Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 14 de 14
Filtrar
1.
BMC Public Health ; 19(1): 424, 2019 Apr 23.
Artigo em Inglês | MEDLINE | ID: mdl-31014307

RESUMO

BACKGROUND: This paper investigates the relationship between psychological health and quality of life (QOL) of people affected by leprosy (PAL) living in a community in Guangdong province, China. METHODS: A population-based cross-sectional survey was conducted from April to October 2016 in Guangdong province, China. The 12-item general health questionnaire (GHQ12) and World Health Organization Quality of life-BREF (WHOQOL-BREF) were used to evaluate the psychological health and QOL of the participants. PAL recruited for this study included those who were (1) registered in LEPMIS by the end of 2015 and living in the community, (2) able to be contacted by investigators, and (3) willing to provide informed written consent for enrolling in the study. Proportions, medians, and ratios were used to describe the demographics of the participants and χ2 test was used to compare groups with different psychological health states. Pearson's correlation coefficient and logistic regression analyses were used to assess the relationship between GHQ12 and QOL score. RESULTS: A total of 7230 PAL (5527 males and 1701 females, average age 67.3 ± 13.1 years) living in the community participated in the study. The participants averaged 1.7 ± 2.7 points on the GHQ12. Of these, 23.5% had scores meeting a psychological disorder (≥3 points). The scores for the physical, psychological, and social relationships, and environment dimensions of QOL were 17.2 ± 2.4, 20.6 ± 2.7, 9.7 ± 1.7, and 24.6 ± 4.0, respectively. Gender, age, employment, profession, and the four dimensions of QOL were independent factors associated with psychological health of PAL. CONCLUSION: In addition to focusing on the factors associated with poor QOL and psychological health amongst PAL, there is an urgent need for stigma reduction, rehabilitation programs and social integration. This may be achieved by engaging community members together with PAL to design a locally tailored intervention program.


Assuntos
Hanseníase/psicologia , Transtornos Mentais/psicologia , Qualidade de Vida , Adulto , Idoso , China , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários
2.
Int J Psychiatry Med ; 53(4): 317-338, 2018 07.
Artigo em Inglês | MEDLINE | ID: mdl-29807502

RESUMO

Objective To examine stigmatizing attitudes towards people with mental disorders among primary care professionals and to identify potential factors related to stigmatizing attitudes through a systematic review. Methods A systematic literature search was conducted in Medline, Lilacs, IBECS, Index Psicologia, CUMED, MedCarib, Sec. Est. Saúde SP, WHOLIS, Hanseníase, LIS-Localizador de Informação em Saúde, PAHO, CVSO-Regional, and Latindex, through the Virtual Health Library portal ( http://www.bireme.br website) through to June 2017. The articles included in the review were summarized through a narrative synthesis. Results After applying eligibility criteria, 11 articles, out of 19.109 references identified, were included in the review. Primary care physicians do present stigmatizing attitudes towards patients with mental disorders and show more negative attitudes towards patients with schizophrenia than towards those with depression. Older and more experience doctors have more stigmatizing attitudes towards people with mental illness compared with younger and less-experienced doctors. Health-care providers who endorse more stigmatizing attitudes towards mental illness were likely to be more pessimistic about the patient's adherence to treatment. Conclusions Stigmatizing attitudes towards people with mental disorders are common among physicians in primary care settings, particularly among older and more experienced doctors. Stigmatizing attitudes can act as an important barrier for patients to receive the treatment they need. The primary care physicians feel they need better preparation, training, and information to deal with and to treat mental illness, such as a user friendly and pragmatic classification system that addresses the high prevalence of mental disorders in primary care and community settings.


