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Attitudes to people with mental disorders: a mental health literacy survey in a rural area of Maharashtra, India

Kermode, Michelle; Bowen, Kathryn; Arole, Shoba; Pathare, Soumitra; Jorm, Anthony F

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Introduction: People with mental disorders experience discrimination as a consequence of stigmatising attitudes that are largely socio-culturally constructed. Thus, there is a need to understand local contexts in order to develop effective programs to change such attitudes. We undertook a mental health literacy survey in rural Maharashtra, India, prior to developing a mental health training program for village health workers (VHWs) in a primary health care setting. Methods: A cross-sectional...[Show more]

dc.contributor.authorKermode, Michelle
dc.contributor.authorBowen, Kathryn
dc.contributor.authorArole, Shoba
dc.contributor.authorPathare, Soumitra
dc.contributor.authorJorm, Anthony F
dc.date.accessioned2015-12-10T22:31:25Z
dc.identifier.issn0933-7954
dc.identifier.urihttp://hdl.handle.net/1885/55519
dc.description.abstractIntroduction: People with mental disorders experience discrimination as a consequence of stigmatising attitudes that are largely socio-culturally constructed. Thus, there is a need to understand local contexts in order to develop effective programs to change such attitudes. We undertook a mental health literacy survey in rural Maharashtra, India, prior to developing a mental health training program for village health workers (VHWs) in a primary health care setting. Methods: A cross-sectional mental health literacy survey was undertaken in late 2007, which involved interviewer-administration of a questionnaire to 240 systematically sampled community members, and 60 purposively sampled VHWs. Participants were presented with two vignettes describing people experiencing symptoms of mental disorders (depression, psychosis), and were asked about attitudes towards, and desired social distance from, the people in the vignettes (the latter being a proxy measure for stigma). Linear regression modelling was undertaken to identify predictors of social distance. Results: Although the community was relatively accepting of people with mental disorders, false beliefs and negative attitudes were still evident. Desired social distance was consistently greater for the person depicted in the psychosis vignette compared to the depression vignette. For both vignettes, the main predictor of greater social distance was perceiving the person as dangerous, and the predictors of reduced social distance were being a VHW, and seeing the problem as a sign of personal weakness. For depression, believing the cause to be family tensions also reduced social distance. For psychosis, labelling the disorder as a mind/brain problem, and believing the cause to be lack of control over life or genetic factors increased social distance. The vast majority did not agree that the problems experienced in the vignettes were 'a real medical illness'. Conclusion: Promoting bio-medical explanations for mental disorders in this setting may exacerbate discriminatory attitudes. Provision of contextually relevant mental health training for the VHWs so that they are able to communicate, model and shape more positive attitudes is the next step.
dc.publisherDr Dietrich Steinkopff Verlag
dc.sourceSocial Psychiatry and Psychiatric Epidemiology
dc.subjectKeywords: adult; aged; article; attitude to illness; depression; education program; female; health care personnel; health survey; human; India; major clinical study; male; mental disease; mental health care; paramedical education; patient attitude; primary health c Attitudes; India; Mental health; Social distance; Stigma
dc.titleAttitudes to people with mental disorders: a mental health literacy survey in a rural area of Maharashtra, India
dc.typeJournal article
local.description.notesImported from ARIES
local.identifier.citationvolume44
dc.date.issued2009
local.identifier.absfor111702 - Aged Health Care
local.identifier.ariespublicationu4222028xPUB331
local.type.statusPublished Version
local.contributor.affiliationKermode, Michelle, University of Melbourne
local.contributor.affiliationBowen, Kathryn, College of Medicine, Biology and Environment, ANU
local.contributor.affiliationArole, Shoba, Comprehensive Rural Health Project
local.contributor.affiliationPathare, Soumitra, Ruby Hall Clinic
local.contributor.affiliationJorm, Anthony F, University of Melbourne
local.description.embargo2037-12-31
local.bibliographicCitation.issue12
local.bibliographicCitation.startpage1087
local.bibliographicCitation.lastpage1096
local.identifier.doi10.1007/s00127-009-0031-7
dc.date.updated2016-02-24T10:46:16Z
local.identifier.scopusID2-s2.0-70449526800
CollectionsANU Research Publications

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