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Exploring perceptions of "wellness" in black ethnic minority individuals at risk of developing psychosis.

Abstract：

BACKGROUND:The NICE Schizophrenia guidelines (NICE, 2009, Update) recommend that services should address cultural differences in treatment, expectations and adherence, and clients' explanatory models of illness should be better understood. Service users from Black African and Black Caribbean communities are overrepresented in psychosis services in the UK, yet there is no literature on how wellness is understood by this group. AIMS:This study explored perceptions of wellness in Black African and Black Caribbean individuals with an At Risk Mental State (ARMS) for psychosis. METHOD:A Q set of potential meanings of wellness was identified from a literature search and interviews with people at risk of developing psychosis. From this, 50 potential definitions were identified; twenty Black African and Black Caribbean ARMS clients ranked these definitions. RESULTS:Following factor analysis of completed Q sorts, six factors emerged that offered insight into perceptions of wellness in this population. These factors included: sense of social purpose explanation, the surviving God's test explanation, the internalization of spirituality explanation, understanding and attribution of symptoms to witchcraft explanation, avoidance and adversity explanation, and seeking help to cope explanation. CONCLUSIONS:Although preliminary, differences between the factors suggests that there may be perceptions of wellness specific to these groups that are distinct from the medical view of wellness promoted within early detection services. These differences may potentially impact upon engagement, particularly factors that clients feel may facilitate or aide their recovery. It is suggested that these differences need to be considered as part of the assessment and formulation process.

journal_name

Behav Cogn Psychother

journal_title

Behavioural and cognitive psychotherapy

authors

Codjoe L,Byrne M,Lister M,McGuire P,Valmaggia L

doi

10.1017/S1352465812000707

subject

Has Abstract

pub_date

2013-03-01 00:00:00

pages

144-61

issue

eissn

1352-4658

issn

1469-1833

pii

S1352465812000707

journal_volume

pub_type

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Exploring perceptions of "wellness" in black ethnic minority individuals at risk of developing psychosis.