Assuntos
Transtornos Mentais/psicologia , Médicos de Atenção Primária , Atenção Primária à Saúde , Estigma Social , Atitude do Pessoal de Saúde , Humanos , Determinação de Necessidades de Cuidados de Saúde , Médicos de Atenção Primária/ética , Médicos de Atenção Primária/psicologia , Médicos de Atenção Primária/normas , Atenção Primária à Saúde/ética , Atenção Primária à Saúde/normas , Estereotipagem
3.
Artigo em Inglês | MEDLINE | ID: mdl-27320768

RESUMO

Nail tic disorders are classic examples of overlap between the domains of dermatology and psychiatry. They are examples of body-focused repetitive behaviors in which there is an irresistible urge or impulse to perform a certain behavior. The behavior is reinforced as it results in some degree of relief and pleasure. Nail tic disorders are common, yet poorly studied and understood. The literature on nail tic disorders is relatively scarce. Common nail tics include nail biting or onychophagia, onychotillomania and the habit tic deformity. Some uncommon and rare nail tic disorders are onychoteiromania, onychotemnomania, onychodaknomania and bidet nails. Onychophagia is chronic nail biting behavior which usually starts during childhood. It is often regarded as a tension reducing measure. Onychotillomania is recurrent picking and manicuring of the fingernails and/or toenails. In severe cases, it may lead to onychoatrophy due to irreversible scarring of the nail matrix. Very often, they occur in psychologically normal children but may sometimes be associated with anxiety. In severe cases, onychotillomania may be an expression of obsessive-compulsive disorders. Management of nail tic disorders is challenging. Frequent applications of distasteful topical preparations on the nail and periungual skin can discourage patients from biting and chewing their fingernails. Habit-tic deformity can be helped by bandaging the digit daily with permeable adhesive tape. Fluoxetine in high doses can be helpful in interrupting these compulsive disorders in adults. For a complete diagnosis and accurate management, it is imperative to assess the patient's mental health and simultaneously treat the underlying psychiatric comorbidity, if any.


Assuntos
Gerenciamento Clínico , Hábito de Roer Unhas/psicologia , Hábito de Roer Unhas/terapia , Transtornos de Tique/psicologia , Transtornos de Tique/terapia , Humanos , Transtornos Mentais/diagnóstico , Transtornos Mentais/psicologia , Transtornos Mentais/terapia , Doenças da Unha/diagnóstico , Doenças da Unha/psicologia , Doenças da Unha/terapia , Transtornos de Tique/diagnóstico
4.
Compr Psychiatry ; 55(1): 221-31, 2014 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-24060237

RESUMO

The Internalized Stigma of Mental Illness (ISMI) scale is a 29-item questionnaire measuring self-stigma among persons with psychiatric disorders. It was developed with substantial consumer input and has been widely used, but its psychometric qualities have not been comprehensively evaluated across multiple versions. Here we review the 55 known versions, and provide the 47 available versions, including: Arabic, Armenian, Bengali, Bulgarian, Chinese (Mainland, Taiwan, Hong Kong), Croatian, Dutch, English (USA, South Africa), Estonian, Farsi, Finnish, French, German, Greek, Hebrew, Hindi, Japanese, Khmer, Korean, Lithuanian, Lugandan, Maltese, Polish, Portuguese (Portugal, Brazil), Romanian, Russian, Samoan, Slovenian, Spanish (Spain), Swahili, Swedish, Tongan, Turkish, Urdu, and Yoruba, and qualitative English and Swahili versions, as well as versions for depression, schizophrenia, substance abuse, eating disorders, epilepsy, inflammatory bowel disease, leprosy, smoking, parents and caregivers of people with mental illness, and ethnicity. The various versions show reliability and validity across a wide range of languages, cultures, and writing systems. The most commonly reported findings of studies using the ISMI are that internalized stigma correlates with higher depression, lower self esteem, and higher symptom severity. Initial studies of ways to reduce internalized stigma are promising and warrant further investigation.


