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Biomedical subjects

D Bhugra

Publications and source records attributed to D Bhugra.

72 records · Page 4Linked to original sources
PubMed1989

Eating disorders: lessons from a cross-cultural study.

Five hundred and eighty schoolgirls living in a small North Indian industrial town were screened using the EAT-26. Although twenty-nine per cent scored above the threshold for the questionnaire (greater than or equal to 20), closer scrutiny of the pattern of responses revealed misinterpretations of a large number of questions possibly on a conceptual basis. Linguistic and conceptual pitfalls inherent to cross-cultural epidemiological research are discussed with reference to previous work.

Adolescent↗
PubMed1989

Attitudes towards mental illness. A review of the literature.

With the advent of community psychiatry, the pressure of care of the mentally ill will increasingly fall on the family and the community. In order for this transition to succeed, it is important to bear in mind the attitudes of the community and the caregivers. This article reviews the literature on public attitudes and suggestions are made for future research and lessons to be learnt from the experience in North America.

Attitude to Health↗
PubMed1989

Controlled comparison of attitudes of psychiatrists, general practitioners, homosexual doctors and homosexual men to male homosexuality.

A controlled analysis of the attitudes of doctors and homosexual men to male homosexuality is reported. Not surprisingly the homosexual men held the most liberal attitudes which served as a yard-stick against which the doctors' attitudes could be assessed. The implications of these data, collected before the AIDS era, are discussed in terms of the current needs of homosexual patients.

Adult↗
PubMed1988

Psychiatric Munchausen's syndrome. Literature review with case reports.

The present study reviews the literature on Munchausen's syndrome. In a psychiatric hospital, out of a total of 775 admissions under the age of 65 in 1986, four patients were diagnosed as having Munchausen's syndrome (0.5%). The underlying pathology of these cases is discussed and suggestions for management and further research made.

Adolescent↗
PubMedDate not supplied

[Decision making process for compulsory admission: study of a group of psychiatrists of Sardinia, Italy].

OBJECTIVE: The aim of the study was to investigate the attitudes in the decision making process for admitting patients compulsorily under the Italian Law 180/78. SETTING: A group of psychiatrists (n = 81) working in the area of Cagliari (Sardinia, Italy). MAIN OUTCOME MEASURES: Three case-vignettes describing different hypothetical clinical situations: 1) a man with depression and psychotic symptoms; 2) a woman with a possible first episode of psychosis; and 3) a man with a history of substance abuse and bipolar disorder. Each vignette was followed by a list of 11 factors reported in the literature as important in the decision to admit compulsorily (current mental state, severity of the disease, dangerousness to self or others, psychiatric history, likely response of the mental state to the medical treatment, age and gender of the patient, owning a home, occupational status, social support available). Psychiatrists were asked: a) whether they would admit the patient compulsorily; and b) to rate 11 factors from the most to the least important in their decision. RESULTS: We obtained responses from 57 psychiatrists (26 males and 31 females). The most important factors for deciding to detain a patient compulsorily were: current mental state, diagnosis, severity of the illness and possible contribution of medical treatment. Perceived dangerousness to self and others was considered the most important factor by 23% of the sample. CONCLUSIONS: Our results confirm that, in three different hypothetical situations, there is agreement in the factors perceived as the most important in the decision to admit compulsorily, although their application is highly subjective. The factors correspond to those recommended by the Italian Law 180. The need for protection of the patient or others has an important role in the decision and may take precedence over the current mental state of the patients [corrected].

Adult↗
PubMedDate not supplied

Cross-cultural competencies in the psychiatric assessment.

We live in an increasingly multicultural society and thus the cross-cultural application of assessment procedures is likely to become more common. However, little attention has been directed to the limitations of such unconditional application of what are essentially ethnocentric procedures. This article outlines the limitations of the psychiatric assessment when applied across cultures and presents the template for a culture sensitive assessment.

Cross-Cultural Comparison↗