The Influence of Cognitive Behaviour Therapy  to Decrease the Level of Depression for Leprosy Sufferer

Rahmawati, Ima; Yuniarti, Enny Virda

doi:10.29082/ijnms/2017/vol1/iss1/41

Cited by 4 publications

(4 citation statements)

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“…Through effective communication applications in disease management, leprosy patients are able to show good self-concepts [ 74 – 76 ], reduce negative emotional responses [ 77 ], high motivation to recover [ 78 ], open about her illness [ 42 ], increase self-confidence [ 79 ], and other family members are able to provide adequate care assistance [ 38 , 76 ].…”

Section: Discussionmentioning

confidence: 99%

The life experience of leprosy families in maintaining interaction patterns in the family to support healing in leprosy patients in Indonesian society. A phenomenological qualitative study

et al. 2022

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Background Family involvement in overcoming the severity of leprosy is very important in the life of leprosy sufferers in communities who experience the clinical and, psychological, social and behavioral consequences of the disease. However, this need, psychosocial, is felt to be not optimal. This study is to identify how the experiences of family members as caregivers provide assistance to lepers in improving healing and maintaining patterns of interaction in the family. Methods The design uses qualitative research with in-depth, face-to-face interviews with family members in a semi-structured manner with the hope of obtaining complete data. Using purposive sampling with Participatory Interpretative Phenomenology analysis, there are 12 families with 15 family members consisting of 4 men and 11 women. Results This study produced a family theme that tried to follow what would happen to lepers, with four sub-categories: 1) Using various coping alternatives to recognize the disease, 2) Family members in the shadow of leprosy, 3) Trying to empathize with other family members. sick, 4) Caring for the emotional response of the family and seeking support. Conclusions This analysis shows that deficiency in cognitive aspects can be closed by maintaining a lifestyle in the family through efforts to understand, support, establish communication, increase maximum involvement in restoring self-confidence, especially in lepers with psychosocial problems in the family. The results of this study can be used as psychosocial support in maintaining communication between family members to support treatment programs and accelerate the recovery of leprosy.

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Section: Discussionmentioning

confidence: 99%

The life experience of leprosy families in maintaining interaction patterns in the family to support healing in leprosy patients in Indonesian society. A phenomenological qualitative study

et al. 2022

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“…This therapy improved the adaptation level of the participants from 92% to 96%. In another study by Rahmawati and Yuniarti (2017) CBT was used with 25 leprosy-affected persons dealing with depression. Study results showed that after the intervention depression rates lowered with 12% (Rahmawati and Yuniarti, 2017).…”

Section: Resultsmentioning

confidence: 99%

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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“…There were few universal findings, mainly because of the scarcity of studies conducted and the variety in the types of interventions and outcomes employed. However, all but two of the 14 studies reported positive mental health outcomes, including improvements in the psychological domains of quality of life for leprosy (87,146), Buruli ulcer (144), and tungiasis (39) [though two studies reported no improvements in the psychological aspects of quality of life (145,147)]; reduced depression symptoms for leprosy (87,93); reductions in anxiety levels and improvements in self-efficacy and self-concept for leprosy (117,148,150); lessened burden of leprosy (149); decreased cognitive and other disabilities for LF (151); improvements in patient information, patient-staff interactions, problem-solving, and reduced patient concerns for Buruli ulcer (122); and improvements in mood for nodding syndrome (85).…”

Section: Evidence For Interventions To Address Mental Illness Associa...mentioning

confidence: 99%

Mental health, stigma, and neglected tropical diseases: A review and systematic mapping of the evidence

et al. 2022

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Recent years have seen an increase in recognition of the important impact that mental health, wellbeing, and stigma have on the quality of life of people affected by neglected tropical diseases (NTDs), including the publication of global normative guidance and policy frameworks. However, systematic collation of the evidence that can guide greater clarity of thinking for research and practical application of effective interventions is lacking. We used systematic mapping methodology to review the state of the evidence around mental health, stigma, and NTDs in low- and middle-income countries, applying a simple theoretical framework to explore intersections between these areas. We built on existing reviews on the links between each domain, bringing the reviews up to date, across the NTDs identified by the WHO (minus recent additions). After systematic searching of major databases, and exclusions, we identified 190 papers. Data extraction was done to inform key topics of interest, namely, the burden of mental distress and illness/stigma associated with NTDs, the mechanisms by which NTDs add to mental distress and illness/stigma, how mental distress and illness/stigma affect the outcome and treatment of NTDs, and efficacy of interventions to address these domains. We also document the recommendations given by the authors of included studies for research and interventions. We found that there has been a substantial increase in research, which remains very heterogeneous. It was dominated by skin conditions, especially leprosy and, less so, lymphatic filariasis. Few studies had a comparative and even fewer had an intervention design. Our findings were however consistent with existing reviews, pointing to a high prevalence of mental conditions, substantially mediated by stigma and exclusion and a lack of sufficient access to support for mental wellbeing in programmes, despite the existence of effective interventions. These interventions cut across mental health services, stigma reduction, community engagement, and empowerment of people affected. We conclude that the evidence justifies increased investment in practical and integrated interventions to support the wellbeing of people affected by NTDs but that there remains a need for implementation research of consistent quality, and basic science around the impact of mental health interventions on NTD outcomes (including on elimination efforts) needs to be strengthened.

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The Influence of Cognitive Behaviour Therapy to Decrease the Level of Depression for Leprosy Sufferer

Cited by 4 publications

References 0 publications

The life experience of leprosy families in maintaining interaction patterns in the family to support healing in leprosy patients in Indonesian society. A phenomenological qualitative study

The life experience of leprosy families in maintaining interaction patterns in the family to support healing in leprosy patients in Indonesian society. A phenomenological qualitative study

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

Mental health, stigma, and neglected tropical diseases: A review and systematic mapping of the evidence

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