Caregivers' Attitude towards People with Mental Illness and Perceived Stigma: A Cross-Sectional Study in a Tertiary Hospital in Nepal

Mental illness is stigmatized in most of the communities and people with such illness are often subjected to defame. Stigma impairs an individual's and their caregiver's physical, social and emotional wellbeing, and health-seeking behavior. Sufficient literature on how often the caregivers...

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Published in:PloS one 2016-06, Vol.11 (6), p.e0158113-e0158113
Main Authors: Neupane, Dipika, Dhakal, Sarmila, Thapa, Sabita, Bhandari, Parash Mani, Mishra, Shiva Raj
Format: Article
Language:English
Subjects:
Addictive behaviors
Adolescent
Adult
Aged
Attitude
Attitudes
Biology and Life Sciences
Caregivers
Caregivers - psychology
Cross-Sectional Studies
Education
Emotional behavior
Emotional disorders
Evaluation
Female
Health attitudes
Health Care Surveys
Health services
Hospitals
Human behavior
Humans
Influence
Intellectual disabilities
Male
Medicine
Medicine and Health Sciences
Mental disorders
Mental Disorders - epidemiology
Mental health care
Middle Aged
Nepal - epidemiology
Nervous system
Occupations
Patients
People and Places
Perceptions
Population
Practice
Psychiatry
Questionnaires
Rural areas
Schizophrenia
Sex
Social aspects
Social Sciences
Social Stigma
Society
Stigma
Stigma (Social psychology)
Substance abuse treatment
Tertiary Care Centers
Womens health
Young Adult
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creator Neupane, Dipika
Dhakal, Sarmila
Thapa, Sabita
Bhandari, Parash Mani
Mishra, Shiva Raj
description Mental illness is stigmatized in most of the communities and people with such illness are often subjected to defame. Stigma impairs an individual's and their caregiver's physical, social and emotional wellbeing, and health-seeking behavior. Sufficient literature on how often the caregivers of people with mental illness from low and middle-income countries are stigmatized and how they perceive people with mental illness is unavailable. In this study, we examined caregivers' attitude towards people with mental illness and perceived stigma. We conducted face-to-face interviews with 170 caregivers in an outpatient clinic of a hospital in Nepal using a structured questionnaire. We calculated median and inter-quartile range of the attitude and perceived stigma scores. To assess the correlates, Kruskal Wallis H test and Mann Whitney U test were carried out. Overall median score for the domains: attitude (score range: 18-90) and perceived stigma (score range: 12-60) were 42 and 28 respectively, inter-quartile range being 8 each. Attitude score differed significantly by the sex of caregiver (p
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Stigma impairs an individual's and their caregiver's physical, social and emotional wellbeing, and health-seeking behavior. Sufficient literature on how often the caregivers of people with mental illness from low and middle-income countries are stigmatized and how they perceive people with mental illness is unavailable. In this study, we examined caregivers' attitude towards people with mental illness and perceived stigma. We conducted face-to-face interviews with 170 caregivers in an outpatient clinic of a hospital in Nepal using a structured questionnaire. We calculated median and inter-quartile range of the attitude and perceived stigma scores. To assess the correlates, Kruskal Wallis H test and Mann Whitney U test were carried out. Overall median score for the domains: attitude (score range: 18-90) and perceived stigma (score range: 12-60) were 42 and 28 respectively, inter-quartile range being 8 each. Attitude score differed significantly by the sex of caregiver (p<0.05), educational status of caregiver (p<0.001), sex of patient (p<0.05) and type of mental illness (p<0.05). Perceived stigma score varied significantly by caregiver's sex (p<0.05), marital status (p<0.001), educational status (p<0.001), occupation (p<0.05), relation with the patient (p<0.005) and use of alternative treatment modalities (p<0.05). Sex of participant, educational status, sex of patient and type of mental illness were the correlates of attitude towards mental illness. Similarly, sex of participant, marital status, educational status, occupation, caregiver's relation with patient and use of alternative treatment modalities were correlates of perceived stigma. 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Stigma impairs an individual's and their caregiver's physical, social and emotional wellbeing, and health-seeking behavior. Sufficient literature on how often the caregivers of people with mental illness from low and middle-income countries are stigmatized and how they perceive people with mental illness is unavailable. In this study, we examined caregivers' attitude towards people with mental illness and perceived stigma. We conducted face-to-face interviews with 170 caregivers in an outpatient clinic of a hospital in Nepal using a structured questionnaire. We calculated median and inter-quartile range of the attitude and perceived stigma scores. To assess the correlates, Kruskal Wallis H test and Mann Whitney U test were carried out. Overall median score for the domains: attitude (score range: 18-90) and perceived stigma (score range: 12-60) were 42 and 28 respectively, inter-quartile range being 8 each. Attitude score differed significantly by the sex of caregiver (p<0.05), educational status of caregiver (p<0.001), sex of patient (p<0.05) and type of mental illness (p<0.05). Perceived stigma score varied significantly by caregiver's sex (p<0.05), marital status (p<0.001), educational status (p<0.001), occupation (p<0.05), relation with the patient (p<0.005) and use of alternative treatment modalities (p<0.05). Sex of participant, educational status, sex of patient and type of mental illness were the correlates of attitude towards mental illness. Similarly, sex of participant, marital status, educational status, occupation, caregiver's relation with patient and use of alternative treatment modalities were correlates of perceived stigma. Findings of this study suggest that interventions targeting these high-risk populations might be beneficial to help build a positive attitude and overcome the perceived social stigma.]]></abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>27336391</pmid><doi>10.1371/journal.pone.0158113</doi><oa>free_for_read</oa></addata></record>
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subjects Addictive behaviors
Adolescent
Adult
Aged
Attitude
Attitudes
Biology and Life Sciences
Caregivers
Caregivers - psychology
Cross-Sectional Studies
Education
Emotional behavior
Emotional disorders
Evaluation
Female
Health attitudes
Health Care Surveys
Health services
Hospitals
Human behavior
Humans
Influence
Intellectual disabilities
Male
Medicine
Medicine and Health Sciences
Mental disorders
Mental Disorders - epidemiology
Mental health care
Middle Aged
Nepal - epidemiology
Nervous system
Occupations
Patients
People and Places
Perceptions
Population
Practice
Psychiatry
Questionnaires
Rural areas
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title Caregivers' Attitude towards People with Mental Illness and Perceived Stigma: A Cross-Sectional Study in a Tertiary Hospital in Nepal
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