scholarly journals Non-psychiatry consultant's attitude towards psychiatry: a study from Universal College of Medical Sciences, Nepal

2014 ◽  
Vol 1 (4) ◽  
pp. 2-6
Author(s):  
S Subedi ◽  
TK Aich ◽  
S Shah ◽  
DK Thapa

INTRODUCTION: Mental Health has been hidden behind the curtain of stigma and discrimination for a long time. Not only the mentally ill, even the mental health professionals are stigmatized. The medical professional's attitude to psychiatry appear to be negative, although the data are dated. Attitude of non-psychiatry consultants towards psychiatry may affect their ability to promote psychiatry as a discipline. The main aim of this study is to study the non-psychiatry consultants' attitude towards psychiatry. METHODS: It is a hospital based cross-sectional descriptive study of 30 non-psychiatry consultants working in Universal College of Medical Sciences Teaching Hospital, Bhairahawa, Nepal. ATP-30 self report questionnaire was used to collect the data. RESULTS: Majority of the subjects were male. About 69% of the consultants didn't have any exposure in the psychiatry. However, majority of the consultants had positive attitude towards psychiatry. The mean score for ATP-30 was 110.03. CONCLUSION: Majority of the consultants had positive attitude towards psychiatry. However some erroneous beliefs are still prevalent among the consultants. The attitude of non-psychiatry consultants directly/indirectly affects the development of psychiatry as a discipline. Further studies of such kind can help to determine whether changes in attitudes towards psychiatry are needed among the non-psychiatry consultants. DOI: http://dx.doi.org/10.3126/jucms.v1i4.9563 Journal of Universal College of Medical Sciences (2013) Vol.1 No.04: 2-6

2018 ◽  
Vol 23 (2) ◽  
pp. 238-257 ◽  
Author(s):  
Kimberly A Ehntholt ◽  
David Trickey ◽  
Jean Harris Hendriks ◽  
Hannah Chambers ◽  
Mark Scott ◽  
...  

Aim: To investigate whether the mental health of unaccompanied asylum-seeking children (UASC) was negatively affected by having their ages disputed and being detained. Method: Participants within this cross-sectional study were 35 UASC, aged between 13 and 17 when they were detained. Some years later, a team of child mental health professionals interviewed them to assess their current mental health and to determine, as far as possible, the impact that having their age disputed and being detained may have had on their mental health. The Structured Clinical Interview for DSM-IV (SCID-IV), Reactions of Adolescents to Traumatic Stress (RATS), Stressful Life Events (SLE) and Detention Experiences Checklist–UK version (DEC-UK) were administered. Results: The vast majority of UASC reported being negatively affected. Based on diagnostic interviews using the SCID-IV, self-report measures and contemporaneous records, the professionals reported a diagnosis of post-traumatic stress disorder (PTSD) developing in 29% ( n = 10), PTSD exacerbated in 51% ( n = 18), major depressive disorder (MDD) developing in 23% ( n = 8) and MDD exacerbated in 40% ( n = 14). A total of 3 years post-detention, 89% ( n = 31) met diagnostic criteria for psychiatric disorders and reported high PTSD symptoms. Conclusion: There was a high prevalence of psychiatric disorder. The additional stress of age dispute procedures and detention was judged to have been harmful.


2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Mehdi Mirzaei-Alavijeh ◽  
Cyrus Jalili ◽  
Habibolah Khazaie ◽  
Saba Shahsavari ◽  
Negar Karimi ◽  
...  

Background: Motivation is defined as the development of an individual’s desire to succeed and participate in the activities in which success depends on personal effort and ability. Objectives: The present study aimed to evaluate the status of achievement motivation in university students. Methods: This cross-sectional study was conducted on 182 medical, dentistry, and pharmacology students at Kermanshah University of Medical Sciences (KUMS), Iran in 2018. The participants were selected via simple random sampling with a probability appropriate to the selected sample size. Data were collected using a self-report questionnaire. Data analysis was performed in SPSS version 16 using chi-square and t-test at the significance level of 95%. Results: The mean age of the participants was 21.14 ± 1.68 years (age range: 19 - 25 years). The mean score of achievement motivation was 77.64 ± 7.35, which indicated that the participants obtained 66.93% of the maximum score. In addition, 89.5% and 10.5% of the students had moderate and favorable achievement motivation, respectively. Achievement motivation was significantly correlated with age (P = 0.031), male gender (P = 0.022), and maternal education level (P = 0.018). Conclusions: According to the results, the achievement motivation of the majority of the KUMS students was moderate. Therefore, proper planning is required to improve the achievement motivation of these students.


