scholarly journals Health professionals' familiarity and attributions to mental illness

2010 ◽  
Vol 2 (1) ◽  
pp. 1-5 ◽  
Author(s):  
Aghukwa Nkereuwem Chikaodiri

A few months from the time of this survey, the nearly completed inpatient psychiatric facility within the Aminu Kano Teaching Hospital's complex would be ready for admissions. Understanding the health workers' level of experience of mental illness and their likely behavioural responses towards people with psychiatric illness, therefore, should be a good baseline to understanding their likely reactions towards admitting such patients within a general hospital setting. The study, which used a pre-tested and adapted attribution questionnaire, was pro -spective and cross-sectional. Randomly selected health workers in Aminu Kano Teaching Hospital had their level of familiarity and attributions towards psychiatric patients assessed. The respondents showed a high level of experience with mental illness, with more than 3 in 5 of them having watched movies on mental illness before. More than half of them held positive (favorable) attributions towards persons with mental illness on nine of the ten assessed attribution factors. Almost all held negative (unfavourable) opinion towards intimate relationships with such persons. Attribution factors, “Responsibility, “Anger”, “Dangerousness”, “Fear” and “Segregation” were significantly related to the respondents' level of education (P<0.05). Marital status of the respondents related significantly to “Pity” and “Avoidance” factors (P<0.05). Having watched movies on mental illness significantly related to “Responsibility” and “Fear” factors (P<0.05). Programs designed to improve the health workers mental health literacy, and increased positive professional contacts with mentally ill persons on treatment, would further enhance their perceived positive attributions towards them.

2019 ◽  
Vol 6 (2) ◽  
pp. 64-69
Author(s):  
Rama Kumari Lamichhane

Introductions: Stigma and unfavorable view of people towards mental illness is prevailing in Nepal due to lack of awareness. Stigma among family members of people with mental illness has a serious impact on the outcome. This study aims to identify the level of perceived stigma by family members and association with selected demographical variables. Methods: A cross-sectional research design was used to assess the stigma perceived by family members of patients visiting psychiatry outpatient department of Patan Hospital, Patan Academy of Health Sciences during 12 August to Sep 7, 2018. Questionnaire on socio-demographic variables and self-stigma of mental illness scale was used to interview the family members to assess the level of perceived stigma. Chi-square was used to examine the association between demographic variables and stigma, p < 0.05 was considered significant. Results: Out of 180 family interviewed 94 (52.2%) had perceived high level of stigma and 86 (47.8%) low level of stigma. There was significant association between age and perceived stigma (p value=0.030) at 95% of significance. Conclusions: More than half of the family members of psychiatric patients had perceived high level of stigma and was associated with the age.


2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Azan A. Nyundo ◽  
David Z. Munisi ◽  
Ainory P. Gesase

Background. Neglected tropical diseases continue to be one of the leading causes of morbidity and mortality in the developing world. Psychiatric patients are among groups at risk for parasitic infection although control and monitoring programs largely overlook this population. This study aimed at determining prevalence and factors associated with intestinal parasitic infection among patients admitted to a psychiatric facility.Method. The study followed cross-sectional design; all the residing patients that met the inclusion criteria were included in the survey. Stool samples were collected and examined by direct wet preparation and formol-ether concentration. Data were analyzed with STATA version 12.1; Chi-square test was computed to determine the level of significance atpvalue < 0.05.Results.Of all 233 patients who returned the stool samples, 29 (12.45%) screened were positive for an intestinal parasite. There was no significant association between parasite carriage and age, sex, or duration of hospital stay.Conclusion. The study shows that intestinal parasitic infection is common among patients in a psychiatric facility and highlights that parasitic infections that enter through skin penetration may be a more common mode of transmission than the oral route. Furthermore, the study underscores the need for surveillance and intervention programs to control and manage these infections.


2017 ◽  
Vol 41 (S1) ◽  
pp. S577-S577 ◽  
Author(s):  
U. Ouali ◽  
R. Jomli ◽  
R. Nefzi ◽  
H. Ouertani ◽  
F. Nacef

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.


