AN EVALUATION OF BELIEFS/NOTIONS OFPHARMACY PROFESSIONALS TOWARD PSYCHOPATHS

AN EVALUATION OF BELIEFS/NOTIONS OFPHARMACY PROFESSIONALS TOWARD PSYCHOPATHS

Madhu Bala *, Sumit Takhi, Shweta Sharma and Neelam Sharma

Department of Pharmacology, Himachal Institute of Pharmaceutical Education & Research, Bela, Nadaun, Hamirpur, Himachal Pradesh, India.

ABSTRACT: Psychopathy is associate rising health issue in current times. In recent years, there has been increasing acknowledgement of mental state that plays a very important role in achieving international development goals. Several health conditions will be effectively treated at comparatively low price, however the gap between individuals needing care and people with access to worry stay substantial. This analysis has been conducted to work out the angle of pharmacy professionals towards psychopathy and insane persons (mentally ill) by mistreatment the BMI (Beliefs towards Mental Illness) scale. The BMI scale was designed to live such beliefs also on predict the requirement of study regarding mental state and health problem. The percentage of each subscale which shows the significant knowledge towards mentally ill persons and their treatment seeking behavior is based on the assumption of higher obtainable score of the total participants. The percentages of the subscale were found. Dangerousness = 51.59%. Poor social and interpersonal skill = 43.22%. Incurability = 49.81%. The negative beliefs/notions towards mentally ill people were found less than the previous studies which imparts the effective delivery of heal care service and educational programs but still there is need to continue the educational and awareness programs at the ground level.

Keywords: Mentalillness, Beliefs, Perceptions, BMI (Beliefs towards Mental Illness) scale, Psychological support

INTRODUCTION: A mentally stable individual maintains balance and harmonious interpersonal relationships throughout his life; fulfils his societal obligations with satisfaction; communicates information, emotions, opinions, values, and behaviors at the required time and place; and demonstrates resilience and reverence for himself and his surroundings. An individual diagnosed with mental illness, on the other hand, exhibits persistent or chronic departures from society's recognized perceptions, thoughts, and behaviours. Mental and behavioural problems are becoming more prevalent, posing a growing public health and socioeconomic challenge across the world.

According to a WHO survey, more than a quarter of the world's population is affected at some point in their lives. About 600 million people are suffering from psychiatric illnesses, with 350 million suffering from depression, 21 million with schizophrenia and other psychoses, 60 million from manic affective disorders, and 47.5 million from dementia. In any given year, it is projected that 8.25 % to 29.1% are mentally ill, with lifetime prevalence ranging from 12.2 percent to 48.6 percent ^{1, 3}.

The etiology of psychopathy is very complicated, with contributions of both genetic and environmental risk factors. Psychopathy is characterized by structural and functional brain abnormalities in cortical and subcortical regions leading to neurocognitive disruption in emotional responsiveness, decision-making and attention ¹⁵. Belief system is one of the reason, deeply lodged, which can alter the perception and may mislead the people without considering the different circumstances of people with mental illness and results in showing negative attitudes towards them ^{2, 4}. Negative views toward those with mental illnesses are widespread across the world. According to studies, there is a high degree of stigma associated with mental illness in low and middle-income countries, including those of ancient cultures ⁶. Such views against those with mental illnesses, as well as bigotry against them, are also prevalent among the general population. This can be seen as the most significant impediment to unflinching care, healing, and social integration of people with mental illnesses ⁷.

It is critical to determine the views, priorities, and attitudes of current societal leaders and to train these leaders to serve an important role in the performance and intensity of awareness raising efforts ⁸. It is critical that health providers are not hindered by stigmatizing behaviours in order to provide successful healthcare delivery programmes to ensure that mentally ill people are supported and reintegrated into their families' and communities' socioeconomic lives. Around 15% to 50% of patients in different clinical settings have mental health issues, and a significant percentage of these patients will receive psychiatric services from non-psychiatrist treatment providers, making them vital sources of contact with those with mental health issues who are finding support along the treatment continuum ^{9, 10}. Many of the research on mental illness have been based on population polls, with even less focusing on health care providers in hospitals. The majority of these trials were carried out in western industrialized countries with well-developed health services. The aim of this research is to find out how professional students in a developing world feels about mentally ill people.

