Jinn-Possession With Psychosis, Childhood Traumatic Experiences, and Dissociation Among the Hausa-Fulani Muslims ofKaduna Metropolis, Northwest Nigeria: A Cross-Sectional Analysis
Keywords:
Childhood Trauma, Dissociation, Jinn-Possession, Psychosis, Trans-Cultural PsychiatryAbstract
In Northwest Nigeria, where Islamic and traditional beliefs are deeply intertwined, jinn-possession is a common idiom of distress for psychotic symptoms. The relationship between this cultural construct, dissociation, and childhood trauma remains underexplored in this population. This study aimed to determine the prevalence of jinn-possession with psychosis and dissociation, and to investigate their association with childhood traumatic experiences among Hausa- Fulani Muslims. A community-based cross-sectional study was conducted among 2500 adults in Kaduna Metropolis. Participants were selected via multi-stage random sampling. Instruments included a socio-demographic questionnaire, the Jinn-Possession with Psychosis Phenomena Inventory (JPPI), the Dissociative Experiences Scale (DES), and the Childhood Trauma Questionnaire (CTQ). Data were analysed using descriptive statistics, chi-square tests, and binary logistic regression. The prevalence of jinn-possession with psychosis was 68.4% (n=1710), while 42.8% (n=1070) reported significant dissociative symptoms. A strong, statistically significant association was found between jinn- possession with psychosis and dissociation (χ² = 387.4, p<0.001). Participants with jinn-possession had significantly higher mean scores on the CTQ (mean=52.4, SD=12.1) compared to those without (mean=38.7, SD=9.5) (p<0.001). Logistic regression confirmed childhood physical abuse (OR=2.1, 95% CI: 1.8-2.5) and emotional neglect (OR=2.4, 95% CI: 2.0-2.9) as significant predictors of jinn-possession phenomena. This study reveals very high rates of jinn- possession with psychosis and dissociation, strongly linked to childhood trauma. Findings underscore the need for culturally sensitive mental health frameworks that integrate local spiritual beliefs with trauma-informed care in this region.
References
1. Kirmayer LJ, Ban L. Cultural psychiatry. Lancet. 2013;381(9879):1643-5.
2. Patel V. Explanatory models of mental illness in sub-Saharan Africa. Soc Sci Med. 1995;40(9):1291-8.
3. Sorsdahl KR, Stein DJ. Knowledge of and stigma associated with mental disorders in a South African community sample. J Nerv Ment Dis. 2010;198(10):742-7.
4. Dein S, Illaiee AS. Jinn and mental health: looking at jinn possession in modern psychiatric practice. Psychiatrist. 2013;37(9):290-3.
5. Khalifa N, Hardie T, Latif S, Jamil I, Walker DM, Obaid MA. Beliefs about Jinn, black magic and the evil eye among Muslims: age, gender and first language influences. Int J Cult Ment Health. 2011;4(1):68-77.
6. Last M. The importance of knowing about not knowing. In: Feierman S, Janzen JM, editors. The Social Basis of Health and Healing in Africa. Berkeley: University of California Press; 1992. p. 393-406.
7. Audu IA, Idris SH, Olisah VO, Sheikh TL, Sale S. Stigmatisation of people with mental illness among inhabitants of a rural community in northern Nigeria. Int J Soc Psychiatry. 2013;59(1):55-60.
8. Abdulmalik J, Fadahunsi W, Kola L, Nwefoh E, Minas H, Eaton J, et al. The pathway to care for children with mental health problems in Nigeria: a comparison of patterns at primary health centres and a neuropsychiatric hospital. Int J Ment Health Syst. 2014;8:19.
9. Gureje O, Lasebikan VO, Ephraim-Oluwanuga O, Olley BO, Kola L. Community study of knowledge of and attitude to mental illness in Nigeria. Br J Psychiatry. 2005;186:436-41.
10. Makanjuola V, Jaiyeola A, Igbinomwanhia N. A comparison of the prevalence of and factors associated with psychotic symptoms in two neighbouring states in Nigeria. Soc Psychiatry Psychiatr Epidemiol. 2016;51(5):745-53.
