Four hundred and fifty adults (mean age 34 years; 55 percent males) from northwestern Ethiopia were interviewed to explore their causal beliefs about, perceived importance of various treatments for, and attitudes towards, six mental and three physical illnesses. Principal components analysis identified four meaningful illness causal belief dimensions: Psychosocial Stressors, Supernatural Retribution, Biomedical Defects, and Socio-Environmental Deprivation. Psychosocial Stressors and Supernatural Retribution were rated more important causes of mental than physical illnesses. Prayer and home/family care were suggested more strongly for treating mental than physical illnesses. Systematic associations were found between causal beliefs, treatment beliefs, and attitudes towards patients. Respondents' educational level was negatively related with traditional beliefs and positively related with favorable attitudes towards patients. It is concluded that causal beliefs, perceived importance of treatments, and attitude towards patients among northwestern Ethiopians are meaningfully interrelated. Implications for health services and research are discussed.
Araya, M., & Aboud, F. E. (1993). Mental illness. In H. Kloos & Z. A. Zein (Eds.), The ecology of health and disease in Ethiopia (pp. 493–506). Boulder, CO: Westview Press.
2.
Asuni, T., Schoenberg, F., & Swift, C. (1994). Mental health and disease in Africa. Ibadan, Nigeria: Spectrum.
3.
Berry, J. W., Poortinga, Y. H., & Pandey, J. (Eds.). (1997). Handbook of cross-cultural psychology: Volume 1 theory and method (2nd ed.). Needham Heights, MA: Allyn & Bacon.
4.
Bishaw, M. (1990). Attitudes of modern and traditional medical practitioners toward cooperation. Ethiopian Medical Journal, 28, 63–72.
5.
Bishaw, M. (1991). Promoting traditional medicine in Ethiopia: A brief historical review of government policy. Social Science and Medicine, 33, 193–200.
6.
Castillo, R. J. (1996). Culture and mental illness: A client-centered approach. Pacific Grove, CA: Brooks/Cole.
7.
Fosu, G. B. (1981). Disease classification in rural Ghana: Framework and implications for health behaviour. Social Science and Medicine, 15B, 471–482.
8.
Furnham, A. (1988). Lay theories: Everyday understanding of problems in social sciences. Oxford, UK: Pergamon.
9.
Giel, R. (1986). Some observations on Ethiopian psychiatry. Israeli Journal of Psychiatry and Related Sciences, 23, 39–48.
10.
Green, E. C. (1980). Roles of African traditional healers in mental health care. Medical Anthropology, 4, 489–521.
11.
Helman, C. (1994). Culture, health and illness: An introduction for health professionals (3rd ed.). Oxford, UK: Butterworth-Heinemann.
12.
Hodes, R. M., & Teferedegne, B. (1996). Traditional beliefs and disease practices of Ethiopian Jews. Israel Journal of Medical Sciences, 32, 561–567.
13.
Kahana, Y. (1985). The Zar spirit, a category of magic in the system of mental health care in Ethiopia. International Journal of Social Psychiatry, 31, 125–143.
14.
Kaiser, H. F. (1960). The application of electronic computers to factor analysis. Educational and Psychological Measurement, 20, 141–151.
15.
Khandelwal, S. K., & Workneh, F. (1986). Perception of mental illness by medical students. Indian Journal of Psychological Medicine, 9, 26–32.
16.
Kloos, H. (1998). Primary health care in Ethiopia under three political systems: Community participation in a war torn society. Social Science and Medicine, 46, 505–522.
17.
Kloos, H., Degefa, A., Aga, H., Solomon, B., Abera, K., Abegaz, A., & Belemo, G. (1987). Illness and health behaviour in Addis Ababa and rural central Ethiopia. Social Science and Medicine, 25, 1003–1019.
18.
Kortmann, F. (1987). Popular, traditional, and professional mental health care in Ethiopia. Transcultural Psychiatric Research Review, 24, 255–274.
19.
MacLachlan, M. (1997). Culture and health. Chichester, UK: Wiley.
20.
Messing, S. D. (1958). Group therapy and social status in the Zar cult of Ethiopia. American Anthropologist, 60, 1120–1126.