MATERIAL AND METHODS: This study was conducted at Himachal Institute of Pharmaceutical Education and Research (Hiper) Bela Nadaun 177033 (H.P.) among the students and teachers. The sampling frame was made up of 127 people, mainly teachers and students. The participants were briefed about the study's intent and ensured of their confidentiality. Candidates self-completed questionnaire survey that contained socio-demographic details such as age, sex, relationship status, participants' domicile, and the presence of mental illness in their families, neighbors, and friends. Hirai and Clum formed the Beliefs toward Mental Illness Scale (BMI). The BMI is a 21-item questionnaire that assesses negative attitudes toward mental illness. The scale's result reflects the extent to which people have pessimistic views about mental disorder. The BMI is a six-point likert scale with the following grades: "fully disagree" (0), "mostly disagree" (1), "partially disagree" (2), "partially approve" (3), "mostly agree" (4), and "completely agree" (5). Both the complete and subscale ratings are used to interpret the scale. There are three sets of questionnaires in the BMI.: 1. Dangerousness subscale: 2. Incurability and poor cognitive and organizational skills 3. Unpredictability. Different tests were performed to assess the association and relationship between the variables at the significance level at p<0.05.

RESULTS: A total of 127 pharmacy professionals were involved in this report. Socio demographic statistics showed that the average age of the patients was 20.65 with standard deviation 4.091; 93.7 percent were unmarried and 6.3 percent was married. Males made up 60.4 percent of the population, while females made up 39.6%. Around a third of the participants (74%) came from rural areas, while 26% came from urban areas. 5.5 percent of respondents had used mental health facilities, and 7.1% knew someone who used psychopathic services in their neighborhood.

TABLE 1: GENDER

TABLE 2: PLACE OF RESIDENCE

TABLE 3: DID YOU USE MENTAL HEALTH SERVICE

TABLE 4: DID ANYONE USE MENTAL HEALTH SERVICE IN YOUR NEIGHBOR

The collected data were used to quantify the overall percentage of the BMI scale and subscale using descriptive statistics. The standard deviation was 14.99, and the mean score was 51.614. The sum of the other subscales is shown in the table.

TABLE 5: ONE-SAMPLE STATISTICS

The proportion of each subscale that demonstrates substantial information of mentally ill people and their care finding actions is dependent on the premise that the overall participants will achieve a higher score.

DISCUSSION: The respondents, according to the study's results, had distinct understanding of what health is or what the mental disorders are. They were aware of the connection between health and mental illness. WHO (2001:3) defines health as "a condition of full physical, emotional, and social well-being, not just the absence of illness or infirmity," Mental disease, according to Chikomo 2011, is a neurological disorder characterized by behavioral or intellectual deterioration of functioning. It's normally linked to sadness, illness, or a reaction to a certain incident, or it's restricted to social interactions. The amygdala often called “fear Centre” of the brain responsible for emotional processing like fear, anxiety etc ¹⁷.

The various research looked at health workers' views toward mentally ill people and the causes that influence them. Persons of mental illnesses do not have a high percentage of pessimistic views about mental disease. In contrast to prior research, there is no evidence of a substantial prevalence of negative attitudes ^{11, 12}. Individuals with mental illness are dangerous, their behaviour in intimate relationships cannot be controlled and can be inappropriate, and their illness cannot be treated, according to general beliefs held in many cultures around the world ^{13, 14}.

CONCLUSION: This research highlights the need for pharmacy college continued education services that provide fundamental knowledge including value system capable of transforming harmful perceptions among students, thus enhancing neighborhood wellbeing and personal well-being. In conclusion, this study emphasizes the importance of being aware that students may have negative attitudes and beliefs about people with mental illnesses, which may have implications for individual psychological support as well as the development and implementation of evidence-based services. Furthermore, the mental illnesses and behavior can treat much effectively by providing good behavior and that only can be possible by eliminating the negative beliefs from the people mind. Another important goal for future research is to refine and coordinate dimensional assessments of aggressive and nonaggressive antisocial deviance in youth to permit better integration of findings within and across age levels ¹⁶.

