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1.
Indian J Psychiatry ; 49(3): 189-94, 2007 Jul.
Article in English | MEDLINE | ID: mdl-20661385

ABSTRACT

BACKGROUND: Major international studies on course and outcome of schizophrenia suggest a better prognosis in the rural world and in low-income nations. Industrialization is thought to result in increased stigma for mental illness, which in turn is thought to worsen prognosis. The lack of an ethnographically derived and cross-culturally valid measure of stigma has hampered investigation. The present study deploys such a scale and examines stigmatizing attitudes towards the severely mentally ill among rural and urban community dwellers in India. AIM: To test the hypothesis that there are fewer stigmatizing attitudes towards the mentally ill amongst rural compared to urban community dwellers in India. MATERIALS AND METHODS: An ethnographically derived and vignette-based stigmatization scale was administered to a general community sample comprising two rural and one urban site in India. Responses were analyzed using univariate and multivariate statistical methods. RESULT: Rural Indians showed significantly higher stigma scores, especially those with a manual occupation. The overall pattern of differences between rural and urban samples suggests that the former deploy a punitive model towards the severely mentally ill, while the urban group expressed a liberal view of severe mental illness. Urban Indians showed a strong link between stigma and not wishing to work with a mentally ill individual, whereas no such link existed for rural Indians. CONCLUSION: This is the first study, using an ethnographically derived stigmatization scale, to report increased stigma amongst a rural Indian population. Findings from this study do not fully support the industrialization hypothesis to explain better outcome of severe mental illness in low-income nations. The lack of a link between stigma and work attitudes may partly explain this phenomenon.

2.
J Indian Med Assoc ; 103(2): 72, 74-76, 98, 2005 Feb.
Article in English | MEDLINE | ID: mdl-16008317

ABSTRACT

The present author undertook a field survey in Calcutta on social stress and mental health covering its ten million people. The present article is a reassessment of mental health of women in Calcutta in comparison with the present impressionistic views.


Subject(s)
Mental Disorders/epidemiology , Mental Health , Female , Humans , India/epidemiology , Psychotic Disorders/epidemiology
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