scholarly journals Stigma in Mental Illness: Relative’s Perspective

2015 ◽  
Vol 3 (2) ◽  
pp. 37-42 ◽  
Author(s):  
S R Adhikari
Keyword(s):  
Mental Illness ◽  
Rating Scales ◽  
Social Characteristics ◽  
Cross Sectional ◽  
Medical College ◽  
The Past ◽  
Care Givers ◽  
The Social ◽  
The Family

Introduction: Stigma is an important determinant in mental illness, which determines awareness, symptom recognition and treatment adherence. It is an important factor due to which relatives of patients with psychiatric disorders decide treatment and further evaluation. Materials and Methods: This is cross-sectional retrospective study done at medical college. Valid and standardized rating scales along with socio-demographic profile were used to assess perception, awareness and attitude regarding stigma against mental illness among relatives of patients who have mental illness.Results: Most family members did not perceive themselves as being avoided by others because of their relative’s hospitalization, half reported concealing the hospitalization at least to some degree. Both the characteristics of the mental illness (the stigmatizing mark) and the social characteristics of the family were significantly related to levels of family stigma. Care givers whose relative had experienced an episode of illness within the past 6 months reported greater avoidance by others. Conclusion: Stigma experienced by relatives is pervasive and everlasting. It deeply affects emotional, social and occupational aspects of care giver also which leads to concealment of their patient’s illness, which have long term detrimental situations and non-compliance of medications.J Psychiatric Association of Nepal Vol .3, No.2, 2014, pp: 37-42DOI: http://dx.doi.org/10.3126/jpan.v3i2.12393

scholarly journals Attitude towards Mental illness and Psychiatry among the Medical students and Interns in a University Medical College

2013 ◽  
Vol 52 (190) ◽  
Author(s):  
Ajay Risal ◽  
Pushpa Prasad Sharma ◽  
Seshananda Sanjel
Keyword(s):  
Mental Illness ◽  
Medical Students ◽  
Rating Scales ◽  
Negative Attitude ◽  
University Hospital ◽  
Medical Sciences ◽  
Cross Sectional ◽  
First Semester ◽  
Medical College ◽  
Males And Females

Introduction: Medical students tend to have a neutral or negative attitude to Psychiatry as a discipline. This study was initiated to explore the attitude towards Mental illness and Psychiatry among the Medical students and Interns in Kathmandu University School of Medical Sciences (KUSMS).Method: A cross-sectional Questionnaire based study was conducted among the Medical students and Interns at Dhulikhel Hospital (Kathmandu University Hospital). Two self-rating scales; Attitudes towards psychiatry (ATP-30) and Attitudes to mental illness (AMI) were used to assess attitudes towards mental illness and Psychiatry among the total 159 subjects. Descriptive statistics and independent sample t-test applied using SPSS-16 for analysis.Results: Among the total 159 subjects, 56.6% were males and 27.7% were Interns. Comparison of means of each item in ATP-30 and AMI was done between Males and Females, Medical students and Interns, First semester and Ninth semester students. Most of the subjects showed neutral attitude towards all the scoring items; though there were a few significant differences in mean scores of some items in group wise comparison.                                                             Conclusions: Overall attitudes towards Mental illness and Psychiatry among the Medical students and Interns in our Medical School were positive or neutral. A further study with medical students from different institutions is needed to get a detail nationwide picture.                                  Key words: Attitude, Interns, Medical Students, Mental illness, Psychiatry.  

scholarly journals Burden And Coping Behaviour Among the Family Caregivers of the People With Mental Illness

2021 ◽  
Vol 10 (1) ◽  
pp. 19-23
Author(s):  
B. Kafle ◽  
Y. Bagale
Keyword(s):  
Mental Illness ◽  
Family Caregivers ◽  
Mentally Ill ◽  
Cross Sectional ◽  
Coping Behaviour ◽  
Medical College ◽  
People With Mental Illness ◽  
The People ◽  
The Family ◽  
And Coping

Introduction: Caring for a person with mental disorder is a challenge for the caregivers. Little is known about the ways in which families cope while caring for a relative with mental illness in developing countries. This study has tried investigating the family burden and coping behaviour among the family caregivers of the people with mental illness. Material And Method: This is a descriptive cross-sectional study conducted at Devdaha Medical College during the period of July 2019-December 2019. The research was approved by the Ethical Committee of the Institutional Review Board of Devdaha Medical College. The protocol approval number is 028/2019. Convenient sampling method was used. Data analysis was done in SPSS (Version 23, SPSS Inc, Chicago, USA). Results were presented as frequencies and percentages where required. Results: Moderate Burden was experienced by 72% of the caregivers while the rest 28% experienced severe burden. People whose spouses were mentally ill had severe burden. Males coped with higher degree of problem and emotional focused coping strategy than females. Males felt more burden in comparison to the females and burden was found to be significantly higher among the caregivers who were taking care of their mentally ill spouses. Conclusion: Caregiving is physically and psychologically demanding as it requires an enormous physical and emotional commitment as well as some basic skills. Teaching skills in the form of problem solving and communication are needed to promote the coping abilities and lessen the burden of caregivers.

