions about help seeking.

Materials:
Focus group and individual interviews with patients, carers, healthcare staff, religious authorities, traditional healers and community members.

Discussion:
Four stages of help seeking were identified: (1) noticing symptoms and initial labelling, (2) collective decision-making, (3) spiritual diagnoses and treatment and (4) psychiatric diagnosis and treatment.

Conclusion:
Spiritual diagnoses have the advantage of being less stigmatising, giving meaning to symptoms, and were seen to offer hope of cure rather than just symptom control. Patients and carers need help to integrate different explanatory models into a meaningful whole.

KeywordsInterprofessional education; Pathways to care; Spiritual healing; Traditions; Psychiatric disorders; Qualitative research; Malasia
Year2017
JournalInternational Journal of Social Psychiatry
PublisherSage
ISSN00207640
17412854
Digital Object Identifier (DOI)https://doi.org/10.1177/0020764017739643
Web address (URL)http://hdl.handle.net/10545/622095
hdl:10545/622095
Publication dates06 Nov 2017
Publication process dates
Deposited29 Jan 2018, 16:45
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Archived with thanks to International Journal of Social Psychiatry

ContributorsUniversiti Malaysia Sabah, Hospital Mesra Bukit Padang, Curtin University, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Malaysia, Centre for the Promotion of Knowledge and Language Learning, Universiti Malaysia Sabah, Kota Kinabalu, Malaysia, Faculty of Humanities, Arts and Heritage, Universiti Malaysia Sabah, Kota Kinabalu, Malaysia, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Malaysia, Hospital Mesra Bukit Padang, Kota Kinabalu, Malaysia, Curtin University, Malaysia, Miri, Malaysia, Faculty of Health Sciences, Curtin University, Perth, WA, Australia and Faculty of Health Sciences, Curtin University, Perth, WA, Australia
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