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The fight against stigma: Multilevel stigma interventions in schizophrenia patients
Background: Stigma is one of the main factors causing pasung (physical restraint or confinement in Indonesian terms) in schizophrenia patients. It is the main obstacle to reducing the number of pasung throughout the world. Thus, there is a need for appropriate interventions to reduce stigma in schiz...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
PAGEPress Publications, Pavia, Italy
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7753322/ https://www.ncbi.nlm.nih.gov/pubmed/33381470 http://dx.doi.org/10.4081/jphr.2020.1883 |
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author | Bachtiar, Adang Windarwati, Heni Dwi Keliat, Budi Anna Ismail, Raden Irawati Ati, Niken Asih Laras Sulaksono, Ari Dwi Ilmy, Shofi Khaqul |
author_facet | Bachtiar, Adang Windarwati, Heni Dwi Keliat, Budi Anna Ismail, Raden Irawati Ati, Niken Asih Laras Sulaksono, Ari Dwi Ilmy, Shofi Khaqul |
author_sort | Bachtiar, Adang |
collection | PubMed |
description | Background: Stigma is one of the main factors causing pasung (physical restraint or confinement in Indonesian terms) in schizophrenia patients. It is the main obstacle to reducing the number of pasung throughout the world. Thus, there is a need for appropriate interventions to reduce stigma in schizophrenia patients who go through pasung. This study aims to identify multilevel stigma interventions in people with schizophrenia who go through pasung (physical restraint and confinement). It can be applied and adapted to various cultural contexts. Design and Methods: Quasi-experimental research with pretest and post-test analysis consists of 82 people with schizophrenia who go through pasung. Respondents were divided into the intervention group and the control group. A multilevel stigma intervention was given to the intervention group for three months. Results: There was a significant difference in the average stigma score in the control group (moderate category stigma) and the intervention group (mild category stigma) after multilevel stigma intervention (p-value = 0.04). The average stigma score of schizophrenia patients in the intervention group decreased by 8.2%, while the average stigma score in the control group increase of 20.4%. Conclusions: Multilevel stigma interventions are effective in reducing stigma in people with schizophrenia who go through pasung. We underline that multilevel stigma interventions through collaboration from various parties can provide great opportunities in stigma reduction programs in people with schizophrenia who go through pasung. |
format | Online Article Text |
id | pubmed-7753322 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | PAGEPress Publications, Pavia, Italy |
record_format | MEDLINE/PubMed |
spelling | pubmed-77533222020-12-29 The fight against stigma: Multilevel stigma interventions in schizophrenia patients Bachtiar, Adang Windarwati, Heni Dwi Keliat, Budi Anna Ismail, Raden Irawati Ati, Niken Asih Laras Sulaksono, Ari Dwi Ilmy, Shofi Khaqul J Public Health Res Article Background: Stigma is one of the main factors causing pasung (physical restraint or confinement in Indonesian terms) in schizophrenia patients. It is the main obstacle to reducing the number of pasung throughout the world. Thus, there is a need for appropriate interventions to reduce stigma in schizophrenia patients who go through pasung. This study aims to identify multilevel stigma interventions in people with schizophrenia who go through pasung (physical restraint and confinement). It can be applied and adapted to various cultural contexts. Design and Methods: Quasi-experimental research with pretest and post-test analysis consists of 82 people with schizophrenia who go through pasung. Respondents were divided into the intervention group and the control group. A multilevel stigma intervention was given to the intervention group for three months. Results: There was a significant difference in the average stigma score in the control group (moderate category stigma) and the intervention group (mild category stigma) after multilevel stigma intervention (p-value = 0.04). The average stigma score of schizophrenia patients in the intervention group decreased by 8.2%, while the average stigma score in the control group increase of 20.4%. Conclusions: Multilevel stigma interventions are effective in reducing stigma in people with schizophrenia who go through pasung. We underline that multilevel stigma interventions through collaboration from various parties can provide great opportunities in stigma reduction programs in people with schizophrenia who go through pasung. PAGEPress Publications, Pavia, Italy 2020-12-07 /pmc/articles/PMC7753322/ /pubmed/33381470 http://dx.doi.org/10.4081/jphr.2020.1883 Text en ©Copyright: the Author(s) http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Article Bachtiar, Adang Windarwati, Heni Dwi Keliat, Budi Anna Ismail, Raden Irawati Ati, Niken Asih Laras Sulaksono, Ari Dwi Ilmy, Shofi Khaqul The fight against stigma: Multilevel stigma interventions in schizophrenia patients |
title | The fight against stigma: Multilevel stigma interventions in schizophrenia patients |
title_full | The fight against stigma: Multilevel stigma interventions in schizophrenia patients |
title_fullStr | The fight against stigma: Multilevel stigma interventions in schizophrenia patients |
title_full_unstemmed | The fight against stigma: Multilevel stigma interventions in schizophrenia patients |
title_short | The fight against stigma: Multilevel stigma interventions in schizophrenia patients |
title_sort | fight against stigma: multilevel stigma interventions in schizophrenia patients |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7753322/ https://www.ncbi.nlm.nih.gov/pubmed/33381470 http://dx.doi.org/10.4081/jphr.2020.1883 |
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