11. Moskowitz A, Schäfer I, Dorahy MJ. Psychosis, Trauma and Dissociation: Emerging Perspectives on Severe Psychopathology. Chichester: John Wiley & Sons; 2008.
12. Ross CA, Joshi S, Currie R. Dissociative experiences in the general population. Am J Psychiatry. 1990;147(11):1547-52.
13. Sar V. The many faces of dissociation: opportunities for innovative research in psychiatry. Clin Psychopharmacol Neurosci. 2014;12(3):171-9.
14. Varese F, Smeets F, Drukker M, Lieverse R, Lataster T, Viechtbauer W, et al. Childhood adversities increase the risk of psychosis: a meta-analysis of patient-control, prospective- and cross-sectional cohort studies. Schizophr Bull. 2012;38(4):661-71.
15. Dalenberg CJ, Brand BL, Gleaves DH, Dorahy MJ, Loewenstein RJ, Cardeña E, et al. Evaluation of the evidence for the trauma and fantasy models of dissociation. Psychol Bull. 2012;138(3):550-88.
16. Van der Kolk BA. The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma. New York: Viking; 2014.
17. Alem A, Jacobsson L, Araya M, Kebede D, Kullgren G. How are mental disorders seen and where is help sought in a rural Ethiopian community? A key informant study in Butajira, Ethiopia. Acta Psychiatr Scand Suppl. 1999;397:40-7.
18. Read UM, Adiibokah E, Nyame S. Local suffering and the global discourse of mental health and human rights: An ethnographic study of responses to mental illness in rural Ghana. Global Health. 2009;5:13.
19. Bentall RP, Wickham S, Shevlin M, Varese F. Do specific early-life adversities lead to specific symptoms of psychosis? A study from the 2007 the Adult Psychiatric Morbidity Survey. Schizophr Bull. 2012;38(4):734-40.
20. Daniel WW, Cross CL. Biostatistics: A Foundation for Analysis in the Health Sciences. 10th ed. Hoboken: Wiley; 2013.
21. Carlson EB, Putnam FW. An update on the Dissociative Experiences Scale. Dissociation. 1993;6(1):16-27.
22. Igwe MN. Validation of the Dissociative Experiences Scale in a Nigerian sample of clinical and non-clinical participants. J Psychiatry. 2016;19(2):1000340.
23. Waller NG, Putnam FW, Carlson EB. Types of dissociation and dissociative types: A taxometric analysis of dissociative experiences. Psychol Methods. 1996;1(3):300-21.
24. Bernstein DP, Fink L. Childhood Trauma Questionnaire: A Retrospective Self-Report Manual. San Antonio: The Psychological Corporation; 1998.
25. Atilola O, Ayinde O, Emedoh T. The pattern of childhood sexual abuse and emotional neglect among adolescent secondary school students in Ilesha, Nigeria. Child Adolesc Psychiatry Ment Health. 2015;9:42.
26. Adewuya AO, Ologun YA, Ibigbami OS. Post-traumatic stress disorder after childbirth in Nigerian women: prevalence and risk factors. BJOG. 2006;113(3):284-8.
27. Perälä J, Suvisaari J, Saarni SI, Kuoppasalmi K, Isometsä E, Pirkola S, et al. Lifetime prevalence of psychotic and bipolar I disorders in a general population. Arch Gen Psychiatry. 2007;64(1):19-28.
28. Foote B, Smolin Y, Kaplan M, Legatt ME, Lipschitz D. Prevalence of dissociative disorders in psychiatric outpatients. Am J Psychiatry. 2006;163(4):623-9.
29. Read J, van Os J, Morrison AP, Ross CA. Childhood trauma, psychosis and schizophrenia: a literature review with theoretical and clinical implications. Acta Psychiatr Scand. 2005;112(5):330-50.
30. Smit J, Myer L, Middelkoop K, Seedat S, Wood R, Bekker LG, et al. Mental health and sexual risk behaviours in a South African township: a community-based cross-sectional study. Public Health. 2006;120(6):534-42.