Perceived and anticipated stigma in patients with schizophrenia according with the length of illness

2016 ◽  
Vol 33 (S1) ◽  
pp. s257-s257
Author(s):  
B. Reneses ◽  
L. Gallego ◽  
C. López-Micó ◽  
A. Fernández del Moral ◽  
R. Rodríguez ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Negative Consequences ◽  
Outpatient Services ◽  
Cross Sectional ◽  
Course Of Illness ◽  
Recent Diagnosis ◽  
Axis I ◽  
Competing Interest ◽  
Long Course ◽  
Anticipated Stigma

IntroductionPerceived and anticipated stigma are relevant issues in patients with schizophrenia. Stigma has negative consequences both in quality of life and in the course of illness.ObjectivesTo analyze differences in perceived and anticipated discrimination in two groups of patients with schizophrenia: one with a recent diagnosis of illness and another with a long course of disease.MethodsA cross-sectional study was carried out in a sample of 100 patients with diagnosis of schizophrenia, 18 or more years old, clinically stabilized, without axis I DSM-IV comorbidity. Patients received treatment in the outpatient services of a catchment area in Madrid. Perceived and anticipated discrimination was evaluated trough the DISC-12 (Discrimination and Stigma scale). Other study variables were: socio-demographic status, length of disease, symptoms of depression (Calgary Scale) and functionality degree measured by Global Assessment of Function (GAF). Two sub-groups of patients were compared: one with a length of illness below 5 years and a second one with a length of illness over 5 years.ResultsPatients with a length of illness longer than 5 years showed elevated degree of perceived and anticipated discrimination compared with patients with less than 5 years of illness course. In the same way, patients with a recent diagnosis of illness showed increased scores in the measure of face the stigma.ConclusionsPreventive strategies to avoid the stigma in schizophrenia should consider some differences in patients in relationship with the length of evolution of illness in order to be more accurate. Early intervention programs about stigma are necessary.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Perceived and anticipating stigma in schizophrenia in relationship with depressive symptoms and functionality degree

2016 ◽  
Vol 33 (S1) ◽  
pp. s257-s257 ◽  
Author(s):  
C. López-Micó ◽  
B. Reneses ◽  
L. Gallego ◽  
G. Maria Sagrario ◽  
R. Fernandez ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Cross Sectional Study ◽  
Negative Consequences ◽  
Outpatient Services ◽  
Cross Sectional ◽  
Course Of Illness ◽  
Symptoms Of Depression ◽  
Axis I ◽  
Competing Interest ◽  
Anticipated Stigma

IntroductionPerceived and anticipated stigma is relevant issues in patients with schizophrenia. Stigma has negative consequences both in quality of life and in the course of illness.ObjectivesTo analyze the degree of perceived and anticipated stigma and discrimination in patients with schizophrenia and their relationship with clinical and socio-demographic variables.MethodsA cross-sectional study was carried out in a sample of 100 patients with diagnosis of schizophrenia, 18 or more years old, clinically stabilized, without axis I DSM-IV comorbidity. Patients received treatment in the outpatient services of a catchment area in Madrid. Perceived and anticipated discrimination was evaluated trough the DISC-12 (Discrimination and Stigma scale). Other study variables were: socio-demographic characteristics, symptoms of depression (Calgary Scale) and functionality degree measured by Global Assessment of Function (GAF).ResultsThe presence of symptoms of depression evaluated by the Calgary Scale and low degree of functionality measured by GAF are associated with greater feelings of discrimination and stigma, especially in the sub-scales of experienced and anticipated discrimination of the DISC 12. Anticipated stigma is higher in men than in women while the rest sub scales of the DISC-12 do not correlate with gender or other sociodemographic variables.ConclusionsPreventive strategies to avoid the stigma in schizophrenia should consider some characteristics associated with disease, especially the degree of functionality and presence of depressive symptoms.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Socioeconomic determinants of unmet need for outpatient healthcare services in Iran: a national cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sajad Vahedi ◽  
Amin Torabipour ◽  
Amirhossein Takian ◽  
Saeed Mohammadpur ◽  
Alireza Olyaeemanesh ◽  
...  
Keyword(s):  
Health System ◽  
Age Groups ◽  
Unmet Need ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Outpatient Services ◽  
Self Medication ◽  
Cross Sectional ◽  
Organizational Policies ◽  
Utilization Of Healthcare

