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Vol. 35, No. 6, 2002
Issue release date: November–December 2002
Psychopathology 2002;35:362–366

‘Brain Fag’ Symptoms in Apprentices in Nigeria

Morakinyo O. · Peltzer K.
aDepartment of Mental Health, College of Health Sciences, Olufemi Awolowo University, Ile-Ife, Nigeria; bHealth Behaviour Research Unit, University of the North, Sovenga, South Africa

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The ‘brain fag’ syndrome, which was first reported from West Africa in 1960 among students, has been shown to occur very widely in African students in western educational systems south of the Sahara. This study investigated the distribution of its symptoms in a group of apprentices chosen by convenient sampling from Ile-Ife, a university town about 240 km northeast of Lagos in Nigeria. The subjects who (in contrast) were training under an indigenous form of education – the African apprenticeship system – consisted of 183 (69.8%) males, and 79 (30.2%) females, in the age range of 13–26 years (mean ± SD 18.2 ± 3.0 years). Questionnaires were interview-administered to collect data on the sociodemographic, economic, and family background, English language proficiency, and the degree of the presence of brain fag symptoms. Results indicated a generally low rate of brain fag symptoms among these different types of apprentices. A relationship between proficiency in English, but not socioeconomic status, with brain fag symptoms was found. In the case of the Nigerian apprentices investigated here, brain fag symptoms were not significantly associated with the method of training learning (which is dependent mainly on verbal instructions in the vernacular from their bosses, and vicarious learning by observing the boss at work). The implications of these findings for two of the theories advanced for the pathogenesis of the brain fag syndrome were discussed.

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  1. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, ed 4. Washington, American Psychiatric Press, 1994.
  2. Anumonye A: Brain Fag Syndrome. Lausanne, International Council on Alcohol and Addictions, 1980.
  3. Burton RM: The Ile-Ebu and The Ile-Iwe: An ethnographic study of traditional and contemporary pedagogy among the Yoruba; thesis, Ann Arbor, University of Michigan, 1987.
  4. Fatoye FO: Drug use, study difficulty and psychopathology among secondary school students in Ilesa, Osun State; thesis, Ilfe-Ife, Obafemi Awolowo University, 1998.
  5. Gallaway A: Nigeria’s indigenous education: The apprenticeship system. Odu Univ Ife Afr Studies 1964;1:62–79.
  6. Guinness EA: Profile and prevalence of the brain fag syndrome: Psychiatric morbidity in school populations in Africa. Br J Psychiatry 1992a;160(suppl 16):42–52.
  7. Guinness EA: Social origins of the brain fag syndrome. Br J Psychiatry 1992b;160(suppl 16):53–64.
  8. Jegede RO: Psychiatric illness in African students: ‘Brain fag’ syndrome revisited. Can J Psychiatry 1983;28:188–192.
  9. Minde KK: Study problems in Ugandan secondary school students: A controlled evaluation. Br J Psychiatry 1974;125:131–137.
  10. Morakinyo O: A psychophysiological theory of a psychiatric illness (the ‘brain fag’ syndrome) associated with study among Africans. J Nerv Ment Dis 1980a;168:84–89.
  11. Morakinyo O: Personality variables in psychiatric illness associated with study among Africans. Afr J Psychiatry 1980b;6:1–5.
  12. Morakinyo O: The brain fag syndrome in Nigeria: Cognitive deficits in an illness associated with study. Br J Psychiatry 1983;146:209–210.
  13. Morakinyo O: Student Mental Health in West Africa. 15th Annu Gen Sci Meet West Afr Coll Physicians, Accra, November 1990.
  14. Peltzer K, Woldu S: The brain-fag syndrome in female Nigerian students: Intercultural analysis and intervention of gender change. Curare 1990;13:141–146.
  15. Peltzer K, Cherian VI, Cherian L: Brain fag symptoms in rural South African secondary school pupils. Psychol Rep 1998;83:1187–1196.
  16. Prince R: The ‘brain fag’ syndrome in Nigerian students. J Ment Sci 1960;106:559–570.
  17. Prince R: Functional symptoms associated with study in Nigerian students. West Afr Med J 1962;11:198–206.
  18. Prince RH: Some transcultural aspects of affective disorders in adolescents: The example of the brain-fag syndrome in African students; in Golombek H, Garfinkel BD (eds): The Adolescent and Mood Disturbance. New York, International University Press, 1983, pp 53–71.
  19. Prince RH: The brain fag syndrome; in Peltzer K, Ebigbo PO (eds): Clinical Psychology in Africa. Frankfurt, IKO, 1989, pp 276–287.

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