scholarly journals The Perspective of General Practitioners about Mental Illness: A Cross-sectional Observational Study from a Tertiary Care Centre, Pakistan

Author(s):  
Muhammad Iqbal Afridi ◽  
Jawed Akbar Dars ◽  
Chooni Lal ◽  
Rakesh Kumar ◽  
. Sadia ◽  
...  

Objectives: To assess the general practitioner's perspective on mental illness in a tertiary health care setting. Study Setting and Duration: Online seminar in March 2020, Jinnah Postgraduate Medical Centre, Karachi. Study Design: Cross-sectional, Observational study Methodology: A total of 152 general practitioners were enrolled in the study. All house officers, psychiatric specialists, staff members, and patients were excluded from the study. An online survey instrument was used to collect data from general practitioners through social media. The questionnaire was related to the biodata of the physicians and their perspective on mental health disorders. Data was analyzed by using SPSS Version 26. Results: A total of 152 general practitioners participated in the study. The mean age of participants was 39.76 (11.540) years. The majority of them were male and married with an average experience of 12.80 (10.90) years. According to the participants, the most common symptoms experienced by patients with mental disorders were loss of appetite, hopelessness, and the loss of interest in day to day activities. The majority of the doctors confessed they find the treatment and management of psychiatric illnesses the hardest. Most of the participants were aware of the diagnostic criteria used for common mental health disorders. Over a hundred (66.4%) participants considered mental health disorders to be a medical disorder while 16 (10.5%) assumed it is the possession by supernatural creatures. 65 (42.7%) of the doctors confessed that they would not feel comfortable having a coworker or befriending a person with a diagnosed mental health issue. Conclusion: Our findings suggest that general physicians had good knowledge about common mental illnesses; however they found the management of these patients difficult. Mental health awareness and training intervention tools are needed to help improve the perspective of health care professionals towards patients with suspected mental illnesses.

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Jessica Hanae Zafra-Tanaka ◽  
Kevin Pacheco-Barrios ◽  
Fiorella Inga-Berrospi ◽  
Alvaro Taype-Rondan

Abstract Aim To assess the self-perceived competencies in diagnosing and treating patients with mental health disorders, among recently graduated general practitioners (GPs) from Lima, Peru. Methods A cross-sectional study was performed in April 2017 at a General Practitioner’s meeting held for those who were going to perform the social service, by the Peruvian College of Physicians in Lima. Attendees were invited to answer a questionnaire that evaluated their self-perception of competence in diagnosing and treating four different mental health disorders; major depression, anxiety disorder, alcohol dependence, and schizophrenia. Results Out of 434 evaluated GPs, the following percentages were self-perceived as competent in their adequate diagnosis of depression (70.5%), anxiety (73.3%), alcohol dependence (67.6%), and schizophrenia (62.0%). Concerning pharmacological treatment, these percentages were 46.6, 47.5, 39.0 and 37.6%, respectively. Referring to all the studied mental disorders, 41.6% of participants self-perceived competence in providing an adequate diagnosis, 36.1% in providing non-pharmacological treatment, and 20.1% in providing pharmacological treatment. Conclusion The rate of adequate self-perceived competences was higher for diagnosis than for treatment of patients with mental health disorders. These results highlight the importance of designing and implementing interventions to improve medical education so as to develop the skills necessary to confront mental health disorders.


2002 ◽  
Vol 26 (8) ◽  
pp. 310-312 ◽  
Author(s):  
Anthony Feinstein

I recently spent 6 months in Namibia as a Fellow of the John Simon Guggenheim Foundation. The purpose of my visit was twofold: the establishment of a database for trauma-related mental health disorders and the development of a validated, self-report screening instrument for mental illness. In the process, I was able to meet with Namibian colleagues and visit a number of health care centres in the country. This article will focus on my impressions of psychiatry in Namibia that were formed during my visit. A brief summary of Namibian history, in particular the country's relations with neighbouring South Africa, will help place my observations in a more meaningful context.


