Stigma, participation restriction and mental distress in patients affected by leprosy, cutaneous leishmaniasis and Chagas disease: a pilot study in two co-endemic regions of eastern Colombia
Abstract Background Leprosy, cutaneous leishmaniasis (CL) and Chagas disease (CD) are neglected tropical diseases with a high psychosocial burden (PSB). These conditions are endemic in Norte de Santander and Arauca in Colombia, but data on the related PSB are scarce. Therefore, we assessed mental di...
Gespeichert in:
| Veröffentlicht in: | Transactions of the Royal Society of Tropical Medicine and Hygiene 2020-07, Vol.114 (7), p.476-482 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 482 |
|---|---|
| container_issue | 7 |
| container_start_page | 476 |
| container_title | Transactions of the Royal Society of Tropical Medicine and Hygiene |
| container_volume | 114 |
| creator | Gómez, Libardo J van Wijk, Robin van Selm, Lena Rivera, Alberto Barbosa, Martha C Parisi, Sandra van Brakel, Wim H Arevalo, Jofren Quintero, William Waltz, Mitzi Puchner, Karl Philipp |
| description | Abstract
Background
Leprosy, cutaneous leishmaniasis (CL) and Chagas disease (CD) are neglected tropical diseases with a high psychosocial burden (PSB). These conditions are endemic in Norte de Santander and Arauca in Colombia, but data on the related PSB are scarce. Therefore, we assessed mental distress, participation restriction and stigma among CD, CL and leprosy patients.
Methods
In 2018, 305 leprosy, CD or CL patients were interviewed using a self-report questionnaire to assess mental distress, participation scale for participation restriction and explanatory model interview catalogue (EMIC) for stigma. Descriptive statistics and the significance of median score differences were compared.
Results
Fifty percent of CD patients and 49% of leprosy patients exhibited mental distress, percentages which were significantly higher than that of CL (26%). Twenty-seven percent of leprosy patients experienced participation restriction, which was lower for CL (6%) and CD (12%). Median EMIC scores were significantly higher for leprosy patients than for CD (27%) and CL (17%) patients.
Conclusions
We found high levels of PSB among leprosy, CD and CL patients. Mental distress was highest among CD patients. Participation restriction and stigma were more prevalent in leprosy patients. Rural residence or lower educational status may impact PSB. Further investigation is needed to formulate evidence-based, holistic interventions. |
| doi_str_mv | 10.1093/trstmh/trz132 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7334822</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><oup_id>10.1093/trstmh/trz132</oup_id><sourcerecordid>2354741762</sourcerecordid><originalsourceid>FETCH-LOGICAL-c420t-6b75270c8aa781964f798833db77543ee37bbd6f40ccdca3cbba5993656c79ed3</originalsourceid><addsrcrecordid>eNqFkUFv1DAQhS0EotvCkSvykUMDjh3HCQcktIKCVIkDcLYmtrNrlMTB44CWH8dvw2lKgROnscbP3zzPI-RJyZ6XrBUvUsQ0HnP5UQp-j-zKRjWFkEzcJzvGhCxazsQZOUf8whiXpWwfkjPBmeSsEjvy82PyhxEu6QwxeeNnSD5MNDpM0ZubM0yWjm5KMFDrc9shUj_RVZm7SKHvnUnO0u5EBzfHgKdLapYEkwsL5pbH4wiTB_R4A9sf4QC4whyge0mBzn4IiWJa7GlFp--BmlC4ybrRm2zmkH0gDT3ND5KLE92HIYydh0fkQQ8Duse39YJ8fvvm0_5dcf3h6v3-9XVhKs5SUXdKcsVMA6Casq2rXrVNI4TtlJKVcE6orrN1XzFjrAFhug5k24pa1ka1zooL8mrjzks3OmvyxyMMeo5-hHjSAbz-92byR30I37QSomo4z4Bnt4AYvi55u3r0aNwwbFvSXMhKVaWqV2mxSU1eJUbX340pmV4z11vmess865_-7e1O_TvkP7PDMv-H9QtPV78X</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2354741762</pqid></control><display><type>article</type><title>Stigma, participation restriction and mental distress in patients affected by leprosy, cutaneous leishmaniasis and Chagas disease: a pilot study in two co-endemic regions of eastern Colombia</title><source>MEDLINE</source><source>Oxford University Press Journals All Titles (1996-Current)</source><source>Alma/SFX Local Collection</source><creator>Gómez, Libardo J ; van Wijk, Robin ; van Selm, Lena ; Rivera, Alberto ; Barbosa, Martha C ; Parisi, Sandra ; van Brakel, Wim H ; Arevalo, Jofren ; Quintero, William ; Waltz, Mitzi ; Puchner, Karl Philipp</creator><creatorcontrib>Gómez, Libardo J ; van Wijk, Robin ; van Selm, Lena ; Rivera, Alberto ; Barbosa, Martha C ; Parisi, Sandra ; van Brakel, Wim H ; Arevalo, Jofren ; Quintero, William ; Waltz, Mitzi ; Puchner, Karl Philipp</creatorcontrib><description>Abstract
Background
Leprosy, cutaneous leishmaniasis (CL) and Chagas disease (CD) are neglected tropical diseases with a high psychosocial burden (PSB). These conditions are endemic in Norte de Santander and Arauca in Colombia, but data on the related PSB are scarce. Therefore, we assessed mental distress, participation restriction and stigma among CD, CL and leprosy patients.