2020 ◽  
Vol 23 (5) ◽  
pp. 750-765
Author(s):  
Mohammad Rahmanian ◽  
◽  
Ali Reza Kamali ◽  
Mahdi Foroughian ◽  
Navid Kalani ◽  
...  

Background and Aim: The COVID-19 pandemic is capable of severely affecting the mental health of health care workers, who are at the forefront of this crisis; while the official staff of health organizations is facing the same danger. Therefore, monitoring awareness and other mental health issues to understand the mediating factors and awareness of appropriate interventions is a necessary priority. Therefore, the purpose of this study was to compare the level of knowledge, attitude, and practice of medical and administrative staff in facing the COVID-19 virus. Methods & Materials: This cross-sectional descriptive study was performed on 160 medical and administrative staff of Jahrom hospitals in 2020. Demographic information questionnaire and researcher-made questionnaire of knowledge, attitude and practice of medical personnel about coronavirus (Covid 19) were used to collect information. Data were analyzed using SPSS software version 21 and descriptive and inferential statistical tests. Results: 65% of subjects were women and the rest were men. In most of the answers given to each item in both groups, the medical and administrative staff’s answers were close to each other. In the case of the statement "I am more likely to get a corona", 54.4% of the medical staff chose the strongly agreed option, while this percentage is 16.5% for the administrative staff. This indicates that the medical staff is very afraid of getting COVID-19. According to the results, the mean knowledge scores of the medical staff (with an average of 94.35) were significantly higher than the administrative staff (with an average of 87.75) (t=5.96, p<0.001). But the performance of administrative staff (with an average of 93.14) is significantly higher than medical staff (with an average of 87.17) (t=-2.710, p=0.007). No significant difference was observed between the mean scores of the attitude scores of both groups (p=0.438). Conclusion: The results of this study showed that the level of awareness in the face of corona virus in the administrative staff is significantly lower than the medical staff, but the administrative staff has a better performance in facing of the corona virus than the medical staff. It seems that educational measures are necessary to increase the awareness of these people.


Pharmacy ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 82
Author(s):  
Saud Alsahali

People with mental illnesses (MIs) face several challenges in addition to their disease. People’s negative views of those with MIs impact patients’ decisions to seek professional help. The aims of this study were to assess pharmacy students’ attitudes toward people with MIs and seeking help for mental health, as well as their knowledge about the causes of MIs. A cross-sectional survey was conducted on pharmacy students at Unaizah College of Pharmacy, Qassim University, Saudi Arabia. Out of the 460 distributed questionnaires, 330 complete questionnaires were received, giving a response rate of 71.7%. Overall, the mean total score for attitude towards people with MIs was 60.16 ± 10.48 (maximum attainable score: 105). In this study, 51.12% believed that people with MIs are more likely to harm others than a person without MIs and 66.9% mentioned that they did not trust the work of a mentally ill person as part of their work team. However, only 35.45% believed that it is difficult for mentally ill individuals to follow social rules. In terms of attitudes toward help-seeking, the mean total score of was 12.83 ± 3.16 out of the maximum score of 25. In addition, the mean total score for knowledge about causes of mental illness was 2.92 ± 1.76 out of the maximum score of 8. The participants reported that MIs could be due to genetic inheritance (56%), substance abuse (54.5%), or brain disease (66.1%). The findings showed that there are some negative attitudes toward people with MIs and negative attitudes towards seeking help for mental health. In addition, some misconceptions about the causes of MIs are prevalent. Consequently, the incorporation of more topics concerning mental health in pharmacy curricula could help improve the awareness of and knowledge about mental health.


2020 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Mehdi Mirzaei-Alavijeh ◽  
Mojtaba Limoee ◽  
Seyyed Nasrollah Hosseini ◽  
Farzaneh Solaimanizadeh ◽  
Nafiseh Mirzaei-Alavijeh ◽  
...  

Background: Flourishing is a psychological construct that refers to the type of living together with permanent happiness in human functions. Individuals with high levels of flourishing are aware of their abilities, keen on progress, and considered beneficial community members. Objectives: The present study aimed to determine the flourishing status and its association with academic achievement in the students of Kermanshah University of Medical Sciences, Iran. Methods: This cross-sectional, descriptive-analytical study was conducted on 295 students at Kermanshah University of Medical Sciences in 2018. The students were selected via simple random sampling with proportional probability to size. Data were collected using a self-report questionnaire. Data analysis was performed in SPSS version 16 using independent t-test, one-way ANOVA and Pearson’s correlation-coefficient at the significance of 95%. Results: The mean age of the students was 22.92 ± 2.47 years (range: 18 - 30 years). The mean score of flourishing was 39.93 ± 8.73 (score range: 8 - 56), which indicated that the participants received 71.3% of the maximum score of flourishing. In addition, the score of flourishing was significantly higher in the female students compared to the males (P = 0.046) and had a positive, significant correlation with academic achievement (r = 0.197; P = 0.002). Conclusions: Considering the more favorable status of flourishing in the female students, it is recommended that educational programs be developed and implemented for the promotion of flourishing by focusing on male students.