21.
Messing, S. D. (1968). Interdigitation of mystical and physical healing in Ethiopia: Toward a theory of medical anthropology. Behavior Science Notes, 2, 87–104.
22.
Mulatu, M. S. (1995). Prevalence and risk factors of psychopathology in Ethiopian children. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 100–109.
23.
Murdock, G. P. (1980). Theories of illness: A world survey. Pittsburgh, PA: University of Pittsburgh Press.
24.
Ofori-Atta, L. A. M., & Linden, W. (1995). The effect of social change on causal beliefs of mental disorders and treatment preferences in Ghana. Social Science and Medicine, 40, 1231–1242.
25.
Pankhurst, R. (1990). An introduction to the medical history of Ethiopia. Trenton, NJ: Red Sea Press.
26.
Patel, V. (1995). Explanatory models of mental illness in sub-Saharan Africa. Social Science and Medicine, 40, 1291–1298.
27.
Petros, S., & Schier, E. (1989). Traditional attitudes towards mental illness in Ethiopia. Curare, 12, 161–167.
28.
Reminick, R. A. (1974). The evil eye belief among the Amhara of Ethiopia. Ethnology, 13, 279–292.
29.
Sircar, B. K., & Dagnow, M. B. (1988). Beliefs and practices related to diarrhoeal diseases among mothers in Gondar region, Ethiopia. Tropical and Geographical Medicine, 40, 259–263.
30.
Slikkerveer, L. J. (1990). Plural medical systems in the Horn of Africa. London, UK: Kegan Paul International.
31.
Teferi, S., Aboud, F. E., & Larson, C. P. (1991). Determinants of mental illness in a rural Ethiopian adult population. Social Science and Medicine, 32, 197–201.
32.
Tekle-Haimanot, R., Abebe, M., Forsgren, L., Gebre-Mariam, A., Heijbel, J., Holmgren, G., & Ekstedt, J. (1991). Attitudes of rural people in central Ethiopia toward epilepsy. Social Science and Medicine, 32, 203–209.
33.
Tekle-Haimanot, R., Forsgren, L., Gebre-Mariam, A., Abebe, M., Holmgren, G., Heijbel, J., & Ekstedt, J. (1992). Attitudes of rural people in central Ethiopia towards leprosy and a brief comparison with observations on epilepsy. Leprosy Review, 7, 230–239.
34.
Uhlman, G., & Minas, M. (1977). Perception of mental illness by rural high school students and parents. Ethiopian Medical Journal, 13, 5–12.
35.
United Nations Population Fund. (1998). The state of the world population 1998. New York, NY: author.
36.
Vecchiato, N. L. (1993). Traditional medicine. In H. Kloos & Z. A. Zein (Eds.), The ecology of health and disease in Ethiopia (pp. 157–178). Boulder, CO: Westview Press.
37.
Vecchiato, N. L. (1997). Sociocultural aspects of tuberculosis control in Ethiopia. Medical Anthropology Quarterly, 11, 183–201.
38.
Westerlund, D. (1989). Pluralism and change. A comparative and historical approach to African disease etiologies. In A. Jacobson-Widding & D. Westerlund (Eds.), Culture, experience, and pluralism: Essays on African ideas of illness and healing (pp. 177–218).Stockholm, Sweden: Almqvist & Wiksell International.
39.
Wig, N. N., Sulieman, M. A., Routledge, R., Murthy, R. S., Ladrido-Ignacio, L., Ibrahim, H. H., & Harding, T. W. (1980). Community reactions to mental disorders. A key informant study in three developing countries. Acta Psychiatrica Scandinavica, 61, 111–126.
40.
World Bank (1998). Ethiopia: Social sector note. Washington, DC: World Bank.
41.
World Health Organization (1992). International statistical classification of mental and behavioural disorders (10th ed.). Geneva, Switzerland: World Bank.
42.
Young, A. (1975). Why Amhara get kureynya: Sickness and possession in an Ethiopian Zar cult. American Ethnologist, 10, 147–156.
43.
Young, A. (1976). Internalizing and externalizing medical belief systems: An Ethiopian example. Social Science and Medicine, 10, 147–156.