Methods
In 2018, 305 leprosy, CD or CL patients were interviewed using a self-report questionnaire to assess mental distress, participation scale for participation restriction and explanatory model interview catalogue (EMIC) for stigma. Descriptive statistics and the significance of median score differences were compared.
Results
Fifty percent of CD patients and 49% of leprosy patients exhibited mental distress, percentages which were significantly higher than that of CL (26%). Twenty-seven percent of leprosy patients experienced participation restriction, which was lower for CL (6%) and CD (12%). Median EMIC scores were significantly higher for leprosy patients than for CD (27%) and CL (17%) patients.
Conclusions
We found high levels of PSB among leprosy, CD and CL patients. Mental distress was highest among CD patients. Participation restriction and stigma were more prevalent in leprosy patients. Rural residence or lower educational status may impact PSB. Further investigation is needed to formulate evidence-based, holistic interventions.</description><identifier>ISSN: 0035-9203</identifier><identifier>ISSN: 1878-3503</identifier><identifier>EISSN: 1878-3503</identifier><identifier>DOI: 10.1093/trstmh/trz132</identifier><identifier>PMID: 32052043</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Chagas Disease ; Colombia - epidemiology ; Editor's Choice ; Humans ; Leishmaniasis, Cutaneous - epidemiology ; Leprosy - epidemiology ; Original ; Pilot Projects</subject><ispartof>Transactions of the Royal Society of Tropical Medicine and Hygiene, 2020-07, Vol.114 (7), p.476-482</ispartof><rights>The Author(s) 2019. Published by Oxford University Press. 2019</rights><rights>The Author(s) 2019. Published by Oxford University Press.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c420t-6b75270c8aa781964f798833db77543ee37bbd6f40ccdca3cbba5993656c79ed3</citedby><cites>FETCH-LOGICAL-c420t-6b75270c8aa781964f798833db77543ee37bbd6f40ccdca3cbba5993656c79ed3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,777,781,882,1579,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32052043$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gómez, Libardo J</creatorcontrib><creatorcontrib>van Wijk, Robin</creatorcontrib><creatorcontrib>van Selm, Lena</creatorcontrib><creatorcontrib>Rivera, Alberto</creatorcontrib><creatorcontrib>Barbosa, Martha C</creatorcontrib><creatorcontrib>Parisi, Sandra</creatorcontrib><creatorcontrib>van Brakel, Wim H</creatorcontrib><creatorcontrib>Arevalo, Jofren</creatorcontrib><creatorcontrib>Quintero, William</creatorcontrib><creatorcontrib>Waltz, Mitzi</creatorcontrib><creatorcontrib>Puchner, Karl Philipp</creatorcontrib><title>Stigma, participation restriction and mental distress in patients affected by leprosy, cutaneous leishmaniasis and Chagas disease: a pilot study in two co-endemic regions of eastern Colombia</title><title>Transactions of the Royal Society of Tropical Medicine and Hygiene</title><addtitle>Trans R Soc Trop Med Hyg</addtitle><description>Abstract
Background
Leprosy, cutaneous leishmaniasis (CL) and Chagas disease (CD) are neglected tropical diseases with a high psychosocial burden (PSB). These conditions are endemic in Norte de Santander and Arauca in Colombia, but data on the related PSB are scarce. Therefore, we assessed mental distress, participation restriction and stigma among CD, CL and leprosy patients.