2021 ◽  
Vol 1 (Volume 1 No 1) ◽  
pp. 71-79
Author(s):  
Sri Sarwendah ◽  
Syarif Suwondo ◽  
Irena Nisa Harliani

ABSTRACT Universal precautions are one way to prevent the transmission of disease, which is transmitted by blood and all body fluids, including saliva, either from the patient to health worker and from patient to another patient. Patients should be treated as infected with the disease and potentially infectious every time. This action should be done by all health care staff in the risk of cross-infection between patients, and health workers can be minimized. Basic universal precautions include immunization, hand washing, personal protective equipment, medical equipment management, and hospital waste management. This study aims to describe the level of knowledge about universal precautions in postgraduate students Faculty of Dentistry Universitas Jenderal Achmad Yani Cimahi (Unjani). This study used a descriptive design by cross-sectional. Collection data for research using a questionnaire containing 20 questions tested for validity and reliability, then a questionnaire filled out by respondents as many as 40 people. Presentation of research data is processed and presented to illustrate the level of knowledge in postgraduate students of frequency distribution table. The results showed that most of postgraduate students has a high knowledge (60%), postgraduate students with a moderate level of knowledge (27.5%), and postgraduate students with the knowledge that a low level (12.5%). Conclusions of the research showed that the majority postgraduate students about universal precaution is at a high level.


Author(s):  
Paulo Roberto Oliveira Henrique Santana ◽  
Cibele Isaac Saad Rodrigues

Abstract: Introduction: Mental disorders are accountable for the segregation of patients in many diverse cultures and historical moments worldwide. The evolution of neuroscience, technologies and advances in the psychosocial sphere have not been enough to change this paradigm. Many people still fear having social relations with someone with a psychiatric disorder, despite scientific progress and efforts to reduce prejudice in recent decades. Objective: The aim of this study was to assess the training in mental health during the undergraduate course offered to residents in Internal Medicine and analyze the feelings, perceptions, and stigmas of these physicians regarding the care offered to patients with mental disorders. Method: This study has a qualitative, quantitative approach and descriptive, cross-sectional design. Thirty-two residents in Internal Medicine participated and, for comparison, the questionnaires were also answered by 8 residents in Psychiatry. Two instruments were applied: one for the characterization of the participants’ sociodemographic profile and the attribution questionnaire (AQ-26B). Qualitative data were obtained through a focus group with 14 residents and the content analysis was used for categorization. The most frequent categories were illustrated with Pareto charts. Results: The results demonstrated that residents in internal medicine showed higher indexes of stigma regarding aspects such as fear and intolerance. It was also possible to infer gaps related to training in mental health, low perception of care responsibility, in addition to the difficulty in legitimizing complaints and showing negative feelings. Conclusion: One can conclude the need for educational interventions that promote the decrease of the stigma and the search for training regarding comprehensive and empathic care for patients with mental disorders.


BMJ Open ◽  
2019 ◽  
Vol 9 (12) ◽  
pp. e033762 ◽  
Author(s):  
Sherilyn Chang ◽  
Louisa Picco ◽  
Edimansyah Abdin ◽  
Qi Yuan ◽  
Siow Ann Chong ◽  
...  

ObjectivesThe mental health profession exposes healthcare workers to unique stressors such as associative stigma (stigmatisation that is extended from the stigmatised patients to psychiatric professionals and is based on affiliation with an individual with mental illness). Enhancing resilience, or the ability to ‘bounce back’ from adversity, is found to be useful in reducing occupational stress and its negative effects. In view of the high burnout rates reported among mental health professionals, this study aimed to examine resilience in this group of professionals and to explore the association between resilience and associative stigma.DesignObservational study—cross-sectional design.SettingTertiary psychiatry hospital in Singapore.ParticipantsThe study was conducted among 470 mental health professionals (doctors, nurses and allied health professionals) working in the hospital.MeasuresResilience was assessed using the Brief Resilience Scale (BRS) and participants completed questionnaires that examined associative stigma. Participants provided their sociodemographic information, length of service, and information on whether they knew of a close friend or family member who had a mental illness.ResultsMean resilience score for the overall sample was 3.59 (SD=0.64). Older age (β=0.012, 95% CI 0.004 to 0.019, p=0.003) and having known a family member or close friend with a mental illness (β=0.155, 95% CI 0.019 to 0.290, p=0.025) predicted higher BRS score. Associative stigma remained significantly associated with resilience score after controlling for sociodemographic factors whereby higher associative stigma predicted lower resilience scores.ConclusionThe present finding suggests that resilience building programmes among mental health workers should target those of the younger age group, and that addressing the issue of associative stigma is essential.