Abstract Background Unmet need is a critical indicator of access to healthcare services. Despite concrete evidence about unmet need in Iran’s health system, no recent evidence of this negative outcome is available. This study aimed to measure the subjective unmet need (SUN), the factors associated with it and various reasons behind it in Iran. Methods We used the data of 13,005 respondents over the age of 15 from the Iranian Utilization of Healthcare Services Survey in 2016. SUN was defined as citizens whose needs were not sought through formal healthcare services, while they did not show a history of self-medication. The reasons for SUN were categorized into availability, accessibility, responsibility and acceptability of the health system. The multivariable logistic regression was used to determine significant predictors of SUN and associated major reasons. Results About 17% of the respondents (N = 2217) had unmet need for outpatient services. Nearly 40% of the respondents chose only accessibility, 4% selected only availability, 78% chose only responsibility, and 13% selected only acceptability as the main reasons for their unmet need. Higher outpatient needs was the only factor that significantly increased SUN, responsibility-related SUN and acceptability-related SUN. Low education was associated with higher SUN and responsibility-related SUN, while it could also reduce acceptability-related SUN. While SUN and responsibility-related SUN were prevalent among lower economic quintiles, having a complementary insurance was associated with decreased SUN and responsibility-related SUN. The people with basic insurance had lower chances to face with responsibility-related SUN, while employed individuals were at risk to experience SUN. Although the middle-aged group had higher odds to experience SUN, the responsibility-related SUN were prevalent among elderly, while higher age groups had significant chance to be exposed to acceptability-related SUN. Conclusion It seems that Iran is still suffering from unmet need for outpatient services, most of which emerges from its health system performance. The majority of the unmet health needs could be addressed through improving financial as well as organizational policies. Special attention is needed to address the unmet need among individuals with poor health status.

scholarly journals Symmetry Dimension in Obsessive–Compulsive Disorder: Prevalence, Severity and Clinical Correlates

2021 ◽  
Vol 10 (2) ◽  
pp. 274
Author(s):  
Aline P. Vellozo ◽  
Leonardo F. Fontenelle ◽  
Ricardo C. Torresan ◽  
Roseli G. Shavitt ◽  
Ygor A. Ferrão ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Obsessive Compulsive Disorder ◽  
Clinical Sample ◽  
Cross Sectional Study ◽  
Obsessive Compulsive ◽  
Chi Square ◽  
Cross Sectional ◽  
Compulsive Disorder ◽  
Clinical Correlates ◽  
Axis I

Background: Obsessive–compulsive disorder (OCD) is a very heterogeneous condition that frequently includes symptoms of the “symmetry dimension” (i.e., obsessions and/or compulsions of symmetry, ordering, repetition, and counting), along with aggressive, sexual/religious, contamination/cleaning, and hoarding dimensions. Methods: This cross-sectional study aimed to investigate the prevalence, severity, and demographic and clinical correlates of the symmetry dimension among 1001 outpatients from the Brazilian Research Consortium on Obsessive–Compulsive Spectrum Disorders. The main assessment instruments used were the Dimensional Yale–Brown Obsessive–Compulsive Scale, the Yale–Brown Obsessive–Compulsive Scale, the USP-Sensory Phenomena Scale, the Beck Depression and Anxiety Inventories, the Brown Assessment of Beliefs Scale, and the Structured Clinical Interview for DSM-IV Axis I Disorders. Chi-square tests, Fisher’s exact tests, Student’s t-tests, and Mann–Whitney tests were used in the bivariate analyses to compare patients with and without symptoms of the symmetry dimension. Odds ratios (ORs) with confidence intervals and Cohen’s D were also calculated as effect size measures. Finally, a logistic regression was performed to control for confounders. Results: The symmetry dimension was highly prevalent (86.8%) in this large clinical sample and, in the logistic regression, it remained associated with earlier onset of obsessive–compulsive symptoms, insidious onset of compulsions, more severe depressive symptoms, and presence of sensory phenomena. Conclusions: A deeper knowledge about specific OCD dimensions is essential for a better understanding and management of this complex and multifaceted disorder.