Methods
In 2018, 305 leprosy, CD or CL patients were interviewed using a self-report questionnaire to assess mental distress, participation scale for participation restriction and explanatory model interview catalogue (EMIC) for stigma. Descriptive statistics and the significance of median score differences were compared.
Results
Fifty percent of CD patients and 49% of leprosy patients exhibited mental distress, percentages which were significantly higher than that of CL (26%). Twenty-seven percent of leprosy patients experienced participation restriction, which was lower for CL (6%) and CD (12%). Median EMIC scores were significantly higher for leprosy patients than for CD (27%) and CL (17%) patients.
Conclusions
We found high levels of PSB among leprosy, CD and CL patients. Mental distress was highest among CD patients. Participation restriction and stigma were more prevalent in leprosy patients. Rural residence or lower educational status may impact PSB. Further investigation is needed to formulate evidence-based, holistic interventions.</description><subject>Chagas Disease</subject><subject>Colombia - epidemiology</subject><subject>Editor's Choice</subject><subject>Humans</subject><subject>Leishmaniasis, Cutaneous - epidemiology</subject><subject>Leprosy - epidemiology</subject><subject>Original</subject><subject>Pilot Projects</subject><issn>0035-9203</issn><issn>1878-3503</issn><issn>1878-3503</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>TOX</sourceid><sourceid>EIF</sourceid><recordid>eNqFkUFv1DAQhS0EotvCkSvykUMDjh3HCQcktIKCVIkDcLYmtrNrlMTB44CWH8dvw2lKgROnscbP3zzPI-RJyZ6XrBUvUsQ0HnP5UQp-j-zKRjWFkEzcJzvGhCxazsQZOUf8whiXpWwfkjPBmeSsEjvy82PyhxEu6QwxeeNnSD5MNDpM0ZubM0yWjm5KMFDrc9shUj_RVZm7SKHvnUnO0u5EBzfHgKdLapYEkwsL5pbH4wiTB_R4A9sf4QC4whyge0mBzn4IiWJa7GlFp--BmlC4ybrRm2zmkH0gDT3ND5KLE92HIYydh0fkQQ8Duse39YJ8fvvm0_5dcf3h6v3-9XVhKs5SUXdKcsVMA6Casq2rXrVNI4TtlJKVcE6orrN1XzFjrAFhug5k24pa1ka1zooL8mrjzks3OmvyxyMMeo5-hHjSAbz-92byR30I37QSomo4z4Bnt4AYvi55u3r0aNwwbFvSXMhKVaWqV2mxSU1eJUbX340pmV4z11vmess865_-7e1O_TvkP7PDMv-H9QtPV78X</recordid><startdate>20200701</startdate><enddate>20200701</enddate><creator>Gómez, Libardo J</creator><creator>van Wijk, Robin</creator><creator>van Selm, Lena</creator><creator>Rivera, Alberto</creator><creator>Barbosa, Martha C</creator><creator>Parisi, Sandra</creator><creator>van Brakel, Wim H</creator><creator>Arevalo, Jofren</creator><creator>Quintero, William</creator><creator>Waltz, Mitzi</creator><creator>Puchner, Karl Philipp</creator><general>Oxford University Press</general><scope>TOX</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20200701</creationdate><title>Stigma, participation restriction and mental distress in patients affected by leprosy, cutaneous leishmaniasis and Chagas disease: a pilot study in two co-endemic regions of eastern Colombia</title><author>Gómez, Libardo J ; van Wijk, Robin ; van Selm, Lena ; Rivera, Alberto ; Barbosa, Martha C ; Parisi, Sandra ; van Brakel, Wim H ; Arevalo, Jofren ; Quintero, William ; Waltz, Mitzi ; Puchner, Karl Philipp</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c420t-6b75270c8aa781964f798833db77543ee37bbd6f40ccdca3cbba5993656c79ed3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Chagas Disease</topic><topic>Colombia - epidemiology</topic><topic>Editor's Choice</topic><topic>Humans</topic><topic>Leishmaniasis, Cutaneous - epidemiology</topic><topic>Leprosy - epidemiology</topic><topic>Original</topic><topic>Pilot Projects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gómez, Libardo J</creatorcontrib><creatorcontrib>van Wijk, Robin</creatorcontrib><creatorcontrib>van Selm, Lena</creatorcontrib><creatorcontrib>Rivera, Alberto</creatorcontrib><creatorcontrib>Barbosa, Martha C</creatorcontrib><creatorcontrib>Parisi, Sandra</creatorcontrib><creatorcontrib>van Brakel, Wim H</creatorcontrib><creatorcontrib>Arevalo, Jofren</creatorcontrib><creatorcontrib>Quintero, William</creatorcontrib><creatorcontrib>Waltz, Mitzi</creatorcontrib><creatorcontrib>Puchner, Karl Philipp</creatorcontrib><collection>Oxford Journals Open Access