2021 ◽  
Vol 8 ◽  
Author(s):  
Eleanor Quirke ◽  
Vitalii Klymchuk ◽  
Orest Suvalo ◽  
Ioannis Bakolis ◽  
Graham Thornicroft

Abstract Background and study objectives This study aimed to assess among Ukrainian adults: (1) knowledge of mental disorders; (2) attitudes towards people with mental health disorders, and to the delivery of mental health treatment within the community; and (3) behaviours towards people with mental disorders. Methodology A cross-sectional survey of Ukrainian adults aged 18–60 was conducted. Stigma-related mental health knowledge was measured using the mental health knowledge schedule. Attitude towards people with mental health disorders was assessed using the Community Attitudes towards Mental Illness scale. The Reported and Intended Behaviour scale was used to assess past and future intended behaviour towards people with mental health disorders. Results Associations between gender, age, and educational level and the knowledge and attitudes measures were identified. There was evidence of a positive association between being male and positive intended behaviours towards people with mental health disorders [mean difference (MD) = 0.509, 95% confidence interval (CI) 0.021–0.998]. Older age was negatively associated with positive intended behaviours towards people with mental health disorders (MD = −0.017, 95% CI 0.0733 to −0.001). Higher education was positively associated with stigma-related mental health knowledge (MD = 0.438, 95% CI 0.090–0.786), and negatively associated with authoritarian (MD = 0.755, 95% CI 0.295–1.215) attitudes towards people with mental health problems. Conclusion Overall, the findings indicate a degree of awareness of, and compassion towards, people with mental illness among Ukrainian adults, although this differed according to gender, region, and education level. Results indicate a need for the adoption and scaling-up of anti-stigma interventions that have been demonstrated to be effective.


2021 ◽  
pp. 204-207
Author(s):  
Swati Singh ◽  
Arun Narayan Pradeep ◽  
Vadivambal Dinakaran ◽  
Arul Saravanan ◽  
M. Thirunavukarasu

It is a universal phenomenon that the stigma attached to mental illness and mentally ill is a major barrier in providing mental health services. Among doctors, the stigmatisation can further lead to decline in treating mental illness and compromises in patient care. Mental illnesses go unnoticed and unattended to most of the time. AIM-To study the attitude towards mental illness and psychiatry in non-psychiatric postgraduates in a tertiary care hospital. Materials and methods- This is a “Cross - sectional study” that was carried out among non-psychiatric post graduates in a tertiary care hospital using validated questionnaire among all non-psychiatric postgraduates Results- Out of 235 non-psychiatric postgraduate's only 200 postgraduates have lled questionnaire. Out of which 88 were male and 112 were females and 168 were from the clinical branch and 32 were from the non-clinical branch. Data analyse was by using SPSS. Total scores were high on MICA -4 (56.99±9.59) which represent negative attitude towards psychiatry. The majority of postgraduates have shown little interest in psychiatry in their MBBS programme and believe that functioning in a psychiatric setup is not respectful and have been reluctant to disclose their mental illness in front of friends and colleagues. On otherhand, they accepted that mental illness could be a treated and that people with psychiatric illness must have the right to live with dignity and not to be mistreated. Conclusion- The present study shows the negative perception of non-psychiatric medical post graduates. It shows the urgent need to revise the curriculum and correct the negative attitudes of non-psychiatric post graduates towards mental illness and to instil and impart the importance of mental health among students right from undergraduate days. This would help in providing people with mental illness a holistic care for their problems.


2016 ◽  
Vol 61 (3) ◽  
pp. 329-334 ◽  
Author(s):  
Sevag Kaladchibachi ◽  
Abdulwahab M Al-Dhafiri

A number of international studies have highlighted the prevalence of mental health disorders, and the combined lifetime incidence of mental illnesses has been estimated to be as high as 30 percent worldwide. Due to geopolitical, economic, cultural, and religious factors, Gulf Cooperation Council (GCC) countries have been recognized as being particularly susceptible to the socioeconomic impact of mental health disorders, and our report examines the current state of mental healthcare policies in the Arab world and discusses the administrative/infrastructural and social/cultural challenges faced in the provision of adequate mental health care in Kuwait.


