Lay explanations of symptoms of mental ill health in Kuwait

The cognitive schemas of 208 subjects were elicited in relation to 12 hypothetical symptoms which are most commonly presented by patients suffering from psychiatric disorder. Three types of explaining schemas were recognised as physical, psychosocial and supernatural explanations. Somatic symptoms tended to have physical explanations and emotional symptoms tended to have psychosocial explanations although both are known in clinical practice to indicate psychiatric disorder and to disappear together when the disorder recovers. Supernatural explanations were most likely in elderly males and in extended families. Symptoms associated with supernatural cognitive schemas fit in with the cultural background and not with the level of modern education achieved.