Exploring the sociocultural perception of post-traumatic stress disorder in Ghana
Post-traumatic stress disorder (PTSD) is one of the significant public mental health concerns globally. While Western medical and psychological models dominate in the etiological explanations and treatments of this disorder, alternative interpretations and treatments stemming from health belief model are available in specific cultural contexts such as Ghana. In this exploratory research, a total of 28 participants including 20 PTSD survivors from Accra and Pantang Psychiatric Hospitals and eight culturally informed individuals from Ashaiman, Nima, and Afienya were enrolled for interviews and focus group discussions. The purposive and snowball sampling methods were used. The results showed that participants generally perceived the cause and symptoms of PTSD as spiritual, and most of them had sought herbal and spiritual relief if afflicted with PTSD symptoms. In summary, cultural factors should be considered in the therapeutic management of PTSD by integrating traditional approaches with Western medical and psychological approaches.
- Koenen KC, Ratanatharathorn A, Ng L, et al., 2017, Posttraumatic stress disorder in the world mental health surveys. Psychol Med, 47: 2260–2274. https://doi.org/10.1017/S0033291717000708
- Frieze IH, Newhill CE, Fusco R, et al., 2020, Survivor coping: Theories and research about reactions to all types of victimization. In: Dynamics of Family and Intimate Partner Violence. Berlin: Springer. p.63–107.
- Aborisade RA, 2022, COVID-19 and gender-based violence: investigating the “Shadow Pandemic” of sexual violence during crisis Lockdown in Nigeria. Int J offender Ther Comp Criminol.
- American Psychological Association (APA), 2013, Diagnostic and Statistical Manual of Mental Disorders. 5th ed. (DSM-5). Washington, DC: American Psychiatric Association.
- Atwoli L, Stein DJ, Koenen KC, et al., 2015, Epidemiology of posttraumatic stress disorder: Prevalence, correlates and consequences. Curr Opin Psychiatry, 28: 307–311. https://doi.org/10.1097/YCO.0000000000000167
- Benjet C, Bromet E, Karam EG, et al., 2016, The epidemiology of traumatic event exposure worldwide: Results from the World Mental Health Survey Consortium. Psychol Med, 46: 327–343. https://doi.org/10.1017/S0033291715001981
- Kaminer D, Grimsrud A, Myer L, et al., 2008, Risk for post-traumatic stress disorder associated with different forms of interpersonal violence in South Africa. Soc Sci Med, 67: 1589–1595. https://doi.org/10.1016/j.socscimed.2008.07.023
- Wisborg T, Montshiwa TR, Mock C, 2011, Trauma research in low-and middle-income countries is urgently needed to strengthen the chain of survival. Scand J Trauma Resusc Emerg Med, 19: 62. https://doi.org/10.1186/1757-7241-19-62
- Bartholomew TT, 2016, Mental health in Namibia: Connecting discourses on psychological distress, western treatments and traditional healing. Psychol Dev Soc, 28: 101–125.
- Jones CL, Jensen JD, Scherr CL, et al., 2015, The health belief model as an explanatory framework in communication research: Exploring parallel, serial, and moderated mediation. Health Commun, 30: 566–576. https://doi.org/10.1080/10410236.2013.873363
- Opare-Henaku A, Utsey SO, 2017, Culturally prescribed beliefs about mental illness among the Akan of Ghana. Transcult Psychiatry, 54: 502–522. https://doi.org/10.1177/1363461517708120
- Asamoah MK, Osafo J, Agyapong I, 2014, The role of Pentecostal clergy in mental health-care delivery in Ghana. Ment Health Relig Cult, 17: 601–614.
- Osafo J, Agyapong I, Asamoah MK, 2015, Exploring the nature of treatment regimen for mentally ill persons by neo-prophetic ministers in Ghana. Int J Cult Ment Health, 8: 325–339.
- Babbie E, Mouton J, 2010, The Practice of Social Research. Cape Town: Oxford University Press.
- Mason M, 2010. Sample Size and Saturation in PhD Studies Using Qualitative Interviews. Forum Qualitative Sozialforschung Forum: Qualitative Social Research, 11(3). https://doi.org/10.17169/fqs-11.3.1428
- Braun V, Clarke V, 2012, Thematic analysis. In: H. Cooper (ed.). Handbook of Research Methods in Psychology. Washington, DC: APA Books. p.57–71.
- Arias D, Taylor L, Ofori-Atta A, et al., 2016, Prayer camps and biomedical care in Ghana: Is collaboration in mental health care possible? PLoS One, 11: e0162305. https://doi.org/10.1371/journal.pone.0162305
- Kyei JJ, Dueck A, Indart MJ, et al., 2014, Supernatural belief systems, mental health and perceptions of mental disorders in Ghana. Int J Cult Ment Health, 7: 137–151.
- Ishola IO, Akinyede AA, Sholarin AM, 2013, Antidepressant and anxiolytic properties of the methanolic extract of Momordica charantia Linn (Cucurbitaceae) and its mechanism of action. Drug Res (Stuttg), 64: 368–376. https://doi.org/10.1055/s-0033-1358712
- Kpobi LN, Swartz L, Omenyo CN, 2019, Traditional herbalists’ methods of treating mental disorders in Ghana. Transcult Psychiatry, 56: 250–266. https://doi.org/10.1177/1363461518802981