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Experiencing stigma: Nepalese perspectives.

S R Adhikari1, S N Pradhan, S C Sharma

  • 1Department of Psychiatry, Kathmandu Medical College, Sinamangal, Nepal. sra372@gmail.com

Kathmandu University Medical Journal (KUMJ)
|June 2, 2009
PubMed
Summary
This summary is machine-generated.

Patients with mental illness in Nepal experience significant stigma, impacting treatment adherence and quality of life. They develop coping mechanisms like secrecy and avoidance, but advocacy is also a key strategy.

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Area of Science:

  • Mental Health Research
  • Sociology of Health
  • Psychiatric Epidemiology

Background:

  • Stigma significantly impacts mental illness treatment, compliance, and quality of life.
  • Limited research exists on mental illness stigma experiences and coping in Nepal.
  • Understanding patient perceptions is crucial for effective mental healthcare.

Purpose of the Study:

  • To investigate the experiences, perceptions, and coping strategies related to stigma among mental illness patients.
  • To address the gap in research concerning mental illness stigma in the Nepalese context.

Main Methods:

  • Retrospective, cross-sectional study of patients admitted to a psychiatry ward.
  • Self-report questionnaires assessed beliefs about discrimination, rejection experiences, and coping mechanisms.
  • Socio-demographic profiles were collected alongside stigma-related data.

Main Results:

  • 53 patients (29 male, 24 female) completed the study.
  • Most patients were aware of mental illness stigma; 43.4% experienced rejection from family/colleagues, 30.2% from healthcare professionals.
  • Patients perceived stigmatization across social situations, with advocacy emerging as a coping response.

Conclusions:

  • Mental illness stigma is a significant factor in symptom relapse and treatment non-compliance.
  • Patients employ coping strategies such as secrecy and avoidance.
  • Advocacy, anti-stigma campaigns, and positive healthcare professional attitudes are vital in reducing stigma.