Exploring the Experiences of Receiving a Diagnosis of Depression in Black African Christians in the UK: An Interpretative Phenomenological Analysis

Objectives In the United Kingdom, the majority of depression cases are identified within primary care. Receiving a diagnosis of depression may provide a way of understanding one’s symptoms, legitimise experiences and initiate access to treatment pathways such as medication and psychological therapies. There is a lack of research examining the experiences of Black ethnic minorities, or those with a religious affiliation, who seek help for depression symptoms from primary care. Therefore, the objective of this study was to explore the experiences of receiving a diagnosis of depression in primary care among Black African individuals who also identify as Christian. Methods Seven participants who self-identified as Black African and Christian took part in semi-structured interviews. Interpretative Phenomenological Approach (IPA) was used to analyse their experience of receiving a diagnosis of depression from their General Practitioner (GP). Results Cross-case analysis identified three group experiential themes: (1) Struggling to recognise depression within identity constraints, (2) Overcoming barriers to support, (3) When you have a village: diagnosis provides opportunities. Conclusions The study highlighted the multifaceted meaning-making processes participants engaged in that were influenced by both strongly held religious and cultural beliefs about depression. These beliefs evolved dependent on the impact of the diagnosis, connection with God, and family influences. Further research is suggested to consider the impact of GP behaviours on the diagnostic process with individuals who are of Black African heritage and Christian.