Depressive status of leprosy patients in Bangladesh: association with self-perception of stigma
| Autor: | M D Akramul Islam, Takashi Izutsu, Fumie Takagi, Shinji Nakahara, Jalal Uddin Amed, Susumu Wakai, Atsuro Tsutsumi |
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| Rok vydání: | 2004 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Social stigma Population Comorbidity Severity of Illness Index Statistics Nonparametric Cohort Studies Age Distribution Reference Values Leprosy Prevalence medicine Humans Interpersonal Relations Sex Distribution education Psychiatry Aged Probability General Environmental Science Aged 80 and over Bangladesh Depressive Disorder Stereotyping education.field_of_study Chi-Square Distribution business.industry Sick role Sick Role Middle Aged Center for Epidemiologic Studies Depression Scale medicine.disease Mental health Self Concept Case-Control Studies General Earth and Planetary Sciences Female business Social Adjustment Cohort study |
| Zdroj: | Leprosy Review. 75:57-66 |
| ISSN: | 2162-8807 |
| Popis: | Stigmatization by the general population and their negative attitudes towards leprosy negatively impacts on patients' mental health, and so too does patients' perception of that stigma. The objective of this present study is to assess the depressive status of leprosy patients, the patient perception of that stigma, and its association with their depressive status in Dhaka, Bangladesh. Subjects were 140 patients, and a selected comparison group of 135 local people without any chronic diseases. To evaluate depressive status, the Center for Epidemiologic Studies Depression scale (CES-D) Bengali version was applied. The patient group's depressive status was significantly more severe than that of the comparison group. Depressive status of those who answered affirmatively was significantly more severe than that of those who answered negatively for three responses to questions: 1) 'I have been physically attacked by people', 2) 'I feel people regard me as strange' and 3) 'I have been refused the purchase of something by a shopkeeper'. The results showed that the depressive status in leprosy patients was greater than that of the general public. Further, actual experiences of discrimination based on stigma associated with the depressive status of leprosy patients. Mental health care for patients, regulation of discriminatory action and education that would decrease social stigma among the general population, especially people who might often have contact with patients, seem necessary to improve the mental health of Bangladeshi leprosy patients. |
| Databáze: | OpenAIRE |
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