Effectiveness of an educational program for reducing mental illness stigma targeting family medicine trainees in Tunisia: A quasi‐experimental study

Saguem, Bochra Nourhène; Ouanes, Sami; Rhouma, Amal; Nakhli, Jaâfar

doi:10.1111/aphw.12405

Cited by 3 publications

(3 citation statements)

References 51 publications

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“…Regarding the correlations performed, we find interesting to mention the statistically significant relation between age and work experience compared with "Fear", since it was the only statistically significant negative variable, in contrast with that obtained in the study by Tooby and Cosmides [47], in which "Fear" increased proportionally as age increased. Taking into account the scarce knowledge of the sample regarding psychosis and mental disorder, that all scores of the AQ-27 subscales could be further reduced, we emphasise the importance of actively involving the healthcare and educational sectors in the needs and requests of adolescents regarding mental health [16,[48][49][50][51].…”

Section: Discussionmentioning

confidence: 99%

The Promotion of Mental Health and Prevention of First-Episode Psychosis: A Pilot and Feasibility Non-Randomised Clinical Trial

Santonja Ayuso,

Ruiz-Hontangas,

Cervantes

et al. 2023

IJERPH

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Background: Mental-health-related stigma prevents active help seeking and therefore early therapeutic approaches and the recovery of functionality. National and international agencies recommend the implementation of prevention and mental health promotion programs that support the elimination of stigma in the classroom, since most mental health problems usually start in the adolescent stage. In view of the evidence that teachers present stigmatizing attitudes towards mental health, it has been considered as convenient to carry out an anti-stigma program with the main objective of evaluating the impact of an intervention based on the education and promotion of mental health, aimed at teachers and counsellors of a secondary school. The specific objectives were to get to know which were the most stigmatising attitudes that prevailed in the sample before and after the intervention; to evaluate the knowledge of the teaching staff and counsellors on psychosis before the intervention; to analyse correlations between clinically relevant variables; and assess whether this programme was beneficial and feasible for alphabetising counsellors/teachers of educational centres on stigma and FEP. Methods: This was a non-randomised clinical trial in which a nursing intervention was performed. Tools: a psychosis test (pre), Stigma Attribution Questionnaire (AQ-27) (pre-post), and satisfaction survey (post) were used. The inferential analysis included the Wilcoxon and the Pearson Correlation Test. Results: In the sample (n = 22), the predominant stigmatising attitude was “Help”. The p-values obtained in the Wilcoxon Test were statistically significant, except for “Responsibility” and “Pity”. The following constructs of interest were faced: “Fear”–“Age” and “Professional experience”; and “Help”–“Psychosis test”. Conclusions: Despite the scores obtained in “Responsibility” and “Pity”, the intervention was useful for reducing stigma in the sample. Implications for the profession: There are adolescents who have suffered stigma from their teachers, and consequently have minimized their symptoms and not asked for help. For this reason, we implemented a nursing intervention based on the education and promotion of mental health, with the aim of expanding knowledge and reducing stigma. In fact, this intervention, which we carried out on high school teachers, managed to reduce the majority of stigmatizing attitudes measured on the stigma attribution scale.

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Section: Discussionmentioning

confidence: 99%

The Promotion of Mental Health and Prevention of First-Episode Psychosis: A Pilot and Feasibility Non-Randomised Clinical Trial

Santonja Ayuso,

Ruiz-Hontangas,

Cervantes

et al. 2023

IJERPH

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“…Broadly in this line, previous studies have documented the positive effects of improving mental health literacy on decreasing stigmatizing attitudes toward mental illness in Arab-Muslim contexts (e.g. (Abuhammad & Hamaideh, 2022; Saguem et al, 2022)). Furthermore, given that yet the Islamic religion has dominant impact on framing and treating suicide in Arab countries, awareness campaigns should be tailored not only for the needs but to the accepted discourse by the communities of Arab-Muslim origin.…”

Section: Discussionmentioning

confidence: 96%

Suicide literacy mediates the path from religiosity to suicide stigma among Muslim community adults: Cross-sectional data from four Arab countries

