Atitudes de profissionais de saúde mental em relação a indivíduos com esquizofrenia: uma comparação transcultural entre Suíça e Brasil

Hengartner, Michael Pascal; Loch, Alexandre Andrade; Lawson, Fábio Lorea; Guarniero, Francisco Bevilacqua; Wang, Yuan‐Pang; Rössler, Wulf; Gattaz, Wagner F.

doi:10.1590/s0101-60832012000400001

Cited by 12 publications

(7 citation statements)

References 34 publications

(36 reference statements)

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“…However, in a study conducted in Australia, mental health professionals were found to more often believe that schizophrenia has a deteriorating course and to have negative attitudes toward persons with the disorder more often than did the general public [9]. Thus, the available data regarding stigmatizing attitudes held by mental health professionals toward individuals with mental illness is inconclusive, results varying according to the stigma dimension evaluated and to the cultural background of the sample [4,10-12]. …”

Section: Introductionmentioning

confidence: 99%

Stigma toward schizophrenia: do all psychiatrists behave the same? Latent profile analysis of a national sample of psychiatrists in Brazil

et al. 2013

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BackgroundAn important issue concerning the worldwide fight against stigma is the evaluation of psychiatrists’ beliefs and attitudes toward schizophrenia and mental illness in general. However, there is as yet no consensus on this matter in the literature, and results vary according to the stigma dimension assessed and to the cultural background of the sample. The aim of this investigation was to search for profiles of stigmatizing beliefs related to schizophrenia in a national sample of psychiatrists in Brazil.MethodsA sample of 1414 psychiatrists were recruited from among those attending the 2009 Brazilian Congress of Psychiatry. A questionnaire was applied in face-to-face interviews. The questionnaire addressed four stigma dimensions, all in reference to individuals with schizophrenia: stereotypes, restrictions, perceived prejudice and social distance. Stigma item scores were included in latent profile analyses; the resulting profiles were entered into multinomial logistic regression models with sociodemographics, in order to identify significant correlates.ResultsThree profiles were identified. The “no stigma” subjects (n = 337) characterized individuals with schizophrenia in a positive light, disagreed with restrictions, and displayed a low level of social distance. The “unobtrusive stigma” subjects (n = 471) were significantly younger and displayed the lowest level of social distance, although most of them agreed with involuntary admission and demonstrated a high level of perceived prejudice. The “great stigma” subjects (n = 606) negatively stereotyped individuals with schizophrenia, agreed with restrictions and scored the highest on the perceived prejudice and social distance dimensions. In comparison with the first two profiles, this last profile comprised a significantly larger number of individuals who were in frequent contact with a family member suffering from a psychiatric disorder, as well as comprising more individuals who had no such family member.ConclusionsOur study not only provides additional data related to an under-researched area but also reveals that psychiatrists are a heterogeneous group regarding stigma toward schizophrenia. The presence of different stigma profiles should be evaluated in further studies; this could enable anti-stigma initiatives to be specifically designed to effectively target the stigmatizing group.

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Section: Introductionmentioning

confidence: 99%

Stigma toward schizophrenia: do all psychiatrists behave the same? Latent profile analysis of a national sample of psychiatrists in Brazil

et al. 2013

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“…Of the studies that were conducted across multiple countries, Hengartner et al (2012) demonstrated that HCPs including psychiatrists, psychologists, professional attendants and social workers were more likely to socially distance from people with schizophrenia if they were based in Switzerland compared to those originating from Brazil. Meanwhile, it was found that Brazilian HCPs had more reluctance in acknowledging the side effects of psychopharmacological treatments received by patients with schizophrenia (Hengartner et al, 2012). These differences may have occurred due to the possible differences in socio-cultural background and medication availabilities between the two countries.…”

Section: Resultsmentioning

confidence: 99%

Healthcare professionals’ knowledge, confidence and attitudes in relation to psychosis care: A systematic review