Collection</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Transactions of the Royal Society of Tropical Medicine and Hygiene</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gómez, Libardo J</au><au>van Wijk, Robin</au><au>van Selm, Lena</au><au>Rivera, Alberto</au><au>Barbosa, Martha C</au><au>Parisi, Sandra</au><au>van Brakel, Wim H</au><au>Arevalo, Jofren</au><au>Quintero, William</au><au>Waltz, Mitzi</au><au>Puchner, Karl Philipp</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Stigma, participation restriction and mental distress in patients affected by leprosy, cutaneous leishmaniasis and Chagas disease: a pilot study in two co-endemic regions of eastern Colombia</atitle><jtitle>Transactions of the Royal Society of Tropical Medicine and Hygiene</jtitle><addtitle>Trans R Soc Trop Med Hyg</addtitle><date>2020-07-01</date><risdate>2020</risdate><volume>114</volume><issue>7</issue><spage>476</spage><epage>482</epage><pages>476-482</pages><issn>0035-9203</issn><issn>1878-3503</issn><eissn>1878-3503</eissn><abstract>Abstract
Background
Leprosy, cutaneous leishmaniasis (CL) and Chagas disease (CD) are neglected tropical diseases with a high psychosocial burden (PSB). These conditions are endemic in Norte de Santander and Arauca in Colombia, but data on the related PSB are scarce. Therefore, we assessed mental distress, participation restriction and stigma among CD, CL and leprosy patients.
Methods
In 2018, 305 leprosy, CD or CL patients were interviewed using a self-report questionnaire to assess mental distress, participation scale for participation restriction and explanatory model interview catalogue (EMIC) for stigma. Descriptive statistics and the significance of median score differences were compared.
Results
Fifty percent of CD patients and 49% of leprosy patients exhibited mental distress, percentages which were significantly higher than that of CL (26%). Twenty-seven percent of leprosy patients experienced participation restriction, which was lower for CL (6%) and CD (12%). Median EMIC scores were significantly higher for leprosy patients than for CD (27%) and CL (17%) patients.
Conclusions
We found high levels of PSB among leprosy, CD and CL patients. Mental distress was highest among CD patients. Participation restriction and stigma were more prevalent in leprosy patients. Rural residence or lower educational status may impact PSB. Further investigation is needed to formulate evidence-based, holistic interventions.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>32052043</pmid><doi>10.1093/trstmh/trz132</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0035-9203 |
| ispartof | Transactions of the Royal Society of Tropical Medicine and Hygiene, 2020-07, Vol.114 (7), p.476-482 |
| issn | 0035-9203 1878-3503 1878-3503 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7334822 |
| source | MEDLINE; Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection |
| subjects | Chagas Disease Colombia - epidemiology Editor's Choice Humans Leishmaniasis, Cutaneous - epidemiology Leprosy - epidemiology Original Pilot Projects |
| title | Stigma, participation restriction and mental distress in patients affected by leprosy, cutaneous leishmaniasis and Chagas disease: a pilot study in two co-endemic regions of eastern Colombia |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-20T13%3A21%3A49IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Stigma,%20participation%20restriction%20and%20mental%20distress%20in%20patients%20affected%20by%20leprosy,%20cutaneous%20leishmaniasis%20and%20Chagas%20disease:%20a%20pilot%20study%20in%20two%20co-endemic%20regions%20of%20eastern%20Colombia&rft.jtitle=Transactions%20of%20the%20Royal%20Society%20of%20Tropical%20Medicine%20and%20Hygiene&rft.au=G%C3%B3mez,%20Libardo%20J&rft.date=2020-07-01&rft.volume=114&rft.issue=7&rft.spage=476&rft.epage=482&rft.pages=476-482&rft.issn=0035-9203&rft.eissn=1878-3503&rft_id=info:doi/10.1093/trstmh/trz132&rft_dat=%3Cproquest_pubme%3E2354741762%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2354741762&rft_id=info:pmid/32052043&rft_oup_id=10.1093/trstmh/trz132&rfr_iscdi=true |