A qualitative study about explanatory models of alcohol use disorder among patients and relatives in a Ugandan mental hospital
Abstract Background Alcohol use disorder (AUD) is a major clinical problem in Uganda. Explanatory models (EMs) of illness are important as they have consequences for treatment. Clinicians´ knowledge about patients´ EMs can improve understanding of the latter´s perspectives and adapting treatments. T...
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| Format: | Article |
| Language: | English |
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BMC
2024-03-01
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| Series: | BMC Psychiatry |
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| Online Access: | https://doi.org/10.1186/s12888-024-05677-4 |
| _version_ | 1827310108267249664 |
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| author | Hanna Rudenstrand Sofie Bäärnhielm |
| author_facet | Hanna Rudenstrand Sofie Bäärnhielm |
| author_sort | Hanna Rudenstrand |
| collection | DOAJ |
| description | Abstract Background Alcohol use disorder (AUD) is a major clinical problem in Uganda. Explanatory models (EMs) of illness are important as they have consequences for treatment. Clinicians´ knowledge about patients´ EMs can improve understanding of the latter´s perspectives and adapting treatments. There is a lack of African studies about EMs of AUD. The aim of this study was to explore EMs for AUD among hospitalized patients and their relatives at the alcohol and drug unit (ADU) at Butabika hospital in Uganda. Methods An adapted version of the Explanatory Model Interview Catalogue (EMIC) was used for interviews with ten patients and five relatives to investigate how both hospitalized patients with AUD and their relatives understand the disease. Data were analysed for themes with a qualitative content analysis and support of the software program, OpenCode 4.03. Results Five major themes were identified from the patient interviews: “Context promotes AUD”; “Alcohol is part of culture”; “Spiritual causes of AUD in the community”; “Help through Western medicine and religious sources is preferred” and “Social problems and stigmatization”. Six major themes identified from the interviews with relatives were: “Numerous causes of drinking alcohol”; “Devastating consequences of drinking alcohol”; “Exploiting persons with AUD”; “Others’ suffering”; “Relatives struggling for help” and “Suggested solutions”. Conclusions Patients’ EMs of AUD included social and spiritual explanations. Alcohol is seen as an important part of the Ugandan culture among both patients and their relatives. The results indicate it is important in clinical contexts to investigate the EMs of the patients and relatives to individually tailor treatment interventions. |
| first_indexed | 2024-04-24T19:54:22Z |
| format | Article |
| id | doaj.art-e82d6feb0241475d9ae34e5d3c430638 |
| institution | Directory Open Access Journal |
| issn | 1471-244X |
| language | English |
| last_indexed | 2024-04-24T19:54:22Z |
| publishDate | 2024-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychiatry |
| spelling | doaj.art-e82d6feb0241475d9ae34e5d3c4306382024-03-24T12:28:44ZengBMCBMC Psychiatry1471-244X2024-03-0124111010.1186/s12888-024-05677-4A qualitative study about explanatory models of alcohol use disorder among patients and relatives in a Ugandan mental hospitalHanna Rudenstrand0Sofie Bäärnhielm1Aleris Psychiatry RinkebyCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet & Stockholm Health Care Services, Transcultural CentreAbstract Background Alcohol use disorder (AUD) is a major clinical problem in Uganda. Explanatory models (EMs) of illness are important as they have consequences for treatment. Clinicians´ knowledge about patients´ EMs can improve understanding of the latter´s perspectives and adapting treatments. There is a lack of African studies about EMs of AUD. The aim of this study was to explore EMs for AUD among hospitalized patients and their relatives at the alcohol and drug unit (ADU) at Butabika hospital in Uganda. Methods An adapted version of the Explanatory Model Interview Catalogue (EMIC) was used for interviews with ten patients and five relatives to investigate how both hospitalized patients with AUD and their relatives understand the disease. Data were analysed for themes with a qualitative content analysis and support of the software program, OpenCode 4.03. Results Five major themes were identified from the patient interviews: “Context promotes AUD”; “Alcohol is part of culture”; “Spiritual causes of AUD in the community”; “Help through Western medicine and religious sources is preferred” and “Social problems and stigmatization”. Six major themes identified from the interviews with relatives were: “Numerous causes of drinking alcohol”; “Devastating consequences of drinking alcohol”; “Exploiting persons with AUD”; “Others’ suffering”; “Relatives struggling for help” and “Suggested solutions”. Conclusions Patients’ EMs of AUD included social and spiritual explanations. Alcohol is seen as an important part of the Ugandan culture among both patients and their relatives. The results indicate it is important in clinical contexts to investigate the EMs of the patients and relatives to individually tailor treatment interventions.https://doi.org/10.1186/s12888-024-05677-4Explanatory modelsAddictive behaviourAlcohol addictionAlcohol dependenceAlcohol use disorderMental health |
| spellingShingle | Hanna Rudenstrand Sofie Bäärnhielm A qualitative study about explanatory models of alcohol use disorder among patients and relatives in a Ugandan mental hospital BMC Psychiatry Explanatory models Addictive behaviour Alcohol addiction Alcohol dependence Alcohol use disorder Mental health |
| title | A qualitative study about explanatory models of alcohol use disorder among patients and relatives in a Ugandan mental hospital |
| title_full | A qualitative study about explanatory models of alcohol use disorder among patients and relatives in a Ugandan mental hospital |
| title_fullStr | A qualitative study about explanatory models of alcohol use disorder among patients and relatives in a Ugandan mental hospital |
| title_full_unstemmed | A qualitative study about explanatory models of alcohol use disorder among patients and relatives in a Ugandan mental hospital |
| title_short | A qualitative study about explanatory models of alcohol use disorder among patients and relatives in a Ugandan mental hospital |
| title_sort | qualitative study about explanatory models of alcohol use disorder among patients and relatives in a ugandan mental hospital |
| topic | Explanatory models Addictive behaviour Alcohol addiction Alcohol dependence Alcohol use disorder Mental health |
| url | https://doi.org/10.1186/s12888-024-05677-4 |
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