Chen,

El-Den,

Pham

et al. 2023

Int J Soc Psychiatry

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Background: Psychosis is a mental disorder that, despite its low prevalence, causes high disease and economic burden. Inadequate knowledge, lack of confidence and stigmatising attitudes of healthcare professionals (HCPs) may lead to suboptimal care. Aim: To review the literature exploring HCPs’ knowledge, confidence and attitudes in relation to psychosis care. Method: A systematic search was undertaken across three databases (MEDLINE, Embase, PsycINFO) using a search strategy encompassing the concepts: ‘healthcare professionals’, ‘knowledge, attitude, and confidence in care’ and ‘psychotic illnesses and symptoms’ to identify relevant records published from 1st January 2002 to 18th March 2022. Results were screened against predetermined inclusion and exclusion criteria by title and abstract, followed by full text. Data were extracted into tables and synthesised narratively. Results: Initially, 7,397 studies were identified. Following two-stage screening, 24 studies were eligible for inclusion. Of these studies, 16 explored attitudes, four explored knowledge and attitudes, one explored knowledge, one explored confidence, one explored attitudes and confidence in care and one explored all three constructs. Most HCPs in the included studies demonstrated stigmatising attitudes towards people with psychosis. Furthermore, certain HCPs, including nurses and general practitioners, demonstrated low levels of knowledge, while psychiatrists, occupational therapists, psychologists and nurses had low levels of confidence in caring for people with psychosis. Conversely, positive attitudes were also observed in some HCPs resulting from having acquaintances with lived experience of psychosis. The need for additional education and training to improve HCPs’ knowledge and confidence in relation to caring for people living with psychosis was identified. Conclusions: Most attitudes identified were negative and stemmed from stigma, while some were positive due to HCPs’ compassion and familiarity with psychosis. The level of knowledge and confidence identified were mostly suboptimal, and so further research is required to develop and evaluate tailored interventions to address this gap.

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“…Todavia, faltam estudos que tenham como sujeito investigado os profissionais de saúde, em especial da enfermagem, que abordem questionamentos quanto à assistência de enfermagem e orientações prestadas a esses pacientes e suas famílias 16,32 .…”

Section: Resultsunclassified

Análise Da Produção Científica Sobre Esquizofrenia

Silva

Santos

Lima

et al. 2016

Revista Brasileira Ciências Da Saúde - USCS

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Introduction: Schizophrenia, object of this review, is a chronic degenerative mental disease. It occupies the top position of the mental illness list, being considered the most serious mental disorder, with significant repercussions on public health. Schizophrenia is known as a deteriorating phenomenon, which causes damages on the life of the affected person and his family. Goals: To analyze the scientific literature about schizophrenia, in the period between 1983 and 2015, published at REBEn. Methods: This is an integrative literature review. The literature research was made in the journal REBEn, which can be found on the following databases: Lilacs, Nursing Index, CINAHL and Scielo. The research included original articles with full text available in electronic support. The descriptors used were: schizophrenia, mental suffering and nursing. Seven scientific articles were selected and analyzed. Results: In 2005 and 2012, the higher number of publications could be found. Regarding the authorship of the articles, most had the participation of masters and doctors. Most of the researched production was concentrated in the Southeast Region, with unanimous qualitative approach. Hospitals were the biggest scenario of this research. Conclusion: There are few studies published in Nursing about schizophrenia, as evidenced by the decreasing of production about it for 32 years of publication of REBEn. The scientific productions proved to be important to change behaviors on nursing practice, however, there is a need for more studies on this subject.

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Atitudes de profissionais de saúde mental em relação a indivíduos com esquizofrenia: uma comparação transcultural entre Suíça e Brasil

Cited by 12 publications

References 34 publications

Stigma toward schizophrenia: do all psychiatrists behave the same? Latent profile analysis of a national sample of psychiatrists in Brazil

Stigma toward schizophrenia: do all psychiatrists behave the same? Latent profile analysis of a national sample of psychiatrists in Brazil

Healthcare professionals’ knowledge, confidence and attitudes in relation to psychosis care: A systematic review

Análise Da Produção Científica Sobre Esquizofrenia

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