2016 ◽  
Vol 33 (S1) ◽  
pp. S458-S458
Author(s):  
B. Ghajati ◽  
S. Ghezaiel ◽  
R. Chebbi ◽  
I. Berrahal ◽  
R. Ridha

Patients with paranoia have always been an attractive and redoubtable group of mentally ill to mental health professionals. In fact, beyond complex psychopathology and relatively better functioning, these patients do represent a real threat to themselves and their presumed persecutors.ObjectivesTo explore criminological aspects of medicolegal acts committed by patients with paranoia.MethodsWe conducted a retrospective and descriptive study, based on medical charts consult. Were included, patients suffering from paranoia (persistent delusional disorder: jealous/persecutory/erotomania type, DSM-IV), hospitalized in the forensic psychiatry department of Razi hospital between 1995 and 2015. This psychiatry department provides medical care for male patients not held by reason of insanity, according to article 38 of the Tunisian Criminal Code. Patients’ socio-demographic characteristics were collected as well as criminological details of their acts of violence (victim, weapon type, crime scene, premeditation…).ResultsWe collected 23 patients. Delusional disorder types were: jealousy (17), persecution (4), erotomania (1) and claim (1). The majority was married (18), undereducated (17), with irregular work (13). Forensic acts were uxoricide (15), attempted murder (5), violence against people (2) and destruction of public properties (1). Patients used bladed weapon in most of the cases (13), in the victim's residence (19), with premeditation in (17) of the crimes. Nine patients reported their act of violence to the authorities.ConclusionOur results do expose further data concerning potential dangerosity of patients with delusional disorders, and by that invites mental health professionals to prevent these acts with screening for violence predictors and risk factors.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2013 ◽  
Vol 2 (2) ◽  
pp. 114-118
Author(s):  
Pradeep Bastola ◽  
BH Dick

Background: To assess the results of femtosecond laser use in harder brown cataracts and share the first time experience. Methods: Thirty eyes of thirty patients were included in this hospital based cross sectional descriptive study. The study was carried out from April, 2012 to July, 2012 in University of Bochum, Vision research center, Germany. All surgeries were performed by a single surgeon (Burkhard Dick) using the Catalys femtosecond cataract laser (Optimedica; Santa Clara, California) and a standardized “stop and chop” phaco technique with the Stellaris (Bausch + Lomb; Rochester, New York) phaco machine in venturi fluidics mode. Relevant data was entered in a proforma designed for the study and interpreted. Results: In the study, 19 (63.3%) of the patients were females followed by males. The mean age of the patients was 74.83 years (Std. deviation 6.56). According to lenticular opacification classification system III (LOCS III); mean nuclear sclerosis was 3.9 (Std. deviation 0.80), mean absolute phaco time (APT) was 0.19 seconds (Std. deviation 0.24 seconds) mean effective phaco time (EPT) was 0.02 seconds (Std. deviation 0.04) and mean phaco power (MPP) used was 9.26% (Std. deviation 8.24). Amongst complications; remnant of anterior capsular tag and posterior capsular rupture (PCR) was noted in two patients respectively. Conclusion: This study demonstrated that, with further innovation and optimization of technique and instruments femtosecond laser-assisted cataract surgery will become phacoless (“aphaco”) for most cataracts, whereas dense cataracts may still require the “pauci-phaco” (reduced phaco energy) technique. Nepal Journal of Medical Sciences | Volume 02 | Number 02 | July-December 2013 | Page 114-118 DOI: http://dx.doi.org/10.3126/njms.v2i2.8953


2021 ◽  
Author(s):  
Diandra Bouter ◽  
Milan Zarchev ◽  
Nita de Neve-Enthoven ◽  
Susan Ravensbergen ◽  
Astrid Mariska Kamperman ◽  
...  