Assuntos
Cultura , Transtornos Mentais/psicologia , Autoimagem , Estigma Social , Estereotipagem , Comparação Transcultural , Humanos
5.
Psychol Assess ; 25(4): 1103-10, 2013 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-23730826

RESUMO

Standard clinical significance classifications are based on movement between the "dysfunctional" and "functional" distributions; however, this dichotomy ignores heterogeneity within the "dysfunctional" population. Based on the methodology described by Tingey, Lambert, Burlingame, and Hansen (1996), the present study sought to present a 3-distribution clinical significance model for the 21-item version of the Depression Anxiety Stress Scales (DASS-21; P. F. Lovibond & Lovibond, 1995) using data from a normative sample (n = 2,914), an outpatient sample (n = 1,000), and an inpatient sample (n = 3,964). DASS-21 scores were collected at pre- and post-treatment for both clinical samples, and patients were classified into 1 of 5 categories based on whether they had made a reliable change and whether they had moved into a different functional range. Evidence supported the validity of the 3-distribution model for the DASS-21, since inpatients who were classified as making a clinically significant change showed lower symptom severity, higher perceived quality of life, and higher clinician-rated functioning than those who did not make a clinically significant change. Importantly, results suggest that the new category of recovering is an intermediate point between recovered and making no clinically significant change. Inpatients and outpatients have different treatment goals and therefore use of the concept of clinical significance needs to acknowledge differences in what constitutes a meaningful change.


Assuntos
Terapia Comportamental , Terapia Cognitivo-Comportamental , Transtorno Depressivo/psicologia , Transtorno Depressivo/terapia , Transtornos Mentais/terapia , Inventário de Personalidade/estatística & dados numéricos , Transtornos de Adaptação/diagnóstico , Transtornos de Adaptação/psicologia , Transtornos de Adaptação/terapia , Adolescente , Adulto , Idoso , Assistência Ambulatorial , Transtornos de Ansiedade/diagnóstico , Transtornos de Ansiedade/psicologia , Transtornos de Ansiedade/terapia , Comparação Transcultural , Transtorno Depressivo/diagnóstico , Feminino , Hospitalização , Humanos , Masculino , Transtornos Mentais/diagnóstico , Transtornos Mentais/psicologia , Pessoa de Meia-Idade , Transtornos do Humor/diagnóstico , Transtornos do Humor/psicologia , Transtornos do Humor/terapia , Avaliação de Processos e Resultados em Cuidados de Saúde/estatística & dados numéricos , Transtornos da Personalidade/diagnóstico , Transtornos da Personalidade/psicologia , Transtornos da Personalidade/terapia , Psicometria , Psicoterapia de Grupo , Transtornos Psicóticos/diagnóstico , Transtornos Psicóticos/psicologia , Transtornos Psicóticos/terapia , Qualidade de Vida/psicologia , Valores de Referência , Reprodutibilidade dos Testes , Transtornos Relacionados ao Uso de Substâncias/diagnóstico , Transtornos Relacionados ao Uso de Substâncias/psicologia , Transtornos Relacionados ao Uso de Substâncias/terapia , Estados Unidos , Austrália Ocidental , Adulto Jovem
7.
Indian J Lepr ; 83(4): 225-9, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-22783757

RESUMO

Management and rehabilitation of leprosy patients needs information aoout the social acceptance and its association with physical and psychological problems of the affected person. Ninety three leprosy patients (72 male and 21 female) were selected from outpatient department of the hospitals/clinics and their demographic and clinical informations were recorded. The patients were screened for common menta diseases using GHQ-60 (Bengali version). The social functioning was assessed using SSFI. Mean age was 35.19 +/- 12.5 years, 69.9% of the subjects were from urban areas. Multibacillary cases accounted for 60.2% of the cases, 21.5% of the patients had deformity, 53.8% of the patients screened positive for common psychiatric diseases. Social functioning impairment of mild, moderate and severe level was 9.7%, 82.8, and 7.5% respectively. On Univariate analysis, presence of deformity was the only variable showing significant association with moderate to severe degree of social impairment. Using decision tree (Exhaustive CHAID) analysis, presence of deformity along with urban residence was strongly predicted severe social functioning impairment. The results of the study show the need to formulate suitable psychosocial intervention strategy especially in the context of high psychiatric morbidity.