2018 ◽  
Vol 7 (2) ◽  
pp. 46-50
Author(s):  
D.K. Thapa ◽  
N. Lamichhane ◽  
S. Subedi

Introduction: Mental illnesses are commonly linked with a higher disability and burden of disease than many physical illnesses. But despite that fact, it is a general observation that a majority of patients with mental disorder never seek professional help. To elaborate further, the widely prevalent magico-religious beliefs associated with mental illness and lower literacy, poses significant social obstacles in seeking appropriate health care for psychiatric patients. In general, mental illness is seen as related to life stresses, social or family conflicts and evil spirits and the concept of biological causes of mental illness is rare even among the educated. The idea that illness and death are due to malevolent spirits is common notion that is shared practically by all level of society from the so-called primitive to modern industrialized societies, thus indicating the strong influences of cultural background. When there is a magico- religious concepts of disease causation, there is tendency to consult indigenous healers. Therefore, the patients with mental illness often either visit or are taken to faith healers by their relatives. The objective of the study was to determine the various psychiatric cases that were referred by the traditional faith healers to the authors. Material and Method: This is a cross- sectional, hospital- based descriptive study, conducted at the Psychiatric outpatient department of Pokhara Om Hospital, Pokhara, Kaski, Nepal for the period of one year, from June 2016 to May 2017. The total of 35 cases, referred by the traditional faith healers was included in the study. Subjects of any age, any gender, any literacy level, any caste, from any locality and religious background were included in the study after their consent. Subjects who refused to consent were not included in the study. The psychiatric diagnosis was based on the complete history and examination and ICD- 10 DRC criteria. Results: Though the sample size is small, it is interesting to note that patients with various kinds of mental disorders were referred by traditional faith healers. There were patients suffering from neurotic disorders, psychotic disorders, mood disorders, seizure, substance use disorder, intellectual disability etc seeking the treatment from traditional faith healers. Among the cases referred, predominantly were female and neurotic cases. Most patients were educated. Conclusion: The study shows that patients with various mental disorders visit traditional faith healer. This area surely requires further in-depth look as traditional faith healers can be an important source of referral of psychiatric patients.


2020 ◽  
pp. 002076402097244
Author(s):  
Carlos Arturo Cassiani-Miranda ◽  
Adalberto Campo-Arias ◽  
Andrés Felipe Tirado-Otálvaro ◽  
Luz Adriana Botero-Tobón ◽  
Luz Dary Upegui-Arango ◽  
...  

Background: As the COVID-19 pandemic progresses, the fear of infection increases and, with it, the stigma-discrimination, which makes it an additional problem of the epidemic. However, studies about stigma associated with coronavirus are scarce worldwide. Aims: To determine the association between stigmatisation and fear of COVID-19 in the general population of Colombia. Method: A cross-sectional study was carried out. A total of 1,687 adults between 18 and 76 years old ( M = 36.3; SD = 12.5), 41.1% health workers, filled out an online questionnaire on Stigma-Discrimination and the COVID-5 Fear Scale, adapted by the research team. Results: The proportion of high fear of COVID-19 was 34.1%; When comparing the affirmative answers to the questionnaire on stigma-discrimination towards COVID-19, it was found that the difference was significantly higher in the general population compared to health workers in most of the questions evaluated, which indicates a high level of stigmatisation in that group. An association between high fear of COVID-19 and stigma was evidenced in 63.6% of the questions in the questionnaire. Conclusion: Stigma-discrimination towards COVID-19 is frequent in the Colombian population and is associated with high levels of fear towards said disease, mainly people who are not health workers.


2018 ◽  
Vol 8 (1) ◽  
Author(s):  
Taqiyyah Barroh Thoyyib ◽  
Yunik Windarti

The purposed to find out the relationship between the knowledge about implant and implant contraceptive used of acceptors at BPS Farohah Gresik. Implant is one of hormone contraceptive methode with high effectiveness. But, know fact that there were acceptors refused to use implant. The caused factor is the less off acceptors knowledge about implant. Therefore, this research was purposed to find out the relationship between the knowledge about implant and implant contraceptive used of acceptors at BPS Farohah Gresik. The type of this research was analytic by cross sectional methode. The population involved 42 acceptors of hormonal contraceptive who attended on June at BPS Farohah Gresik. 38 respondents were taken as the samples using simple random sampling technique. The independent variable was knowledge where as, the dependent one was the used of implant. Questionnaires was used to collect the data. Analyzed by using MannWhitney test with the significance level α = 0,05. The result of this research showed that most of respondents (60,5%) had less knowledge and almost all respondents (89,5%) did not use implant. Furthermore, the statistic test has obtarned p = 0,039 < α = 0,05. So H0 was refused that there was a relationship between knowledge about implant and the used of implant contraceptive at BPS Farohah Gresik. The research concluded that the less of acceptors knowledge about implant. The used of this contraceptive is vower. Hence, the health workers should improve the counselling and implant extension to people.


