A STUDY TO COMPARE THE LEVEL OF STIGMA IN PSYCHIATRIC AND TUBERCULOSIS PATIENTS

Naresh Solanki, Madhu Saurabh Singh Dhurvey

Abstract


INTRODUCTION

The study was planned to compare self-stigma experienced by psychiatric patients with tuberculosis patients and its relation to patient's age, gender, marital status, employment status and education level.

 

MATERIAL AND METHODS

 A cross-sectional study was conducted in tertiary care hospital during March- October 2017 comprising patients from psychiatric and tuberculosis groups. We collected data on Socio-demographic Pro forma and the stigma scale & the statistical analysis by SPSS version 16.0.

 

RESULTS

Patients attending psychiatry OPD consistently gave responses showing a greater degree of self -stigma than those attending general medicine OPD for tuberculosis. The impact of demographic factors and psychiatric diagnosis on the perception of stigma was not statistically significant.

 

CONCLUSION

The findings of this study suggest high self-stigma among patients attending the Psychiatric Clinic in comparison with tuberculosis patients in the same setting. There was no significant correlation between stigma scores, patient's diagnosis, and demographic factors.


Keywords


psychiatry patients, stigma, tuberculosis, study

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References


Goffman E (1963) Stigma: Notes on the Management of Spoiled Identity. London: Penguin, UK. (http://www.freelists.org/archives/sig-dsu/11-2012/pdfKhTzvDIi8n.pdf)

Corrigan PW, Rao D (2012) on the self-stigma of mental illness: Stages, disclosure, and strategies for change. Can J Psychiatry 8: 464-469.

Sirey JA, Bruce ML, Alexopoulos GS, Perlick DA, Friedman SJ, et al. (2001) Stigma as a barrier to recovery: Perceived stigma and patient-rated severity of illness as predictors of antidepressant drug adherence. Psychiatr Serv 52: 1615–1620.

Sirey JA, Bruce ML, Alexopoulos GS, Perlick DA, Raue P, et al. (2001) Perceived stigma as a predictor of treatment discontinuation in young and older outpatients with depression. AmJPsychiatry158: 479-481.

Shrivastava A, Bureau Y, Rewari N, Johnston M. Clinical risk of stigma and discrimination of mental illnesses: Need for objective assessment and quantification. Indian J Psychiatry. 2013;55:178–82.

Singh DK, Ajinkya S. Stigma and psychiatric disorders. Med J DY Patil Univ. 2012;5:83.

Piot P. Stigma, bias present barriers in fight against AIDS pandemic. AIDS Policy Law. 2001;16:5.

Singh GP. Psychosocial aspects of Hansen's disease (leprosy) Indian Dermatol Online J. 2012;3:166–70.

Kaur H, Van Brakel W. Dehabilitation of leprosy affected people – A study on leprosy affected beggars. Lepr Rev. 2002;73:346–55.

Courtwright A, Turner AN. Tuberculosis and stigmatization: Pathways and interventions. Public Health Rep. 2010;125 (Suppl 4):34–42.

Jacoby A, Gorry J, Gamble C, Baker GA. Public knowledge, private grief: A study of public attitudes to epilepsy in the United Kingdom and implications for stigma. Epilepsia. 2004;45:1405–15.

Van Brakel WH. Measuring health related stigma – A literature review. Psychol Health Med.

;11:307–34.

Littlewood R. Cultural variation in the stigmatization of mental illness. Lancet. 1998;35213:1056–7.

Al-Adawi S, Dorvlo AS, Al-Ismaily SS, Al-Ghafry DA, Al-Noobi BZ, et al. (2002) Perception of and attitude towards mental illness in Oman. Int J Soc Psychiatry 48: 305-317.

World Health Organization. The ICD-10 classification of mental and behavioural disorders: clinical descriptions and diagnostic guidelines. WHO. Geneva. 1992.

King Michael, Ali A, Straydom A, Hassiotis A, Williams R (2007) The Stigma Scale: development of a standardized measure of the stigma of mental illness. BrJPsychiatry 190: 248-254.

Liggins J, Hatcher S. Stigma toward the mentally ill in the general hospital: A qualitative study. Gen Hosp Psychiatry 2005;27:35964.

Corrigan PW, Watson AC, Ottati V. From whence comes mental illness stigma? Int J Soc Psychiatry 2003;49:14257.

Conner KO, Copeland VC, Grote NK, Koeske G, Rosen D, Reynolds CF 3 rd, et al. Mental health treatment seeking among older adults with depression: The impact of stigma and race. Am J Geriatr Psychiatry 2010;18:53143.

Interian A, Ang A, Gara MA, Link BG, Rodriguez MA, Vega WA. Stigma and depression treatment utilization among Latinos: Utility of four stigma measures. Psychiatr Serv 2010;61:3739.

Jacoby A. (1994) Felt versus enacted stigma: a concept revisited: evidence from a study of people with epilepsy in remission. SocSciMed38: 269 -274.

Christodoulou M. The stigma of tuberculosis. Lancet Infect Dis. 2011;11:663–4.

Wahl OF. Mental health consumers′ experience of stigma. Schizophr Bull 1999;25:46778.

Corrigan P, Thompson V, Lambert D, Sangster Y, Noel JG, Campbell J. Perceptions of discrimination among persons with serious mental illness. Psychiatr Serv 2003;54:110510.

Yen CF, Chen CC, Lee Y, Tang TC, Yen JY, Ko CH. Self-stigma and its correlates among outpatients with depressive disorders. Psychiatr Serv 2005;56:599601.

Chung KF, Wong MC. Experience of stigma among Chinese mental health patients in Hong Kong. Psychiatrist 2004;28:4514.

Chandra P.S., Kommu J.V., Rudhran V. Schizophrenia in women and children: a selective review of literature from developing countries. Int Rev Psychiatry. 2012; 24(5):467–482.

Thara R., Kamath S., Kumar S. Women with schizophrenia and broken marriages–doubly disadvantaged? Part I: patient perspective. Int J Soc Psychiatry. 2003; 49(3):225–232.

Lai YM, Hong CP, Chee CY. Stigma of mental illness. Singapore Med J. 2001;42:111–4.

Dinos S, Stevens S, Serfaty M, Weich S, King M. Stigma: The feelings and experiences of 46 people with mental illness. Qualitative study. Br J Psychiatry 2004; 184:176-81.

Kumari S, Banerjee I, Majhi G, Choudhury S, Singh AR, Verma AN. Felt stigma and self-esteem among psychiatric hospital outdoor and community camp attending patients. Med J DY Patil Univ. 2014;7:550–7.

Interian A, Ang A, Gara MA, Rodriguez MA, Vega WA. The long term trajectory of depression among latinos in primary care and its relationship to depression care disparities. Gen Hosp Psychiatry 2011; 33 (2): 94 – 101.


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