Effectiveness of an intervention to reduce stigma towards people with a severe mental disorder diagnosis in primary health care personnel: Programme Igual-Mente

Grandón, Pamela; Saldivia, Sandra; Cova, Félix; Bustos, Claudio; Vaccari, Pamela; Ramírez-Vielma, Raúl; Vielma-Aguilera, Alexis; Zambrano, Carlos; Ortiz, Camila; Knaak, Stephanie

doi:10.1016/j.psychres.2021.114259

Cited by 6 publications

(4 citation statements)

References 41 publications

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“…Educational efforts and interventions should aim at increasing the level of empathy, fighting ignorance and its consequent misconceptions, as well as at reducing the accompanying fear of healthcare professionals. As reported in previous studies, appropriate educational programs could lead to the amelioration of perceptions of mental illness and of patients suffering from it (15,(61)(62)(63)(64). These procedures should start from the mandatory (basic) educational system but should be continued into the higher stages of public education, with special respect to the institutional education of health professionals.…”

Section: Possible Implications Of Our Studymentioning

confidence: 82%

Mental health-related stigma discrimination and prejudices among Greek healthcare professionals

et al. 2022

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IntroductionResearch shows that mental health-related stigma, stereotypes, and prejudices have a negative impact on the patients themselves as well as on their families and social entourage. Healthcare professionals, whose expertise and professional ethos are historically acknowledged by public opinion, are expected to play a major role in combating discrimination against psychiatric patients. In this study, we aimed to assess the attitudes of Greek healthcare professionals toward mental illness and people suffering from it.Materials and methodsIt is a non-interventional, analytic study, in which 479 health workers from a tertiary hospital in Thessaloniki, Greece, participated. Every single hospital service –except the personnel of the Psychiatric Clinic– was included in our study: from the cleaning service to the administrative staff and the auxiliary staff such as stretcher carriers, food and nutrition services’ staff, and social workers, the nursing staff, and finally the attending physicians, taking into consideration that the psychiatric patient, from the moment he/she enters the hospital, consecutively gets in contact with every work grade of the healthcare establishment. Participants’ attitudes concerning mental illness have been evaluated using the Opinions about Mental Illness Scale (OMI), the Social Distance Scale (SDS), and the Level of Contact Report (LCR-12).ResultsDespite the high level of familiarity [as evaluated with LCR-12; mean score (μ): 8.82 ± 1.73], the employees displayed a rather poor willingness to interact with psychiatric patients (as measured with SDS; μ:11.68 ± 4.28), and endorsed significant prejudice toward individuals with mental disorders (assessed using OMI subscales; Social Discrimination μ: 22.99 ± 12.08, Social Restriction μ: 17.45 ± 9.07, Social Care μ: 21.04 ± 4.12, Social Integration μ: 16.38 ± 4.68, Etiology μ: 9.80 ± 4.95). Age and education stood out as the main determinants of participants’ attitudes, with younger and highly educated participants to have shown a relatively refined profile.ConclusionThese results are not significantly improved compared to those of previous decades in Greek healthcare professionals and call for critical reflection and targeted stigma-reduction efforts.

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Section: Possible Implications Of Our Studymentioning

confidence: 82%

Mental health-related stigma discrimination and prejudices among Greek healthcare professionals

et al. 2022

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“…Nurses are the frontline healthcare workers with the most access to patients; thus, they are the most proportional and widespread force in the healthcare workforce and can play an essential role in anti-stigma efforts ( 66 ), more so as healthcare workers. Therefore, appropriate educational programs can improve perceptions of mental illness and of patients ( 67 , 68 ). Our findings suggest that using stigma detection rate methods can detect people at high risk for stigmatizing attitudes and focus on giving targeted interventions based on this.…”

Section: Strengths and Limitations Of The Studymentioning

confidence: 99%

Stigmatizing attitudes toward mental disorders among non-mental health nurses in general hospitals of China: a national survey