2021 ◽  
Vol 7 (3) ◽  
pp. 426-431
Author(s):  
Riska Diana Putri ◽  
Asri Mutiara Putri ◽  
Ratna Purwaningrum

Background Coronavirus Disease 2019 is currently a pandemic in almost all countries in the world. This pandemic outbreak can increase anxiety especially in pregnant women. One of the factors that can reduce the level of anxiety of pregnant women is knowledge. Purpose This study was conducted to find out the relationship of knowledge with the level of anxiety of pregnant women ahead of childbirth in the era of the Covid-19 pandemic. Methods The type of research used is Observational Analytics using Cross Sectional design. Respondets in this study were 59 pregnant women with a gestational age of 27-35 weeks before childbirth who checked their pregnancy to posyandu in Rajadesa Subdistrict, Ciamis Regency. The measuring instrument used is hamilton anxiety rating scale (HARS) and knowledge scale. The data was analyzed using Pearson Product Moment correlation tests. The results of this study showed a significant negative relationship of -0.635 between knowledge and anxiety levels of pregnant women ahead of childbirth with a significance (p) of 0.000. Further research can expand research samples from various regions in Indonesia so that a more comprehensive picture of anxiety in pregnant women in the era of the Covid-19 pandemic.The conclusion is that there is a significant negative relationship between knowledge and anxiety in pregnant women before delivery and most pregnant women have good knowledge and do not experience anxiety. Suggestions for health workers to be more intensive in providing counseling to pregnant women about the anxiety of pregnant women before delivery and optimizing referral services if there are complications during delivery in order to obtain appropriate action. Keyword : Covid-19 pandemic, Knowledge, Anxiety ABSTRAK Latar Belakang Coronavirus Disease 2019 saat ini menjadi pandemi hampir di seluruh negara di dunia. Wabah pandemi ini dapat meningkatkan kecemasan terutama pada ibu hamil.Salah satu faktor yang dapat mengurangi tingkat kecemasan ibu hamil adalah pengetahuan.Tujuan Penelitian ini dilakukan untuk mengetahui hubungan pengetahuan dengan tingkat kecemasan ibu hamil menjelang persalinan di era pandemi Covid-19.Metode Jenis penelitian yang digunakan adalah Analitik Observasional dengan menggunakan desain Cross Sectional. Responden dalam penelitian ini adalah 59 ibu hamil dengan usia kehamilan 27-35 mimggu yang memeriksakan kehamilannya ke posyandu di Kecamatan Rajadesa Kabupaten Ciamis. Alat ukur yang digunakan adalah Hamilton Anxiety Rating Scale (HARS) dan skala pengetahuan. Data dianalisis menggunakan uji korelasi Pearson Product Moment.Hasil penelitian ini menunjukan adanya hubungan negatif yang signifikan sebesar -0,635 antara pengetahuan dengan tingkat kecemasan ibu hamil menjelang persalinan dengan signifikansi (p) sebesar 0,000. Penelitian selanjutnya dapat memperluas sampel penelitian dari berbagai daerah di Indonesia sehingga diperoleh gambaran lebih menyeluruh tentang kecemasan pada ibu hamil di era pandemic Covid-19.Kesimpulan ada hubungan negative signifikan antara pengetahuan dengan kecemasan pada ibu hamil menjelang persalinan dan  sebagian besar ibu hamil memiliki pengetahuan baik dan tidak mengalami kecemasan.Saran bagi tenaga kesehatan agar lebih intensif dalam memberikan penyuluhan pada ibu hamil mengenai kecemasan ibu hamil menjelang persalinan dan mengoptimalkan pelayanan rujukan bila terdapat komplikasi pada saat persalinan agar dapat memperoleh tindakan yang tepat Kata Kunci : Pandemi Covid-19, Pengetahuan, Kecemasan


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