Poverty transitions in severe mental illness: longitudinal analysis of social drift in China, 1994–2015

2021 ◽  
pp. 1-9
Author(s):  
Yue-Hui Yu ◽  
Wei Luo ◽  
Bo Liu ◽  
Wei-Hong Kuang ◽  
Larry Davidson ◽  
...  
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Poverty Rate ◽  
International Classification Of Disease ◽  
Fast Change ◽  
The Social ◽  
Poverty Transitions ◽  
Icd 10 ◽  
Persistent Poverty

Abstract Background Although poverty associated with severe mental illness (SMI) has been documented in many studies, little long-term evidence of social drift exists. This study aimed to unravel the poverty transitions among persons with SMI in a fast change community in China. Methods Two mental health surveys, using the International Classification of Disease (ICD-10), were conducted in the same six townships of Xinjin county, Chengdu, China in 1994 and 2015. A total of 308 persons with SMI identified in 1994 were followed up in 2015. The profiles of poverty transitions were identified and regression modelling methods were applied to determine the predictive factors of poverty transitions. Results The poverty rate of persons with SMI increased from 39.9% to 49.4% in 1994 and 2015. A larger proportion of them had fallen into poverty (27.3%) rather than moved out of it (17.8%). Those persons with SMI who had lost work ability, had physical illness and more severe mental disabilities in 1994, as well as those who had experienced negative changes on these factors were more likely to live in persistent poverty or fall into poverty. Higher education level and medical treatment were major protective factors of falling into poverty. Conclusions This study shows long-term evidence on the social drift of persons with SMI during the period of rapid social development in China. Further targeted poverty alleviation interventions should be crucial for improving treatment and mental recovery and alleviating poverty related to SMI.

Risking Debt for Honor

2017 ◽  
Vol 43 (1) ◽  
pp. 51-71
Author(s):  
Jennifer R. Cash
Keyword(s):  
Social Relations ◽  
Social Life ◽  
Urban Migration ◽  
Long Term Stability ◽  
The Past ◽  
Political Upheaval ◽  
The Social ◽  
Rural Urban Migration ◽  
The Republic

Research on godparenthood has traditionally emphasized its stabilizing effect on social structure. This article, however, focuses attention on how the practices and discourses associated with marital sponsorship in the Republic of Moldova ascribe value to the risks and uncertainties of social life. Moldova has experienced substantial economic, social, and political upheaval during the past two decades of postsocialism, following a longer period of Soviet-era modernization, secularization, and rural–urban migration. In this context, godparenthood has not contributed to the long-term stability of class structure or social relations, but people continue to seek honor and social respect by taking the social and economic risks involved in sponsoring new marriages.

scholarly journals Attitude towards mental illness among doctors and nurses in a tertiary care centre, Pondicherry, India

2017 ◽  
Vol 5 (7) ◽  
pp. 3059 ◽  
Author(s):  
V. Sujaritha ◽  
M. Partheeban ◽  
T. Thiviya ◽  
M. Sowmiya
Keyword(s):  
Mental Illness ◽  
Tertiary Care ◽  
Psychiatric Morbidity ◽  
Educational Status ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Medical College ◽  
Gender Influence ◽  
Positive Attitudes ◽  
Doctors And Nurses

Background: Stigma can prevent care and treatment of mentally ill. About 54% of diagnosable mental disorders are seen in primary care settings. There is a gross underestimation of psychiatric morbidity among patients by substantial proportion of non-psychiatric clinicians. Hence there is a need to assess the attitude towards mental illness among doctors and staff nurses. The objectives of the study were to assess the attitude towards mental illness among doctors and nurses, to compare the attitude between doctors and nurses, to find if there is any correlation between duration of training or posting and attitude, to find if educational status had any influence on attitude, to find if there is any gender influence on attitude. Methods: It is a cross sectional descriptive study conducted in a private medical college, Pondicherry among doctors and nurses who had completed their under graduation with a sample size of 221 (Doctors-120, Nurses-101). The instruments used were a semi-structured demographic profile and 34 items of OMICC (Opinion About Mental Illness in Chinese Community). The data was entered in Microsoft Excel 2013 analyzed using descriptive statistics, unpaired t-test, pearson’s correlation coefficient.Results: Only 25% of doctors and 4.9% of nurses positive attitude when overall score was considered. Doctors group had higher positive attitudes compared to nurses in domains separatism, stereotyping, benevolence and stigmatisation.Conclusions: There was no correlation between duration of psychiatry posting and attitude.

