埃塞俄比亚帕金森病患者的心理健康及其决定因素:一种混合方法研究
Arefayne Alenko1,2, Sudhakar Morankar2, Legese Chelkeba3
1International Center for Reproductive Health, Department of public health and primary care, Ghent University, Ghent, Belgium.
埃塞俄比亚近四分之三的帕金森病患者精神状况不佳. 与PD相关的耻辱严重影响心理健康,需要定期查,治疗和社区宣传活动以减少歧视.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 帕金森病 (PD) 的患病率在全球范围内正在上升.
- 对患有PD的人来说,心理健康是一个关键问题.
- 撒哈拉以南非洲地区需要关于PD和心理健康的特定背景数据.
研究的目的:
- 确定埃塞俄比亚PD患者心理健康状况不佳的患病率.
- 在这个人群中识别精神疾病的表现.
- 检查心理健康的决定因素,特别是耻辱.
主要方法:
- 使用了一种解释性的顺序混合方法设计.
- 招募了304名接受随访治疗的PD患者.
- 统计分析发现了耻辱和精神健康之间的关联.
主要成果:
- 72.5%的参与者报告说,他们的心理健康状况不佳.
- 常见的精神表现包括抑郁症与自杀念头,焦虑和认知障碍.
- 耻辱感与心理健康不佳有显著的相关性 (aOR=1.13,P < 0.001).
结论:
- 在埃塞俄比亚,患有PD的人群中存在很高的心理健康问题负担.
- 与PD相关的耻辱是对心理健康产生负面影响的关键决定因素.
- 综合心理健康护理,例行查和反污名化运动是必不可少的.
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