Living with schizophrenia in India: Gender perspectives

Epidemiology and Prevention Research Group-EPRG, Department of Psychiatry, Washington University School of Medicine, 40 N Kingshighway, Suite 4, St. Louis, MO 63108, USA.
Transcultural Psychiatry (Impact Factor: 0.99). 11/2011; 48(5):569-84. DOI: 10.1177/1363461511418872
Source: PubMed

ABSTRACT This study explores gender issues from a sociocultural perspective related to stigma among people suffering from schizophrenia in India. Stigma experiences were assessed by conducting semistructured interviews with 200 patients attending urban or rural psychiatry clinics. The resulting narratives were examined by thematic content analysis. Men with schizophrenia reported being unmarried, hid their illness in job applications and from others, and experienced ridicule and shame. They reported that their experience of stigma was most acute at their places of employment. Women reported experiences of stigma in relation to marriage, pregnancy, and childbirth. Both men and women revealed specific cultural myths about their illnesses and described how these had negatively affected their lives. Information gathered from this study can be useful to understand the needs of individuals who suffer from schizophrenia to improve the quality of their treatment, and plan culturally appropriate interventions to counter stigma and discrimination.

Download full-text


Available from: Santosh Loganathan, Sep 24, 2014
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Background: Steady employment constitutes one of most important aspects of functional recovery in schizophrenia. Therefore, there is a need for understanding clinical and demographic factors predicting vocational status in schizophrenia. Methods: Clinical and demographic data of 1,010 schizophrenia patients were gathered from public outpatient clinics. We compared patients who maintained employment between the diagnosis time point and the day of assessment, with the patients who were employed in the diagnosis time point but were unemployed on the day of assessment with respect to clinical and demographic variables. Results: Lower educational attainment, lower-income region of residence, medical comorbidities (obesity, diabetes and hypertension), first hospitalization at inpatient unit in comparison with the day hospital, higher total number of hospitalizations and the number of inpatient hospitalizations were found to serve as predictors of unemployment throughout the course of schizophrenia. After application of Bonferroni correction and logistic binary regression analysis, lower educational attainment, higher number of inpatient hospitalizations and obesity predicted unemployment. Conclusion: Education, obesity and the number of inpatient hospitalizations seem to predict vocational outcome in schizophrenia. This study warrants further investigation of medical comorbidities in schizophrenia in terms of social consequences in order to indicate the direction of this relationship.
    International Journal of Social Psychiatry 04/2015; DOI:10.1177/0020764015577841 · 1.15 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Internalised experiences of stigma were reported more commonly than discrimination•A range of negative reactions beyond ‘discrimination’ led to feelings of devaluation•Negative discrimination was predicted by illness features, e.g., positive symptoms•Negative reactions were also linked to reduced ability to meet role expectations•What mattered most to PLS was to achieve role expectations in marriage and work
    Social Science & Medicine 10/2014; 123. DOI:10.1016/j.socscimed.2014.10.035 · 2.56 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Increasingly, research, teaching, and practice emphasize the need for cultural competency among healthcare practitioners. Most training programmes include modules on cultural competency based on a knowledge, skills, and awareness model. In line with the knowledge and awareness objectives of cultural competency, this article focuses on the conceptualization of illness from an Islamic, Hindu, and African perspective. It discusses spiritual illness, a category of illness recognized in all three traditions but marginalized in mainstream literature. This marginalization has given rise to debates as to whether a separate Islamic psychology, a Hindu psychology, African psychology (or other Psychology) should exist. This article explores these areas briefly concluding with arguments on the need for current teaching, research, and practice to take more cognizance of cultural views of illness.
    South African journal of psychology = Suid-Afrikaanse tydskrif vir sielkunde 03/2014; DOI:10.1177/0081246314528149 · 0.46 Impact Factor