Keywords

Brazil Common Mental Disorders Epidemiology Hansen’s diseases Igbo Leprosy Neglected Tropical Diseases Person Health with disabilities Physical disability Psychological Assessment Psychological treatment Psychometric Quality of health care SALSA Scale Time Series Studies

Volume - 86, Issue - 3

editorial
Page 207
Editorial
Pages 208 - 212
Original Papers
Pages 213 - 219
  • Changes in plantar load distribution and gait pattern following foot drop correction in leprosy affected patients

    • Mrinmoy Karmakar
    • Jerry Joshua
    • Nidhu Mahato
    Volume 86, Issue 3

    | Published on September 2015

    This study was done to compare the changes in plantar load (weight distribution) and gait patterns before and after tibialis posterior transfer surgery in people affected by leprosy. Changes in gait patterns were observed and proportionate changes in plantar load were quantified using data captured by a baropodometer. All the eight patients who underwent tibialis posterior transfer surgery in 2013 in our hospital were included in the study. In addition to the regular pre-operative and post-operative assessments, the patients also underwent baropodometric evaluation. There was a significant change in plantar load at the heel, lateral border and forefoot. Using the foot pressure scan, it was noted that the progression of the centre of mass (displayed graphically as ‘the gait line’) was also affected by the altered pattern of weight distribution. This study reiterates the importance of tibialis posterior transfer because: it restores the normal gait pattern of 1, 2, 3 (where 1 is heel strike, 2 is mid foot contact and 3 is forefoot contact) and provides a more uniform distribution of planter load.

Original Papers
Pages 220 - 228
  • Establishing the reliability and construct validity of the Igbo version of Screening Activity Limitation and Safety Awareness scale in persons with Hansen disease

    • Peter Olanrewaju Ibikunle
    • Samuel Ekundayo Oladipo
    • Joseph Ngozi Chukwu
    • Adesola Christiana Odole
    • Adaigwe Ifeoma Okeke
    Volume 86, Issue 3

    | Published on September 2015

    Objective:

    Leprosy or Hansen’s disease is an infectious disease affecting skin and peripheral nerves. The World Health Organization (WHO) Recent Report reveals Africa as having 20,599 new cases, America 36, 178, Eastern Asia 166,445, Western pacific 5,400; totally up to 232,875 new cases. Nigeria as at 2012 had 3,805 new cases. Nerve dysfunction can lead to severe impairments, such as wounds, clawing and shortening of digits, and visual impairments that are often indicated as WHO Grade 2 disabilities. The Screening Activity Limitation Safety Awareness (SALSA) scale however, was developed to measure self-reported activity limitation in people affected by peripheral neuropathy, and has been translated into several languages world-wide, including two of the three major indigenous languages in Nigeria (i.e. Yoruba and Hausa), leaving the Igbo language yet to be translated. This resulted in the present study, in which the scale was translated into Igbo and the psychometric properties also established to help in data collection and to promote research among the Igbo speaking people living with disabilities from Hansen’s disease.

    Design:

    The research design was a cross-sectional survey, facility based with 70% RFT and 30% on MDT. Data were analysed using Cronbachs alpha and factor analyses.

    Result:

    A quantitative exploration of participants’ characteristics revealed that of the 40 respondents that participated in the study; 87.5% of them were predominantly from a rural population; 42.5% were males and 57.5% females. Their ages ranged between 15 and 64 years; 55% were uneducated; while 45% were educated. The SALSA Scale was interviewer-administered to the participants. Reliability analysis conducted on the data revealed high Cronbachs alpha co-efficient of 0.93 – 0.94 for the entire items on the scale. Firstly, most of the scale items correlated at least 0.3 with at least one other item on the scale, Secondly, the Kaiser-Meyer-Olkin measure of sampling adequacy was 0.71, Bartletts test of sphericity was significant (𝜒2(190) = 482.63, P < 0.001). Finally, the communalities were all above 0.3. The principal factor analysis of the scale revealed a five factor scale, having fulfilled all the necessary conditions.

    Conclusion:

    It can be concluded that the Igbo version of SALSA is reliable and valid for use among the Igbo speaking group in Nigeria.

Original Papers
Pages 229 - 239
  • Application of the SRQ20 and the protocol of psychological assessment in patients with leprosy in a Reference Centre in Brazil

    • Marília Aparecida de Souza Cunha
    • Douglas Eulálio Antunes
    • Ricardo Wagner Machado da Silveira
    • Isabela Maria Bernardes Goulart
    Volume 86, Issue 3

    | Published on September 2015

    This study aims to apply the protocol of psychological assessment (PAP) and the SRQ-20 to analyse the psychological profile of 130 leprosy patients, in order to evaluate the incidence of Commom Mental Disorders (CMD), and screen patients with higher risk of psychological distress. The following results were found in the PAP: 31.53%, 23.8% and 16.9% reported an unsatisfactory childhood, adolescence and adulthood, respectively; 31.53% are afraid of being discriminated against and 16.9% experienced discrimination. Also, 13.07% reported drastic life changes due to leprosy; 29.23% have low self-esteem, 31.53% have real fear and 22.3% have phantasmal fear. In the SRQ-20, the prevalence of CMDs was 32.3%, with the majority being female, married, with low education (primary education), low self-esteem, and with a drastic change in life.

    Conclusion:

    This is one of the few studies on the psychological profile of leprosy patients demonstrating the importance of the application of investigative technologies in psychopathological screening, aiming on adherence to treatment and psychotherapy planning. Furthermore, it provides support for reflection on the integrality of healthcare for leprosy patients and the importance of psychologists in health teams.

Click to load more