RESUMO
The Explanatory Model Interview Catalogue (EMIC) has been developed to elicit illness-related perceptions, beliefs, and practices in a cultural study of leprosy and mental health in Bombay. Leprosy is an especially appropriate disorder for studying the inter-relationship of culture, mental health and medical illness because of deeply rooted cultural meanings, the emotional burden, and underuse of effective therapy. Fifty per cent of 56 recently diagnosed leprosy out-patients, 37% of 19 controls with another stigmatised dermatological condition (vitiligo), but only 8% of 12 controls with a comparable non-stigmatised condition (tinea versicolor) met DSM-III-R criteria for an axis I depressive, anxiety or somatoform disorder. Belief in a humoral (traditional) cause of illness predicted better attendance at clinic.
Assuntos
Transtorno Depressivo/psicologia , Hanseníase/psicologia , Tinha Versicolor/psicologia , Vitiligo/psicologia , Adaptação Psicológica , Adolescente , Adulto , Idoso , Atitude Frente a Saúde , Comparação Transcultural , Transtorno Depressivo/etiologia , Feminino , Hospitais de Ensino , Humanos , Índia , Entrevistas como Assunto , Hanseníase/etiologia , Masculino , Medicina Tradicional , Saúde Mental , Pessoa de Meia-Idade , Cooperação do Paciente , Escalas de Graduação Psiquiátrica , Religião e Psicologia , Tinha Versicolor/etiologia , Vitiligo/etiologiaAssuntos
Adaptação Psicológica , Adolescente , Atitude Frente a Saúde , Comparação Transcultural , Cooperação do Paciente , Escalas de Graduação Psiquiátrica , Hanseníase/etiologia , Hanseníase/psicologia , Hospitais de Ensino , Medicina Tradicional , Religião e Psicologia , Saúde Mental , Tinha Versicolor/etiologia , Tinha Versicolor/psicologia , Transtorno Depressivo/etiologia , Transtorno Depressivo/psicologia , Vitiligo/etiologia , Vitiligo/psicologia , ÍndiaRESUMO
A prospective study was undertaken to compare the patterns of psychiatric referrals in two general hospitals in Bombay viz. the King Edward Memorial Hospital (64 cases) and the Jaslok Hospital and Research Centre (62 cases). It was observed that depressive symptoms were the most common presenting symptoms in these patients attending either of the hospitals. Similarly, the commonest diagnoses were depression and organic mental disorder. Attempted suicide with organophosphorous compounds was the commonest reason for hospitalization at K.E.M. Hospital (p less than 0.001). A significant number of these patients were females (p less than 0.05). The psychiatric referrals at Jaslok had been hospitalized mainly for suspected medical or neurological illness (p less than 0.001). These patients belonged to higher economic strata and hence had a better paying capacity compared to patients at KEM hospital, a significant number of whom were unemployed (p less than 0.001). The duration of pre-referred illness of patients and their stay at Jaslok hospital were longer as compared to those at KEM Hospital (p less than 0.01). The number of non-relevant special investigations carried out on patients in Jaslok was more (p less than 0.01). Further analysis of diagnoses revealed that a significant number of patients at KEM Hospital were admitted as primary psychiatric illness (p less than 0.05).
