Directed Imagination: A Procedure for Improving Self-concept in Persons with Leprosy

Perez-Hern,; Gicela, ez Maria; Raymundo, Velasco-Rodriguez; Bertha, Mora-Brambila Ana; Espinoza, Jose A. Vázquez; Adrian, Maturano-Melgoza Jose; Gabriel, Hilerio-Lopez Angel; Trujillo-Hern,; Benjamin, ez

doi:10.4172/2167-1168.1000273

Cited by 3 publications

(1 citation statement)

References 15 publications

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“…Directed Imagination, a type of CBT in which desirable behaviour is promoted by training the imagination, was offered to 24 Mexican leprosy-affected persons [Pérez–Hernández et al . (2015)]. This therapy improved the adaptation level of the participants from 92% to 96%.…”

Section: Resultsmentioning

confidence: 88%

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

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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.

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Section: Resultsmentioning

confidence: 88%

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

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

et al. 2022

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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.

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Relationship between Psychological Problems and Quality of Life among Leprosy Patients

Barakat

Zaki

2019

EBNR

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Context: Depression and anxiety are most prevalent in patients with leprosy, which impact the quality of life of patients. Aims: This study aimed to assess psychological problems and quality of life among leprosy patients, and to investigate the relationship between psychological problems and quality of life among leprosy patients. Methods: A Descriptive correlational design utilized to fulfill the aim of this study. The study conducted at the Dermatology & Leprosy clinic in Benha City, Kaluobia Governorate, which affiliated to the Ministry of Health. A descriptive study among 100 leprosy patients was recruited consecutively from dermatology and leprosy outpatient. Three tools were used to achieve the aim of this study. A structured Interviewing schedule, the World Health Organization Quality of Life (WHOQOL)-BREF Questionnaire, and Depression Anxiety Stress Scales (DASS). Results: The majority of the studied patients had a low level of quality of life, Also, two thirds had a moderate level of depression, and about two thirds of them had severe level of anxiety, while the majority of them had a moderate level of stress; also, more than half of them had a severe level of total DASS. Also, a statistically significant negative correlation between the total quality of life and total DASS among the studied patient with leprosy at p-value =<0.05. Conclusion: leprosy patients have a low level of quality of life and have a high prevalence of psychological problems present with moderate to severe level of total depression, anxiety, and stress, which impact on their quality of life. The study recommended that to continuous counseling and health education for leprosy patients to avoid or minimize the psychological problems and to improve their quality of life. Psycho-educational program to improve psychological well-being and quality of life of the leprosy patients.

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Directed Imagination: A Procedure for Improving Self-concept in Persons with Leprosy

Cited by 3 publications

References 15 publications

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

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

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

Relationship between Psychological Problems and Quality of Life among Leprosy Patients

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