Psychological distress and quality of life in leprosy patients with neuropathic pain

Reis, Felipe J. J.; Lopes, Daiane Cristine Silva; Rodrigues, Jessica de Almeida; Gosling, Artur Padão; Gomes, Maria Kátia

doi:10.47276/lr.85.3.186

Cited by 20 publications

(23 citation statements)

References 28 publications

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“…Three studies looked at mental distress among leprosy-affected persons (Leekassa et al ., 2004; Damte et al ., 2011; Reis et al ., 2014). Two large studies among Ethiopian leprosy patients found a high prevalence of mental distress: 52.4 and 30.9% (Leekassa et al ., 2004; Damte et al ., 2011).…”

Section: Resultsmentioning

confidence: 99%

“…Two large studies among Ethiopian leprosy patients found a high prevalence of mental distress: 52.4 and 30.9% (Leekassa et al ., 2004; Damte et al ., 2011). Another study among Brazilian leprosy-affected persons identified a prevalence of 48.5% (Reis et al ., 2014). In addition, Leekassa, Bizuneh and Alem (2004) found that the prevalence of mental distress among Ethiopian people affected with leprosy is 12 times higher than in healthy people (Leekassa et al ., 2004).…”

Section: Resultsmentioning

confidence: 99%

“…In addition, Reis et al . (2014) found that over 60% of the leprosy-affected persons from Rio de Janeiro, Brazil studied lost confidence in themselves. The low self-esteem of patients manifests in, for example, not being willing to talk about the disease in public, isolation from family members and society, and self-stigma (Arole et al ., 2002; Peters et al ., 2014; Anjum et al ., 2017).…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

The impact of leprosy on the mental wellbeing of leprosy-affected persons and their family members – a systematic review

Somar

Waltz²,

Brakel

2020

Glob. Ment. Health

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Leprosy has long-term consequences related to impairment and stigma. This includes a major impact on mental health. This study aims to consolidate current evidence regarding the mental health impact of leprosy on affected persons and their family members. In addition, determinants influencing mental health outcomes among leprosy-affected persons and effective interventions are examined. A keyword-based search was conducted in PubMed, Web of Science, Scopus, PsycINFO, Infolep and InfoNTD; additional literature was also considered. Articles presenting primary data involving leprosy-affected persons or their family members experiencing mental conditions were included. Independent extraction of articles was executed using predefined data fields. Articles were sorted according to relevance. In total, 65 studies were included in this systematic review. Multiple psychiatric morbidities have been identified among leprosy-affected persons, including depression, anxiety disorders and suicide (attempts). Additional factors were found that may impact mental health. Moreover, studies found that demographic factors, lifestyle and disease-specific factors and stigma and discrimination impact mental health. Depressive symptoms and low self-esteem were identified among children of leprosy-affected persons. In addition, interventions were identified that could improve the mental wellbeing of leprosy patients. Depressive disorders and anxiety disorders were found to be very common among persons affected by leprosy. Feelings such as fear, shame and low self-esteem are also experienced by those affected, and their children. Further research is necessary to ensure that mental health impact is included when determining the burden of disease for leprosy, and to relieve this burden.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

The impact of leprosy on the mental wellbeing of leprosy-affected persons and their family members – a systematic review

Somar

Waltz²,

Brakel

2020

Glob. Ment. Health

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“…10,[19][20][21][22] Although the frequency and nature of the neuropathic pain in leprosy is unclear, it seems that late diagnosis of leprosy and the evolution of nerve damage contributes to the onset of pain [Table 3] Neuropathic pain is most commonly seen in borderline and MB cases. 10,[23][24][25][26] Multifocal mononeuropathies are the most prevalent neurophysiological pattern and the ulnar nerve is most often affected. 27,28 Electromyography is an excellent tool for early detection and monitoring nerve damage.…”

Section: Discussionmentioning

confidence: 99%

Clinical and electrophysiological characteristics of neuropathic pain in leprosy patients: A prospective cross-sectional study

