02993nas a2200553 4500000000100000008004100001260001300042653001500055653001000070653002100080653000900101653002200110653001500132653002500147653002800172653001900200653001600219653002400235653001100259653001100270653002800281653001200309653000900321653001600330653001500346653001600361653002100377653001700398653003000415653002100445653001400466653002200480653003000502653001700532100001500549700001300564700002200577700001200599700001500611700001300626700001200639245010100651856005100752300001000803490000700813050003200820520157300852022001402425 2004 d c2004 Mar10aAdolescent10aAdult10aAge Distribution10aAged10aAged, 80 and over10aBangladesh10aCase-Control Studies10aChi-Square Distribution10aCohort Studies10aComorbidity10aDepressive Disorder10aFemale10aHumans10aInterpersonal Relations10aleprosy10aMale10aMiddle Aged10aPrevalence10aProbability10aReference Values10aSelf Concept10aSeverity of Illness Index10aSex Distribution10aSick Role10aSocial Adjustment10aStatistics, Nonparametric10aStereotyping1 aTsutsumi A1 aIzutsu T1 aAkramul Islam M D1 aAmed JU1 aNakahara S1 aTakagi F1 aWakai S00aDepressive status of leprosy patients in Bangladesh: association with self-perception of stigma. uhttps://leprosyreview.org/article/75/1/05-7066 a57-660 v75 aInfolep Library - available3 a

Stigmatization by the general population and their negative attitudes towards leprosy negatively impacts on patients' mental health, and so too does patients' perception of that stigma. The objective of this present study is to assess the depressive status of leprosy patients, the patient perception of that stigma, and its association with their depressive status in Dhaka, Bangladesh. Subjects were 140 patients, and a selected comparison group of 135 local people without any chronic diseases. To evaluate depressive status, the Center for Epidemiologic Studies Depression scale (CES-D) Bengali version was applied. The patient group's depressive status was significantly more severe than that of the comparison group. Depressive status of those who answered affirmatively was significantly more severe than that of those who answered negatively for three responses to questions: 1) 'I have been physically attacked by people', 2) 'I feel people regard me as strange' and 3) 'I have been refused the purchase of something by a shopkeeper'. The results showed that the depressive status in leprosy patients was greater than that of the general public. Further, actual experiences of discrimination based on stigma associated with the depressive status of leprosy patients. Mental health care for patients, regulation of discriminatory action and education that would decrease social stigma among the general population, especially people who might often have contact with patients, seem necessary to improve the mental health of Bangladeshi leprosy patients.

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