Risk Factors for Psychological Impact and Stigma Among Leprosy Patients: A Systematic Review

Nuri Firdausyiah Rasyidi; Ah Yusuf; Rr Dian Tristiana

doi:10.37287/ijghr.v6iS5.4232

Nuri Firdausyiah Rasyidi Universitas Airlangga
Ah Yusuf Universitas Airlangga
Rr Dian Tristiana Universitas Airlangga

DOI: https://doi.org/10.37287/ijghr.v6iS5.4232

Keywords: leprosy, risk factors, psychological, stigma

Abstract

The bacterium Mycobacterium leprae causes leprosy, which causes peripheral neuropathy and prolonged disability that impacts a person's psychology, causing fear and anxiety. The aim of this review study was to find variables that impact on individuals' mental health and social stigma. Method: A systematic review searched for previous studies using cross-sectional or non-experimental designs published between 2019 and 2024 in five electronic databases (Scopus, Wos, Science Direct, and ProQuest). To transfer this view, the Center for Research and Dissemination and the Joanna Briggs Institute Guidelines were used to assess quality and the Prisma checklist. To assess research eligibility, titles, abstracts, full texts, and methodologies were evaluated. Data tabulation and narrative analysis of research results were conducted. Results: We found that seven journals met the requirements for inclusion in this observation. Any research on psychology and stigma addresses psychological impact and factors related to social stigma. Psychological impacts include knowledge, gender, culture, disability, economy, education, and lack of support systems, while stigma includes societal culture and the disability of leprosy. Conclusion: The results of this systematic review found many things that are risk factors for psychological disorders and stigma in leprosy patients including knowledge, gender, culture economy, education and lack of support system, disability which causes leprosy sufferers to experience discrimination, self-isolation, and misperceptions from society. Further research to understand this phenomenon is needed to reduce the global psychological impact and negative social stigma.

References

Amir-Behghadami, M., & Janati, A. (2020). Population, Intervention, Comparison, Outcomes and Study (PICOS) design as a framework to formulate eligibility criteria in systematic reviews. In Emergency Medicine Journal (Vol. 37, Issue 6, p. 387). BMJ Publishing Group. https://doi.org/10.1136/emermed-2020-209567

Arianti Putri, M., Utomo, B., & Keperawatan-Universitas Airlangga Kampus Mulyorejo Surabaya, F. C. (2016). Psycoeducative Family Therapy Influence Of Knowledge, Family Support And Leprosy Stigma. Jurnal Ners, 11, 88–89.

Armaijn, L., & Darmayanti, D. (N.D.). The Perception Of Loss’s Patients Against Stigma Kusta In Ternate City (Vol. 1, Issue 2). Https://Ejournal.Unkhair.Ac.Id/Index.Php/Kmj

Chen, K. H., Lin, C. Y., Su, S. Bin, & Chen, K. T. (2022). Leprosy: A Review of Epidemiology, Clinical Diagnosis, and Management. Journal of Tropical Medicine, 2022. https://doi.org/10.1155/2022/8652062

Govindasamy, K., Jacob, I., Solomon, R. M., Darlong, J., & Franco-Paredes, C. (2021). Burden of depression and anxiety among leprosy affected and associated factors-a cross sectional study from India. PLoS Neglected Tropical Diseases, 15(1), 1–12. https://doi.org/10.1371/journal.pntd.0009030

Hambridge, T., Chandran, S. L. N., Geluk, A., Saunderson, P., & Richardus, J. H. (2021). Mycobacterium Leprae Transmission Characteristics During The Declining Stages Of Leprosy Incidence: A Systematic Review. Plos Neglected Tropical Diseases, 15(5). Https://Doi.Org/10.1371/Journal.Pntd.0009436

Hannan Mujib et all. (2021). Stigma Masyarakat Terhadap Penderita Kusta di Kecamatan Batuputih Sumenep. Jurnal Kesehatan, 11, 8692.

Hidayat, M. , I. D. , & W. A. (2020). Phenomenology Study: Community Perception Of Lush Disease In The Working Area Of Puskesmas Talango. STRADA Jurnal Ilmiah Kesehatan, 2.

Jang J, L. S. K. W. C. Y. P. E. (2018). Faktor- faktor yang terkait dengan konsultasi kesehatan mental di Korea Selatan. BMC Psychiatry, 18, 110.

Jatimi, A. (2023). Stigma Pada Penderita Kusta Di Komunitas : A Systematic Stigma on Lepers in the Community : A Systematic Review. 4(2), 85–91.

