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Treatments for people living with schizophrenia in Sub-Saharan Africa: an adapted realist review

Chidarikire, S ORCID: 0000-0002-8250-9876, Cross, M ORCID: 0000-0001-5526-4650, Skinner, I and Cleary, M ORCID: 0000-0002-1453-4850 2018 , 'Treatments for people living with schizophrenia in Sub-Saharan Africa: an adapted realist review' , International Nursing Review, vol. 65 , pp. 78-92 , doi: 10.1111/inr.12391.

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Abstract

Aim: To identify the treatments and interventions available and their impact on people living withschizophrenia in Sub-Saharan Africa.Background: Help-seeking behaviour and the choice of treatment are largely influenced by socio-culturalfactors and beliefs about the causes of mental illness. This review addresses the gap in knowledge regardingthe treatment options available to people living with schizophrenia in Sub-Saharan Africa.Design: Adapted realist literature review.Data sources: Electronic databases searched in June 2016 included PubMed, EMBASE, PsycINFO, ProQuestand CINAHL.Review methods: The adapted realist review approach used to synthesize the published research involvedidentifying the review aim, searching and selecting relevant studies, extracting, iteratively analysing andsynthesizing relevant data and reporting results.Results: Forty studies from eight countries were reviewed. Most people were treated by both faith/traditionalhealers and modern psychiatry. Common treatments included antipsychotics, electroconvulsive therapy andpsychosocial interventions. Few treatment options were available outside major centres, there was pooradherence to medication and families reported a high level of burden associated with caring for a relative.Limitations: Major limitations of this review were the lack of studies, variable quality and low level ofevidence available from most countries from Sub-Saharan Africa and lack of generalizability.Conclusion: People living with schizophrenia in Sub-Saharan Africa were treated by faith, traditionalhealers and modern psychiatry, if at all. Further research is needed to better understand the local situationand the implications for caring for people from this region.

Item Type: Article
Authors/Creators:Chidarikire, S and Cross, M and Skinner, I and Cleary, M
Keywords: Mental Health Care; Mental Health Nursing; Realist Review; Treatment; Schizophrenia; Sub-Saharan Africa
Journal or Publication Title: International Nursing Review
Publisher: Wiley-Blackwell Publishing Ltd.
ISSN: 0020-8132
DOI / ID Number: 10.1111/inr.12391
Copyright Information:

Copyright 2017 International Council of Nurses

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