PMID- 22958505
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20130102
LR  - 20231106
IS  - 1752-4458 (Electronic)
IS  - 1752-4458 (Linking)
VI  - 6
IP  - 1
DP  - 2012 Sep 8
TI  - Naturalistic outcome of treatment of psychosis by traditional healers in Jinja 
      and Iganga districts, Eastern Uganda - a 3- and 6 months follow up.
PG  - 13
LID - 10.1186/1752-4458-6-13 [doi]
AB  - OBJECTIVE: To determine the naturalistic outcome of treatment of psychosis by 
      traditional healers in Jinja and Iganga districts of Eastern Uganda. METHOD: A 
      cohort of patients with psychosis receiving treatment from traditional healers' 
      shrines were recruited between January and March 2008 and followed up at three 
      and six months. The Mini International Neuropsychiatry Interview (MINI Plus) was 
      used for making specific diagnosis at the point of contact. For specific 
      symptoms, Positive and Negative Symptom Scale (PANSS), Young Mania Rating Scale 
      (YMRS) and Montgomery Asberg Depression Rating Scale (MADRS) were used to measure 
      severity of schizophrenia, mania and psychotic depression, respectively. The 
      Clinical Global Impression (CGI) and Global Assessment of Functioning (GAF) were 
      used for objective assessments. The Compass Mental Health Index measured well 
      being. Mean scores of the scales were computed using one way ANOVA for 
      independent samples. Associations between outcome and categorical variables were 
      examined at bivariate and multivariate levels. RESULTS: All the symptom scales 
      had a percentage reduction of more than 20% at three and six months follow up. 
      The differences between the mean scores of the scales at baseline and 3 months, 
      baseline and 6 months, and 3 and 6 months were all significant (P < 0.0001). The 
      post test for pair wise comparisons, the Tukey HSD (Honestly Significant 
      Difference) test was also all significant at P < 0.01 except for MADRS where 
      there was no significant difference between 3 and 6 months for depression 
      severity. Over 80% of the participants used biomedical services for the same 
      symptoms in the study period. At 3 months follow up, patients who combined 
      treatment were less likely to be cases (P = 0.002; OR 0.26 [0.15-0.58]), but more 
      likely to be cases at 6 months follow up (P = 0.020; OR 2.05 [1.10-3.189]). Being 
      in debt was associated with caseness both at 3 and 6 months. CONCLUSION: This 
      study suggests that there may be some positive effects for patients with 
      psychosis who combine both biomedical services and traditional healing. Further 
      research in the area of naturalistic outcome of traditional healing is necessary.
FAU - Abbo, Catherine
AU  - Abbo C
AD  - Department of Psychiatry, College of Health Sciences, Makerere University, P,O 
      Box 7072, Kampala, Uganda. cathyabbo@chs.ma.ac.ug.
FAU - Okello, Elialilia S
AU  - Okello ES
FAU - Musisi, Seggane
AU  - Musisi S
FAU - Waako, Paul
AU  - Waako P
FAU - Ekblad, Solvig
AU  - Ekblad S
LA  - eng
PT  - Journal Article
DEP - 20120908
PL  - England
TA  - Int J Ment Health Syst
JT  - International journal of mental health systems
JID - 101294224
PMC - PMC3533959
EDAT- 2012/09/11 06:00
MHDA- 2012/09/11 06:01
PMCR- 2012/09/08
CRDT- 2012/09/11 06:00
PHST- 2012/05/21 00:00 [received]
PHST- 2012/09/02 00:00 [accepted]
PHST- 2012/09/11 06:00 [entrez]
PHST- 2012/09/11 06:00 [pubmed]
PHST- 2012/09/11 06:01 [medline]
PHST- 2012/09/08 00:00 [pmc-release]
AID - 1752-4458-6-13 [pii]
AID - 10.1186/1752-4458-6-13 [doi]
PST - epublish
SO  - Int J Ment Health Syst. 2012 Sep 8;6(1):13. doi: 10.1186/1752-4458-6-13.