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Interventions for adolescents and adults with psychosis in Africa: a systematic review and narrative synthesis.

Authors :
Hunt, Xanthe
Abdurahman, Haleem
Omobowale, Olubukola
Afolayan, Adeola
Munetsi, Epiphania
Dzapasi, Lloyd
Mokaya, Nyareso
Koroma, Alhaji
Barrie, Ibrahim
Ogunmola, Olusegun
Koroma, Abubakar
Shakespeare, Tom
Eaton, Julian
Ryan, Grace
Source :
Cambridge Prisms: Global Mental Health; 2022, Vol. 9, p223-240, 18p
Publication Year :
2022

Abstract

Background: The Global Burden of Disease attributable to psychotic disorders in African countries is high and has increased sharply in recent years. Yet, there is a scarcity of evidence on effective, appropriate and acceptable interventions for schizophrenia and other psychotic disorders on the continent. Methods: We carried out a systematic review and narrative synthesis of peer-reviewed literature evaluating the impact of non-pharmacological interventions for adolescents and adults (10–65 years) in African countries. Two reviewers independently double-screened all articles and performed data extraction and quality appraisal using standardized tools. Results: Of the 8529 unique texts returned by our search, 12 studies were identified for inclusion, from seven countries: Egypt, Ethiopia, Ghana, Kenya, Nigeria, South Africa and Sudan. They evaluated a range of interventions with one or more clinical, psychological or psychosocial, education or awareness or traditional or faith-based components, and were delivered by either mental health specialists or non-specialist health workers. Ten of the 12 included studies reported significant, positive effects on a range of outcomes (including functioning, symptoms and stigma). Nearly half of the interventions were based out of health facilities. Based on quality appraisals, confidence in these studies' findings is only rated low to medium. Conclusion: Further research is needed to develop and evaluate interventions that meet the diverse needs of people with psychosis, within and beyond the health sector. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
26411148
Volume :
9
Database :
Complementary Index
Journal :
Cambridge Prisms: Global Mental Health
Publication Type :
Academic Journal
Accession number :
161141260
Full Text :
https://doi.org/10.1017/gmh.2022.25