Assuntos
Pessoas com Deficiência/psicologia , Hanseníase/psicologia , Transtornos Mentais/psicologia , Distância Psicológica , Adulto , Idoso de 80 Anos ou mais , Comorbidade , Avaliação da Deficiência , Feminino , Humanos , Hanseníase/epidemiologia , Hanseníase/reabilitação , Masculino , Transtornos Mentais/diagnóstico , Transtornos Mentais/epidemiologia , Transtornos Mentais/etiologia , Escalas de Graduação Psiquiátrica , Características de Residência , Autoimagem , Ajustamento Social , Apoio Social , Fatores Socioeconômicos , População Urbana
8.
J Christ Nurs ; 27(2): 86-90, 2010.
Artigo em Inglês | MEDLINE | ID: mdl-20364520

RESUMO

Leprosy in the ancient world involved quarantine from family and society and great stigma. Similarly, mental illness today can involve separation, lost potential, and stigma. As with leprosy, most people misunderstand etiology, treatment, and prognosis in mental illness. Nurses are in a key position to educate, intervene, and improve mental health outcomes.


Assuntos
Atitude Frente a Saúde , Bíblia , Transtornos Mentais/psicologia , Preconceito , Percepção Social , Espiritualidade , Humanos , Hanseníase/psicologia , Transtornos Mentais/enfermagem , Saúde Mental , Pessoas Mentalmente Doentes/psicologia , Papel do Doente , Estereotipagem
9.
Artigo em Inglês | MEDLINE | ID: mdl-20001199

RESUMO

This study describes an evaluation of the effectiveness of psychodynamic psychotherapy provided in an outpatient community mental health clinic. The study used a single group pretest-posttest design involving 78 clients. Clinical outcomes included overall psychosocial functioning and quality of life, level of subjective distress, interpersonal functioning and role functioning, measured by the Outcome Questionnaire (Lambert, Hansen, Umpress, Lunnen Okilshi, & Burlingame, 2000). Clients showed statistically significant improvement from pretest (first sessions) to completion of treatment in overall functioning, and quality of life, level of subjective distress, interpersonal functioning and role functioning. Eighty-five percent of clients made statistically and clinically significant change. Calculation of effect sizes for each outcome found moderate to strong change effects ranging from d = .4 to .9. The study illustrates a method of intervention research that therapists and agencies can use to integrate practical evaluation methods into their clinical services in order to improve mental health service to clients, to demonstrate the effectiveness of interventions, and to provide data to support coverage for needed services for clients.


Assuntos
Centros Comunitários de Saúde Mental/estatística & dados numéricos , Transtornos Mentais/terapia , Avaliação de Processos e Resultados em Cuidados de Saúde/métodos , Avaliação de Processos e Resultados em Cuidados de Saúde/estatística & dados numéricos , Transtornos de Adaptação/complicações , Transtornos de Adaptação/psicologia , Transtornos de Adaptação/terapia , Adulto , Transtornos de Ansiedade/complicações , Transtornos de Ansiedade/psicologia , Transtornos de Ansiedade/terapia , Transtorno Depressivo/complicações , Transtorno Depressivo/psicologia , Transtorno Depressivo/terapia , Feminino , Humanos , Relações Interpessoais , Masculino , Transtornos Mentais/complicações , Transtornos Mentais/psicologia , Minnesota , Escalas de Graduação Psiquiátrica/estatística & dados numéricos , Qualidade de Vida/psicologia , Projetos de Pesquisa , Comportamento Social , Estresse Psicológico/complicações , Estresse Psicológico/psicologia , Inquéritos e Questionários , Resultado do Tratamento
10.
Int J Psychiatry Med ; 39(1): 89-99, 2009.
Artigo em Inglês | MEDLINE | ID: mdl-19650532