2021 ◽  
Vol 70 ◽  
pp. 10-17
Author(s):  
Judith A. Cook ◽  
Jane K. Burke-Miller ◽  
Lisa A. Razzano ◽  
Pamela J. Steigman ◽  
Jessica A. Jonikas ◽  
...  

Author(s):  
Muhammad Shahid Iqbal ◽  
Salah-Ud-Din Khan ◽  
Muhammad Zahid Iqbal

Objective: The objective of the study was to determine the attitude of future health care providers regarding the treatment and management of mental health disorders (MHDs). Methods: A cross-sectional study was conducted using a convenience sampling method. A self-developed and pre-validated tool was used to collect data from students studying in three health care faculties of a university in Malaysia. The Statistical Package for Social Science (SPSS) Version 24.0 was used to analyze the data. Results: Out of the total study participants, males were 104 (36.6%) and females were 180 (63.4%) in the study. For the race variable the Malays students were 7 (2.5%), Chinese students 212 (74.6%), Indians students 60 (21.2%), and others 5 (1.7%). Conclusion: Overall positive attitude was observed among the studied cohort of future health care providers.


2017 ◽  
Vol 41 (S1) ◽  
pp. S616-S616
Author(s):  
D. Soria ◽  
T.V.C. Vernaglia ◽  
N.R. Santiago ◽  
E.C.F. Ramos ◽  
D.R.D. Leitão ◽  
...  

BackgroundThe most prevalent disorders between the chronic diseases are the mental health disorders. Almost 650 million of people in the world suffer of some mental health disorders, which cause serious impact on individual abilities, family relationship and social rehabilitation.AimsWe describe and study the sociodemographic characteristics and the diagnosis of a sample of male and female psychiatric inpatients undergoing treatment in a mental health care center in Brazil.MethodsIt is a descriptive cross-sectional study, carried out with 517 psychiatric inpatients from a Brazilian health institution – IMAS Nise da Silveira. Data was collected from January to December 2014 and occurred through consultation of the patients’ hospital notes. Univariate analysis was used for the data collection and analysis.ResultsOur sample was composed by 52.6% (n = 272) of men and 47.4% of women (n = 245); 50.5% were over 40 years old and have a long time of hospitalization. Overall, 64.6% had schizophrenia; 27.2% mood [affect] disorders; 3.7% mental and behavioural disorders due to psychoactive substance use; 1.4% mental retartation; 0.4% personality disorders; 0.2% disorders of psychological development.ConclusionThe profile could advance the mental health care and rehabilitation of these people. Although could improve public policies.Disclosure of interestThe authors have not supplied their declaration of competing interest.


Author(s):  
Atefeh Zandifar ◽  
Hossein Karim ◽  
Mostafa Qorbani ◽  
Rahim Badrfam

Objective: The mental health status of health care workers (HCWs) related to COVID-19 is of great importance. By designing cross sectional studies, we evaluated disorders related to the mental health of these health workers. Short-term and long-term diagnostic and treatment interventions are other components of this care protocol. Method: This study includes a collection of studies and interventions in the form of analytical cross sectional study at the level of educational hospitals of Alborz University of Medical Sciences. In this study, HCWs were evaluated for mental health disorders in quantitative and qualitative studies. Depression, Anxiety and Stress Scales (DAS), Posttraumatic Stress Disorder (PTSD) questionnaires, and Stigma questionnaire in quantitative studies with thematic approach in qualitative study were used to evaluate and analyze the data. Conclusion: A series of coherent measures have been taken to prevent, screen, and treat mental health disorders of the staff who provide services to patients with COVID-19. We hope the results of these measures will be used as a guide for other professionals and academic and hospital centers in similar conditions to effectively control the disease and improve the mental health of HCWs.


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