Stigma in mental illness: Perspective from eight Asian nations

Kudva, Kundadak Ganesh; Hayek, Samer El; Gupta, Anoop; Kurokawa, Shunya; Liu, Bangshan; Armas‐Villavicencio, Maria Victoria C.; Oishi, Kengo; Mishra, Saumya; Tiensuntisook, Saratcha; Sartorius, Norman

doi:10.1111/appy.12380

Cited by 75 publications

(57 citation statements)

References 55 publications

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“…The response from such people has been that they would take the patient to a religious place or to a spiritual healer for the treatment. This reflects that the stigma is still widely prevalent in our country, more so in rural areas as pointed out previous studies [13,14]. Another important obstacle was that the CHWs were not paid regular salaries by the state government.…”

Section: Challenges In Training the Chwssupporting

confidence: 57%

Embracing Technology for Capacity Building in Mental Health: New Path, Newer Challenges

et al. 2020

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Technology driven capacity building initiatives are the way to break the barrier of shortage of mental health human resources in India. This new path, while is a welcome step, comes with its own set of challenges. In one prototypic project that is being implemented in Ramanagara District of Karnataka, a south Indian state, we encountered many such issues. They ranged from issues related to availability of dedicated space to set up the hub-studio, inconsistent internet connectivity (particularly in remote areas) and inadequate digital literacy among the grassroot community health workers who hail from villages. This article summarises these challenges and ends by looking into ways and means of overcoming them.

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Section: Challenges In Training the Chwssupporting

confidence: 57%

Embracing Technology for Capacity Building in Mental Health: New Path, Newer Challenges

et al. 2020

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“…Psychiatric research in this region is important due to differences in language, culture, and geography, which may cause western‐centric studies to lack applicability (Meshvara, 2002). In addition, mental health research is commonly affected by several factors, including the presence of stigma (Kudva et al, 2020), sociocultural beliefs (Shi, Shen, Wang, & Hall, 2020), and the presence of international initiatives and funding (Ito, Setoya, & Suzuki, 2012). The latter has played a role in recent regional advances in research.…”

Section: Introductionmentioning

confidence: 99%

The state of psychiatric research in the Asia Pacific region

Roche

Fung

Ransing

et al. 2020

Asia-Pacific Psychiatry

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Introduction This study aims to review recent scientific publications and research output in the field of psychiatry, from a series of countries in the Asia‐Pacific region (Australia, India, Indonesia, Iran, Lebanon, Malaysia, and Nepal), with a view to identify themes and similarities across regions, as well as to examine the barriers and challenges in mental health research faced by countries in the region. Methods Seven psychiatrists from seven countries reviewed recent published and ongoing research in psychiatry in their respective nations, with respect to themes, as well as any barriers or challenges faced by mental health researchers. Results While the seven nations included in this review vary in terms of research capabilities and economic development level, they share many similarities both in terms of research direction, and with regards to challenges faced. Limitations in the form of sociocultural differences from the West, and a lack of funding were some of the barriers identified. Discussion Mental health research in the region has been progressing well. However, more varied research in the form of qualitative or economic studies are lacking, as are multi‐center studies. The similar issues that nations face with regards to research could perhaps benefit from collaborative efforts and initiatives for the furtherance of research in the region.

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“…In addition, social support and financial subsidies for older adults have generally improved in Hebei province (40). Furthermore, in most agricultural areas of China, there may be greater stigma and discrimination associated with psychiatric disorders (45,(47)(48)(49); therefore participants may have been less likely to disclose poor mental health status in assessments (8,(50)(51)(52)(53).…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Socio-Demographic Correlates of Poor Mental Health Among Older Adults in Agricultural Areas of China

Jin

Zhang

et al. 2020

Front. Psychiatry

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Objective: Poor mental health is associated with impaired social functioning, lower quality of life, and increased risk of suicide and mortality. This study examined the prevalence of poor general mental health among older adults (aged 65 years and above) and its sociodemographic correlates in Hebei province, which is a predominantly agricultural area of China. Methods: This epidemiological survey was conducted from April to August 2016. General mental health status was assessed using the 12-item General Health Questionnaire (GHQ-12). Results: A total of 3,911 participants were included. The prevalence of poor mental health (defined as GHQ-12 total score ≥ 4) was 9.31% [95% confidence interval (CI): 8.4-10.2%]. Multivariable logistic regression analyses found that female gender [P < 0.001, odds ratio (OR) = 1.63, 95% CI: 1.29-2.07], lower education level (P = 0.048, OR = 1.33, 95% CI: 1.00-1.75), lower annual household income (P = 0.005, OR = 1.72, 95% CI: 1.17-2.51), presence of major medical conditions (P < 0.001, OR = 2.95, 95% CI: 2.19-3.96) and family history of psychiatric disorders (P < 0.001, OR = 3.53, 95% CI: 2.02-6.17) were significantly associated with poor mental health. Conclusion: The prevalence of poor mental health among older adults in a predominantly agricultural area was lower than findings from many other countries and areas in China. However, continued surveillance of mental health status among older adults in China is still needed.

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Stigma in mental illness: Perspective from eight Asian nations

Cited by 75 publications

References 55 publications

Embracing Technology for Capacity Building in Mental Health: New Path, Newer Challenges

Embracing Technology for Capacity Building in Mental Health: New Path, Newer Challenges

The state of psychiatric research in the Asia Pacific region

Prevalence and Socio-Demographic Correlates of Poor Mental Health Among Older Adults in Agricultural Areas of China

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