ACKNOWLEDGEMENT: The authors are thankful to Mr. Ashok Kumar Sharma, Chairman, HIPER, Nadaun and Dr. Parshuram Rai Principal, HIPER, Nadaun for allowing us to perform this research work.

CONFLICTS OF INTEREST: The authors declare that they have no conflict of interest.

REFERENCES:

1. WHO: Depression and other common mental disorders: Global Health Estimates 2017.
2. Gray AJ: Stigma in psychiatry. JRSM 2002; 95: 72-76.
3. WHO: The World Health Report. Mental health: New understanding; new hope 2001.
4. Brener L, Rose G, Von Hippel C and Wilson H: Implicit attitudes, emotions and helping intentions of mental health workers toward their clients. J Nerv Ment Disord 2013; 201(6): 460-463.
5. Fabrega H: Psychiatric Stigma in Non-Western Societies. Comprehensive Psychiatry 1991; 32: 534-535.
6. Bhugra D: Attitudes towards mental illness: a review of the literature. Acta Psychiatrscand 1989; 80: 1-12.
7. Attitudes, Beliefs and Social Distances towards Persons with Mental Illness among Health Workers in Two Tertiary Healthcare Institutions in Akwa Ibom State, South-South Nigeria International Journal of Health Sciences & Research (www.ijhsr.org) 2019; 9(6).
8. Bilge A & Çam O: The fight against stigma to ward mental illness. TAF Preventive Medicine Bulletin, 2010; 9(1): 71-78.
9. Reavley NJ, Morgan AJ, Petrie D and Jorm AF: Does mental health-related discrimination predict health service use 2 years later? Findings from an Australian national survey. Social Psychiatry and Psychiatric Epidemiology 2020; 55: 197-204. doi: 10.1007/s00127-019-01762-2
10. Parkar SR and Sawant NS: Liaison psychiatry and Indian research. Indian J Psychiatry 2010; 52(1): 386-8. doi: 10.4103/0019-5545.69274. PMID: 21836711; PMCID: PMC3146176.
11. Hansson L, Jormfeldt H, Svedberg P and Svensson B: Mental health professionals’ attitudes towards people withmental illness: Do they differ from attitudes held by people with mental illness? Int J Soc Psychiat 2013; 59: 48-54.
12. Makanjuola AB: Public stigma towards psychiatric patients in a south-western Nigerian town. Nig Post Med J 2006; 13(3): 210-215.
13. Mukherjee R, Fialho A, Wijetunge A, Checinski K and Surgenor T: The stigmatization of psychiatric illness: The attitudes of medical students and doctors in a London teaching hospital. Psychiatr Bull 2002; 26: 178–81.
14. Mas A and Hatim A: Stigma in mental illness: Attitudes of medical students towards mental illness. Med J Malaysia 2002; 57: 433–44.
15. De Brito SA, Forth AE, Baskin-Sommers AR, Brazil IA, Kimonis ER, Pardini D, Frick PJ, Blair RJ and Viding E: Psychopathy. Nature Reviews Disease Primers 2021; 7(1): 49.
16. Patrick CJ: Psychopathy: Current knowledge and future directions. Annual Review of Clinical Psychology. 2022; 18: 387-415.
17. Deming P, Heilicher M and Koenigs M: How reliable are amygdala findings in psychopathy? A systematic review of MRI studies. Neuroscience & Biobehavioral Reviews 2022; 104875.
    

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    How to cite this article:

    Bala M, Takhi S, Sharma S and Sharma N: An evaluation of beliefs/notions of pharmacy professionals toward psychopaths. Int J Pharm Sci & Res 2024; 15(6): 1777-80. doi: 10.13040/IJPSR.0975-8232.15(6).1777-80.

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