Social stigma in severe mental illness in Tunisia: Clinical and socio-demographic correlates

2017 ◽  
Vol 41 (S1) ◽  
pp. S577-S577 ◽  
Author(s):  
U. Ouali ◽  
R. Jomli ◽  
R. Nefzi ◽  
H. Ouertani ◽  
F. Nacef
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Cultural Context ◽  
Social Inclusion ◽  
Psychiatric Patients ◽  
Social Stigma ◽  
Cross Sectional Study ◽  
Local Context ◽  
Cross Sectional ◽  
Competing Interest

IntroductionMental patients generally internalize some of the negative conceptions about how most people view them: they might be considered incompetent or untrustworthy or believe that people would not want to hire, or marry someone with mental illness. A lot of research on stigma has been conducted in western countries; however, little is still known on the situation in Arab-Muslim societies.ObjectivesTo evaluate social stigma as viewed by patients suffering from severe mental illness (SMI)MethodsThis is a cross-sectional study on clinically stabilized patients with schizophrenia and Bipolar Disorder (BD) according to DSM IV, who were interviewed in our out-patients clinic with the help of a semi-structured questionnaire, containing 8 opinions on the social inclusion and stigmatization of psychiatric patients, with special reference to the local cultural context (e.g.: “It is better to hide mental illness in order to preserve the reputation of my family”)ResultsWe included 104 patients, 51% with schizophrenia and 49% with BD. Mean age was 38.4 years (18–74 years); 59.6% were males. Overall social stigma scores were high. Social stigma in patients was correlated with gender, age, place of residence and diagnosis. Patients with BD showed significantly less social stigma than patients with schizophrenia.ConclusionOur results show the need for a better understanding of this phenomenon in patients with SMI, but also within Tunisian society, in order to elaborate anti stigma strategies adapted to the local context.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Verbal abuse facing Saudi nurses during internship program

2021 ◽  
Vol 12 (3) ◽  
pp. 75
Author(s):  
Maram Banakhar ◽  
Maha Alzahrani ◽  
Amani Omar Essa ◽  
Asal Fathi Al-dhahry ◽  
Rahma Farooq Batwa ◽  
...  
Keyword(s):  
Workplace Violence ◽  
Negative Impact ◽  
Care Delivery ◽  
Cross Sectional Study ◽  
Verbal Abuse ◽  
Negative Consequences ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Staff Members ◽  
Night Shifts

Background: Verbal abuse, in the context of workplace violence, is increasing, with nurses at high liability of being subjected to it since they are the first line of care delivery. This phenomenon is now receiving greater recognition due to its negative impact on nurses. This study aims to assess the prevalence of verbal abuse faced by Saudi nursing intern students in Jeddah, Saudi Arabia.Methods: A cross-sectional study was conducted via a modified online questionnaire completed by Saudi intern nurses in Jeddah in March 2020. Descriptive statistical analysis was executed using statistical software SPSS Version 21.Results: From a total of 132 nurses, 94 participants met the study criteria. The findings show that 39.4% of Saudi intern nurses have experienced verbal abuse. The common perpetrators are patient/client (73%) and other staff members (73%), followed by patients’ relatives (45.9%). 48.6% of the participants did not report incidences of verbal abuse, commonly citing fear of the negative consequences (51.4%) and not knowing who to report it to (45.9%). A significant relation between working night shifts (6 pm to 7 am) and being verbally abused was found.Conclusions: Saudi nursing interns are vulnerable to verbal abuse. This study’s results highlight the possible risk to nursing interns, which may be diminished by modifying perceptions of verbal abuse and by clarifying the rules and regulations for both nursing interns and suspected perpetrators. We recommend future studies of verbal abuse are conducted in larger groups of nurses across different provinces in Saudi Arabia.

