Psychosocial interventions for persons affected by Leprosy: A systematic review

Area of Science:

• Public Health
• Mental Health
• Dermatology

Background:

• Multi-drug therapy has improved physical leprosy symptoms, but psychosocial support remains inadequate, particularly in India.
• India has the highest leprosy prevalence but limited mental health services, exacerbating the psychological burden on patients.

Purpose of the Study:

• To systematically review global evidence on best practices for psychosocial care interventions for leprosy patients.
• To compile effective mental wellbeing and quality of life strategies for proposing interventions in India.

Main Methods:

• A systematic review following the PRISMA protocol was conducted across four databases (PubMed, PsycInfo, Web of Science, Infolep).
• 145 search results were screened, with 17 peer-reviewed articles selected for final data appraisal.

Main Results:

• Successful psychosocial interventions globally were categorized into educational, counseling, cognitive behavioral therapy, and technology-supported approaches.
• All reviewed studies demonstrated effective interventions that enhanced quality of life and reduced depression, anxiety, and stress in leprosy patients.

Conclusions:

• Promising psychosocial strategies can be integrated into India's mental healthcare system to support leprosy patients.
• A comprehensive, context-tailored blend of interventions, involving healthcare professionals and innovative approaches, is crucial for alleviating patient burden and reducing stigma.