Jufrizal, Nurhasanah. 2019. Community Stigma on Leprosy Sufferers: Community Stigma in Leprosy. Idea Nursing Journal. 10(1): 29-30.

Khanna, D., de Wildt, G., de Souza Duarte Filho, L. A. M., Bajaj, M., Lai, J. F., Gardiner, E., de Araújo Fonseca, A. M. F., Lindenmeyer, A., & Rosa, P. S. (2021). Improving treatment outcomes for leprosy in Pernambuco, Brazil: a qualitative study exploring the experiences and perceptions of retreatment patients and their carers. BMC Infectious Diseases, 21(1). https://doi.org/10.1186/s12879-021-05980-5

Mangeard-Lourmea, J., Arquera, G. R. de, Parasab, J., Singhb, R. K., Satleb, N., & Mamhidi, R. (2020). Depression and anxiety in people affected by leprosy and lymphatic filariasis: A cross-sectional study in four states in India. Leprosy Review, 91(4), 367–382. https://doi.org/10.47276/lr.91.4.367

Ministry of Health of the Republic Indonesia. (2021). Let Together Eliminate Stigma And Leprosy Discrimination in Public http://p2p.kemkes.go.id/mari-together-eliminate-stigma and-discrimination-of-leprosy-in-society/

Muna. (2019). Factors Associated with the Quality of Life of People Who Have Suffered from Leprosy.

Lourmea et al., 2020 Depression and anxiety in people affected by leprosy: a cross sectional study in four States in India. Leprosy Review, 91(4), 367–382. https://doi.org/10.47276/lr.91.4.367

Pierneef, L., van ’t Noordende, A. T., Bista, M., Singh, U., Scheltema, M. B., Joshi, A. K., Pant, M., Shakya, L., Waltz, M. M., & van Brakel, W. H. (2022). Factors influencing the mental wellbeing of persons affected by leprosy in Far-Western Nepal. Leprosy Review, 93(1), 12–25. https://doi.org/10.47276/lr.93.1.12

Somar, P., Waltz, M., & Van Brakel, W. (2020). The Impact Of Leprosy On The Mental Wellbeing Of Leprosy-Affected Persons And Their Family Members – A Systematic Review. Global Mental Health, 7. Https://Doi.Org/10.1017/Gmh.2020.3

Surya, K. C., Sudip, N., Asmi, K. C., & Keshav, K. C. (2023). “A life of disclosure: stigma, discrimination, and homelessness.” A case study of a factor that slowed (or contributed to the slowed) treatment-seeking behaviour of a leprosy patient in Nepal. Leprosy Review, 94(3), 243–246. https://doi.org/10.47276/lr.94.3.243

Van Brakel, W., van Dorst, M., Chaudhary, R., van der Linden, A., & Denny, H. M. (2021). Mental wellbeing and depression among persons affected by leprosy in Nepal and Indonesia. TROPICAL MEDICINE & INTERNATIONAL HEALTH, 26 MA-2, 191-192 WE-Science Citation Index Expanded (SCI.

Van Dorst, M. M. A. R., van Netten, W. J., Waltz, M. M., Pandey, B. D., Choudhary, R., van Brakel, W. H., Dorst, M. M. A. R. van, van Netten, W. J., Waltz, M. M., Pandey, B. D., Choudhary, R., & van Brakel, W. H. (2020). Depression and mental wellbeing in people affected by leprosy in southern Nepal. Global Health Action, 13(1), 1–13. https://doi.org/https://doi.org/10.1080/16549716.2020.1815275

Van Netten, W. J., Van Dorst, M. M. A. R., Waltz, M. M., Pandey, B. D., Aley, D., Choudhary, R., & Van Brakel, W. H. (2021a). Mental wellbeing among people affected by leprosy in the Terai region, Nepal. Leprosy Review, 92(1), 59–74. https://doi.org/10.47276/lr.92.1.59

Van Netten, W. J., Van Dorst, M. M. A. R., Waltz, M. M., Pandey, B. D., Aley, D., Choudhary, R., & Van Brakel, W. H. (2021b). Mental wellbeing among people affected by leprosy in the Terai region, Nepal. Leprosy Review, 92(1), 59–74. https://doi.org/10.47276/lr.92.1.59

Wahyudi. (2023, February 8). Leprosy, an ancient disease that still stalks Indonesia. Kompas.

Https://Www.Kompas.Id/Baca/Humaniora/2023/02/07/Kusta-Penyakit-Kuno-Yang-Masih-Mengintai-Indonesia.

World Health Organization. (2022). World health statistics 2022 (Monitoring health of the SDGs).