characteristics of suicidal behavior in a rural population

2017 ◽  
Vol 41 (S1) ◽  
pp. s885-s885
Author(s):  
G.M. Chauca Chauca ◽  
L. Carrión Expósito ◽  
M.J. Jaén Moreno
Keyword(s):  
Suicide Attempt ◽  
Depressive Disorder ◽  
Suicidal Behavior ◽  
Employment Status ◽  
Cross Sectional Study ◽  
World Health ◽  
Cross Sectional ◽  
Competing Interest ◽  
Health Organization ◽  
Behavior Characteristics

IntroductionSuicidal behavior is defined as any behavior of self-harm with intent and knowledge of what is done. Suicide ranks among the 10 leading causes of death in the statistics of the world health organization.ObjectivesThe main objective of the study is to determine the sociodemographic characteristics of patients who have attempted suicide and the characteristics of this behavior.MethodsIt is a descriptive cross-sectional study.ResultsThe sample consisted of 70 patients, with a mean age of 41.17 years, most of them were women (58.5%). In relation to employment status, 31.4% were working, 21.4% unemployed, 14.3% were retired and 32.9% had other employment status. Among the characteristics of suicidal behavior characteristics, mode, forecasting rescue, previous suicidal behavior, previous outpatient follow-up and consumption of toxic evaluated. The most frequent method chosen was the voluntary intake of drugs (77.1%). The 67.1% were diagnosed with depressive disorder followed by personality disorders (20%).ConclusionsIn total there is a predominance of women in achieving some suicidal behavior, as well as a higher percentage among single, divorced or widowed (60%) versus married (40%). Also a higher percentage of patients unemployed, pensioners and others who do not receive income (68.5%) versus the occupationally active (22%). Another condition that must be evaluated in the suicide risk is having previously made a suicide attempt, in our study 54.3%. Since subjects with previous suicide attempt are four times more likely to try again. The results are also consistent with other studies that the most common disorder associated with suicide attempt is depressive disorder (67.1%).Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Patient Satisfaction in the Peruvian Health Services: Validation and Application of the HEALTHQUAL Scale

2020 ◽  
Vol 17 (14) ◽  
pp. 5111
Author(s):  
Fernando Barrios-Ipenza ◽  
Arturo Calvo-Mora ◽  
Félix Velicia-Martín ◽  
Fernando Criado-García ◽  
Antonio Leal-Millán
Keyword(s):  
User Satisfaction ◽  
Health Sector ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Healthcare Personnel ◽  
Attractive Alternative ◽  
Path Modeling ◽  
Outpatient Services ◽  
Cross Sectional ◽  
The Relationship

During recent years, public–private partnerships (PPPs) in the health sector have been an attractive alternative for improving healthcare services in developing countries such as Peru. Therefore, it is fundamental to consider a comprehensive set of healthcare qualities, like the HEALTHQUAL scale, when we measure dimensions of healthcare service quality. Currently, no studies have applied HEALTHQUAL in Peruvian hospitals. The purposes of this study were to (1) validate and evaluate the application of the HEALTHQUAL scale to measure user satisfaction in outpatient services at two PPP hospitals in Peru; and (2) test the relationship between user satisfaction, efficiency, and loyalty. A descriptive, cross-sectional study based on the HEALTHQUAL scale was carried out at the end of 2018. The measurement items were satisfaction with healthcare personnel, satisfaction with nonhealthcare personnel, satisfaction with facilities and equipment, perception of efficiency, and trust. The scale was administered to a nonprobability sample of 250 users who attended one of two PPP hospitals—Barton and Kaelin. The application of partial least squares path modeling significantly impacted on the perceived efficiency in the items of healthcare personnel, nonhealthcare personnel, and facilities and equipment. The HEALTQUAL scale demonstrated sufficient validity and thus can be applied for measuring user satisfaction in PPP hospitals.

