The development of the Short Explanatory Model Interview (SEMI) and its use among primary-care attenders with common mental disorders
Psychol Med
; 28(5): 1231-7, Sept. 1998.
Article
in English
| MedCarib
| ID: med-1364
Responsible library:
JM3.1
Localization: JM3.1;
ABSTRACT
BACKGROUND:
Recent anthropological studies have documented the importance of understanding the relation of culture to the experience of mental illness. The use of interviews that elicit explanatory models has facilitated such research, but currently available interviews are lengthy and impractical for epidemiological studies. This paper is a preliminary report on the development of a brief instrument to elicit explanatory models for use in field work.METHOD:
The development of the SEMI, a short interview to elicit explanatory models is described. The interview explores the subject's cultural background, nature of presenting problem, help-seeking behaviour, interaction with physician/healer and beliefs related to mental illness.RESULTS:
The SEMI was employed to study the explanatory models of subjects with common mental disorders among Whites, African-Caribbean and Asians living in London and was also used in Harare, Zimbabwe. Data from its use in four different ethnic groups is presented with the aim of demonstrating its capacity to show up differences in these varied settings.CONCLUSIONS:
The simplicity and brevity of the SEMI allow for its use in field studies in different cultures, data can be used to provide variables for use in quantitative analysis and provide qualitative descriptions.(Au)
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Collection:
International databases
Health context:
SDG3 - Target 3.8 Achieve universal access to health
/
Sustainable Health Agenda for the Americas
/
SDG3 - Target 3.1 Reduce Maternal Mortality
Health problem:
Delivery Arrangements
/
Goal 6: Information systems for health
/
Maternal Care
Database:
MedCarib
Main subject:
Psychiatric Status Rating Scales
/
Attitude to Health
/
Cross-Cultural Comparison
/
Health Status Indicators
/
Caregivers
/
Mental Disorders
Type of study:
Diagnostic study
/
Etiology study
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Prognostic study
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Qualitative research
Aspects:
Social determinants of health
/
Patient-preference
Limits:
Female
/
Humans
Country/Region as subject:
Africa
/
Asia
/
Europa
Language:
English
Journal:
Psychol Med
Year:
1998
Document type:
Article