Li,

Lu,

Xie

et al. 2023

Front. Psychiatry

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BackgroundNegative attitudes of nurses toward mental disorders have been reported in various countries. Nurses’ stigmatizing attitudes can harm patients with mental disorders (PWMD), thereby delaying the provision of help to patients and leading to decreased quality of care. In this study, we aimed to assess Chinese nurses’ stigmatizing attitudes toward patients with mental illness and provide a basis for future development and testing of appropriate and culturally adapted interventions to reduce it.ObjectiveThis study aimed to assess the attitudes of Non-mental Health Nurses (NMHNs) in general hospitals in China toward the stigma of PWMD and determine the factors influencing them.MethodsA cross-sectional survey of NMHNs in general hospitals were conducted. A self-designed WeChat-based questionnaire was used that included demographic information about the need for training on mental health issues. Participants were provided with a vignette of a depression case with suicidal thoughts. The Depression Stigma Scale (DSS) and Social Distance Scale (SDS) were used to assess attitudes toward mental disorders. Nine questions on the adequacy of knowledge about anxiety and depression and the current status of scale use were used to assess the current status of training needs for mental disorders. Descriptive analysis, chi-square test, and multivariate logistic regression were used for the table.ResultsA total of 8,254 nurses in non-mental health professions participated in this study. The mean DSS score of NMHNs was (17.24 ± 6.700), and the SDS score was (10.34 ± 3.154). The total detection rate of stigma among the survey respondents was 13.40% (1,107/8254). Multivariate logistic regression showed that age between 30 and 39 years [p = 0.001, OR = 1.427 (1.154–1.764)], 4 years of work experience and above [p = 0.018, OR = 1.377 (1.056–1.796)], having a bachelor’s degree [p < 0.001, OR = 0.742 (0.647–0.851)], adequate psychological knowledge [p < 0.001, OR = 1.567 (1.364–1.799)], full knowledge of communication with patients with anxiety and depression [p < 0.001, OR = 1.848 (1.389–2.459)], and the need to acquire skills to identify anxiety and depression were the influencing factors associated with stigma [p < 0.001, OR = 0.343 (0.236–0.499)].ConclusionStigmatizing attitudes toward PWMD exist among NMHNs in general hospitals in China. Thus, more mental health education programs for NMHNs are needed. Factors associated with higher morbidity stigma can be used to develop appropriate interventions to improve NMHNs’ stigmatizing attitudes and provide better quality care to PWMD.

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“…As pessoas com esquizofrenia são vistas como perigosas e imprevisíveis por outras pessoas devido às características de alteração no pensamento e julgamento próprio, distanciando esse indivíduo do seu eu anterior à doença (Javitt;Coyle, 2004). Estudos indicam que a esquizofrenia é um dos transtornos mentais mais estigmatizados por profissionais de saúde, principalmente em relação ao prognóstico e ao desejo de distância social (Grandón et al, 2021).…”

Section: Introductionunclassified

Social Distance Scale: adaptação cultural para brasileiros

Domingos

Carrara²,

Fernandes³

et al. 2022

RSD

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Objetivo: adaptar culturalmente a Social Distance Scale de Bogardus nos domínios esquizofrenia e dependência de heroína para o português falado no Brasil. Método: este estudo metodológico foi desenvolvido por meio do processo de adaptação cultural: 1) tradução; 2) comitê de juízes; 3) retrotradução; 4) pré-teste; e 5) ponderação dos scores. Na fase pré-teste, a amostra populacional foi de 40 profissionais de saúde da Atenção Primária à Saúde. Resultados: a escala adaptada para o português brasileiro foi avaliada como equivalente ao instrumento original. Para maior aproximação cultural com a realidade brasileira, o domínio “dependência de heroína” foi modificado para “dependência de cocaína”. O valor de alpha de Cronbach foi 0.69 e 0.62 para os domínios esquizofrenia e dependência de cocaína, respectivamente, indicando que houve equivalência semântica, cultural e conceitual no instrumento adaptado. Considerações finais: a adaptação cultural da escala obteve resultados representativos de boa consistência interna, mas há necessidade de validação desse instrumento por meio da análise das propriedades psicométricas.

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Effectiveness of an intervention to reduce stigma towards people with a severe mental disorder diagnosis in primary health care personnel: Programme Igual-Mente

Cited by 6 publications

References 41 publications

Mental health-related stigma discrimination and prejudices among Greek healthcare professionals

Mental health-related stigma discrimination and prejudices among Greek healthcare professionals

Stigmatizing attitudes toward mental disorders among non-mental health nurses in general hospitals of China: a national survey

Social Distance Scale: adaptação cultural para brasileiros

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