Stigma toward individuals with mental disorders among Brazilian psychiatrists: a latent class analysis

Silva, Antônio Geraldo da; Loch, Alexandre Andrade; Leal, Vanessa P.; Silva, Paulo Ricardo da; Rosa, Monike M.; Bomfim, Ozeias da C.; Malloy-Diniz, Leandro Fernandes; Schwarzbold, Marcelo Libório; Diaz, Alexandre Paim; Palha, António Pacheco

doi:10.1590/1516-4446-2020-0864

Cited by 5 publications

(2 citation statements)

References 40 publications

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“…For instance, the following statements from the English-language guidelines "The first aider should be open to any opportunity that presents itself to talk about their concerns with the person" and "The first aider should know that allowing the person to talk about how they are feeling can help them feel better, not worse" received low ratings by both panels. This may be because mental health problems are stigmatized in Brazil [11], even among mental health professionals [31], and talking openly about a mental health problem may be considered demeaning to a person with depression in Brazil. Furthermore, statements related to the first aider prioritizing the person's safety above all were seen in the Brazilian adapted guidelines.…”

Section: Comparison With the English-language Guidelinesmentioning

confidence: 99%

Cultural adaptation of the mental health first aid guidelines for depression in Brazil: a Delphi expert consensus study

et al. 2023

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Background Depression is a significant contributor to disability in Brazil, with most Brazilians affected by depression receiving no treatment. As the community, including family and friends, plays a crucial role in providing support for someone with depression, it is important that evidence-based resources are available to support people who wish to help. The aim of this study was to culturally adapt the English-language mental health first aid guidelines for assisting a person with depression for the Brazilian culture. Methods A Delphi expert consensus study was conducted, with two expert panels; health professionals (n = 29) and people with lived experience of depression (n = 28). One hundred and seventy-four statements from the English-language guidelines were translated into Brazilian Portuguese and administered as a survey. Participants were asked to rate statements based on how appropriate those statements were for the Brazilian culture and to suggest new statements if appropriate. Results Data were collected over two survey rounds. Consensus was achieved on 143 statements. A total of 133 statements were adopted from the English-language guidelines, whereas 10 new endorsed statements were generated from suggestions of the two expert panels. Conclusions There were similarities between the English-language and Brazilian guidelines, mainly related to family involvement and the value of empathy. More research on dissemination and incorporation of the guidelines into the Mental Health First Aid (MHFA) training course for Brazil is required.

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Section: Comparison With the English-language Guidelinesmentioning

confidence: 99%

Cultural adaptation of the mental health first aid guidelines for depression in Brazil: a Delphi expert consensus study

et al. 2023

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“…Surprisingly, half of the study population was categorized into the high stigma group. The most stigmatizing group spent significantly longer time at work since graduation, had higher anxiety-state scores and lower positive affect [16]. According to a recent meta-analysis, the demand for personal accomplishment and burnout are predictors of more stigmatizing attitudes among healthcare providers [17].…”

Section: Introductionmentioning

confidence: 99%

Stigma towards mental illness and help-seeking behaviors among adult and child psychiatrists in Hungary: A cross-sectional study

Őri

Szocsics²,

Molnár³

et al. 2022

PLoS ONE

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Objective Stigma towards people with mental health problems is a growing issue across the world, to which healthcare providers might contribute. The aim of the present study was to explore psychiatrists’ attitudes towards their patients and link them to psychosocial and professional factors. Methods An online questionnaire was used to approach the in- and outpatient psychiatric services across Hungary. A total of 211 trainees and specialists in adult and child psychiatry participated in our study. Their overall stigmatizing attitudes were measured, with focus on attitude, disclosure and help-seeking, and social distance dimensions by using the self-report Opening Minds Stigma Scale for Health Care Providers (OMS-HC). Multiple linear regression analyses were performed to elucidate the dimensions of stigma and its association with sociodemographic, professional and personal traits. Results Stigmatizing attitudes of close colleagues towards patients were statistically significant predictors of higher scores on the attitude [B = 0.235 (0.168–0.858), p = 0.004], the disclosure and help-seeking subscales [B = 0.169 (0.038–0.908), p = 0.033], and the total score of the OMS-HC [B = 0.191 (0.188–1.843), p = 0.016]. Psychiatrists who had already sought help for their own problems had lower scores on the disclosure and help-seeking subscale [B = 0.202 (0.248–1.925), p = 0.011]. The overall stigmatizing attitude was predicted by the openness to participate in case discussion, supervision or Balint groups [B = 0.166 (0.178–5.886), p = 0.037] besides the more favorable attitudes of their psychiatrist colleagues [B = 0.191 (0.188–1.843), p = 0.016]. Conclusions The favorable attitudes of psychiatrists are associated with their own experiences with any kind of psychiatric condition, previous help-seeking behavior and the opportunity to work together with fellow psychiatrists, whose attitudes are less stigmatizing. The perception of fellow colleagues’ attitudes towards patients and the openness to case discussion, supervision and Balint groups were the main two factors that affected the overall attitudes towards patients; therefore, these should be considered when tailoring anti-stigma interventions for psychiatrists.

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Attitudes of psychiatrists towards people with mental illness: a cross-sectional, multicentre study of stigma in 32 European countries

Őri,

Szocsics,

Molnár

et al. 2023

eClinicalMedicine

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Stigma toward individuals with mental disorders among Brazilian psychiatrists: a latent class analysis

Cited by 5 publications

References 40 publications

Cultural adaptation of the mental health first aid guidelines for depression in Brazil: a Delphi expert consensus study

Cultural adaptation of the mental health first aid guidelines for depression in Brazil: a Delphi expert consensus study

Stigma towards mental illness and help-seeking behaviors among adult and child psychiatrists in Hungary: A cross-sectional study

Attitudes of psychiatrists towards people with mental illness: a cross-sectional, multicentre study of stigma in 32 European countries

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