scholarly journals PSYCHOLOGICAL PROBLEMS OF FAMILY CAREGIVERS OF PATIENTS WITH SCHIZOPHRENIA

2020 ◽  
pp. 43-44
Author(s):  
Sejal Macwan ◽  
Ninad Jhala
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Family Caregivers ◽  
Psychological Problems ◽  
World Health ◽  
World Health Report ◽  
Care Givers ◽  
Care Giving ◽  
Health Report ◽  
The Family

Approximately 24 million people worldwide experiencing schizophrenia (The World Health Report, 2001). Several people with mental disorder have to rely on support of family and friends to help them in their day-to-day happenings. In that era, caregivers are at risk for physical and mental health dilemma.1 Caring for a person with any mental illness often creates physical, emotional dilemma among the family caregivers more than they think. That is why it is also essential to rationalize that issue too. Family care givers of patients with any mental illness have different perspectives and coping strategies about the situation that may lead to feeling of sadness, loneliness, helplessness, hopeless at a variance among the care givers. OBJECTIVES: • To study levels of psychological problems faced by the family caregivers of patients with schizophrenia. • To study association between demographic variables and levels of psychological problems of family caregivers with schizophrenia. METHOD: A descriptive study was carried out to examine the psychological problems faced by family caregivers of patients with schizophrenia. 200 family caregivers were selected by applying stratified systematic sampling method from the government hospitals of mental health of Gujarat state with a criterion of minimum facility of 100 beds. A self-structured interview schedule was designed for study purpose by referring the Burden Assessment Tool of Thara et.al (1998) and Zarit Burden Interview. RESULT: Majority of the respondents (51%) feel anxious, depressed and frustrated due to caregiving responsibility. Majority of the respondents (52.5%) believed that care giving responsibility is mentally tiring for the family caregivers. Majority of the respondents (40.5%) agree with the statement that their contacts with family & friends have lessened due to the illness of care receiver.

scholarly journals Prevalence of Smokeless Tobacco Consumption among women of Rural Telangana

2021 ◽  
Author(s):  
Murali Lingala ◽  
Sneha Simon ◽  
Bhagath . ◽  
Kavitha .
Keyword(s):  
Smokeless Tobacco ◽  
Peer Pressure ◽  
Simple Random Sampling ◽  
Tobacco Consumption ◽  
Cross Sectional Study ◽  
Second Hand Smoke ◽  
Cross Sectional ◽  
Medical College ◽  
The Social ◽  
High Prevalence

Background: Tobacco kills approximately 1 million people annually in India and is responsible for almost half of all cancers in men and quarter of all cancers in women. Smokeless tobacco (SLT) is one such form that is culturally and socially acceptable by women especially in rural India. The study was aimed to estimate the prevalence of smokeless tobacco consumption among women, prevalence of exposure to second hand smoke and to determine the factors associated with it.Methods: A community based cross sectional study was done among 190 women in the rural field practice area of department of community medicine of Kakatiya Medical College, Warangal during the period of October 2019 to December 2019. Data was collected using simple random sampling. A semi structured questionnaire was prepared with the help of global adult tobacco survey proforma. The data was analyzed using statistical package for the social sciences (SPSS) 20.00.Results: Prevalence of smokeless tobacco consumption was 57% and the most common form of tobacco being consumed was tobacco with pan (40.3%). The prevalence of exposure to second hand smoke at home was 61%. The most common reason for initiation was peer pressure. High prevalence of consumption of smokeless tobacco was seen in unemployed and illiterate women.Conclusions: The prevalence of smokeless tobacco consumption is higher among women in this study and this indicates the lack of awareness and the need for better strategies to reduce the burden.

scholarly journals Stigma and Discrimination on People Living with HIV (PLHIV): a Systematic Review

2021 ◽  
Author(s):  
Khotibul Umam ◽  
Moses Glorino Rumambo Pandin
Keyword(s):  
Systematic Review ◽  
Well Being ◽  
People Living With Hiv ◽  
Medical Subject Headings ◽  
Cross Sectional ◽  
Stigma And Discrimination ◽  
Family Approach ◽  
Research Bias ◽  
The Family

