Depression and mental wellbeing in people affected by leprosy in southern Nepal

被引:14
|
作者
van Dorst, Marloes M. A. R. [1 ]
van Netten, Wiebrich J. [1 ]
Waltz, Mitzi M. [1 ]
Pandey, Basu D. [2 ]
Choudhary, Ramesh [3 ]
van Brakel, Wim H. [4 ]
机构
[1] Vrije Univ Amsterdam, Athena Inst, Amsterdam, Netherlands
[2] Minist Hlth & Populat, Sukra Raj Trop & Infect Dis Hosp, Kathmandu, Nepal
[3] Lalgadh Leprosy Hosp & Serv Ctr, Dept Community, Janakpur, Nepal
[4] NLR, Amsterdam, Netherlands
关键词
Leprosy; depression; mental wellbeing; stigma; Nepal; STIGMA; HEALTH; SCALE; PHQ-9; LIFE;
D O I
10.1080/16549716.2020.1815275
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background Leprosy, a leading cause of disability, remains endemic in southern Nepal. Alongside physical impairment and stigmatization, many people affected by leprosy suffer from mental health problems. Objectives This study had two objectives: (a) Establishing a baseline level of mental wellbeing and depression among people affected by leprosy in southern Nepal, and (b) Examining factors that influence mental wellbeing and depression in this target group. Methods A cross-sectional survey was conducted using three interview-administered questionnaires measuring level of depression (PHQ-9), mental wellbeing status (WEMWBS) and level of stigma (5-QSI-AP). Random clustering sampling was used to include leprosy-affected people from Self Help Groups (SHGs) and the reference group was matched based on socio-demographic characteristics. All participants were adults with no additional major morbidities. A sample of 142 persons affected by leprosy and 54 community controls were included. Results People affected by leprosy participating in SHGs had a significantly lower level of mental wellbeing and higher level of depression than the general population. Both mental wellbeing and depression were influenced by gender and the level of stigma. In addition, the level of depression was associated with the disability grade of leprosy-affected people. Conclusion Leprosy-affected people need mental health-care interventions at different organizational levels, with attention to identifying individuals at increased risk for mental health problems or with additional needs. These findings highlight the demand for further research on specific interventions to improve the mental health of leprosy-affected people.
引用
收藏
页数:9
相关论文
共 50 条
  • [1] Mental wellbeing and depression among persons affected by leprosy in Nepal and Indonesia
    van Brakel, W.
    van Dorst, M.
    Chaudhary, R.
    van der Linden, A.
    Denny, H. M.
    [J]. TROPICAL MEDICINE & INTERNATIONAL HEALTH, 2021, 26 : 191 - 192
  • [2] Mental wellbeing among people affected by leprosy in the Terai region, Nepal
    van Netten, Wiebrich J.
    van Dorsta, Marloes M. A. R.
    Waltz, Mitzi M.
    Pandey, Basu D.
    Aley, Dambar
    Choudhary, Ramesh
    van Brakel, Wim H.
    [J]. LEPROSY REVIEW, 2021, 92 (01) : 59 - 74
  • [3] Factors influencing the mental wellbeing of persons affected by leprosy in Far-Western Nepal
    Pierneef, Louise
    van' t Noordende, Anna T.
    Bista, Mamta
    Singh, Usha
    Scheltema, Manon B.
    Joshi, Ashok K.
    Pant, Mukesh
    Shakya, Labhi
    Waltz, Mitzi M.
    van Brakel, Wim H.
    [J]. LEPROSY REVIEW, 2022, 93 (01) : 12 - 25
  • [4] The experiences and attitudes of people affected by leprosy who voluntarily undertake leprosy services in Nepal
    Cross, Hugh
    Sah, Arbind Kumar
    [J]. LEPROSY REVIEW, 2014, 85 (03) : 224 - 231
  • [5] The impact of leprosy on the mental wellbeing of leprosy-affected persons and their family members - a systematic review
    Somar, P. M. W.
    Waltz, M. M.
    van Brakel, W. H.
    [J]. GLOBAL MENTAL HEALTH, 2020, 7
  • [6] Stigmatisation and discrimination: Experiences of people affected by leprosy in Southern Ghana
    Dako-Gyeke, Mavis
    Asampong, Emmanuel
    Oduro, Razak
    [J]. LEPROSY REVIEW, 2017, 88 (01) : 58 - 74
  • [7] Dehabilitation of leprosy-affected people - a study on leprosy-affected beggars
    Kaur, H
    Van Brakel, W
    [J]. LEPROSY REVIEW, 2002, 73 (04) : 346 - 355
  • [8] Stigma, depression and quality of life among people affected by neglected tropical diseases in Nepal
    Thapa, Deependra K.
    Dahal, Harsha R.
    Chaulagain, Dipak Raj
    Karki, Anjalina
    Sharma, Nirmala
    Baral, Bhuwan
    Nepal, Chiranjibi
    Paudel, Prakriti
    Thapa, Janak
    [J]. INTERNATIONAL HEALTH, 2023, 15 : 79 - 86
  • [9] Laterality judgement task in people affected by leprosy
    dos Santos, Desiree Alves
    Torres Kenedi, Maria Dias
    Jandre dos Reis, Felipe Jose
    Ledo Alves da Cunha, Antonio Jose
    Gomes, Maria Katia
    [J]. LEPROSY REVIEW, 2021, 92 (02) : 114 - 123
  • [10] Restless legs syndrome in people affected by leprosy
    Choi, Seong-Min
    Kim, Byeong C.
    Kweon, Sun-Seog
    Shin, Min-Ho
    Park, Joon-Ho
    Song, Hye-Suk
    O, Dong-Chan
    Kwon, Hyeon
    Lee, Myoung-Hee
    Lee, Yong-Jun
    Jung, Pil-Kyo
    Park, Hyung-Cheol
    [J]. LEPROSY REVIEW, 2012, 83 (04) : 363 - 369