Attitude toward psychiatrists and psychiatric medication: A survey from five metropolitan cities in India

Zieger, Aron; Mungee, Aditya; Schomerus, Georg; Ta, Thi Minh Tam; Weyers, Aino; Böge, Kerem; Dettling, Michael; Bajbouj, Malek; Lersner, Ulrike von; Angermeyer, Matthias C.; Tandon, Abhinav; Hahn, Eric

doi:10.4103/psychiatry.indianjpsychiatry_190_17

Cited by 18 publications

(9 citation statements)

References 28 publications

(33 reference statements)

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“…Our study adds to the limited literature on the mental health sequalae of reproductive challenges by representing the experiences of vulnerable women who are seldom included. Between the near absolute lack of availability of any type of treatment options and the stigma associated with mental health care [ 18 , 19 ], these women, who include many in need of mental health care, are the least likely to receive it. There is evidence that community mental health awareness programs have made some impact on stigmatization, however, traditional beliefs still deter use of allopathic treatment.…”

Section: Discussionmentioning

confidence: 99%

“…Yet, among the already vulnerable slum dwelling women, the burden of perinatal grief goes unaddressed in the context of the profound mental health treatment gap in the country [ 18 ]. Compounding issues of longstanding stigmatization of mental health and the lack of mental health professionals or programming [ 19 ], provide these women few if any options to seek help. Even women who give birth to a healthy infant are at risk for postnatal depression.…”

Section: Introductionmentioning

confidence: 99%

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Stillbirth and infant death: mental health among low-income mothers in Mumbai

Roberts

Renati

Solomon

et al. 2021

BMC Pregnancy Childbirth

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Background India has the highest number of stillbirths and the highest neonatal death rate in the world. In the context of its pronatalist society, women who experience perinatal loss often encounter significant social repercussions on top of grief. Furthermore, even when pregnancy outcomes were favorable, adverse life circumstances put some women at risk for postnatal depression. Therefore, perinatal loss and postnatal depression take a heavy toll on women’s mental health. The purpose of this study is to assess mental health among a sample of Mumbai slum-dwelling women with a history of recent childbirth, stillbirth, or infant death, who are at risk for perinatal grief, postnatal depression, or mental health sequelae. Methods We conducted a mixed method, cross-sectional study. A focus group discussion informed the development of a comprehensive survey using mainly internationally validated scales. After rigorous forward and back-translation, surveys were administered as face-to-face structured interviews due to low literacy and research naiveté among our respondents. Interviews were conducted by culturally, linguistically, gender-matched, trained research assistants. Results Of our reproductive age (N = 260) participants, 105 had experienced stillbirth, 69 had a history of infant death, and 25 had experienced both types of loss. Nearly half of the sample met criteria for postnatal depression, and 20% of these women also met criteria for perinatal grief. Anxiety and depression varied by subgroup, and was highest among women desiring an intervention. Conclusions Understanding factors contributing to women’s suffering related to reproductive challenges in this pronatalist context is critically important for women’s wellbeing.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Stillbirth and infant death: mental health among low-income mothers in Mumbai

Roberts

Renati

Solomon

et al. 2021

BMC Pregnancy Childbirth

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“…It is approved that there is a gap in the study of resident's beliefs towards the mental health, so there is a need for theoretical and practice frameworks towards the physical and mental health needs, within which, mental health professionals can holistically plan and deliver interventions to improve outcomes. In addition, put team work strategies between different specialties [21].…”

Section: Discussionmentioning

confidence: 99%

Investigating stigma attitudes towards people with mental illness among residents and house officers: an Egyptian study

Eissa

Elhabiby

El-Serafi

et al. 2020

Middle East Curr Psychiatry

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Background: Stigma is a basic component of the negative discrimination that people with mental illness experience every day. It blocks access to facilities that have been created to help people with mental illness. Furthermore, the attitudes held by people with authority (including clinical staff and officers) towards people with mental illness are likely to influence their attitude towards them and hence the experience and treatment outcome of the patients. The aim of this work is to study and compare the attitudes of Egyptian residents of different clinical specialties and house officers towards patients with mental illness. The current study aimed to study the attitudes of Egyptian medical residents and house officers towards patients with mental illness and compare between both groups. This cross-sectional comparative study was designed to assess 150 residents and 201 house officers at Ain Shams University Hospitals by using the Mental Illness Clinician Attitude Scale version 4 (MICA-4) and newly designed questions related to stigma. Results: The study revealed that the scores of MICA questionnaire were significantly lower than the cut point for negative attitude in both residents and house officers (P < 0.0001). In addition, there was a trend of an increase in MICA scores throughout the three levels of seniority but with no statistically significant difference. Furthermore, there was no statistical significant finding regarding the majority of MICA items or stigma sheet questions across the different specialties. Conclusion: Stigma is one of the most disabling factors that prevent people with mental illness to live a normal social and occupational life and thus receive a good quality of life and equal chance of medical health care as other non-psychiatric patients.

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“…This could be an embedded cultural belief where in India psychiatry is still not considered an important medical specialty due to societal apprehensions and ignorance 25. This is further substantiated by a recent study among a general population sample in India which found that one third of participants believed that psychiatrists specialise in psychiatry because they are not good enough for other specialties 26. Mental illness stigma needs to be studied within its sociocultural context in order to understand its origins, meanings and consequences27 and in doing so, this may provide great insight into the ethnic differences observed in relation to associative stigma.…”

Section: Discussionmentioning

confidence: 96%

Associative stigma among mental health professionals in Singapore: a cross-sectional study

et al. 2019

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Objectives(1) Investigate and explore whether different classes of associative stigma (the process by which a person experiences stigmatisation as a result of an association with another stigmatised person) could be identified using latent class analysis; (2) determine the sociodemographic and employment-related correlates of associative stigma and (3) examine the relationship between associative stigma and job satisfaction, among mental health professionals.DesignCross-sectional online survey.ParticipantsDoctors, nurses and allied health staff, working in Singapore.MethodsStaff (n=462) completed an online survey, which comprised 11 associative stigma items and also captured sociodemographic and job satisfaction-related information. Latent class analysis was used to classify associative stigma on patterns of observed categorical variables. Multinomial logistic regression was used to examine associations between sociodemographic and employment-related factors and the different classes, while multiple linear regression analyses were used to examine the relationship between associative stigma and job satisfaction.ResultsThe latent class analysis revealed that items formed a three-class model where the classes were classified as ‘no/low associative stigma’, ‘moderate associative stigma’ and ‘high associative stigma’. 48.7%, 40.5% and 10.8% of the population comprised no/low, moderate and high associative stigma classes, respectively. Multinomial logistic regression showed that years of service and occupation were significantly associated with moderate associative stigma, while factors associated with high associative stigma were education, ethnicity and occupation. Multiple linear regression analyses revealed that high associative stigma was significantly associated with lower job satisfaction scores.ConclusionAssociative stigma was not uncommon among mental health professionals and was associated with sociodemographic factors and poorer job satisfaction. Associative stigma has received comparatively little attention from empirical researchers and continued efforts to address this understudied yet important construct in conjunction with future efforts to dispel misconceptions related to mental illnesses are needed.

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Attitude toward psychiatrists and psychiatric medication: A survey from five metropolitan cities in India

Cited by 18 publications

References 28 publications

Stillbirth and infant death: mental health among low-income mothers in Mumbai

Stillbirth and infant death: mental health among low-income mothers in Mumbai

Investigating stigma attitudes towards people with mental illness among residents and house officers: an Egyptian study

Associative stigma among mental health professionals in Singapore: a cross-sectional study

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