Fekih‐Romdhane

Daher‐Nashif

Stambouli

et al. 2023

Int J Soc Psychiatry

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Background: The majority of research attention has been devoted to the link between religiosity and suicide risk, and a considerable amount of studies has been carried out on how stigma impacts individuals with mental health problems of different kinds. However, the interplay between religiosity, suicide literacy and suicide stigma has seldom been empirically researched, especially quantitatively. We sought through this study to redress the imbalance of research attention by examining the relationship between religiosity and suicide stigma; and the indirect and moderating effects of suicide literacy on this relationship. Method: A cross-sectional web-based survey was conducted among Arab-Muslim adults originating from four Arab countries (Egypt: N = 1029, Kuwait: N = 2182, Lebanon N = 781, Tunisia N = 2343; Total sample: N = 6335). The outcome measures included the Arabic Religiosity Scale which taps into variation in the degree of religiosity, the Stigma of Suicide Scale-short form to the solicit degree of stigma related to suicide, and the Literacy of Suicide Scale explores knowledge and understanding of suicide. Results: Our Mediation analyses findings showed that literacy of suicide partially mediated the association between religiosity and stigmatizing attitude toward suicide. Higher religiosity was significantly associated with less literacy of suicide; higher literacy of suicide was significantly associated with less stigma of suicide. Finally, higher religiosity was directly and significantly associated with more stigmatization attitude toward suicide. Conclusion: We contribute the literature by showing, for the first time, that suicide literacy plays a mediating role in the association between religiosity and suicide stigma in a sample of Arab-Muslim community adults. This preliminarily suggests that the effects of religiosity on suicide stigma can be modifiable through improving suicide literacy. This implies that interventions targeting highly religious individuals should pay dual attention to increasing suicide literacy and lowering suicide stigma.

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“…Regarding the correlations performed, we find interesting to mention the statistically significant relation between age and work experience compared with "Fear", since it has been the only statistically significant negative variable, in contrast with that obtained in the study by Tooby and Cosmides (Tooby & Cosmides, 2015), in which "Fear" increased proportionally as age increased. Taking into account the scarce knowledge of the sample regarding psychosis and mental disorder, and that all scores of the AQ-27 subscales could be further reduced, we emphasise the importance of actively involving the healthcare and educational sectors in the needs and requests of adolescents regarding mental health (Chamorro et al, 2022;Fernandes et al, 2022;Ruiz et al, 2022;Saguem et al, 2023).…”

Section: Discussionmentioning

confidence: 99%

Promotion of Mental Health and Prevention of First-Episode Psychosis: A Pilot and Feasibility Non-Randomised Clinical Trial

Ayuso,

Carmona-Simarro,

Pejó

2023

Preprint

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Abstract Psychiatric care in Spain has experienced relevant changes both in the legislative and conceptual frameworks. This new approach advocates for the combination of carrying out mental health promotion, prevention of alterations and early diagnosis and treatment, enhancing actions against stigma and emphasising the attention on the most vulnerable groups, like childhood and youth. For that, it has seen fit to perform a nursing intervention on Education and Promotion of mental health for teachers and counsellors of a secondary school located in Valencia, with the general objective of assessing their impact on stigma. Non-randomised clinical trial in which a nursing intervention on Education and Promotion of mental health was performed. Pre-intervention tools: multiple choice test validated by a group of experts; pre and post-intervention: AQ-27 (stigma attribution); in order to check its acceptance, satisfaction surveys were used. The inferential analysis included the Wilcoxon Test (pre and post AQ-27) and the Pearson Correlation Test for the quantitative variables of interest. Sample (n=22): women aged 47.96 ± 10.12 years with 18.64 ± 10.34 years of work experience. The predominant stigmatising attitude before and after intervention was “Coercion”. The ones with lower score were “Segregation” and “Anger”. The p-values obtained in the Wilcoxon Test were statistically significant (p-value <0.05) except for “pre and post Responsibility” and “pre and post Pity”. The following constructs of interest were faced: “Age” vs “Fear” (r= -0.48, moderate), “Professional experience” and “Fear” (r= -0.46, moderate) and “Help” and “Psychosis test” (r= 0.51, severe). The overall satisfaction score was 9/10. Despite the scores obtained in “Coercion” and “Psychosis”, the intervention was useful for reducing stigma in the sample.

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Effectiveness of an educational program for reducing mental illness stigma targeting family medicine trainees in Tunisia: A quasi‐experimental study

Cited by 3 publications

References 51 publications

The Promotion of Mental Health and Prevention of First-Episode Psychosis: A Pilot and Feasibility Non-Randomised Clinical Trial

The Promotion of Mental Health and Prevention of First-Episode Psychosis: A Pilot and Feasibility Non-Randomised Clinical Trial

Suicide literacy mediates the path from religiosity to suicide stigma among Muslim community adults: Cross-sectional data from four Arab countries

Promotion of Mental Health and Prevention of First-Episode Psychosis: A Pilot and Feasibility Non-Randomised Clinical Trial

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