Impact of Mental Disorders in Terms of Discrimination and Stigmatization: A Cross-Sectional Study in Peshawar, Khyber Pakhtunkhwa.

Farzana Daniel, N. Ghani, S. Ali, M. Suliman
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Abstract

Background: Developing countries are facing maternal and infant mortalities, in which maternal infections and preventable conditions during pregnancy are cardinal factors. In low-income countries, mortality related to hospital infections accounts for 36% of total newborn mortality. Despite, patient care and global progress in reducing maternal mortality, sepsis is still a major cause of preventable maternal mortality. Pakistan's health care system is not adequately prepared, especially for workers to transit from an emergency haphazard care to organize proper standardized care. Objectives: To determine the impact of mental disorders in terms of discrimination and stigmatization. Materials and Method: A cross-sectional study was conducted in psychiatry units of three tertiary care hospitals of Peshawar, Khyber Pakhtunkhwa. Data was collected from 432 participants through a structured questionnaire using a convenient sampling technique. The duration of the study was six months. Data were analyzed using SPSS V.23. Results: The mean ages of the participants are 34±4. 45.6% of participants were married, while 54.19% were unemployed. 19.9% quit their job due to disease. 52% reported mental health adversely affected their relationships with family members. Moreover, 65.05% of people reported that their overall socializing skills have been negatively affected by the mental illness-related stigma. 72.9% of the participants reported that they are stigmatized due to their mental health disorders. Conclusion: It is noted that a large number of people are being stigmatized due to their mental illness. This stigma is affecting their lives, especially their family dynamics, educational attainments and behavior of peers at their workplace. The disease process disturbed the education, employment and social status of mentally disordered patients.Keywords: Depression, Mental Disorders, Stigmatization, Discrimination.
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精神障碍在歧视和污名化方面的影响:在开伯尔-普赫图赫瓦省白沙瓦的横断面研究。
背景:发展中国家正面临孕产妇和婴儿死亡,其中孕产妇感染和怀孕期间可预防的疾病是主要因素。在低收入国家,与医院感染有关的死亡率占新生儿总死亡率的36%。尽管患者护理和全球在降低孕产妇死亡率方面取得了进展,但败血症仍然是可预防的孕产妇死亡的主要原因。巴基斯坦的卫生保健系统没有做好充分的准备,特别是对于从紧急偶然护理过渡到组织适当的标准化护理的工作人员。目的:确定精神障碍在歧视和污名化方面的影响。材料和方法:在开伯尔-普赫图赫瓦省白沙瓦的三家三级医院的精神科进行了一项横断面研究。采用方便的抽样技术,通过结构化问卷从432名参与者中收集数据。研究的持续时间为6个月。数据采用SPSS V.23进行分析。结果:参与者平均年龄34±4岁。45.6%的参与者已婚,54.19%的人失业。19.9%的人因病辞职。52%的人报告说,心理健康对他们与家庭成员的关系产生了不利影响。此外,65.05%的人报告说,他们的整体社交技能受到与精神疾病相关的耻辱的负面影响。72.9%的参与者报告称,他们因精神健康障碍而受到歧视。结论:值得注意的是,大量的人由于他们的精神疾病而被污名化。这种耻辱正在影响他们的生活,特别是他们的家庭动态、教育成就和同事在工作场所的行为。疾病进程对精神障碍患者的教育、就业和社会地位造成干扰。关键词:抑郁症,精神障碍,污名化,歧视
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