ABSTRACTIntroduction:Human Immunodeficiency Virus (HIV) is a global health problem that is almost recorded in every country. The long-term and long-term negative impacts of HIV cases are stigma and discrimination in people with HIV (PLHIV). The purpose of this study is to find out the stigma and discrimination felt by PLHIV.Method:This study design of systematic review from 4 electronic databases namely Scopus ScienceDirect, Sage and ProQuest by using keywords tailored to Medical Subject Headings (MeSH) including "Stress", "covid", "nursing", "hospital". This study uses PICOS framework to prevent research bias and analysed using descriptive analysis.Results:The results of the analysis of the article showed from 761 articles have been identified title, abstract and full-text so that recorded 15 articles that can be reviewed. The article consists of various designs, namely RCT, cross sectional and qualitative studies. Analysis shows that stigma and discrimination are social phenomena that manifest in several social areas.Conclusion:Stigma and discrimination in people with HIV (PLHIV) is still common, stigma is carried out by the wider community to their own families. The family approach is necessary to improve well-being as well as improve the social community of the family.

scholarly journals Number of long-term inpatients in Japanese psychiatric care beds: trend analysis from the Patient Survey and the 630 Survey

2020 ◽  
Author(s):  
Tatsushi Okayama ◽  
Kentaro Usuda ◽  
Emi Okazaki ◽  
Yoshio Yamanouchi
Keyword(s):  
Mental Illness ◽  
Psychiatric Care ◽  
Patient Survey ◽  
Multifaceted Approach ◽  
The Past ◽  
Natural Decrease ◽  
Hospital Bed ◽  
The Mean ◽  
Using Data

Abstract BackgroundThe number of psychiatric care beds and the mean length of stay in psychiatric care beds in Japan have decreased over the past 10 years. However, as has long been indicated here and elsewhere, Japan lags behind other countries in terms of deinstitutionalization. Furthermore, the population of inpatients in psychiatric care beds is aging dramatically. In addition to the diversification of mental illness, the question of what measures to implement going forward regarding current psychiatric bed resources has emerged as a new challenge.MethodsUsing data from the Patient Survey and the 630 Survey, we examined trends in the number of long-term inpatients in psychiatric care beds in Japan through 2040. Population estimation was used for estimating long-term hospital bed demand because of small fluctuations in the admission and discharge of long-term inpatients.ResultsIn 2017, nearly one-third of all long-term hospitalized patients were aged ≥75 years, and an estimated 47% of the total are expected to die by 2040. Thus, the overall demand for long-term hospitalization is forecast to decrease sharply due to aging of currently hospitalized long-term inpatients. The number of long-term inpatients in 2017 was 167,579, and this is projected to decrease to 103,141 in 2040.ConclusionsWe believe it is necessary to adopt a multifaceted approach to promote hospital discharge and transition to the community, and to address the diversification of mental illness and the issue of psychiatric care bed supply/availability, which are forecast to decrease due to the natural decrease in long-term inpatients.

scholarly journals “I could’ve had a better life”: Reflective life reviews told by late-middle-aged and older women and men with ongoing long-term alcohol problems

2017 ◽  
Vol 34 (1) ◽  
pp. 6-17 ◽  
Author(s):  
Magdalena Bergström
Keyword(s):  
Older Women ◽  
Alcohol Problems ◽  
Future Research ◽  
Age Group ◽  
Work Related ◽  
The Past ◽  
The Social ◽  
Self Development ◽  
Letting Go

Aim: This study accounts for how people aged 55-69 with ongoing long-term alcohol problems conceptualize past, present and future. Methods: A total of 19 interviews were performed, from which reflective life reviews were obtained and analyzed as narrative life accounts. Three structuring thematic traits were identified: resentment of life, acceptance of life and gratitude towards life. Results: The study shows how past, present and future intertwine into meaningful entities incorporating certain governing master narratives about recovery, familiar for example from expert discourse and the AA movement. When it comes to the theme of resentment, the participants articulated disappointment over what life had become and emphasized especially the missed work-related opportunities that the drinking had caused. In the theme of acceptance letting go of the past was viewed as important for creating a sober future. Within the dimension of gratitude the past was seen as a resource for self-development and future recovery. Conclusions: How long-term alcohol problems are conceptualized in the long view of a life narrative may have great implications for outlooks of a sober future. A closer look at the social and cultural material incorporated in the stories of this age group is an important task for future research.

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