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ate
s
s
u
icid
e
r
ate
in
I
n
d
o
n
esia
is
2
4
p
er
1
0
5
p
er
s
o
n
s
.
Dep
r
ess
io
n
as
o
n
e
o
f
m
o
s
t
lead
in
g
o
f
d
is
ab
ilit
ie
s
is
o
f
t
en
u
n
d
er
-
d
ia
g
n
o
s
ed
an
d
u
n
tr
ea
ted
.
Sti
g
m
a
i
n
co
m
m
u
n
it
y
o
f
te
n
p
r
ev
en
t
s
ca
s
e
-
f
i
n
d
in
g
a
n
d
tr
ea
t
m
e
n
t
f
o
r
th
e
s
e
m
e
n
tal
d
i
s
o
r
d
er
s
[
7
]
.
T
h
e
co
n
d
it
io
n
s
h
o
w
n
ab
o
v
e
is
g
r
ea
tl
y
a
f
f
ec
ted
b
y
th
e
p
eo
p
le’
s
s
ti
g
m
a
to
w
ar
d
m
en
tal
d
is
o
r
d
er
s
.
T
h
is
h
as
b
ee
n
alr
ea
d
y
s
h
o
w
n
i
n
t
w
o
s
t
u
d
ies
a
m
o
n
g
th
e
g
en
er
al
p
o
p
u
latio
n
in
J
ap
an
an
d
th
e
US.
I
n
th
e
s
tu
d
y
f
r
o
m
th
e
US
[
8
]
,
a
q
u
esti
o
n
n
air
e
w
h
i
ch
co
n
tain
ed
s
o
m
e
v
ig
n
ette
s
w
as
u
s
ed
to
in
v
es
ti
g
ate
th
e
p
er
ce
p
tio
n
o
f
th
e
g
en
er
al
p
o
p
u
latio
n
to
w
ar
d
m
e
n
tal
d
is
o
r
d
er
s
.
T
h
e
q
u
esti
o
n
n
air
e
i
n
clu
d
ed
f
i
v
e
v
ig
n
ette
s
,
th
o
s
e
w
i
th
d
ep
r
es
s
io
n
,
s
c
h
izo
p
h
r
en
ia,
alco
h
o
l
d
ep
en
d
en
ce
,
d
r
u
g
d
ep
en
d
en
ce
,
an
d
a
tr
o
u
b
le
w
it
h
n
eig
h
b
o
r
s
.
T
h
e
s
i
m
ilar
to
o
l
w
a
s
ap
p
lied
to
th
e
s
tu
d
y
f
o
r
th
e
g
e
n
er
al
p
o
p
u
latio
n
in
J
ap
an
[
9
]
.
Sin
ce
a
w
ar
en
e
s
s
o
f
t
h
e
i
m
p
o
r
tan
ce
o
f
m
e
n
tal
d
is
o
r
d
er
s
a
s
a
p
u
b
lic
h
ea
lt
h
is
s
u
e
h
as
g
r
ea
tl
y
in
cr
ea
s
ed
,
an
d
m
e
n
tal
h
ea
lth
h
as
e
m
er
g
e
d
o
n
th
e
p
o
lic
y
ag
e
n
d
a
in
m
a
n
y
co
u
n
tr
ie
s
,
th
e
s
e
co
u
n
tr
ies
h
av
e
d
ev
e
lo
p
ed
o
r
r
ev
is
ed
t
h
eir
p
o
licies,
p
r
o
g
r
am
s
,
a
n
d
leg
i
s
latio
n
s
y
s
te
m
r
elate
d
to
m
en
ta
l
h
ea
l
th
.
Ho
wev
er
,
th
e
r
eso
u
r
ce
s
p
r
o
v
id
ed
f
o
r
th
e
p
r
ev
en
tio
n
,
t
r
ea
t
m
en
t,
an
d
r
eh
ab
ilit
at
io
n
i
n
m
e
n
tal
h
ea
lt
h
h
as
r
e
m
ain
ed
s
h
o
r
t.
A
l
m
o
s
t
o
n
e
th
ir
d
s
o
f
co
u
n
tr
ies
b
elo
n
g
i
n
g
to
W
HO
s
till
h
a
v
e
n
o
s
p
ec
i
al
b
u
d
g
et
f
o
r
m
e
n
tal
h
ea
lt
h
.
I
n
d
o
n
esia,
o
n
e
o
f
d
ev
elo
p
in
g
co
u
n
tr
ies,
also
h
a
s
n
o
t
p
u
t
p
r
io
r
i
ty
to
th
e
b
u
d
g
et
f
o
r
m
e
n
tal
h
ea
lth
,
w
h
er
ea
s
m
e
n
tal
h
ea
lth
i
s
a
h
u
g
e
p
r
o
b
le
m
in
I
n
d
o
n
e
s
ia.
T
o
w
ar
d
th
e
ab
o
v
e
h
ar
d
s
it
u
atio
n
,
s
o
m
e
m
e
n
tal
h
ea
l
th
p
r
o
f
ess
io
n
als
h
ad
in
it
iati
v
e
to
d
ev
elo
p
a
p
r
o
j
ec
t
to
em
p
o
w
er
c
ad
r
e
in
m
en
tal
h
ea
l
th
w
o
r
k
.
T
h
e
p
io
n
ee
r
c
ad
r
e
s
h
av
e
b
ee
n
in
v
o
lv
ed
in
m
e
n
tal
h
ea
lt
h
p
r
o
g
r
am
o
f
n
o
n
g
o
v
er
n
m
en
tal
o
r
g
an
izatio
n
w
h
ic
h
w
o
r
k
ed
i
n
Nan
g
r
o
e
A
ce
h
Dar
u
s
ala
m
(
NAD)
,
a
p
r
o
v
in
ce
lo
ca
ted
in
Su
m
atr
a
I
s
la
n
d
,
I
n
d
o
n
esia,
s
i
n
ce
ts
u
n
a
m
i
d
is
aster
af
ter
ea
r
th
q
u
ak
e
i
n
2
0
0
5
[
1
0
]
,
[
1
1
]
.
C
ad
r
e
s
w
er
e
co
n
d
u
cted
to
h
elp
P
HC
n
u
r
s
e
s
’
ac
ti
v
it
ies
i
n
t
h
is
p
r
o
g
r
a
m
.
T
h
ey
h
a
v
e
s
o
m
e
d
u
ties
s
u
ch
as
f
i
n
d
in
g
p
o
s
s
ib
l
e
m
en
tal
d
is
o
r
d
er
ca
s
es,
g
r
o
u
p
in
g
th
e
m
a
m
o
n
g
t
h
e
co
m
m
u
n
i
t
y
,
v
is
iti
n
g
t
h
eir
h
o
m
e,
r
ef
er
r
i
n
g
th
e
m
to
P
HC
s
,
m
o
tiv
a
tin
g
t
h
e
co
m
m
u
n
it
y
to
atten
d
to
ac
tiv
itie
s
p
r
o
v
id
ed
b
y
P
HC
,
a
n
d
d
o
cu
m
en
ta
tio
n
an
d
r
ep
o
r
tin
g
to
P
HC
[
1
0
]
,
[
1
1
]
.
Ma
n
y
p
atie
n
ts
an
d
f
a
m
il
y
s
u
f
f
er
in
g
t
s
u
n
a
m
i c
o
u
ld
b
e
h
elp
ed
b
y
c
ad
r
e
s
.
A
cc
o
r
d
in
g
to
th
e
ev
al
u
atio
n
o
f
N
A
D,
c
ad
r
e
s
d
etec
ted
2
,
6
0
2
ca
s
es
w
i
th
s
er
io
u
s
m
e
n
tal
d
is
o
r
d
er
s
(
m
o
s
tl
y
c
h
r
o
n
ic
p
s
y
c
h
o
s
is
)
,
a
n
d
tr
ea
ted
th
e
m
i
n
co
o
p
er
atio
n
w
ith
P
HC
tea
m
s
.
I
t
ca
n
b
e
p
r
o
v
id
ed
a
v
ital
lin
k
b
et
w
ee
n
t
h
e
p
atie
n
t
s
an
d
P
HC
d
o
cto
r
s
[1
2
]
.
B
ased
o
n
th
e
ab
o
v
e
ex
p
er
ien
ce
,
c
ad
r
e
s
in
o
th
er
ar
ea
s
r
ec
en
tl
y
h
a
v
e
b
ee
n
i
n
v
o
lv
ed
in
co
m
m
u
n
it
y
m
e
n
ta
l
h
ea
lt
h
p
r
o
g
r
a
m
as
v
o
lu
n
teer
s
to
h
elp
P
HC
n
u
r
s
es
.
Si
n
ce
c
a
d
r
e
s
h
av
e
q
u
ic
k
ac
ce
s
s
to
a
co
m
m
u
n
it
y
,
th
e
y
ca
n
p
lay
a
n
i
m
p
o
r
ta
n
t r
o
le
in
t
h
e
co
m
m
u
n
it
y
,
a
n
d
s
u
p
p
o
r
t th
e
co
m
m
u
n
it
y
.
P
atien
ts
w
it
h
m
e
n
tal
d
is
o
r
d
er
s
o
f
ten
e
x
p
er
ien
ce
lo
w
q
u
alit
y
o
f
li
f
e
(
QO
L
)
[
1
3
]
.
A
lth
o
u
g
h
t
h
eir
QO
L
ca
n
b
e
in
cr
ea
s
ed
b
y
th
e
s
u
p
p
o
r
t
f
r
o
m
t
h
e
co
m
m
u
n
it
y
,
it
is
p
o
s
s
ib
le
th
a
t
th
e
n
e
g
ati
v
e
ex
p
e
r
ien
ce
s
i
n
m
ee
ti
n
g
th
o
s
e
w
h
o
h
a
v
e
m
en
tal
h
ea
lt
h
p
r
o
b
lem
s
ar
e
co
n
f
o
u
n
d
ed
b
y
s
tig
m
a
a
n
d
p
o
o
r
ac
ce
s
s
to
m
e
n
tal
h
ea
l
th
s
er
v
ices
[1
3
]
.
I
t
is
s
h
o
w
n
t
h
at
QO
L
a
m
o
n
g
p
atien
t
s
w
it
h
m
e
n
tal
d
is
o
r
d
er
s
w
a
s
r
ated
g
o
o
d
o
r
v
er
y
g
o
o
d
b
y
9
0
-
9
2
%
o
f
th
o
s
e
w
h
o
s
a
w
f
r
ien
d
s
o
r
f
a
m
il
y
at
lea
s
t
w
ee
k
l
y
,
t
h
o
s
e
w
h
o
atten
d
ed
s
o
cial
o
r
leis
u
r
e
e
v
en
ts
o
r
f
ac
i
liti
es
a
t
least
m
o
n
t
h
l
y
a
n
d
th
o
s
e
w
h
o
f
elt
th
e
y
h
ad
at
leas
t
th
r
ee
p
eo
p
le
th
at
th
e
y
co
u
ld
co
u
n
t
o
n
.
