Singh Gurvinder Pal
Department of Psychiatry, Gian Sagar Medical College and Hospital, Banur, Patiala, Punjab, India.
Indian Dermatol Online J. 2012 Sep;3(3):166-70. doi: 10.4103/2229-5178.101811.
In general, the prevalence of psychiatric disorders among people with Hansen's disease has greatly increased to date. However, inadequate psychiatric care of people with Hansen's disease is an area of increasing concern. Many studies have been conducted in India and abroad to find out the prevalence of comorbid psychiatric disorders in patients suffering from Hansen's disease. Although efforts have been made by the government and international organizations to solve the medical problems among this group of patients, this disease still carries a number of psychosocial issues. The social stigma connected to these patients makes this disease completely different from others. Even nowadays people affected by Hansen's disease have to leave their village and are socially isolated. Depression is the most common psychiatric disorder found in these patients. Early detection and treatment of psychiatric disorders among Hansen's disease patients is a powerful psychotherapeutic measure. Integrated healthcare strategy will be beneficial to these patients. A comprehensive MEDLINE search and review of relevant literature was carried out and the data extracted and studied with particular reference to psychosocial issues in Hansen's disease. The focus of this research work is related to psychiatric and social aspects vis-à-vis stigma in these patients with Hansen's disease.
总体而言,迄今为止,麻风病患者中精神障碍的患病率大幅上升。然而,麻风病患者的精神科护理不足是一个日益受到关注的领域。印度国内外已经开展了许多研究,以查明麻风病患者中共病精神障碍的患病率。尽管政府和国际组织已努力解决这组患者的医疗问题,但这种疾病仍然存在一些社会心理问题。与这些患者相关的社会耻辱感使这种疾病与其他疾病截然不同。即使在如今,麻风病患者仍不得不离开他们的村庄,在社会上处于孤立状态。抑郁症是在这些患者中发现的最常见的精神障碍。早期发现和治疗麻风病患者的精神障碍是一种有效的心理治疗措施。综合医疗保健策略将对这些患者有益。我们进行了全面的MEDLINE检索并查阅了相关文献,提取并研究了数据,特别参考了麻风病中的社会心理问题。这项研究工作的重点与这些麻风病患者中与耻辱感相关的精神和社会方面有关。