The burnout's prevalence among Tunisian military consultants in psychiatry

2017 ◽  
Vol 41 (S1) ◽  
pp. S406-S406
Author(s):  
H. Belhadj ◽  
W. Krir ◽  
C. Bencheikh ◽  
H. Elkefi ◽  
A. Oumaya
Keyword(s):  
Severe Depression ◽  
Cross Sectional Study ◽  
Burnout Syndrome ◽  
Short Version ◽  
Cross Sectional ◽  
Verbal Aggressiveness ◽  
Patient Health ◽  
Human Cost ◽  
Competing Interest ◽  
Military Patients

IntroductionBurnout causes a considerable human cost. Army employees are, in fact, particularly exposed to this risk.ObjectiveTo determinate the prevalence of burnout syndrome among military consultants in psychiatry and to study its socio-familial repercussions.MethodA cross-sectional study was conducted in a military outpatient clinic in Tunis and included 30 military patients with a seniority of more than 15 years. Burnout and major depression were assessed with the instrument Burnout Measure Short version (BMS-10) and the Patient Health Questionnaire “PHQ-9”, respectively.ResultsEighty percent of participants (n = 24) had a very high degree of burnout exposure according to BMS-10. Twenty of these (83.3%) had a moderate to severe depression. All married patients (n = 22) having burnout syndrome reported a conjugopathy and a tendency to physical and verbal aggressiveness against their children.ConclusionMilitary employees are particularly vulnerable to burnout. Detecting burnout in time is therefore essential in order to prevent its undeniable socio-familial repercussions.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Violence against Health-Care Workers in Governmental Health Facilities in Arar City, Saudi Arabia

2020 ◽  
Vol 2020 ◽  
pp. 1-6 ◽  
Author(s):  
Ruqayyah B. Al Anazi ◽  
Saeed M. AlQahtani ◽  
Amal E. Mohamad ◽  
Sabry M. Hammad ◽  
Hossam Khleif
Keyword(s):  
Health Care ◽  
Saudi Arabia ◽  
Health Care Workers ◽  
Exposure To Violence ◽  
Cross Sectional Study ◽  
Northern Region ◽  
Public Hospitals ◽  
Negative Consequences ◽  
Cross Sectional ◽  
Care Workers

Background. Violence against health-care workers (HCWs) showed increasing worldwide concern. No previous studies addressed violence against HCWs in the Northern region, Saudi Arabia. Objectives. To determine the prevalence of violence against HCWs in public hospitals and primary health-care centers in Arar city, KSA, and to identify its associated factors. Methods. A cross-sectional study was conducted on 352 HCWs in the Ministry of Health (MOH) facilities in Arar city from 1st October to 31st December 2018. Consented HCWs completed a structured self-administered questionnaire which was modified from the WHO questionnaire for violence. Results. Out of 352 health-care workers, 171 (48.6%) reported exposure to violence during work in the past year. The verbal violence was the most common form experienced (83%). Physicians were the main exposed group (59%). Being non-Saudi HCWs, older with longer duration of experience, working in hospitals, working in the emergency room, and working in evening or night shifts were significantly associated with more exposure to violence. The unmet demand for the patient and deficient staff number were the leading reasons for aggression. Only 16.4% of assaulted HCWs reported the violent acts to the higher health affairs authority with the most frequent reasons for nonreporting were their perception that it was useless and their fear of negative consequences. Conclusions. Violence against HCWs in Arar city, KSA, is a prevalent problem. Improving health security system and increasing staffing and their training on proper dealing with violence are highly recommended. Also, enforcing rules and regulations is an important demand to control and prevent violence against HCWs.

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