I
n
co
n
tr
ast,
7
2
-
7
9
%
o
f
t
h
o
s
e
w
i
th
p
o
o
r
er
s
o
cial
s
u
p
p
o
r
t
r
ated
th
eir
q
u
alit
y
o
f
l
if
e
as
h
i
g
h
[
1
3
]
.
T
h
u
s
,
c
ad
r
e
s
ar
e
ex
p
ec
ted
to
a
f
f
ec
t
f
av
o
r
ab
l
y
to
t
h
e
p
er
ce
p
tio
n
,
attitu
d
e,
an
d
s
u
p
p
o
r
t
o
f
co
m
m
u
n
i
t
y
to
w
ar
d
th
e
p
atie
n
t
s
w
it
h
m
e
n
tal
d
i
s
o
r
d
er
s
,
w
h
ic
h
,
in
tu
r
n
,
co
n
tr
ib
u
te
to
th
e
QOL
a
m
o
n
g
th
e
p
atien
ts
.
S
u
w
ar
s
o
n
o
[
4
]
ar
g
u
ed
th
e
r
o
les
an
d
task
s
o
f
c
ad
r
e
s
in
ac
t
u
ati
n
g
th
e
co
m
m
u
n
i
t
y
,
al
th
o
u
g
h
c
ad
r
e
s
h
a
v
e
n
o
t s
h
o
w
n
th
eir
p
er
f
o
r
m
a
n
ce
m
a
x
i
m
all
y
in
t
h
is
f
ie
ld
.
I
f
t
h
i
s
is
tr
u
e,
it
m
a
y
m
ea
n
t
h
at
m
o
r
e
ef
f
ec
ti
v
e
tr
ai
n
in
g
i
s
r
eq
u
ir
e
d
f
o
r
c
ad
r
e
s
to
b
e
in
v
o
lv
ed
i
n
co
m
m
u
n
it
y
m
en
tal
h
ea
lt
h
p
r
o
g
r
a
m
.
T
ak
in
g
ab
o
v
e
i
n
to
co
n
s
id
er
ati
o
n
,
it
is
i
m
p
o
r
tan
t
to
clar
i
f
y
t
h
e
r
o
le
o
f
c
ad
r
e
s
in
co
m
m
u
n
i
t
y
m
en
ta
l
h
ea
lt
h
a
n
d
to
p
r
o
v
id
e
t
h
e
m
ap
p
r
o
p
r
iate
tr
ain
in
g
ab
o
u
t
m
e
n
t
al
h
ea
lt
h
.
Fo
r
th
i
s
p
u
r
p
o
s
e,
it
is
al
s
o
i
m
p
o
r
tan
t
to
k
n
o
w
h
o
w
c
ad
r
e
s
ac
t
u
all
y
p
er
ce
iv
e
p
atie
n
ts
w
i
th
m
e
n
tal
d
i
s
o
r
d
er
s
an
d
tr
ies
to
h
elp
t
h
e
m
,
an
d
w
h
e
th
er
t
h
eir
p
er
ce
p
tio
n
an
d
p
r
ac
tice
ar
e
a
s
s
o
ciate
d
w
ith
t
h
e
ex
p
er
ie
n
c
es
in
m
en
tal
h
ea
lt
h
tr
ain
i
n
g
f
o
r
th
e
c
ad
r
e
s
.
W
e
th
er
ef
o
r
e
co
n
d
u
cted
an
in
v
es
ti
g
atio
n
o
n
t
h
e
c
ad
r
e
s
’
p
er
ce
p
tio
n
s
to
w
ar
d
p
atien
ts
w
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ies.
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h
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ai
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u
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y
w
er
e;
1
)
to
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tify
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,
2
)
to
co
m
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th
eir
p
r
ac
tice
in
co
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u
ltatio
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RE
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2
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1
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P
a
rt
icipa
nts a
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pro
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cr
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tio
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0
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3
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au
t
h
o
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d
o
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l
y
c
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2
6
P
r
i
m
a
r
y
Hea
lt
h
C
en
ter
s
(
P
HC
s
)
a
m
o
n
g
th
e
5
3
P
HC
i
n
t
h
e
f
i
v
e
s
u
b
-
d
i
s
tr
icts
in
t
h
e
p
r
o
v
in
ce
.
Ho
w
ev
er
,
t
h
e
n
u
m
b
er
o
f
P
HC
s
in
ea
ch
d
is
tr
ict
w
a
s
p
r
o
p
o
r
tio
n
al
to
t
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e
p
o
p
u
latio
n
s
ize
o
f
t
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b
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d
is
tr
ict.
T
h
e
n
,
t
h
e
a
u
t
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k
ed
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ad
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t
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ese
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HC
s
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p
ar
ticip
ate
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th
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t
s
t
u
d
y
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T
h
e
in
c
lu
s
io
n
cr
ite
r
ia
w
as
b
ei
n
g
a
g
ed
1
8
o
r
o
v
er
,
b
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g
ab
le
to
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d
B
ah
asa
(
I
n
d
o
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g
u
ag
e)
,
an
d
b
ein
g
ac
tiv
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as
a
c
ad
r
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f
o
r
at
least
o
n
e
y
ea
r
.
T
h
e
ex
clu
s
io
n
cr
iter
ia
w
a
s
b
ein
g
i
n
ac
ti
v
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s
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f
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ical
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s
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r
liv
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n
th
e
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tio
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f
ar
f
r
o
m
P
HC
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T
h
e
last
ex
clu
s
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w
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m
ea
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s
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ld
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it
th
e
m
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t
h
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ter
m
.
A
s
a
r
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lt,
8
0
0
c
ad
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s
w
as
i
n
v
i
ted
to
th
e
p
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t
s
t
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ey
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2
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g
5
,
6
2
5
c
ad
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s
in
th
e
p
r
o
v
in
ce
s
[
1
2
].
A
s
elf
-
ad
m
in
is
tr
ated
q
u
es
tio
n
n
air
e
w
as
d
is
tr
ib
u
ted
to
th
e
a
b
o
v
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s
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m
p
les
w
h
e
n
th
e
y
g
o
t
to
g
eth
er
to
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m
ee
t
in
g
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ter
th
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y
co
m
p
leted
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th
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y
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w
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a
b
o
x
p
r
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ar
ed
f
o
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th
i
s
s
tu
d
y
at
P
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.
Fo
r
t
h
e
r
e
s
p
o
n
d
en
ts
liv
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g
f
ar
f
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m
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,
d
a
ta
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ited
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p
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llect
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d
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A
s
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6
1
9
s
a
m
p
les
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p
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t
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n
i
v
er
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it
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o
f
N
u
r
s
i
n
g
a
n
d
Hea
lth
Scie
n
ce
s
,
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ap
an
,
an
d
also
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er
m
it
ted
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h
e
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m
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t
o
f
t
h
e
m
,
6
1
9
(
9
7
.
6
%)
r
esp
o
n
d
ed
;
9
7
.
6
%
w
er
e
f
e
m
a
le,
an
d
6
6
.
4
%
w
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e
3
5
-
5
4
y
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ld
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av
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et
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ic
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m
aj
o
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9
7
.
6
%),
9
5
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3
%
w
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e
m
ar
r
ied
,
an
d
8
2
.
2
% h
ad
j
o
b
.
2
.
2
.
Q
ue
s
t
io
nn
a
ire
T
h
e
q
u
esti
o
n
n
air
es
u
s
ed
i
n
t
h
e
p
r
esen
t
s
tu
d
y
co
n
tai
n
ed
s
i
x
p
ar
ts
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n
t
h
e
p
r
esen
t
p
ap
er
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h
o
w
ev
er
,
o
n
l
y
th
r
ee
p
ar
ts
(
P
ar
t
A
,
p
ar
t
B
an
d
p
a
r
t
C
s
ec
tio
n
s
)
ar
e
r
ep
o
r
ted
,
an
d
o
th
er
p
ar
ts
w
i
ll
b
e
r
ep
o
r
ted
else
w
h
er
e.
W
e
d
id
n
o
t d
o
v
alid
ity
a
n
d
r
eliab
ilit
y
tes
t
b
ec
au
s
e
t
h
e
q
u
es
tio
n
n
a
ir
e
is
co
m
m
o
n
u
s
ed
in
p
r
ev
io
u
s
s
tu
d
y
.
P
ar
t
A
i
n
cl
u
d
es
d
e
m
o
g
r
ap
h
ic
v
ar
iab
les
n
a
m
el
y
s
e
x
,
a
g
e,
m
a
r
ital
s
tat
u
s
,
e
th
n
ici
t
y
,
d
is
tr
ict
w
h
er
e
t
h
e
y
liv
e,
o
cc
u
p
atio
n
,
i
n
co
m
e,
a
n
d
y
ea
r
s
o
f
c
ad
r
e
s’
e
x
p
er
ien
ce
.
T
h
eir
ag
e
w
as
ca
teg
o
r
ized
i
n
t
o
1
8
-
2
4
,
2
5
-
3
4
,
3
5
-
5
4
an
d
5
5
+
y
ea
r
s
ac
co
r
d
in
g
t
o
a
p
r
ev
io
u
s
liter
atu
r
e
[
1
4
]
.
Ma
r
ital
s
tatu
s
w
as
ca
te
g
o
r
ized
in
to
s
in
g
le,
m
ar
r
ied
,
an
d
w
id
o
w
.
E
t
h
n
icit
y
w
as
ca
teg
o
r
ized
in
to
n
o
n
J
av
an
e
s
e
a
n
d
J
av
an
ese.
Am
o
n
g
f
i
v
e
d
is
tr
icts
,
t
w
o
d
i
s
tr
icts
(
J
o
g
j
a
an
d
B
an
tu
l)
ar
e
in
u
r
b
an
ar
ea
,
an
d
t
h
e
o
t
h
er
s
ar
e
i
n
r
u
r
al
ar
ea
(
S
le
m
a
n
,
G
u
n
u
n
g
Kid
u
l
a
n
d
Ku
lo
n
P
r
o
g
o
)
.
On
l
y
Sle
m
a
n
h
a
s
a
g
e
n
er
al
m
e
n
tal
h
o
s
p
ital.
Occ
u
p
a
tio
n
w
as
ca
te
g
o
r
ized
in
to
f
u
ll
ti
m
e
j
o
b
,
p
a
r
t
tim
e
j
o
b
,
an
d
h
o
u
s
e
w
i
f
e.
T
h
ei
r
in
co
m
e
w
as
ca
te
g
o
r
ized
in
to
I
DR
0
-
9
5
0
,
0
0
0
(
lo
w
in
co
m
e)
,
I
D
R
9
5
0
,
0
0
0
-
2
,
0
0
0
,
0
0
0
(
m
id
d
le
i
n
co
m
e)
,
a
n
d
m
o
r
e
t
h
an
I
DR
2
,
0
0
0
,
0
0
0
(
h
ig
h
i
n
co
m
e)
.
Yea
r
s
o
f
c
ad
r
e
s
’
e
x
p
er
ien
ce
w
er
e
ca
teg
o
r
ized
in
t
o
“
le
s
s
t
h
a
n
1
0
y
ea
r
s
”
an
d
“
o
v
er
t
h
an
1
0
y
ea
r
s
.
P
ar
t
B
in
clu
d
es
q
u
es
tio
n
s
c
o
n
ce
r
n
i
n
g
th
r
ee
v
i
g
n
ettes.
T
w
o
v
i
g
n
e
ttes
ab
o
u
t
s
c
h
izo
p
h
r
en
ia
a
n
d
d
ep
r
ess
io
n
w
er
e
ta
k
en
f
r
o
m
Ma
cA
r
t
h
u
r
h
ea
lt
h
Mo
d
u
le
o
f
th
e
1
9
9
6
g
e
n
er
al
So
cial
Su
r
v
e
y
,
t
h
e
v
i
g
n
e
tte
d
ev
elo
p
ed
b
y
th
e
r
esear
ch
er
s
p
ilo
ted
[
1
5
]
,
an
d
an
o
th
er
v
ig
n
ette
w
as
m
ad
e
b
y
t
h
e
au
t
h
o
r
s
(
th
e
f
ir
s
t
v
ig
n
ette)
.
T
h
e
f
ir
s
t
v
i
g
n
et
te
d
escr
ib
es
a
w
o
m
a
n
w
h
o
h
a
s
s
c
h
izo
p
h
r
en
ia
-
lik
e
s
y
m
p
to
m
s
,
e.
g
.
h
all
u
ci
n
atio
n
,
d
is
o
r
ien
tatio
n
,
talk
in
g
b
y
h
er
s
elf
,
a
n
d
d
e
f
icit
o
f
p
er
s
o
n
al
h
y
g
ie
n
e.
T
h
e
r
esp
o
n
s
e
s
to
t
h
e
f
ir
s
t
a
n
d
s
ec
o
n
d
q
u
esti
o
n
s
w
er
e
d
is
cu
s
s
ed
w
it
h
th
e
t
w
o
p
r
ev
io
u
s
s
t
u
d
ies
i
n
w
h
ic
h
al
m
o
s
t
th
e
s
a
m
e
q
u
e
s
ti
o
n
s
w
er
e
u
s
ed
.
T
h
e
s
ec
o
n
d
v
i
g
n
e
tte
ill
u
s
tr
ate
s
s
o
m
eo
n
e
w
i
th
a
m
en
tal
d
is
o
r
d
er
(
talk
i
n
g
b
y
h
i
m
s
e
lf
,
h
as
d
elu
s
i
o
n
,
o
f
ten
d
o
b
izar
r
e
be
h
av
io
r
al
an
d
s
o
m
eti
m
es
ac
t
ag
g
r
e
s
s
i
v
el
y
)
.
T
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th
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v
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g
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et
te
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o
u
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m
an
w
h
o
h
as
d
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-
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k
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p
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s
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g
.
lack
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m
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leep
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d
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As
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w
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s
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d
t
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d
v
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,
r
esp
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’
p
e
r
ce
p
tio
n
w
a
s
ask
ed
a
s
f
o
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w
s
[
1
5
]
.
Ser
io
u
s
n
ess
o
f
m
en
tal
illn
e
s
s
w
as
m
ea
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s
i
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g
a
q
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esti
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h
th
r
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m
s
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s
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s
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m
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w
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s
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s
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Ho
w
ev
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,
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e
g
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u
p
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th
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e
r
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o
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s
e
s
in
to
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ich
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v
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v
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d
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.
T
h
e
p
o
s
s
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le
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u
s
es
o
f
m
e
n
tal
ill
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er
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k
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n
g
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k
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ated
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tal
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n
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Nag
a
s
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k
i
(
J
ap
an
)
b
y
Na
k
a
n
e
[
1
6
]
,
an
d
th
e
s
t
u
d
y
i
n
t
h
e
Un
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St
ates [
8
]
.
2
.
3
.
Da
t
a
a
na
ly
s
is
W
e
ex
a
m
i
n
ed
th
e
as
s
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ciatio
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o
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p
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p
tio
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w
ith
d
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m
o
g
r
ap
h
ic
d
ata
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g
en
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ag
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in
co
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,
m
ar
ital
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tatu
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et
h
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ic,
o
cc
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c
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a
n
d
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r
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ex
p
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ien
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)
,
u
s
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ch
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2
-
te
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t.
Ne
x
t,
t
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p
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m
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s
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2
-
tes
t
an
d
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d
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r
atio
(
OR
)
.
A
ll
th
e
an
a
l
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s
es
w
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co
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w
it
h
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ex
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p
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ab
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SP
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Stati
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1
7
f
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in
d
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tati
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p
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k
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e.
3.
RE
SU
L
T
S
AND
AN
AL
Y
SI
S
3
.
1
.
Ca
dre
s’
perc
ept
io
n t
o
w
a
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m
e
nta
l dis
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s
a
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rn
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l dif
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I
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m
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it
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h
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s
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t
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m
i
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I
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d
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s
ia,
P
r
i
m
ar
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He
alth
C
en
ter
(
P
HC
)
d
ep
en
d
s
o
n
c
ad
r
e
as
C
HW
,
an
d
c
ad
r
e
s
p
la
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r
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f
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co
m
m
u
n
it
y
to
r
ea
c
h
h
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lt
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s
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v
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s
[
3
]
.
T
h
e
c
ad
r
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s
’
p
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f
o
r
m
a
n
ce
h
as
b
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p
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ticu
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l
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v
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ater
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ch
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I
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I
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d
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esia,
h
o
w
ev
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,
9
0
%
o
f
p
atien
ts
w
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m
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ta
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e
e
v
en
b
asic
m
en
ta
l
h
ea
lt
h
ca
r
e
[
1
7
]
.
C
ase
-
f
in
d
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n
g
f
o
r
th
e
m
a
n
d
t
h
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p
r
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g
n
o
s
is
ar
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o
f
te
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a
f
f
ec
ted
b
y
th
e
p
er
ce
p
tio
n
a
n
d
atti
tu
d
e
o
f
s
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ciet
y
to
w
ar
d
m
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tal
d
i
s
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r
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s
,
w
h
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i
s
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ig
h
l
y
d
ep
en
d
en
t
o
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th
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k
n
o
w
led
g
e
to
w
ar
d
m
en
tal
d
is
o
r
d
er
s
[
1
8
]
.
C
ad
r
es
ar
e
ex
p
ec
ted
to
tak
e
a
r
o
le
n
o
t
o
n
l
y
to
d
ir
ec
tl
y
h
el
p
p
atien
ts
,
b
u
t
also
to
in
d
ir
ec
t
af
f
ec
t
th
e
ab
o
v
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p
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p
tio
n
an
d
attitu
d
e
o
f
in
d
iv
id
u
als
i
n
co
m
m
u
n
it
y
[
1
8
]
.
Ho
w
e
v
er
,
c
ad
r
e
s
h
av
e
n
o
t
s
h
o
w
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t
h
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p
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f
o
r
m
a
n
ce
m
ax
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m
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ll
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co
m
m
u
n
it
y
m
e
n
tal
h
ea
lt
h
ex
c
ep
t so
m
e
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eg
io
n
s
w
h
ich
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x
p
er
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ce
d
a
ter
r
ib
le
ea
r
th
q
u
ak
e
an
d
ts
u
n
a
m
i [
4
]
.
T
h
e
I
n
d
o
n
es
ia
n
atio
n
al
g
o
v
er
n
m
e
n
t
t
h
er
ef
o
r
e
en
ac
ted
Me
n
t
al
Hea
lth
L
a
w
i
n
A
u
g
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s
t
2
0
1
4
,
w
h
ic
h
is
ex
p
ec
ted
to
co
n
tr
ib
u
te
to
t
h
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s
p
r
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d
o
f
co
r
r
ec
t
k
n
o
w
led
g
e
co
n
ce
r
n
i
n
g
m
e
n
tal
d
is
o
r
d
er
s
.
T
h
is
la
w
,
h
o
w
e
v
er
,
h
ad
n
o
t e
s
tab
lis
h
ed
y
et
w
h
e
n
t
h
e
p
r
esen
t s
tu
d
y
w
as c
o
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d
u
cte
d
.
T
h
e
f
ir
s
t
f
i
n
d
in
g
o
f
th
e
p
r
ese
n
t
s
t
u
d
y
i
s
co
n
ce
r
n
in
g
t
h
e
co
m
p
ar
is
o
n
in
th
e
p
er
ce
p
tio
n
to
war
d
m
e
n
ta
l
d
is
o
r
d
er
s
am
o
n
g
c
ad
r
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s
a
n
d
t
h
e
g
e
n
er
al
p
o
p
u
latio
n
in
J
ap
an
o
r
th
e
US
[
8
]
,
[
9
]
.
A
p
ar
t
o
f
c
ad
r
e
s
’
k
n
o
w
led
g
e
an
d
p
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ce
p
tio
n
f
o
r
m
e
n
tal
d
is
o
r
d
er
s
ap
p
ea
r
in
ad
eq
u
ate,
in
co
m
p
ar
is
o
n
w
i
th
t
h
e
p
r
ev
io
u
s
r
ep
o
r
ts
f
r
o
m
th
e
ab
o
v
e
t
w
o
co
u
n
tr
ie
s
.
T
h
e
c
ad
r
e
s
s
ee
m
p
ess
i
m
is
tic
ab
o
u
t
t
h
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p
o
s
s
ib
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y
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f
r
ec
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er
y
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n
d
th
e
ab
ilit
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m
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k
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tr
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t
m
e
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t
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d
m
a
n
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i
n
g
m
o
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e
y
a
m
o
n
g
th
e
p
ati
en
ts
.
T
h
i
s
ap
p
ea
r
s
co
r
r
ec
t
if
a
p
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tag
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r
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t
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p
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at
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,
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k
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m
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et
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l.
I
t i
s
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o
r
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ab
le
f
o
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th
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m
to
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p
ess
i
m
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s
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o
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e.
Fu
r
t
h
er
m
o
r
e
f
a
m
il
y
m
e
m
b
er
s
in
J
a
v
an
e
s
e
i
s
s
o
clo
s
e
ea
ch
o
th
er
[
1
9
]
,
[
2
0
]
th
at
p
atie
n
ts
ea
s
il
y
g
e
t
h
e
lp
f
o
r
m
ak
in
g
d
ec
is
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f
r
o
m
th
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ir
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i
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g
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al.
T
h
i
s
J
av
a
n
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cu
ltu
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b
ac
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elp
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p
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o
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,
w
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clo
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to
a
k
in
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o
f
p
ater
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m
.
T
h
e
c
ad
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,
h
o
w
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v
er
,
s
h
o
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tag
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p
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p
tio
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d
m
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tal
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is
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r
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s
.
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h
e
y
b
eliev
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th
at
p
atien
ts
w
it
h
m
e
n
tal
d
is
o
r
d
er
s
less
v
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n
t
to
o
th
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,
th
at
is
q
u
ite
d
if
f
er
e
n
t
w
it
h
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esu
lt
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f
t
h
e
p
r
ev
io
u
s
s
t
u
d
y
n
a
m
el
y
in
J
ap
an
an
d
th
e
US
[
8
]
,
[
9
]
,
an
d
th
is
,
i
n
tu
r
n
,
m
a
y
co
n
tr
ib
u
t
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to
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p
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d
r
elatio
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s
h
ip
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b
et
w
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n
t
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e
p
ati
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ts
an
d
t
h
e
c
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s
.
T
h
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c
ad
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s
also
p
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ce
iv
ed
lo
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r
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s
k
o
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icid
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f
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th
e
s
e
p
atien
ts
,
co
m
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ar
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w
it
h
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g
en
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al
p
o
p
u
latio
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i
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J
ap
an
an
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US.
T
h
is
m
a
y
r
ef
lect
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ac
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t
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ic
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m
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ta
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s
ia
[
2
0
]
,
b
ased
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Mo
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le
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b
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k
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n
d
th
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n
J
ap
an
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th
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US.
3
.
2
.
Co
ns
ulta
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co
ncer
nin
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pa
t
ient
s
w
it
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m
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nta
l dis
o
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T
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c
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r
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tati
v
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o
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d
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in
t
h
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co
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m
u
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it
y
(
T
ab
le
1
)
,
w
h
ic
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s
ee
m
s
a
g
o
o
d
ch
o
ice.
T
h
eir
s
ec
o
n
d
ch
o
ice
w
as
co
n
s
u
ltatio
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w
i
th
co
m
m
u
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it
y
lead
er
s
.
T
h
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s
ee
m
s
r
ea
s
o
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ab
le
in
I
n
d
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s
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an
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Asi
a
cu
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u
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w
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ag
e
s
p
er
s
o
n
s
h
elp
i
n
g
e
ac
h
o
th
er
[
2
0]
,
[
2
1
]
.
C
o
m
p
ar
ed
w
it
h
t
h
e
g
en
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al
p
o
p
u
latio
n
i
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t
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e
o
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t
w
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co
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tr
ies,
it
w
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f
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c
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co
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p
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w
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m
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tal
d
is
o
r
d
er
s
w
i
th
alter
n
ati
v
e
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ap
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r
Evaluation Warning : The document was created with Spire.PDF for Python.
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31
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p
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Yo
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l
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m
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f
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a
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s
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p
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f
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o
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t
h
e
h
o
s
p
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P
HC
s
w
h
o
le
o
f
d
is
tr
ict
s
in
Yo
g
y
ak
ar
ta.
T
ab
le
1
.
C
o
n
s
u
lta
n
ts
f
o
r
P
o
s
s
ib
le
P
atien
ts
w
it
h
A
Me
n
tal
D
i
s
o
r
d
er
C
o
n
s
u
l
t
a
n
t
s
I
n
d
o
n
e
si
a
Jap
a
n
1
5)
T
h
e
U
S
14)
C
o
mm
u
n
i
t
y
l
e
a
d
e
r
s
2
8
.
8
%
-
-
F
a
mi
l
y
a
n
d
f
r
i
e
n
d
s
-
-
5
0
.
9
%
P
u
b
l
i
c
H
e
a
l
t
h
C
e
n
t
e
r
o
r
n
u
r
se
o
r
g
e
n
e
r
a
l
p
h
y
si
c
i
a
n
(
n
o
n
sp
e
c
i
a
l
i
s
t
)
4
0
.
9
%
3
1
.
4
%
1
6
.
9
%
M
e
n
t
a
l
h
o
s
p
i
t
a
l
(
P
sy
c
h
i
a
t
r
i
st
)
M
e
n
t
a
l
h
o
s
p
i
t
a
l
P
sy
c
h
i
a
t
r
i
s
t
2
8
.
8
%
5
6
.
1
%
6
.
5
%
7
.
6
%
A
l
t
e
r
n
a
t
i
v
e
me
d
i
c
i
n
e
/
su
p
r
a
-
n
a
t
u
r
a
l
,
r
e
l
i
g
i
o
u
s l
e
a
d
e
r
1
.
3
%
7
.
5
%
1
0
.
2
%
P
o
l
i
c
e
o
f
f
i
c
e
r
-
4
.
7
%
-
T
a
k
e
me
d
i
c
i
n
e
-
N
o
n
p
r
e
scri
p
t
i
o
n
me
d
i
c
i
n
e
-
P
r
e
scri
p
t
i
o
n
me
d
i
c
i
n
e
-
-
0
.
2
%
6
.
5
%
T
h
e
r
a
p
i
st
(
c
o
u
n
se
l
o
r
,
p
sy
c
h
o
l
o
g
i
st
)
-
-
1
0
.
4
%
T
o
t
a
l
1
0
0
%
1
0
0
%
1
0
0
%
3
.
3
.
Ca
dre
ex
perie
nce
in t
ra
ini
ng
a
bo
ut
m
ent
a
l hea
lt
h
As
f
a
r
as
T
ab
le
2
is
co
n
ce
r
n
e
d
,
m
en
tal
h
ea
lt
h
tr
ai
n
i
n
g
f
o
r
c
ad
r
e
s
h
as
al
m
o
s
t
n
o
i
n
f
lu
e
n
c
e
o
n
t
h
ei
r
p
er
ce
p
tio
n
to
w
ar
d
m
en
ta
l d
is
o
r
d
er
s
,
esp
ec
ially
to
i
s
s
u
e
o
f
s
c
h
izo
p
h
r
en
ia.
T
ab
le
2
.
Dem
o
g
r
ap
h
ic
B
ac
k
g
r
o
u
n
d
o
f
T
r
ain
e
d
an
d
Un
tr
ain
e
d
C
ad
r
e
s
f
o
r
Me
n
tal
Hea
lt
h
V
a
r
i
a
b
l
e
s
I
t
e
ms
T
r
a
i
n
i
n
g
N
(
%)
t
e
st
1
P
r
e
se
n
t
A
b
se
n
t
Y
e
a
r
s o
f
c
a
d
r
e
’
s
e
x
p
e
r
i
e
n
c
e
S
h
o
r
t
(
<
1
0
y
r
s)
L
o
n
g
(
>
=
1
0
y
r
s)
8
3
(
2
2
.
9
6
%)
8
9
(
4
3
.
8
4
%)
2
9
5
(
7
8
.
0
4
%)
1
1
4
(
5
6
.
1
6
%)
3
7
8
(
1
0
0
%)
2
0
3
(
1
0
0
%)
P
<
0
.
0
0
1
A
r
e
a
R
u
r
a
l
U
r
b
a
n
1
0
0
(
3
3
.
2
2
%)
8
1
(
2
6
.
2
9
%)
2
0
1
(
6
6
.
7
7
%)
2
2
7
(
7
3
.
7
0
%)
3
0
1
(
1
0
0
%)
3
0
8
(
1
0
0
%)
NS
Ed
u
c
a
t
i
o
n
a
l
b
a
c
k
g
r
o
u
n
d
L
o
w
l
e
v
e
l
H
i
g
h
l
e
v
e
l
5
0
(
2
5
.
5
1
%)
1
3
0
(
3
1
.
7
1
%)
1
4
6
(
7
4
.
4
9
%)
2
8
0
(
6
8
.
2
9
%)
1
9
6
(
1
0
0
%)
4
1
0
(
1
0
0
%)
NS
1
Fis
h
er
’
s
ex
ac
t p
r
o
b
ab
ilit
y
test
N=
6
1
9
,
m
is
s
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s
e
s
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as e
x
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ed
f
r
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m
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u
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tio
n
.
Ho
w
e
v
er
,
o
n
l
y
a
m
o
n
g
th
e
c
ad
r
e
s
w
it
h
lo
n
g
ex
p
er
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ce
s
,
th
e
tr
ai
n
ed
c
ad
r
e
s
s
ee
m
to
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e
m
o
r
e
s
en
s
iti
v
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s
s
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m
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tal
d
is
o
r
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er
s
th
an
t
h
e
u
n
tr
ain
ed
(
T
a
b
le
3
)
.
Me
n
tal
h
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lt
h
tr
ai
n
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g
f
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r
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e
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is
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all
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ter
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a
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t
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,
w
h
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s
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r
i
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in
a
l
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id
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c
e
C
MH
N
I
n
ter
m
ed
iate
C
o
u
r
s
e
p
r
o
p
o
s
es
at
le
s
s
3
d
ay
s
(
8
0
h
o
u
r
s
)
[
1
1
]
.
T
h
e
co
n
ten
t
s
o
f
th
e
cu
r
r
en
t
m
en
ta
l
h
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lt
h
tr
ai
n
i
n
g
co
n
s
is
t
o
f
d
ef
i
n
itio
n
,
s
i
g
n
,
a
n
d
s
y
m
p
to
m
s
o
f
m
en
tal
d
is
o
r
d
er
s
,
an
d
h
o
w
to
h
elp
th
e
p
atien
t
s
.
B
ased
o
n
th
e
r
es
u
lts
o
f
th
e
p
r
esen
t
s
tu
d
y
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it
is
n
ee
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ed
to
ad
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th
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co
n
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ts
s
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ch
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f
m
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d
is
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d
p
o
s
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ilit
y
o
f
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ec
o
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a
m
.
C
o
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t k
n
o
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t t
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s
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m
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tal
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is
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er
s
ca
n
r
ed
u
ce
th
e
s
ti
g
m
a
ag
ai
n
s
t
m
e
n
tal
illn
e
s
s
[
1
7
]
.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
SS
N
:
2
2
5
2
-
8806
I
J
P
HS
Vo
l.
5
,
No
.
1
, M
ar
ch
2
0
1
6
:
2
7
–
3
5
32
T
ab
le
3
.
P
er
ce
p
tio
n
T
o
w
ar
d
Me
n
tal
Di
s
o
r
d
er
s
an
d
T
r
ain
in
g
I
n
Me
n
tal
Hea
lt
h
V
i
g
n
e
t
t
e
V
a
r
i
a
b
l
e
I
t
e
ms
M
e
n
t
a
l
H
e
a
l
t
h
T
r
a
i
n
i
n
g
t
e
st
1
A
b
se
n
t
P
r
e
se
n
t
D
e
p
r
e
ssi
o
n
S
e
r
i
o
u
sn
e
ss o
f
me
n
t
a
l
d
i
so
r
d
e
r
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S
e
r
i
o
u
s
-
N
o
t
se
r
i
o
u
s
3
7
5
(
9
3
.
9
%)
35
(
6
.
1
%)
1
6
5
(
9
3
.
8
%)
11
(
6
.
2
%)
NS
P
o
ssi
b
i
l
i
t
y
f
o
r
a
p
a
t
i
e
n
t
t
o
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n
j
u
r
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l
f
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-
I
mp
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b
l
e
3
7
0
(
9
0
%)
41
(
1
0
%)
1
6
5
(
9
3
.
8
%)
11
(
6
.
2
%)
NS
P
o
ssi
b
i
l
i
t
y
f
o
r
a
p
a
t
i
e
n
t
t
o
d
o
so
me
t
h
i
n
g
v
i
o
l
e
n
t
t
o
o
t
h
e
r
s
-
P
o
ssi
b
l
e
-
I
mp
o
ssi
b
l
e
3
0
7
(
7
8
.
9
%)
82
(
2
1
.
1
%)
1
3
5
(
7
9
.
9
%)
34
(
2
0
.
1
%)
NS
A
b
i
l
i
t
y
t
o
mak
e
a
t
r
e
a
t
me
n
t
d
e
c
i
si
o
n
2
-
A
b
l
e
-
D
i
sa
b
l
e
1
8
2
(
4
8
.
7
%)
1
9
2
(
5
1
.
3
%)
90
(
5
2
.
9
%)
80
(
4
7
.
1
%)
NS
A
b
i
l
i
t
y
t
o
mak
e
a
ma
n
a
g
e
mo
n
e
y
2
-
A
b
l
e
-
D
i
sa
b
l
e
1
1
6
(
3
0
.
6
%)
2
6
3
(
6
9
.
4
%)
52
(
3
0
.
4
%)
1
1
9
(
6
9
.
6
%)
NS
H
o
w
l
i
k
e
l
y
i
s t
h
a
t
s
i
t
u
a
t
i
o
n
w
i
l
l
i
mp
r
o
v
e
b
y
h
e
r
/
h
i
mse
l
f
-
P
o
ssi
b
l
e
-
I
mp
o
ssi
b
l
e
2
4
7
(
6
2
.
7
%)
1
4
7
(3
7
.
3
%)
1
1
8
(
6
7
.
4
%)
57
(
3
2
.
6
%)
NS
H
o
w
l
i
k
e
l
y
i
s t
h
a
t
s
i
t
u
a
t
i
o
n
w
i
l
l
i
mp
r
o
v
e
b
y
t
r
e
a
t
me
n
t
-
P
o
ssi
b
l
e
-
I
mp
o
ssi
b
l
e
3
9
0
(
9
6
.
8
%)
13
(
3
.
2
%)
1
7
3
(
9
8
.
3
%)
3
(
1
.
7
%)
NS
S
c
h
i
z
o
p
h
r
e
n
i
a
S
e
r
i
o
u
sn
e
ss o
f
me
n
t
a
l
d
i
so
r
d
e
r
-
S
e
r
i
o
u
s
-
N
o
t
se
r
i
o
u
s
3
8
8
(
9
3
%)
29
(
7
%)
1
7
0
(
9
6
%)
7
(
4
%)
NS
P
o
ssi
b
i
l
i
t
y
f
o
r
a
p
a
t
i
e
n
t
t
o
i
n
j
u
r
e
h
e
r
/
h
i
mse
l
f
-
P
o
ssi
b
l
e
-
I
mp
o
ssi
b
l
e
3
3
0
(
8
3
.
3
%)
66
(
1
6
.
7
%)
1
4
6
(
8
3
.
9
%)
28
(
1
6
.
1
%)
NS
P
o
ssi
b
i
l
i
t
y
f
o
r
a
p
a
t
i
e
n
t
t
o
d
o
so
me
t
h
i
n
g
v
i
o
l
e
n
t
t
o
o
t
h
e
r
s
-
P
o
ssi
b
l
e
-
I
mp
o
ssi
b
l
e
2
9
5
(
7
3
.
8
%)
1
0
5
(
2
6
.
2
%)
1
3
1
(
7
5
.
3
%)
43
(
2
4
.
7
%)
NS
A
b
i
l
i
t
y
t
o
mak
e
a
T
r
e
a
t
me
n
t
d
e
c
i
si
o
n
2
-
A
b
l
e
-
D
i
sa
b
l
e
1
9
7
(
4
6
.
4
%)
2
2
8
(
5
3
.
6
%)
91
(
5
1
.
1
%)
87
(
4
8
.
9
%)
NS
A
b
i
l
i
t
y
t
o
mak
e
a
M
a
n
a
g
e
mo
n
e
y
2
-
A
b
l
e
-
D
i
sa
b
l
e
1
4
0
(
3
5
.
9
%)
2
5
0
(
6
4
.
1
%)
63
(
3
6
.
8
%)
1
0
8
(
6
3
.
2
%)
NS
H
o
w
l
i
k
e
l
y
i
s t
h
a
t
s
i
t
u
a
t
i
o
n
w
i
l
l
i
mp
r
o
v
e
o
n
i
t
s
se
l
f
-
P
o
ssi
b
l
e
-
I
mp
o
ssi
b
l
e
2
2
7
(
5
7
.
8
%)
1
6
6
(
4
2
.
2
%)
95
(
5
3
.
4
%)
83
(
4
6
.
6
%)
NS
H
o
w
l
i
k
e
l
y
i
s t
h
a
t
s
i
t
u
a
t
i
o
n
w
i
l
l
i
mp
r
o
v
e
b
y
t
r
e
a
t
me
n
t
-
P
o
ssi
b
l
e
-
I
mp
o
ssi
b
l
e
3
8
5
(
9
5
.
5
%)
18
(
4
.
5
%)
1
7
4
(
9
7
.
2
%)
5
(
2
.
8
%)
NS
1
F
ish
e
r’s ex
a
c
t
p
ro
b
a
b
i
li
ty
tes
t
2
Re
sp
o
n
d
e
n
ts
w
h
o
a
n
sw
e
r
“
d
o
n
’t
k
n
o
w
”
a
re
e
x
c
lu
d
e
d
f
ro
m
tab
u
latio
n
I
n
co
n
tr
as
t,
w
h
eth
er
a
c
ad
r
e
h
ad
e
v
er
m
e
t
t
h
e
ac
t
u
al
ca
s
es
w
it
h
m
e
n
tal
d
i
s
o
r
d
er
s
lik
e
th
e
th
ir
d
v
ig
n
ette
s
w
er
e
as
s
o
ciate
d
w
it
h
t
h
e
in
v
ie
w
s
o
n
m
e
n
tal
h
e
alth
(
T
ab
le
4
)
.
T
h
ese
r
esu
lts
s
u
g
g
e
s
t
th
at
ac
t
u
al
ex
p
er
ien
ce
s
i
n
m
ee
ti
n
g
th
e
ca
s
es
co
n
tr
ib
u
te
to
i
m
p
r
o
v
e
c
ad
r
e
s
’
p
er
ce
p
tio
n
co
n
ce
r
n
in
g
m
e
n
tal
d
is
o
r
d
er
s
b
etter
th
an
t
h
e
p
r
ev
io
u
s
m
en
tal
h
e
alth
tr
ain
i
n
g
.
St
ig
m
a
g
e
n
er
al
l
y
d
e
v
elo
p
s
b
y
t
h
e
i
n
ter
ac
ti
o
n
b
et
w
ee
n
t
h
r
ee
d
i
m
en
s
io
n
al
ax
i
s
,
p
er
s
p
ec
ti
v
e,
id
en
tit
y
,
a
n
d
r
ea
ctio
n
[
2
2
]
.
I
f
th
e
e
x
p
er
ien
ce
s
i
n
m
ee
ti
n
g
th
e
ca
s
es
i
m
p
r
o
v
e
th
e
c
ad
r
e
s
’
in
f
o
r
m
atio
n
an
d
k
n
o
w
led
g
e
to
c
h
an
g
e
t
h
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p
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tio
n
to
w
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d
m
e
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tal
d
i
s
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r
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er
s
,
th
is
w
i
ll
h
elp
to
r
ed
u
ce
th
eir
s
ti
g
m
a
to
th
e
p
eo
p
le
w
it
h
m
e
n
tal
d
is
o
r
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s
.
T
h
is
p
o
s
s
ib
ilit
y
s
h
o
u
ld
b
e
t
ak
e
n
i
n
to
co
n
s
id
er
atio
n
to
p
lan
th
e
f
u
tu
r
e
m
en
ta
l h
ea
lt
h
t
r
ain
in
g
f
o
r
c
ad
r
e
s.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
J
P
HS
I
SS
N:
2252
-
8806
P
ercep
tio
n
o
f Co
mmu
n
ity
Hea
lth
W
o
r
ke
r
s
in
I
n
d
o
n
esia
To
w
a
r
d
P
a
tien
ts
w
ith
.
.
.
.
(
S
h
a
n
ti W
a
r
d
a
n
in
g
s
ih
)
33
T
ab
le
4
.
A
s
s
o
ciatio
n
o
f
Me
n
ta
l H
ea
lth
T
r
ain
in
g
w
it
h
P
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ce
p
tio
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y
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r
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f
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x
p
er
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V
i
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e
t
t
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V
a
r
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a
b
l
e
Y
r
s
C
a
d
r
e
s
1
T
r
a
i
n
i
n
g
2
S
h
o
r
t
(
1
0
y
r
s)
P
3
L
o
n
g
(
>
=
1
0
y
r
s)
P
3
A
b
se
n
t
P
r
e
se
n
t
A
b
se
n
t
P
r
e
se
n
t
D
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p
r
e
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o
n
S
e
r
i
o
u
sn
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ss o
f
me
n
t
a
l
d
i
so
r
d
e
r
-
S
e
r
i
o
u
s
-
N
o
t
se
r
i
o
u
s
2
6
2
(
9
3
.
6
%)
18
(
6
.
4
%)
70
(
8
8
.
6
%)
9
(
1
1
.
4
%)
NS
97
(
8
7
.
4
%)
14
(
1
2
.
6
%)
85
(
9
7
.
7
%)
2
(
2
.
3
%)
0
.
0
1
4
P
o
ssi
b
i
l
i
t
y
f
o
r
a
p
a
t
i
e
n
t
t
o
i
n
j
u
r
e
h
e
r
/
h
i
mse
l
f
-
P
o
ssi
b
l
e
-
I
mp
o
ssi
b
l
e
2
6
1
(
9
1
.
6
%)
24
(
8
.
4
%)
76
(
9
3
.
8
%)
5
(
6
.
2
%)
NS
93
(
8
6
.
9
%)
14
(
1
3
.
1
%)
81
(
9
4
.
2
%)
5
(
5
.
8
%)
NS
P
o
ssi
b
i
l
i
t
y
f
o
r
a
p
a
t
i
e
n
t
t
o
d
o
so
me
t
h
i
n
g
v
i
o
l
e
n
t
t
o
o
t
h
e
r
s
-
P
o
ssi
b
l
e
-
I
mp
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ssi
b
l
e
2
2
0
(
8
2
.
4
%)
47
(
1
7
.
6
%)
67
(
8
4
.
8
%)
12
(
1
5
.
2
%)
NS
74
(
7
1
.
8
%
)
29
(
2
8
.
2
%)
60
(
7
4
.
1
%)
21
(
2
5
.
9
%)
NS
A
b
i
l
i
t
y
t
o
mak
e
a
t
r
e
a
t
me
n
t
d
e
c
i
si
o
n
2
-
A
b
l
e
-
D
i
sab
l
e
1
3
5
(
5
2
.
3
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1
2
3
(
4
7
.
7
%)
47
(
6
1
.
0
%)
30
(
3
9
.
0
%)
NS
36
(
3
7
.
1
%)
61
(
6
2
.
9
%)
41
(
4
7
.
7
%)
45
(
5
2
.
3
%)
NS
A
b
i
l
i
t
y
t
o
mak
e
a
ma
n
a
g
e
mo
n
e
y
2
-
A
b
l
e
-
D
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sab
l
e
85
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3
3
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3
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1
7
0
(
6
6
.
7
%)
24
(
3
2
.
4
%)
50
(
6
7
.
6
%)
NS
26
(
2
4
.
8
%)
79
(
7
5
.
2
%)
27
(
3
0
.
7
%)
61
(
6
9
.
3
%)
NS
H
o
w
l
i
k
e
l
y
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s
t
h
a
t
s
i
t
u
a
t
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4
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47
(
1
7
.
6
%)
67
(
8
4
.
8
%)
12
(
1
5
.
2
%)
NS
74
(
7
1
.
8
%)
29
(
2
8
.
2
%)
60
(
7
4
.
1
%)
21
(
2
5
.
9
%)
NS
H
o
w
l
i
k
e
l
y
i
s
t
h
a
t
s
i
t
u
a
t
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mp
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v
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me
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t
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P
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b
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I
mp
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2
6
9
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9
6
.
8
%)
9
(
3
.
2
%)
81
(
1
0
0
%)
0
(
0
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0
%)
NS
1
0
2
(
9
6
.
2
%)
4
(
3
.
8
%)
83
(
9
6
.
5
%)
3
(
3
.
6
%)
NS
S
c
h
i
z
o
p
h
r
e
n
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a
S
e
r
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o
u
sn
e
ss o
f
me
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a
l
d
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so
r
d
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r
-
S
e
r
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o
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-
N
o
t
se
r
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s
2
7
5
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9
5
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2
%)
14
(
4
.
8
%)
77
(
9
6
.
3
%)
3
(
3
.
8
%)
NS
95
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8
7
.
2
%)
14
(
1
2
.
8
%)
84
(
9
5
.
5
%)
4
(
4
.
5
%)
0
.
0
4
5
P
o
ssi
b
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l
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t
y
f
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p
a
t
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n
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t
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j
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h
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l
f
-
P
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b
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I
mp
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b
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2
3
7
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8
6
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5
%)
37
(
3
.
5
%)
65
(
8
1
.
3
%)
15
(
1
8
.
7
%)
NS
84
(
8
0
%)
21
(
2
0
%)
74
(
8
7
.
1
%)
11
(
1
2
.
9
%)
NS
P
o
ssi
b
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l
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t
y
f
o
r
a
p
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t
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n
t
t
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so
me
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P
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mp
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2
1
5
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7
6
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67
(
2
3
.
8
%)
58
(
7
2
.
5
%)
22
(
2
7
.
5
%)
NS
66
(
6
6
.
7
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33
(
3
3
.
3
%)
66
(
7
7
.
6
%)
19
(
2
2
.
4
%)
NS
A
b
i
l
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t
y
t
o
mak
e
a
t
r
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a
t
me
n
t
d
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c
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si
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n
2
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A
b
l
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D
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sab
l
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1
4
0
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4
7
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6
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1
5
4
(
5
2
.
4
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46
(
5
6
.
1
%)
36
(
4
3
.
9
%)
NS
45
(
4
0
.
2
%)
67
(
5
9
.
8
%)
43
(
4
8
.
9
%)
45
(
5
1
.
1
%)
NS
A
b
i
l
i
t
y
t
o
mak
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a
ma
n
a
g
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mo
n
e
y
2
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D
i
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1
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3
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8
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1
6
4
(
6
1
.
4
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36
(
4
5
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0
%)
44
(
5
5
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0
%)
NS
30
(
2
8
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8
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74
(
7
1
.
2
%)
25
(
2
9
.
4
%)
60
(
7
0
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6
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NS
H
o
w
l
i
k
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l
y
i
s
t
h
a
t
s
i
t
u
a
t
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1
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51
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6
0
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32
(
3
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NS
58
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47
(
4
4
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8
%)
41
(
4
7
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7
%)
45
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NS
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w
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k
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t
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10
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83
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1
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3
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3
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7
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82
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9
4
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3
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5
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R
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sp
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“
d
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c
l
u
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d
f
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m t
a
b
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t
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.
1
Y
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a
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4
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w
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t
h
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%
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f
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h
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ab
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v
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r
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ts
(
T
ab
le
5
)
s
h
o
w
s
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to
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ev
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p
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p
r
iate
ac
tio
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tical
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th
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t,
J
ap
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a
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to
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ep
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[
2
3
]
.
I
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c
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.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
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8
%)
68
(
2
2
.
2
%)
2
0
6
(
8
1
.
1
%)
48
(
1
0
.
9
%)
NS
A
b
i
l
i
t
y
t
o
mak
e
a
t
r
e
a
t
me
n
t
d
e
c
i
si
o
n
2
-
A
b
l
e
-
D
i
sab
l
e
1
4
9
(
4
9
.
3
%)
1
5
3
(
5
0
.
7
%)
1
2
7
(
5
1
.
8
%)
1
1
8
(
4
8
.
2
%)
NS
A
b
i
l
i
t
y
t
o
mak
e
a
ma
n
a
g
e
mo
n
e
y
2
-
A
b
l
e
-
D
i
sab
l
e
95
(
3
1
.
1
%)
2
1
0
(
5
8
.
9
%)
73
(
2
9
.
4
%)
1
7
5
(
7
0
.
6
%)
NS
H
o
w
l
i
k
e
l
y
i
s t
h
a
t
s
i
t
u
a
t
i
o
n
w
i
l
l
i
mp
r
o
v
e
b
y
h
e
r
/
h
i
mse
l
f
-
P
o
ssi
b
l
e
-
I
mp
o
ssi
b
l
e
1
8
0
(
5
8
.
1
%)
1
3
0
(
4
1
.
9
%)
1
8
6
(
7
0
.
7
%)
77
(
2
9
.
3
%)
0
.
0
0
4
H
o
w
l
i
k
e
l
y
i
s t
h
a
t
s
i
t
u
a
t
i
o
n
w
i
l
l
i
mp
r
o
v
e
b
y
t
r
e
a
t
me
n
t
-
P
o
ssi
b
l
e
-
I
mp
o
ssi
b
l
e
3
0
9
(
9
6
.
5
%)
8
(
3
.
5
%)
2
5
8
(
9
7
.
7
%)
8
(
2
.
3
%)
NS
S
c
h
i
z
o
p
h
r
e
n
i
a
S
e
r
i
o
u
sn
e
ss o
f
me
n
t
a
l
d
i
so
r
d
e
r
-
S
e
r
i
o
u
s
-
N
o
t
se
r
i
o
u
s
2
9
7
(
9
2
.
5
%)
24
(
7
.
5
%)
2
6
4
(
9
5
.
7
%)
12
(
4
.
3
%)
NS
P
o
ssi
b
i
l
i
t
y
f
o
r
a
p
a
t
i
e
n
t
t
o
i
n
j
u
r
e
h
e
r
/
h
i
mse
l
f
-
P
o
ssi
b
l
e
-
I
mp
o
ssi
b
l
e
2
5
7
(
8
2
.
4
%)
55
(
1
7
.
6
%)
2
2
0
(
8
4
.
6
%)
40
(
1
5
.
4
%)
NS
P
o
ssi
b
i
l
i
t
y
f
o
r
a
p
a
t
i
e
n
t
t
o
d
o
so
me
t
h
i
n
g
v
i
o
l
e
n
t
t
o
o
t
h
e
r
s
-
P
o
ssi
b
l
e
-
I
mp
o
ssi
b
l
e
2
4
2
(
7
7
.
1
%)
72
(
2
2
.
9
%)
1
8
4
(
7
0
.
5
%)
77
(
2
9
.
5
%)
NS
A
b
i
l
i
t
y
t
o
mak
e
a
t
r
e
a
t
me
n
t
d
e
c
i
si
o
n
2
-
A
b
l
e
-
D
i
sab
l
e
1
4
9
(
4
5
.
7
%)
1
7
7
(
5
4
.
3
%)
1
3
9
(
4
9
.
4
%)
1
4
1
(
5
0
.
1
%)
NS
A
b
i
l
i
t
y
t
o
mak
e
a
ma
n
a
g
e
mo
n
e
y
2
-
A
b
l
e
-
D
i
sab
l
e
95
(
3
1
.
1
%)
2
1
0
(
6
8
.
9
%)
1
0
8
(
4
1
.
9
%)
1
5
0
(
5
8
.
1
%)
0
.
0
1
5
H
o
w
l
i
k
e
l
y
i
s t
h
a
t
s
i
t
u
a
t
i
o
n
w
i
l
l
i
mp
r
o
v
e
b
y
h
e
r
/
h
i
mse
l
f
-
P
o
ssi
b
l
e
-
I
mp
o
ssi
b
l
e
1
5
8
(
5
0
.
8
%)
1
5
3
(
4
9
.
2
%)
1
6
5
(
6
2
.
9
%)
97
(
3
7
.
1
%)
0
.
0
0
6
H
o
w
l
i
k
e
l
y
i
s t
h
a
t
s
i
t
u
a
t
i
o
n
w
i
l
l
i
mp
r
o
v
e
b
y
t
r
e
a
t
me
n
t
-
P
o
ssi
b
l
e
-
I
mp
o
ssi
b
l
e
3
0
4
(
9
5
.
9
%)
13
(
4
.
1
%)
2
5
7
(
9
5
.
2
%)
10
(
4
.
8
%)
NS
1
F
ish
e
r’s
e
x
a
c
t
p
ro
b
a
b
il
it
y
tes
t.
2
Re
sp
o
n
d
e
n
ts
w
h
o
a
n
sw
e
re
d
“
d
o
n
’t
k
n
o
w
”
a
re
e
x
c
lu
d
e
d
f
ro
m
tab
u
latio
n
.
3
Co
m
p
a
re
d
w
it
h
th
e
a
b
se
n
t
g
ro
u
p
,
t
h
e
OR
(9
5
%
CI)
o
f
p
e
rc
e
i
v
in
g
n
o
t
se
rio
u
s
w
a
s
0
.
4
9
(0
.
2
6
-
0
.
9
3
)
in
t
h
e
p
re
se
n
t
g
ro
u
p
.
4
Co
m
p
a
re
d
w
it
h
th
e
a
b
se
n
t
g
ro
u
p
,
t
h
e
OR
(
9
5
%
C
I)
o
f
p
e
rc
e
iv
in
g
im
p
o
ss
ib
le
w
a
s
0
.
5
7
(0
.
4
1
-
0
.
8
1
)
in
th
e
p
re
se
n
t
g
ro
u
p
.
5
Co
m
p
a
re
d
w
it
h
th
e
a
b
se
n
t
g
ro
u
p
,
th
e
OR
(9
5
%
CI)
o
f
p
e
rc
e
iv
in
g
d
isa
b
le
wa
s
0
.
6
3
(0
.
4
5
-
0
.
8
8
)
in
th
e
p
re
se
n
t
g
ro
u
p
.
6
Co
m
p
a
re
d
w
it
h
th
e
a
b
se
n
t
g
ro
u
p
,
t
h
e
OR (9
5
%
CI)
o
f
p
e
rc
e
iv
in
g
im
p
o
ss
ib
le w
a
s 0
.
6
1
(
0
.
4
4
-
0
.
8
4
)
in
th
e
p
re
se
n
t
g
ro
u
p
.
4.
CO
NCLU
SI
O
N
So
m
e
li
m
i
tatio
n
o
f
t
h
i
s
s
t
u
d
y
al
s
o
s
h
o
u
ld
b
e
d
is
c
u
s
s
ed
.
Stu
d
y
ar
ea
w
as
li
m
ited
to
Y
o
g
y
a
k
ar
ta
p
r
o
v
in
ce
.
W
e
ar
e
s
at
is
f
ied
w
i
t
h
h
i
g
h
r
esp
o
n
s
e
r
ate
(
7
7
%),
alth
o
u
g
h
s
o
m
e
c
ad
r
e
s
d
id
n
o
t
g
iv
e
a
n
s
w
er
s
to
o
u
r
q
u
esti
o
n
n
air
es.
Si
n
ce
s
t
u
d
y
d
esig
n
w
a
s
cr
o
s
s
-
s
ec
tio
n
al,
w
e
c
an
n
o
t
d
eter
m
i
n
e
ex
ac
t
ca
u
s
al
r
elatio
n
s
h
ip
f
o
r
th
e
co
r
r
elatio
n
o
b
s
er
v
ed
in
o
u
r
r
esu
lts
.
R
eg
ar
d
les
s
o
f
th
e
s
e
li
m
itatio
n
s
,
th
e
o
b
tain
ed
r
esu
lt
s
s
h
o
w
wh
at
s
h
o
u
ld
b
e
ch
an
g
ed
in
f
u
t
u
r
e
tr
ain
in
g
p
r
o
g
r
am
o
n
m
en
tal
h
ea
lt
h
f
o
r
c
ad
r
e
s
.
W
e
n
ee
d
to
m
o
d
if
y
t
h
e
tr
ain
in
g
p
r
o
g
r
a
m
an
d
ex
a
m
i
n
e
its
ef
f
icie
n
c
y
i
n
f
u
tu
r
e.
Fu
r
t
h
er
m
o
r
e,
t
h
e
i
m
p
l
e
m
en
tatio
n
o
f
m
e
n
tal
h
ea
lth
l
a
w
an
d
p
o
lic
y
s
h
o
u
ld
b
e
s
u
p
p
o
r
t
an
d
p
r
o
v
id
e
an
ad
eq
u
ate
b
u
d
g
et
to
d
ev
elo
p
an
d
en
co
u
r
ag
e
t
h
e
c
ad
r
e
s
q
u
alit
y
.
ACK
NO
WL
E
D
G
E
M
E
NT
S
W
e
w
o
u
ld
li
k
e
to
ex
p
r
ess
o
u
r
ap
p
r
ec
iatio
n
f
o
r
all
th
e
C
o
m
m
u
n
it
y
Hea
lt
h
W
o
r
k
er
s
(
c
ad
r
e
s
)
in
th
is
s
tu
d
y
,
t
h
e
lo
ca
l
g
o
v
er
n
m
e
n
t
in
Yo
g
y
a
k
ar
ta,
Oita
Un
i
v
er
s
i
t
y
o
f
N
u
r
s
i
n
g
a
n
d
Hea
l
th
Sc
ien
ce
s
,
Dir
ec
to
r
ate
Gen
er
al
o
f
Hi
g
h
er
E
d
u
ca
tio
n
R
ep
u
b
lic
I
n
d
o
n
e
s
ia,
an
d
U
n
i
v
er
s
it
y
o
f
Mu
h
a
m
m
ad
i
y
a
h
Yo
g
y
ak
ar
ta.
T
h
is
s
tu
d
y
w
a
s
s
u
p
p
o
r
ted
b
y
a
r
esear
c
h
g
r
an
t
f
r
o
m
Oita
U
n
i
v
er
s
it
y
o
f
Nu
r
s
i
n
g
an
d
h
ea
lt
h
Sc
ien
ce
s
an
d
Un
iv
er
s
it
y
o
f
Mu
h
a
m
m
ad
i
y
ah
Yo
g
y
a
k
ar
ta.
T
h
e
au
th
o
r
s
h
a
v
e
n
o
co
n
f
lict o
f
in
ter
est to
d
ec
lar
e.
RE
F
E
R
E
NC
E
S
[1
]
W
o
rld
He
a
lt
h
Org
a
n
iza
ti
o
n
,
“
Ev
id
e
n
c
e
a
n
d
In
f
o
rm
a
ti
o
n
f
o
r
P
o
li
c
y
:
De
p
a
rtm
e
n
t
o
f
Hu
m
a
n
Re
so
u
rc
e
s
f
o
r
He
a
lt
h
”
,
Co
m
m
u
n
it
y
h
e
a
lt
h
w
o
rk
e
r:
w
h
a
t
d
o
w
e
k
n
o
w
a
b
o
u
t
t
h
e
m
?
,
G
e
n
e
v
a
,
2
0
0
7
.
[2
]
Zu
lk
if
li
A
.
,
T
h
a
h
a
A
R
.
,
Ha
d
ju
V
.
,
T
h
a
h
a
R.
,
“
Ef
f
e
c
ts
o
f
lea
rn
in
g
o
rg
a
n
iza
ti
o
n
o
n
c
a
d
re
p
e
rf
o
r
m
a
n
c
e
in
c
o
n
d
u
c
ti
n
g
c
h
il
d
g
ro
w
th
su
rv
e
il
lan
c
e
in
B
o
n
e
District,
S
o
u
th
S
u
law
e
si
”,
In
P
r
o
c
e
e
d
in
g
o
f
Co
n
f
e
r
e
n
c
e
o
f
As
ia
-
P
a
sif
ic
A
c
a
d
e
m
ic Co
n
so
rti
u
m
f
o
r
P
u
b
l
i
c
He
a
lt
h
o
n
Ka
g
a
w
a
:
2
2
-
2
5
No
v
e
m
b
e
r
,
Ja
p
a
n
,
p
p
.
2
2
0
,
2
0
0
7
.
[3
]
Isw
a
ra
w
a
n
ti
,
DN
.,
“
P
o
sy
a
n
d
u
c
a
d
re
s:
th
e
ir
ro
les
a
n
d
c
h
a
ll
e
n
g
e
s
in
e
m
p
o
w
e
r
m
e
n
t
f
o
r
i
m
p
ro
v
in
g
c
h
il
d
re
n
n
u
tri
ti
o
n
a
l
sta
tu
s in
I
n
d
o
n
e
sia
"
,
J
u
rn
a
l
M
a
n
a
jem
e
n
Pela
y
a
n
a
n
Ke
se
h
a
t
a
n
,
v
o
l.
13
,
p
p
.
1
6
9
-
1
7
3
,
2
0
10
.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
J
P
HS
I
SS
N:
2252
-
8806
P
ercep
tio
n
o
f Co
mmu
n
ity
Hea
lth
W
o
r
ke
r
s
in
I
n
d
o
n
esia
To
w
a
r
d
P
a
tien
ts
w
ith
.
.
.
.
(
S
h
a
n
ti W
a
r
d
a
n
in
g
s
ih
)
35
[4
]
S
u
w
a
rso
n
o
,
“
A
n
a
l
y
sis
o
n
ro
les
a
n
d
tas
k
s
ro
le
o
f
h
e
a
lt
h
c
a
d
re
in
im
p
le
m
e
n
tatio
n
o
f
e
ld
e
rly
’s
in
teg
r
a
ted
se
rv
ic
e
p
o
st
(P
o
sy
a
n
d
u
)
in
w
o
rk
in
g
a
re
a
o
f
T
e
m
a
n
g
g
u
n
g
d
istri
c
t,
Ce
n
tral
o
f
Ja
v
a
,
M
a
ste
r T
h
e
sis
,
2
0
0
7
.
[5
]
De
p
a
rtme
n
t
o
f
He
a
lt
h
-
S
o
c
ial
W
e
lf
a
re
,
“
In
d
o
n
e
si
a
n
n
a
ti
o
n
a
l
m
e
n
ta
l
h
e
a
lt
h
p
o
li
c
y
”,
Re
p
u
b
li
c
o
f
In
d
o
n
e
sia
,
Ja
k
a
rta,
2
0
0
1
.
[6
]
W
o
rld
He
a
lt
h
Org
a
n
iza
ti
o
n
,
“
E
stim
a
ted
to
tal
DA
L
Ys
(p
e
r
1
0
0
,
0
0
0
)
,
b
y
c
a
u
se
a
n
d
W
HO
m
e
m
b
e
r
sta
te”
,
De
p
a
rtme
n
t
o
f
m
e
a
su
re
m
e
n
t
a
n
d
h
e
a
lt
h
i
n
f
o
rm
a
ti
o
n
,
G
e
n
e
v
a
,
2
0
0
9
.
[7
]
Ka
li
g
is,
F
ra
n
sisk
a
,
et
.
a
l.
,
“
Ho
w
d
e
p
re
ss
io
n
is
trea
ted
i
n
In
d
o
n
e
sia
”
,
S
y
m
p
o
siu
m
o
f
P
s
y
c
h
ia
tri
a
e
t
Ne
u
ro
lo
g
ia
Ja
p
o
n
ica
1
0
6
,
Ja
p
a
n
,
2
0
1
1
.
[8
]
In
d
ian
a
c
o
n
so
r
ti
u
m
f
o
r
m
e
n
tal
h
e
a
lt
h
se
rv
ice
s
re
se
a
rc
h
,
“
Am
e
rica
n
s’
v
ie
w
s
o
f
m
e
n
tal
h
e
a
lt
h
a
n
d
il
ln
e
ss
a
t
c
e
n
tu
ry
’s
e
n
d
:
c
o
n
ti
n
u
it
y
a
n
d
c
h
a
n
g
e
”,
Blo
o
m
in
g
to
n
,
1
9
9
6
.
[9
]
Ya
m
a
z
a
k
i
Y
.,
e
t.
a
l.
,
“
Ko
k
o
ro
n
o
y
a
m
a
i
e
n
o
m
a
n
a
z
a
sh
i
to
stig
m
a
(V
iew
s
o
n
m
e
n
t
a
l
h
e
a
lt
h
d
is
o
rd
e
r
s
a
n
d
stig
m
a
)”
,
Ak
a
sh
i
P
u
b
,
T
o
k
y
o
,
2
0
1
2
.
[1
0
]
Ke
li
a
t,
BA
.
,
e
t.
a
l.
,
“
Ke
p
e
ra
wa
tan
k
e
se
h
a
tan
k
o
m
u
n
it
a
s: CM
HN
(B
a
sic
Co
u
rse
)”
,
Ja
k
a
rta,
EGC
P
re
ss
,
2
0
1
1
.
[1
1
]
Ke
li
a
t,
BA
,
e
t.
a
l.
,
“
M
a
n
a
jem
e
n
k
e
p
e
ra
w
a
tan
p
sik
o
so
sia
l
a
n
d
c
a
d
r
e
k
e
se
h
a
tan
ji
w
a
:
CM
HN
(In
term
e
d
iet
Co
u
rse
)”
,
Ja
k
a
rta
,
E
G
C
P
re
ss
,
2
0
1
1
.
[1
2
]
He
a
lt
h
S
e
rv
ice
Ex
e
c
u
ti
v
e
,
“
M
e
n
tal
h
e
a
lt
h
i
n
Irlan
d
ia:
a
w
a
re
n
e
ss
a
n
d
a
tt
it
u
d
e
s
”
,
2
0
0
7
.
I
S
BN 9
7
8
-
0
-
9
5
5
3
8
5
4
-
1.
[1
3
]
P
ra
se
ti
y
a
w
a
n
,
e
t.
a
l.
,
“
M
e
n
tal
h
e
a
lt
h
m
o
d
e
l
o
f
c
a
re
p
ro
g
ra
m
m
e
s
a
f
ter
th
e
tsu
n
a
m
i
in
Ac
e
h
,
In
d
o
n
e
sia
”
,
In
t
Rev
Psy
c
h
ia
try
,
v
o
l/
issu
e
:
1
8
(
6
)
,
p
p
.
5
5
9
-
62
,
2
0
0
6
.
[1
4
]
Din
a
s
Ke
se
h
a
tan
Da
e
ra
h
Istime
wa
Yo
g
y
a
k
a
rta
,
“
P
ro
f
il
p
ro
m
o
si
k
e
se
h
a
tan
Da
e
ra
h
Istime
wa
Yo
g
y
a
k
a
rta”
,
Yo
g
y
a
k
a
rta,
2
0
1
1
.
[1
5
]
Blu
m
b
e
rg
,
L
in
d
a
J.
,
“
A
g
e
d
a
ti
n
g
u
n
d
e
r
c
o
m
p
re
h
e
n
siv
e
h
e
a
lt
h
c
a
r
e
re
f
o
r
m
:
i
m
p
li
c
a
ti
o
n
s
f
o
r
c
o
v
e
r
a
g
e
,
c
o
sts,
a
n
d
h
o
u
se
h
o
l
d
f
in
a
n
c
ial
b
u
rd
e
n
”
,
Ne
w
Je
r
se
y
,
2009.
[1
6
]
Na
k
a
n
e
Y.
,
“
P
ro
g
re
ss
in
so
c
ial
p
s
y
c
h
iatr
y
in
Ja
p
a
n
:
a
n
a
p
p
r
o
a
c
h
to
p
sy
c
h
iatric
e
p
id
e
m
io
lo
g
y
”
,
S
p
rin
g
e
r
,
T
o
k
y
o
,
2
0
1
0
.
[1
7
]
A
r
m
stro
n
g
G
.
,
Ke
r
m
o
d
e
M
.
,
Ra
ja
S
.
,
S
u
ja S
.
,
C
h
a
n
d
ra
P
.
,
J
o
rm
A
F
.
,
“
A
m
e
n
tal
h
e
a
lt
h
train
i
n
g
p
ro
g
ra
m
f
o
r
c
o
m
m
u
n
it
y
h
e
a
lt
h
w
o
rk
e
rs i
n
In
d
i
a
:
im
p
a
c
t
o
n
k
n
o
w
led
g
e
a
n
d
a
tt
it
u
d
e
s”
,
In
ter
n
a
ti
o
n
a
l
J
o
u
r
n
a
l
o
f
M
e
n
ta
l
He
a
lt
h
S
y
ste
ms
,
v
o
l.
5
,
p
p
.
17
,
2
0
1
1
.
[1
8
]
S
a
lv
e
H
.
,
e
t.
a
l.
,
“
P
e
rc
e
p
ti
o
n
a
n
d
a
tt
it
u
d
e
t
o
w
a
rd
s m
e
n
tal
i
ll
n
e
ss
in
th
e
u
r
b
a
n
c
o
m
m
u
n
it
y
in
so
u
th
d
e
l
h
i
-
c
o
m
m
u
n
it
y
b
a
se
d
stu
d
y
”
,
In
d
i
a
n
J
Psy
c
h
o
l
M
e
d
,
v
o
l/
issu
e
:
3
5
(
2
),
p
p
.
1
5
4
-
1
5
9
,
2
0
1
3
.
[1
9
]
Ku
rih
a
ra
T
.
,
Ka
to
M
.
,
S
a
k
a
m
o
to
S
.
,
Re
v
e
rg
e
r
R
.
,
Kitam
u
ra
T
.
,
“
P
u
b
li
c
a
tt
it
u
d
e
t
o
w
a
rd
th
e
m
e
n
tall
y
il
l:
a
c
ro
ss
-
c
u
lt
u
r
a
l
st
u
d
y
b
e
tw
e
e
n
Ba
li
a
n
d
T
o
k
y
o
”
,
Psy
c
h
ia
try
a
n
d
C
li
n
ic
a
l
N
e
u
ro
sc
i
e
n
c
e
s
,
v
o
l.
54
,
p
p
.
5
4
7
-
5
5
2
,
2
0
0
0
.
[2
0
]
S
u
b
a
n
d
i
M
A.
,
“
F
a
m
il
y
e
x
p
re
ss
e
d
e
m
o
ti
o
n
in
Ja
v
a
n
e
se
c
u
lt
u
re
”,
Cu
l
t
M
e
d
Psy
c
h
ia
try
,
v
o
l/
issu
e
:
3
5
(3
)
,
p
p
.
3
3
1
-
3
4
6
,
2
0
1
1
.
[2
1
]
Ito
H
.
,
S
e
to
y
a
Y
.
,
S
u
z
u
k
i
Y.
,
“
L
e
ss
o
n
s lea
rn
e
d
i
n
d
e
v
e
lo
p
in
g
c
o
m
m
u
n
it
y
m
e
n
tal
h
e
a
lt
h
c
a
re
in
e
a
st
a
n
d
so
u
th
e
a
st
a
sia
”
,
W
o
rld
Psy
c
h
ia
try
,
v
o
l.
11
,
p
p
.
1
8
6
-
190
,
2
0
1
2
.
[2
2
]
Da
s
S
.
,
P
h
o
o
k
u
n
HR
.,
“
Kn
o
w
led
g
e
,
a
tt
it
u
d
e
,
p
e
rc
e
p
ti
o
n
a
n
d
b
e
li
e
f
(K.A
.
P
.
B)
o
f
p
a
ti
e
n
ts’
re
lativ
e
s
t
o
w
a
rd
s
m
e
n
tal
il
ln
e
ss
:
a
ss
o
c
iatio
n
w
it
h
c
li
n
ica
l
a
n
d
so
c
ial
d
e
m
o
g
ra
p
h
ic
c
h
a
ra
c
teristics
”,
De
lh
i
Psy
c
h
i
a
try
J
o
u
r
n
a
l
,
v
o
l/
issu
e
:
1
6
(
1
)
,
p
p
.
98
-
1
0
9
,
2
0
1
3
.
[2
3
]
S
a
to
M
.
,
“
Re
n
a
m
in
g
sc
h
izo
p
h
re
n
i
a
:
a
Ja
p
a
n
e
se
p
e
rsp
e
c
ti
v
e
”,
W
o
rld
Psy
c
h
ia
try
,
v
o
l.
5
,
p
p
.
1
,
2
0
0
6
.
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