Objective Although cross-sectional studies have shown that the COVID-19 pandemic has negativelyaffected the mental health of adolescents, the effect of the pandemic on adolescents with pre-pandemicsymptoms is unclear. We therefore tested the hypothesis that adolescents had increased emotional andbehavioral problems during the lockdowns imposed during the pandemic.Method This study included three measurements in a prospective cohort of 1022 adolescentswho were oversampled based on their high risk of developing psychopathology. Before the pandemic, weassessed depressive, anxiety, stress, oppositional defiant problems, psychotic experiences and suicidality,using the Youth Self-Report; 445 and 333 of these 1022 adolescents subsequently completed the onlinequestionnaire in the first lockdown (in April 2020) and in the second lockdown (in January 2021),respectively. Multilevel random intercept regression models were used to determine the change inpsychiatric symptoms, including an interaction term to assess whether these changes differed based onthe severity of symptoms prior to the pandemic.Results Throughout the pandemic, the majority of adolescents reported having emotional and behavioralsymptoms that were within the normal range. Moreover, the mean symptom scores for all six outcomesdecreased significantly among adolescents with high clinical severity prior to the pandemic.Conclusion In contrast to our original hypothesis, the effects of the COVID-19 pandemic may notnecessarily be detrimental, at least among a specific subgroup of adolescents with preexisting mentalhealth problems. Moreover, our finding that most adolescents did not report experiencing clinicallyrelevant symptoms during the pandemic reflects their resilience during the pandemic.


2017 ◽  
Vol 8 (1) ◽  
pp. 33
Author(s):  
Rajni Suri ◽  
Anshu Suri ◽  
Neelam Kumari ◽  
Amool R. Singh ◽  
Manisha Kiran

The role of women is very crucial in our society. She cares for her parents, partner, children and other relatives. She performs all types of duties in family and also in the society without any expectations. Because of playing many roles, women often face many challenges in their life including both physical and mental. Mental health problems affect women and men equally, but some problems are more common among women including both physical and mental health problems. Aim of the study - The present study is aimed to describe and compare the clinical and socio-demographic correlates of female mentally ill patients. Methods and Materials: The study includes 180 female mentally ill patients based on cross sectional design and the sample for the study was drawn purposively. A semi structured socio-demographic data sheet was prepared to collect relevant information as per the need of the study. Result: The present study reveals that the socio-demographic factors contribute a vital role in mental illness. Findings also showed that majority of patients had mental problems in the age range of 20-30 have high rate. Illiterate and primary level of education and daily wage working women as well as low and middle socio-economic status women are more prone to have mental illness. Other factors like marital status, type of family and religion etc also important factors for mental illness. Keywords: Socio demographic profile, female, psychiatric patient


2021 ◽  
pp. 002076402110025
Author(s):  
Bárbara Almeida ◽  
Ana Samouco ◽  
Filipe Grilo ◽  
Sónia Pimenta ◽  
Ana Maria Moreira

Background: Physicians, including psychiatrists and general practitioners (GPs), have been reported as essential sources of stigma towards people diagnosed with a mental disorder (PDMDs), which constitutes an important barrier to recovery and is associated with poorer clinical outcomes. Therefore, psychiatrists and GPs are key populations where it is crucial to examine stigma, improve attitudes and reduce discrimination towards psychiatric patients. Aims: This study is the first to explore mental health-related stigma among Portuguese psychiatrists and GPs, examining the differences between these two specialities and assessing whether sociodemographic and professional variables are associated with stigma. Method: A cross-sectional study was performed between June 2018 and August 2019. A consecutive sample of 55 Psychiatrists and 67 GPs working in Porto (Portugal) filled a 25-item self-report questionnaire to assess their attitudes towards PDMDs in clinical practice. The instrument was designed by the authors, based on previous mental health-related stigma studies and validated scales. The questionnaire includes 12 stigma dimensions ( Autonomy, Coercion, Incompetence, Dangerousness, Permanence, Pity, Responsibility, Segregation, Labelling, Diagnostic Overshadowing, Shame and Parental Incompetence), and its total score was used to measure Overall Stigma (OS). Sample characteristics were examined using descriptive statistics, and the factors affecting stigma were assessed through regression analysis. Results: GPs exhibit significantly higher OS levels than psychiatrists, and present higher scores in the dimensions of dangerousness, parental incompetence, diagnostic overshadowing and responsibility. Besides medical speciality, several other sociodemographic variables were associated with sigma, including age, gender, having a friend with a mental disorder, professional category, agreement that Psychiatry diverges from core medicine and physician’s interest in mental health topics. Conclusions: Our data suggest that both psychiatrists and GPs hold some degree of stigmatizing attitudes towards PDMDs. Overall, these results bring new light to stigma research, and provide information to tailor anti-stigma interventions to Portuguese psychiatrists and GPs.


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