RESUMO

OBJECTIVES: To determine the pattern of psychiatric morbidity prevalent among leprosy patients and to compare it with two control groups; those suffering from Tinea vesicolor and Normal subjects. DESIGN: Eighty-eight leprosy patients were matched for age and sex with those suffering from Tinea vesicolor as well as normal subjects. The subjects were assessed for psychiatric morbidity through a clinical interview with PSE-9. RESULTS: The prevalence of psychiatric morbidity among leprosy patients (580/1000) was significantly more than those with tinea vesicolor patients (182/1000) and normal subjects (148/1000) (p < 0.05). Depressive illness was the most common diagnosis in the three groups. CONCLUSIONS: Leprosy patients are more likely to manifest with psychiatric illness than those suffering from Tinea vesicolor and normal subjects.


Assuntos
Países em Desenvolvimento , Hanseníase/epidemiologia , Transtornos Mentais/epidemiologia , Adolescente , Adulto , Idoso , Transtornos de Ansiedade/diagnóstico , Transtornos de Ansiedade/epidemiologia , Transtornos de Ansiedade/psicologia , Estudos de Casos e Controles , Comorbidade , Estudos Transversais , Transtorno Depressivo/diagnóstico , Transtorno Depressivo/epidemiologia , Transtorno Depressivo/psicologia , Feminino , Humanos , Entrevista Psicológica , Hanseníase/diagnóstico , Hanseníase/psicologia , Masculino , Transtornos Mentais/diagnóstico , Transtornos Mentais/psicologia , Pessoa de Meia-Idade , Nigéria , Fatores de Risco , Esquizofrenia/diagnóstico , Esquizofrenia/epidemiologia , Tinha Versicolor/diagnóstico , Tinha Versicolor/epidemiologia , Tinha Versicolor/psicologia , Adulto Jovem
13.
Sao Paulo; s.n; 1994. 147 p. ^e29cm.
Tese em Português | LILACS, HANSEN, HANSENIASE, SESSP-ILSLACERVO, SES-SP | ID: biblio-1085743

RESUMO

Neste trabalho buscou-se problematizar as acoes de saude e a insercao da saude mental na rede de atendimento publico. Para tanto, examinamos o trajeto historico que contextualizou o processo de desospitalizacao do doente mental, levando a implantacao de um sistema de atendimento junto a rede de saude. O exame de uma bibliografia pertinente, a analise de documentos oficiais e a observacao do cotidiano de instituicoes de saude - Centro de Saude I e Ambulatorio de Saude Mental de Assis, Estado de Sao Paulo - permitiu-nos perceber como esse movimento engendrou um novo objeto para as praticas de saude mental: o homem inscrito na complexidade do mundo social. Esse acontecimento promoveu um remanejamento no modo de compreencao dos saberes e das


Assuntos
Humanos , Masculino , Feminino , Assistência à Saúde Mental , Serviços de Saúde Mental , Atenção Primária à Saúde , Hospitais Psiquiátricos , Pessoas com Deficiência Mental/psicologia , Pessoas com Deficiência Mental/reabilitação , Transtornos Mentais/psicologia , Transtornos Mentais/reabilitação
14.
Acta Leprol ; 4(1): 59-72, 1986.
Artigo em Francês | MEDLINE | ID: mdl-3526795

RESUMO

This article is about the effect of Hansen's disease on the personality of 29 patients of the Institute of Applied Leprology of Dakar, Foundation of the Order of Malta. This approach to the distress of these patients was done by an inquiry based on sociocultural and clinical variables and compared to a study composed of tubercular and psychiatric patients. This study reports four distress levels (loss of identity, loss of object, forlornness, culpability) which are distinguished by sex and age. The actual analysis of the experience of this distress shows the importance of support of the traditional representation of these leprous patients' psychology.


Assuntos
Hanseníase/psicologia , Estresse Psicológico/psicologia , Culpa , Humanos , Solidão , Transtornos Mentais/psicologia , Apego ao Objeto , Isolamento Social , Inquéritos e Questionários , Tuberculose/psicologia
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA