Stigma Attitudes Towards People with Mental Illness among Professionals Working in a Psychiatric Hospital
DOI:
https://doi.org/10.51338/rppsm.238Keywords:
Attitude of Health Personnel, Health Personnel, Mental Disorders, Social StigmaAbstract
Introduction: Mental illness stigma studies demonstrate the presence of stigmatizing attitudes towards people with mental illness both by the public and health professionals. This study aimed to analyze the attitudes of professionals working at a Portuguese psychiatric hospital towards people with mental illness.
Material and Methods: A cross‑sectional observational study was conducted to examine the attitudes of professionals through application of Mental Illness Clinician Attitude Scale (MICA) and collection of sociodemographic data.
Results: Scores of MICA questionnaire were significantly lower than the cut‑off point for negative attitude in general and across professional categories suggesting that overall professionals seem to manifest a positive attitude towards people with mental illness. There was a trend of decrease in MICA scores throughout increasing years of professional experience although not statistically significant.
Conclusion: Our results do not contradict the need to continue fighting stigma, but instead to better evaluate how these attitudes translate into practice, by including behavioral outcomes in future research.
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References
Goffman E. Stigma – Notes on the Management of Spoiled Identity. London: Penguin Books; 1963.
Corrigan PW. How Stigma interferes with mental health care. Am Psychol. 2004; 59:614–25. doi: 10.1037/0003‑066X.59.7.614.
Thornicroft G, Rose D, Kassam A, Sartorius N. Stigma: Ignorance, prejudice or discrimination? Br J Psychiatry. 2007;190:192‑3. doi: 10.1192/bjp.bp.106.025791.
Corrigan PW, Larson JE, Watson AC, Boyle M, Barr L. Solutions to discrimination in work and housing identified by people with mental illness. J Nerv Ment Dis. 2006; 194:716–8. doi: 10.1097/01.nmd.0000235782.18977.de.
Corrigan PW, Morris SB, Michaels PJ, Rafacz JD, Rüsch N. Challenging the Public Stigma of Mental
Illness: A Meta‑Analysis of Outcome Studies. Psychiatr Serv. 2012;63:963‑73. doi: 10.1176/appi.ps.201100529.
Henderson C, Noblett J, Parke H, Clement S, Caffrey A, Gale‑Grant O, et al. Mental health‑related
stigma in health care and mental health‑care settings. Lancet Psychiatry. 2014;1:467‑82. doi: 10.1016/S2215‑0366(14)00023‑6.
Jorm AF, Korten AE, Jacomb PA, Christensen H, Henderson S. Attitudes towards people with a mental disorder: a survey of the Australian public and health professionals. Aust N Z J Psychiatry. 1999;33:77‑83. doi: 10.1046/j.1440‑1614.1999.00513.x.
Sartorius N. Iatrogenic Stigma of Mental Illness— Begins with Behaviour and Attitudes of Medical
Professionals, Especially Psychiatrists. BMJ. 2002;324:1470‑1. doi:10.1136/bmj.324.7352.1470.
Lauber C, Anthony M, Ajdacic‑Gross V, Rössler W. What about psychiatrists’ attitude to mentally ill people? Eur Psychiatry. 2004;19:423‑7. doi: 10.1016/j.eurpsy.2004.06.019.
Stubbs A. Reducing mental illness stigma in health care students and professionals: a review of the literature. Australas Psychiatry. 2014;22:579‑84. doi:10.1177/1039856214556324.
Knaak S, Mantler E, Szeto A. Mental illness‑related stigma in healthcare: Barriers to access and care and evidence‑based solutions. Healthc Manage Forum. 2017;30:111‑6. doi:10.1177/0840470416679413.
Schulze B. Stigma and mental health professionals: A review of the evidence on an intricate relationship. Int Rev Psychiatry. 2007;19:137‑55. doi: 10.1080/09540260701278929.
Portugal, Ministério da Saúde. Programa Nacional para a Saúde Mental 2017. Lisboa: Direção‑Geral da
Saúde; 2017
Sartorius N, Gaebel W, Cleveland HR, Stuart H, Akiyama T, Arboleda‑Flórez J, et al. WPA guidance on how to combat stigmatization of psychiatry and psychiatrists. World Psychiatry. 2010;9:131‑44. doi:
1002/j.2051‑5545.2010.tb00296.x.
Sastre‑Rus M, García‑Lorenzo A, Lluch‑Canut MT, Tomás‑Sábado J, Zabaleta‑Del‑Olmo E. Instruments to assess mental health‑related stigma among health professionals and students in health sciences: a systematic psychometric review. J Adv Nurs. 2019;75:1838‑53. doi: 10.1111/jan.13960.
Kassam A, Glozier N, Leese M, Henderson C, Thornicroft G. Development and responsiveness of a scale
to measure clinicians attitudes to people with mental illness. Acta Psychiatr Scand. 2010;122:153‑61. doi:
1111/j.1600‑0447.2010.01562.x.
Gabbidon J, Clement S, Nieuwenhuizen AV, Kassam A, Brohan E, Normal I, Thornicroft G. Mental illness:
clinicians’ attitudes (MICA) scale. Psychometric properties of a version for healthcare students and professionals. Psychiatry Res. 2013;206:81‑7. doi: 10.1016/j.psychres.2012.09.028.
Eissa A, Elhabiby M, El Serafi D, Elrassas HH, Shorub EM, El‑madani AA. Investigating stigma attitudes towards people with mental illness among residents and house officers: an Egyptian study. Middle East Curr Psychiatry. 2020 27:18. doi: 10.1186/s43045‑020‑0019‑2.
Oliveira AM, Machado D, Fonseca JB, Palha F, Moreira PS, Sousa N, Cerqueira JJ & Morgado P. Stigmatizing Attitudes Toward Patients With Psychiatric Disorders Among Medical Students and Professionals. Front. Psychiatry. 2020; 11:326. doi: 10.3389/fpsyt.2020.00326.
Griffiths KM, Carron‑Arthur B, Parsons A, Reid R. Effectiveness of programs for reducing the stigma
associated with mental disorders. A meta‑analysis of randomized controlled trials. World Psychiatry. 2014;13:161‑75. doi: 10.1002/wps.20129.
Vilar Queirós R, Santos V, Madeira N. Stigma towards mental illness, Acta Med Port. 2021;34:498‑506. doi: 10.20344/amp.13859.
Evans‑Lacko S, Henderson C, Thornicroft G. Public knowledge, attitudes and behaviour regarding people with mental illness in England 2009–2012. Br J Psychiatry Suppl. 2013;55:s51‑7. doi: 10.1192/bjp.
bp.112.112979.
Corrigan PW, Nieweglowski K. How does familiarity impact the stigma of mental illness? Clin Psychol Rev. 2019;70:40‑50. doi: 10.1016/j.cpr.2019.02.001.
Moreira AR, Oura MJ, Santos P. Stigma about mental disease in Portuguese medical students: a cross‑sectional study. BMC Med Educ. 2021;21:265. doi:10.1186/s12909‑021‑02714‑8.
Nordt C, Rossler W, Lauber C. Attitudes of mental health professionals toward people with schizophrenia and major depression. Schizophr Bull. 2006;32:709‑14. doi: 10.1093/schbul/sbj065.
Yanos PT, Vayshenker B, DeLuca JS, O’Connor LK. Development and validation of a scale assessing mental health clinicians’ experiences of associative stigma. Psychiatr Serv. 2017;68:1053‑60. doi: 10.1176/appi.ps.201600553.
Verhaeghe M, Bracke P. Associative Stigma among Mental Health Professionals. J Health Soc Behav.
;53:17‑32. doi:10.1177/0022146512439453.