Application of the SRQ20 and the protocol of psychological assessment in patients with leprosy in a Reference Centre in Brazil

Cunha, Marília Aparecida De Souza; Antunes, Douglas Eulálio; Silveira, Ricardo Wagner Machado da; Goulart, Isabela Maria Bernardes

doi:10.47276/lr.86.3.229

Cited by 6 publications

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition to generalized anxiety disorder, obsessive-compulsive disorder, panic, and agoraphobia were identified(12). -Nodding syndrome: PTSD reported amongst affected children, which contributed to them not going to school or dropping out (Uganda) (85) -Buruli ulcer: patients with chronic ulcers reported high levels of distress, due to uncertainty and not knowing the identity of their illness or duration of treatment (Benin) (122) -Dengue, chikungunya, or Zika (DCZ): people with suspected DCZ infections reported more psychological distress symptoms (58.1% prevalence) than those without suspected DCZ infections, following a large earthquake in one of four study sites near the epicentre (Ecuador)(123,124) -Podoconiosis: mental distress was higher in affected persons compared to healthy controls, even when adjusted for gender, income, alcohol use, age, place of residence, and family history of mental illness (Ethiopia)(125) This review: studies were conducted during the review period in Brazil(126), Ethiopia(127), Indonesia(106,128), and Iran(109). Review bySomar et al (2020): the review found high prevalence of mental distress in leprosyaffected persons(12).-Buruli ulcer: mental wellbeing was significantly lower amongst affected persons healed from the disease compared to controls (Benin) (129) -CL: women reported reduced emotional wellbeing due to facial scars (Morocco) (119) -LF: the mental and emotional wellbeing of healthy controls was significantly better (67%) than that of affected persons (37%) (Sri Lanka) (130)…”

mentioning

confidence: 99%

Mental health, stigma, and neglected tropical diseases: A review and systematic mapping of the evidence

et al. 2022

View full text Add to dashboard Cite

Recent years have seen an increase in recognition of the important impact that mental health, wellbeing, and stigma have on the quality of life of people affected by neglected tropical diseases (NTDs), including the publication of global normative guidance and policy frameworks. However, systematic collation of the evidence that can guide greater clarity of thinking for research and practical application of effective interventions is lacking. We used systematic mapping methodology to review the state of the evidence around mental health, stigma, and NTDs in low- and middle-income countries, applying a simple theoretical framework to explore intersections between these areas. We built on existing reviews on the links between each domain, bringing the reviews up to date, across the NTDs identified by the WHO (minus recent additions). After systematic searching of major databases, and exclusions, we identified 190 papers. Data extraction was done to inform key topics of interest, namely, the burden of mental distress and illness/stigma associated with NTDs, the mechanisms by which NTDs add to mental distress and illness/stigma, how mental distress and illness/stigma affect the outcome and treatment of NTDs, and efficacy of interventions to address these domains. We also document the recommendations given by the authors of included studies for research and interventions. We found that there has been a substantial increase in research, which remains very heterogeneous. It was dominated by skin conditions, especially leprosy and, less so, lymphatic filariasis. Few studies had a comparative and even fewer had an intervention design. Our findings were however consistent with existing reviews, pointing to a high prevalence of mental conditions, substantially mediated by stigma and exclusion and a lack of sufficient access to support for mental wellbeing in programmes, despite the existence of effective interventions. These interventions cut across mental health services, stigma reduction, community engagement, and empowerment of people affected. We conclude that the evidence justifies increased investment in practical and integrated interventions to support the wellbeing of people affected by NTDs but that there remains a need for implementation research of consistent quality, and basic science around the impact of mental health interventions on NTD outcomes (including on elimination efforts) needs to be strengthened.

show abstract

mentioning

confidence: 99%

Mental health, stigma, and neglected tropical diseases: A review and systematic mapping of the evidence

et al. 2022

View full text Add to dashboard Cite

show abstract

Impact of Preventive Campaigns in Dermatology: A Brazilian Experience

Oliveira

2017

Dermatology in Public Health Environments

View full text Add to dashboard Cite

The impact of leprosy on the mental wellbeing of leprosy-affected persons and their family members – a systematic review

Somar

Waltz²,

Brakel

2020

Glob. Ment. Health

View full text Add to dashboard Cite

Leprosy has long-term consequences related to impairment and stigma. This includes a major impact on mental health. This study aims to consolidate current evidence regarding the mental health impact of leprosy on affected persons and their family members. In addition, determinants influencing mental health outcomes among leprosy-affected persons and effective interventions are examined. A keyword-based search was conducted in PubMed, Web of Science, Scopus, PsycINFO, Infolep and InfoNTD; additional literature was also considered. Articles presenting primary data involving leprosy-affected persons or their family members experiencing mental conditions were included. Independent extraction of articles was executed using predefined data fields. Articles were sorted according to relevance. In total, 65 studies were included in this systematic review. Multiple psychiatric morbidities have been identified among leprosy-affected persons, including depression, anxiety disorders and suicide (attempts). Additional factors were found that may impact mental health. Moreover, studies found that demographic factors, lifestyle and disease-specific factors and stigma and discrimination impact mental health. Depressive symptoms and low self-esteem were identified among children of leprosy-affected persons. In addition, interventions were identified that could improve the mental wellbeing of leprosy patients. Depressive disorders and anxiety disorders were found to be very common among persons affected by leprosy. Feelings such as fear, shame and low self-esteem are also experienced by those affected, and their children. Further research is necessary to ensure that mental health impact is included when determining the burden of disease for leprosy, and to relieve this burden.

show abstract

Application of the SRQ20 and the protocol of psychological assessment in patients with leprosy in a Reference Centre in Brazil

Cited by 6 publications

References 0 publications

Mental health, stigma, and neglected tropical diseases: A review and systematic mapping of the evidence

Mental health, stigma, and neglected tropical diseases: A review and systematic mapping of the evidence

Impact of Preventive Campaigns in Dermatology: A Brazilian Experience

The impact of leprosy on the mental wellbeing of leprosy-affected persons and their family members – a systematic review

Contact Info

Product

Resources

About