Présentation atypique de la trichotillomanie : un cas clinique avec revue de la littérature

Trichotillomania is a chronic mental illness with an elevated rate of psychiatric comorbidities. Patients with Trichotillomania often have a low insight putting them at risk for serious health problems such as depression, social dysfunction, body damage, malnutrition, even death in severe cases if untreated. Not all patients have access to health care, most of them live in difficult environments with different cultural variations and attitudes toward mental illness making them more vulnerable. The literature suggests that there is a variety of psychotherapies and medications that may help in managing Trichotillomania. The present case is of a woman with no prior history of mental illness, who was brought by her father for behavioral issues. During her evaluation we observed various symptoms associated with different pathologies, exemplifying the difficulties to diagnose individuals with Trichotillomania and to prepare a treatment plan for them

STAVOVI PREMA OSOBAMA S POTEŠKOĆAMA MENTALNOG ZDRAVLJA

ATTITUDES TOWARD PEOPLE WITH MENTAL HEALTH DIFFICULTIES The implementation of modern approaches that seek to deinstitutionalize traditional psychiatric services is hampered by unfavorable attitudes of the community towards people with mental disabilities. Stigma is one of the most important factors that delay seeking help and negatively affects the quality of life of people with mental health problems. The research was conducted to describe attitudes towards people with mental health problems and determine their relationship with socio-demographic variables, information, and personal experience with mental health problems. There were 108 participants aged 21 to 59 (71% female, 64.5% college and university degrees). The Community Attitudes toward Mental Illness scale (CAMI) (Taylor & Dear, 1981) and a survey questionnaire were used online. Participants have generally benevolent attitudes toward all dimensions of the scale. Higher self-assessment of knowledge about mental health problems leads to more favorable attitudes towards authoritarianism, and younger age to less social restraint. Participants with a high school diploma have more negative attitudes towards the dimensions of authoritarianism and benevolence than participants with a university degree. There are no significant differences in attitudes regarding the experience of seeking mental health support, but on the authoritarian dimension, there is a significant interaction effect of being informed and mental health support seeking. The results indicate the importance of further research into the relationship between attitudes and mental health support seeking and the level of being informed on mental health issues. Key words: mental health; mental health difficulties; attitudes; stigmatization

Perceived Devaluation and Discrimination toward mental illness Scale (PDDs): Its association with sociodemographic variables and interpersonal contact in a Mexican sample

Introduction. Research about stigma on mental illness in different sociocultural contexts is crucial to guide international efforts to reduce discrimination. Objective. Analyze the psychometric properties of the Perceived Devaluation and Discrimination (PDD) scale adapted for the Mexican population and its relationship with sociodemographic variables and interpersonal contact. Method. The study was based on a psychometric and cross-sectional design. The PDD scale was applied to a sample of 295 participants recruited through community programs in the south of Mexico City. Data were analyzed using confirmatory factor analysis to identify the subscales of PDDs. These subscales were compared by age, gender, and education using a univariate analysis. One-way analysis of variance (ANOVA) was then performed to determine whether there were differences in educational level between three PDDM-subscales. Results. The PDD scale obtained an adequate global internal consistency (α = .78). Three PDDs factors were identified: myths and stereotypes, favorable attitudes, and social exclusion, which explain 57.8% of the total variance. The results shows an Χ2SB = 140.88 (df = 143, p = .05, CFI = 1, RMSEA = .000, CI [.000, .029]). Other findings showed significant differences in favorable attitudes toward mental illness subscale by gender and age. The ANOVA results for the social perception of the devaluation subscale reveal that those with a higher educational level could be more aware about devaluation in society toward people with mental illness than other groups with lower education (F = 4.88, p = .005). Discussion and conclusion. The PDD-M scale adapted in Mexico is a culturally valid and reliable measure that could be useful for evaluating the variations and commonalities of public stigma in comparative studies between Latino populations and other international research contexts.

PSYCHIATRY POSTING AMONG NURSING STUDENTS: ATTITUDE TO MENTAL ILLNESS

Background: Attitude towards mental illness influence the nursing students’ choice to take up training and placement in psychiatry as a specialty. The aim of the study was to examine nursing students' attitudes towards mental illness in terms of aetiology, social relations with patients and self-disclosure regarding mental illness. Methods: This was a descriptive quasi-experimental study conducted among all the sixty nursing students attending a 6-week psychiatry posting at Federal Neuropsychiatry Hospital Kware, Sokoto State and Psychiatry unit of General Hospital Katsina, Northwest Nigeria in July 2018. Attitudes toward Mental Illness (ATMI), a self-administered questionnaire was given to the participants before and after six-week posting in psychiatry. Data was analyzed using SPSS version 23. Results: After 6 weeks posting in psychiatry there was improvement in the participants’ positive attitude towards social relation in person with mental illness, willingness to self-disclosure regarding mental illness and etiology of mental illness compare to before the commencement of psychiatry posting. Majority (81%) reported that movies have negative influence on their attitude toward mental illness. Conclusion: The 6-week psychiatry posting has positive effects on nursing students' attitudes towards mental illness. Movies contribute negatively towards majority of the participants’ attitude to mental illness. Use of psychodrama is being suggested to educate people on the etiology and treatment of mental illness. This study provides evidence-based recommendation for mandatory psychiatry posting among other health workers under training and use of psychodrama to educate the public on mental illness.

Association of Refugees’ Knowledge of Mental Illness and Their Attitudes Toward Mental Illness

The purpose of this study is to identify the level of mental health knowledge of defectors and to investigate the effect of sociodemographic characteristics and mental health knowledge level on mental health attitudes. We conducted a questionnaire survey of 150 people and analyzed the data of 138 people. The t test and one-way analysis of variance were used to analyze differences according to demographic characteristics. Hierarchical regression analysis was performed to measure the effect of mental illness knowledge on attitudes toward mental illness. The positive correlations between the mental health attitudes of North Korean defectors and the knowledge level were significant, and the knowledge level between final academic achievement in South Korea and the entry year into South Korea was also significant. The higher the knowledge of mental health, the more generous the minds of those with mental illness because they know better about it, and they have negative thoughts about regulating their lives.

Association of refugees’ knowledge of mental illness and their attitudes towards mental illness

The purpose of this study is to identify the level of mental health knowledge of defectors and to investigate the effect of sociodemographic characteristics and mental health knowledge level on mental health attitudes. We conducted a questionnaire survey of 150 people, and analyzed the data of 138 people. The t-test and one-way ANOVA were used to analyze differences according to demographic characteristics. Hierarchical regression analysis was performed to measure the effect of mental illness knowledge on attitudes toward mental illness. The positive correlations between the mental health attitudes of North Korean defectors and the knowledge level were significant, and the knowledge level between final academic achievement in South Korea and the entry year into South Korea was also significant. The higher the knowledge of mental health, the more generous the minds of the mentally illness because they know better about it, and they have negative thoughts about regulating their lives.

Assessment of nursing students’ attitudes and stigma towards mental illness: A cross-sectional study

This study aimed to assess nursing students’ attitudes toward mental illness in Saudi Arabia. The research design was cross sectional survey. A convenience sample of 315 nursing students. The attitudes towards patients with mental illness questionnaire (AMI) was employed. The results of analysis found that nursing students had favorable attitudes (social relationships) toward people affected by mental illness. Their AMI1 score was slightly higher than the neutral score 20.82. In addition, the findings suggested that students showed slightly affirmative attitudes of tendency to inform others in case oneself or a close relative being mentally ill. 10.50 was the score of AMI2. Nursing students had favorable attitudes towards mental illness despite having negative stereotyped attitudes toward mental illness.