Beliefs about schizophrenia and its treatment in Kota Kinabalu, Malaysia

Int J Soc Psychiatry. 2008 Mar;54(2):164-79. doi: 10.1177/0020764007084665.

Abstract

Background: Lay beliefs about schizophrenia have been extensively studied in cross-cultural settings, but research on ethnic differences are currently lacking.

Aims: This study examined beliefs about the manifestations, causes and cures of schizophrenia in a multi-ethnic sample from Malaysia.

Methods: In this study, 561 Malay, Chinese and Kadazan-Dusun participants rated 72 statements about schizophrenia on a 7-point scale.

Results: Results showed that Malaysians tended to favour social-environmental explanations for schizophrenia. There were also ethnic and sex differences in these results. Specifically, Malay participants more strongly agreed that schizophrenia has a social cause, that treatment should affect changes at a societal level, that schizophrenic behaviour is sinful and that mental hospitals do not provide effective treatments.

Conclusions: Lay beliefs about schizophrenia may serve different functions for different ethno-cultural groups, which have an influence on help-seeking behaviour.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Asian People / psychology
  • Attitude to Health / ethnology*
  • Culture*
  • Delivery of Health Care / standards
  • Ethnicity / psychology*
  • Factor Analysis, Statistical
  • Female
  • Health Knowledge, Attitudes, Practice
  • Hospitals, Psychiatric / standards
  • Humans
  • Islam / psychology
  • Malaysia / ethnology
  • Male
  • Morals
  • Patient Acceptance of Health Care
  • Population Groups / psychology
  • Schizophrenia / ethnology*
  • Schizophrenia / therapy*
  • Sex Factors
  • Social Environment
  • Stereotyping
  • Surveys and Questionnaires
  • Witchcraft