Somensi¹,

Sousa

Lopes³

et al. 2021

IJDVL

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Introduction: Neuropathic pain is a common and disabling late complication of leprosy. We investigated the clinical and electrophysiological characteristics of neuropathic pain in leprosy patients by evaluating nerve conduction, sympathetic skin response (SSR) and A-waves. Methods: Twenty one leprosy patients with neuropathic pain validated by the Douleur Neuropathique en 4 (DN4)Questionnaire were selected for study. Pain intensity was measured by the visual analog scale. Demographic and clinical data were collected for all patients. Clinical data included appraisal of the median, ulnar, radial, tibial and common peroneal nerves, assessment of the sympathetic skin response and conventional electrophysiological recordings. Results: Among all electroneuromyographic presentations, multifocal mononeuropathy was still the most prevalent. Sensory loss was observed more frequently than motor deficits. As most patients presented advanced clinical forms of leprosy and were under treatment, this high mean was found and the ulnar nerve was most frequently affected. The sympathetic skin response was absent in 16 patients. Higher DN4 Questionnaire scores were observed in women and in those receiving corticosteroid therapy. These inferences are possible to be made, but our study's limitations don't allow us to be certain about it. The statistical significance found only permits us to evidence what we related on the textual part of the study. Limitations: The small number of patients studied, the lack of sophisticated diagnostic methods for leprosy, as well as the difficulties in assessing nerve conduction were the main limitations of this study. Conclusion: The neurophysiological and clinical findings in leprous neuropathy were modest despite the conspicuous neuropathic pain. Although electrophysiological studies are a vital tool to verify nerve damage, variations in the clinical presentation of leprosy neuropathic pain render the diagnosis challenging. Further studies are needed to describe the neurophysiological evolution of this disease.

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“…Furthermore, the concept of psychological distress is used as an indicator of mental health which is defined as a multifactorial and unpleasant emotional experience of psychological (cognitive, behavioral, emotional), social, and spiritual traits that may interfere with the ability to effectively cope with illness, physical symptoms, and treatments (Reis et al, 2014). In this case, the researcher measured psychological distress using the Indonesian version of the WHO Self-Reporting Questionnaire 20 (SRQ-20), with a scoring scale of Yes (1) and No (0).…”

Section: Research Population and Samplementioning

confidence: 99%

Analysis of Mental Health Literacy and Psychological Distress as Predictors of Psychological Well-Being in Sriwijaya University Students

Mardhiyah¹

2021

MHGCJ

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Introduction. This research focused on answering questions: how mental health literacy and psychological distress act as predictors of psychological well-being in Sriwijaya University students. Methodology.This research used quantitative method, by conducting instrument preparation, data collection, and analysis of data results to see the role of the independent variables on the dependent variable. Psychological well-being was measured using an instrument in a form of psychological scale referred to Psychological Scale by Ryff & Keyes (1995). Meanwhile, psychological distress was measured using WHO Self-Reporting Questionnaire 20 (SRQ-20) Indonesian version, and Mental Health Literacy measurement was adapted from O’Connor and Casey (2015). The participants of this research were consisted of 418 college students. Results.The analysis results show that there is a role of mental health literacy and psychological distress together on psychological well-being, thus the hypothesis is accepted. Major hypothesis test was done using multiple linear regression which shows a correlation value (R) of 0.586 and a significance of 0.001 (p<0.05). For the results of minor hypothesis test, it is known that the beta value is 0.143 and the P value is 0.022 (p>0.05), this indicates that there is a role for mental health literacy on psychological well-being, thus the hypothesis is accepted. In addition, it is known that psychological well-being and psychological distress show a beta value of -1.945 and a P value of 0.001 (p>0.05), this indicates that there is a role for psychological distress on psychological well-being thus the hypothesis is accepted. Conclusions.The percentage of mental health literacy and psychological pressure influences on psychological well-being (R adjusted) is 0.343, this also shows that the contribution of mental health literacy and psychological distress together on psychological well-being is 34.3%, while the rest is the contribution of other variables not examined in this study

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Psychological distress and quality of life in leprosy patients with neuropathic pain

Cited by 20 publications

References 28 publications

The impact of leprosy on the mental wellbeing of leprosy-affected persons and their family members – a systematic review

The impact of leprosy on the mental wellbeing of leprosy-affected persons and their family members – a systematic review

Clinical and electrophysiological characteristics of neuropathic pain in leprosy patients: A prospective cross-sectional study

Analysis of Mental Health Literacy and Psychological Distress as Predictors of Psychological Well-Being in Sriwijaya University Students

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