Rosemarie McCabe1, Stefan Priebe. 1. Unit for Social and Community Psychiatry, Barts and the London School of Medicine, Newham Centre for Mental Health, London, UK. r.mccabe@qmul.ac.uk
Abstract
BACKGROUND: Explanatory models of illness may differ between ethnic groups and influence treatment satisfaction and compliance. AIMS: To compare explanatory models among people with schizophrenia from four cultural backgrounds and explore their relationship with clinical and psychological characteristics. METHOD: Explanatory models, insight, treatment compliance, health locus of control, quality of life, treatment satisfaction, therapeutic relationships and symptomatology were assessed in UK Whites and Bangladeshis, African-Caribbeans and West Africans. RESULTS: When biological and supernatural causes of illness were compared, Whites cited biological causes more frequently than the three non-White groups, who cited supernatural causes more frequently. When biological and social causes were compared, Whites cited biological causes more frequently than African-Caribbeans and Bangladeshis, who cited social causes more frequently. A biological explanatory model was related to enhanced treatment satisfaction and therapeutic relationships but not treatment compliance. CONCLUSIONS: Explanatory models of illness contribute to patient satisfaction with treatment and relationships with clinicians.
BACKGROUND: Explanatory models of illness may differ between ethnic groups and influence treatment satisfaction and compliance. AIMS: To compare explanatory models among people with schizophrenia from four cultural backgrounds and explore their relationship with clinical and psychological characteristics. METHOD: Explanatory models, insight, treatment compliance, health locus of control, quality of life, treatment satisfaction, therapeutic relationships and symptomatology were assessed in UK Whites and Bangladeshis, African-Caribbeans and West Africans. RESULTS: When biological and supernatural causes of illness were compared, Whites cited biological causes more frequently than the three non-White groups, who cited supernatural causes more frequently. When biological and social causes were compared, Whites cited biological causes more frequently than African-Caribbeans and Bangladeshis, who cited social causes more frequently. A biological explanatory model was related to enhanced treatment satisfaction and therapeutic relationships but not treatment compliance. CONCLUSIONS: Explanatory models of illness contribute to patient satisfaction with treatment and relationships with clinicians.
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