Survey of early predictive signs of poor mental health and socio-cultural beliefs about mental illness in Enugu state, Nigeria
BACKGROUND: The rising prevalence of mental disorder and the enormous emotional, financial, socio-economic and developmental burden is a source of concern and challenge to the global community. This study assessed the prevalence of major warning signs of poor mental health and socio-cultural beliefs...
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Wolters Kluwer Medknow Publications
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doaj-f6a0055a7e264f0c945f39d17297192e2021-08-09T10:15:38ZengWolters Kluwer Medknow PublicationsNigerian Journal of Medicine1115-26132018-01-01271354510.4103/1115-2613.278228Survey of early predictive signs of poor mental health and socio-cultural beliefs about mental illness in Enugu state, NigeriaO C EkwuemeF ChukwuenekeA C EkwuemeA C NduC A IdokoE A NwobiBACKGROUND: The rising prevalence of mental disorder and the enormous emotional, financial, socio-economic and developmental burden is a source of concern and challenge to the global community. This study assessed the prevalence of major warning signs of poor mental health and socio-cultural beliefs about the mental illness among the urban and rural dwellers in Enugu State, Nigeria. METHODS: This was a descriptive, cross sectional study, using multistage sampling to recruit a total of 724 respondents, 371 from urban and 353 from rural Local Government Areas. A researcher constructed and pre-tested semi-structured questionnaire was the instrument of data collection used. William C. Menninger's questions for assessing warning signs of poor mental health was modified and adapted. Data was analysed using Epi-info version 3.5.3. Chi-square test and Student T-test statistics were used. Level of significant was set at p ≤0.05. RESULTS: Socio-cultural factors mostly believed to cause mental illness were evil spirits (51.8% Urban: 34.28% rural, X2 = 22.51, p= 0.000) and native charm (47.7% urban: 43.1% rural; X2 = 1.58, p = 0.209). Major alternative treatments recommended for the mentally ill were prayer/deliverance (59.8% urban: 54.7% rural, p=0.160) and herbal drugs/ traditional healers (31.0% urban: 35.7% rural, p=0.180). Mean scores of the signs of poor mental health among the urban and rural dwellers were 80.82±41.66 and 119.55±37.06 (t=13.19, p= 0.000); and prevalence of early warning signals of poor mental health were 21.7% for the urban and 33.87% for the rural respondents. CONCLUSION: Traditional beliefs about mental illness are still prevalent in the 21st century Nigeria. The rural dwellers have more warning signs of poor mental health than their urban counterparts. In-depth psychiatric evaluation, mental health education and counselling are advocated.http://www.njmonline.org/article.asp?issn=1115-2613;year=2018;volume=27;issue=1;spage=35;epage=45;aulast=Ekwueme;type=0beliefsmental healthmental illnessruralsignsurban |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
O C Ekwueme F Chukwueneke A C Ekwueme A C Ndu C A Idoko E A Nwobi |
spellingShingle |
O C Ekwueme F Chukwueneke A C Ekwueme A C Ndu C A Idoko E A Nwobi Survey of early predictive signs of poor mental health and socio-cultural beliefs about mental illness in Enugu state, Nigeria Nigerian Journal of Medicine beliefs mental health mental illness rural signs urban |
author_facet |
O C Ekwueme F Chukwueneke A C Ekwueme A C Ndu C A Idoko E A Nwobi |
author_sort |
O C Ekwueme |
title |
Survey of early predictive signs of poor mental health and socio-cultural beliefs about mental illness in Enugu state, Nigeria |
title_short |
Survey of early predictive signs of poor mental health and socio-cultural beliefs about mental illness in Enugu state, Nigeria |
title_full |
Survey of early predictive signs of poor mental health and socio-cultural beliefs about mental illness in Enugu state, Nigeria |
title_fullStr |
Survey of early predictive signs of poor mental health and socio-cultural beliefs about mental illness in Enugu state, Nigeria |
title_full_unstemmed |
Survey of early predictive signs of poor mental health and socio-cultural beliefs about mental illness in Enugu state, Nigeria |
title_sort |
survey of early predictive signs of poor mental health and socio-cultural beliefs about mental illness in enugu state, nigeria |
publisher |
Wolters Kluwer Medknow Publications |
series |
Nigerian Journal of Medicine |
issn |
1115-2613 |
publishDate |
2018-01-01 |
description |
BACKGROUND: The rising prevalence of mental disorder and the enormous emotional, financial, socio-economic and developmental burden is a source of concern and challenge to the global community. This study assessed the prevalence of major warning signs of poor mental health and socio-cultural beliefs about the mental illness among the urban and rural dwellers in Enugu State, Nigeria.
METHODS: This was a descriptive, cross sectional study, using multistage sampling to recruit a total of 724 respondents, 371 from urban and 353 from rural Local Government Areas. A researcher constructed and pre-tested semi-structured questionnaire was the instrument of data collection used. William C. Menninger's questions for assessing warning signs of poor mental health was modified and adapted. Data was analysed using Epi-info version 3.5.3. Chi-square test and Student T-test statistics were used. Level of significant was set at p ≤0.05.
RESULTS: Socio-cultural factors mostly believed to cause mental illness were evil spirits (51.8% Urban: 34.28% rural, X2 = 22.51, p= 0.000) and native charm (47.7% urban: 43.1% rural; X2 = 1.58, p = 0.209). Major alternative treatments recommended for the mentally ill were prayer/deliverance (59.8% urban: 54.7% rural, p=0.160) and herbal drugs/ traditional healers (31.0% urban: 35.7% rural, p=0.180). Mean scores of the signs of poor mental health among the urban and rural dwellers were 80.82±41.66 and 119.55±37.06 (t=13.19, p= 0.000); and prevalence of early warning signals of poor mental health were 21.7% for the urban and 33.87% for the rural respondents.
CONCLUSION: Traditional beliefs about mental illness are still prevalent in the 21st century Nigeria. The rural dwellers have more warning signs of poor mental health than their urban counterparts. In-depth psychiatric evaluation, mental health education and counselling are advocated. |
topic |
beliefs mental health mental illness rural signs urban |
url |
http://www.njmonline.org/article.asp?issn=1115-2613;year=2018;volume=27;issue=1;spage=35;epage=45;aulast=Ekwueme;type=0 |
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