Public attitudes towards psychiatrists in the metropolitan area of Hanoi, Vietnam

Ta, Thi Minh Tam; Böge, Kerem; Cao, Tien Duc; Schomerus, Georg; Nguyen, Tat Dinh; Dettling, Michael; Mungee, Aditya; Martensen, Lara Kim; Diefenbacher, Albert; Angermeyer, Matthias C.; Hahn, Eric

doi:10.1016/j.ajp.2017.11.031

Cited by 18 publications

(19 citation statements)

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“…A study in 2010[ 18 ] mapped the mental health spending in several low-middle income countries and found that in the Indian state of Kerala only 2% of the national health budget was allocated to mental health care. To some degree, similar patterns of national financial priorities can be observed in other low-[ 48 49 ] and middle-income countries, and even in high-income countries such as Germany. [ 21 22 ] However, stigma toward individuals who have mental illness in Asian countries is often disproportionally higher than that in Western countries.…”

Section: Introductionmentioning

confidence: 70%

“…Even though most Western-European nations face challenges associated with a fragmented system of mental health-care providers and financial constraints,[ 29 ] due to better funding, the complex structure of mental health care to the population is arguably more effective in comparison to South and Southeast Asian low- and middle-income countries, such as Vietnam, Thailand, India, or the Philippines. [ 48 49 52 ] Due to a relatively small number of low-barrier institutions and health-care providers in comparison to most high-income countries, there is limited access to appropriate health services for a large portion of the Indian population. [ 16 ] Similarly, stigmatization toward individuals who have mental illness was reported to be higher in Asian than in Western countries.…”

Section: Discussionmentioning

confidence: 99%

“…There was no potential conflict of interest regarding any of the authors in relation to the market research firm. The study design using the Link's PDDS among other measures has been applied in high-, middle-, and low-income countries including Germany and Vietnam for use in the healthy population nonpatient groups and has been approved for Berlin, by the ethics committee of the Department of Psychology, Humboldt University Berlin, Germany, the Military Academy of Medicine Hanoi, Vietnam,[ 48 49 ] and recently by the Asian Institute of Public Health, Bhubaneswar, Odisha, for assessing public attitudes in rural settings in India. Respondents did not receive any financial compensation.…”

Section: Methodsmentioning

confidence: 99%

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Perceived stigmatization and discrimination of people with mental illness: A survey-based study of the general population in five metropolitan cities in India

Böge

Zieger

Mungee

et al. 2018

Indian J Psychiatry

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Background:India faces a significant gap between the prevalence of mental illness among the population and the availability and effectiveness of mental health care in providing adequate treatment. This discrepancy results in structural stigma toward mental illness which in turn is one of the main reasons for a persistence of the treatment gap, whereas societal factors such as religion, education, and family structures play critical roles. This survey-based study investigates perceived stigma toward mental illness in five metropolitan cities in India and explores the roles of relevant sociodemographic factors.Materials and Methods:Samples were collected in five metropolitan cities in India including Chennai (n = 166), Kolkata (n = 158), Hyderabad (n = 139), Lucknow (n = 183), and Mumbai (n = 278). Stratified quota sampling was used to match the general population concerning age, gender, and religion. Further, sociodemographic variables such as educational attainment and strength of religious beliefs were included in the statistical analysis.Results:Participants displayed overall high levels of perceived stigma. Multiple linear regression analysis found a significant effect of gender (P < 0.01), with female participants showing higher levels of perceived stigma compared to male counterparts.Conclusion:Gender differences in cultural and societal roles and expectations could account for higher levels of perceived stigma among female participants. A higher level of perceived stigma among female participants is attributed to cultural norms and female roles within a family or broader social system. This study underlines that while India as a country in transition, societal and gender rules still impact perceived stigma and discrimination of people with mental illness.

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Section: Introductionmentioning

confidence: 70%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Perceived stigmatization and discrimination of people with mental illness: A survey-based study of the general population in five metropolitan cities in India

Böge

Zieger

Mungee

et al. 2018

Indian J Psychiatry

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“…Chinese) (Papadopoulos et al 2013). Further, as people from various cultures and religious groups have been found to hold differing perspectives regarding disability, mental health and mental health services (Mungee et al 2016;Tam Ta et al 2018), within-cultural attitudes toward mental health and disability may be stigmatising. Stigma related to use of services may discourage individuals from using services (Mukolo et al 2010).…”

Section: Service Use and Minority Ethnic Groupsmentioning

confidence: 99%

Service use and perceptions of service effectiveness by parents of individuals with intellectual disabilities: comparing Jewish and Arab Israeli parental caregivers

Werner

2019

J intellect Disabil Res

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Background The relationship between ethnicity, service use and perceptions of service effectiveness is inconclusive. This study examined differences in service use and perceptions of service effectiveness between Israeli Jewish (Jewish) and Israeli Arab (Arab) parental caregivers of individuals with intellectual disabilities and dual diagnosis of psychopathology. Methods Parental caregivers (n = 186) of individuals with intellectual disabilities or dual diagnosis, aged 10 to 30 years, completed a self‐report questionnaire. Results Arab parental caregivers perceived health services to be more accessible than did Jewish caregivers, but there was no difference between the two groups in the use of the services. Overall, greater enabling factors and accessibility were associated with higher use of education and social services. No differences were found between the groups in their perceptions of service effectiveness. Conclusion Arab family caregivers use education and social services less than do their Jewish peers, possibly because they have fewer enabling resources. The finding that both groups reported similar use of health services may be explained by a shared perception that informal help may not be suitable for dealing with situations of psychopathology. The similar perceptions of service effectiveness may be explained by extensive services available in Israel, to the satisfaction of both groups, or by the fact that participants perceived these services as their only alternative, and therefore fear losing them.

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“…Public stigma refers to negative attitudes towards persons with mental illness that shape beliefs about recommended treatment options [ 24 – 26 ]. In Vietnam, stigma towards mental illness is shaped by multiple factors, such as gender [ 27 ], religiosity [ 27 , 28 ] or urbanity [ 29 , 30 ]. Research within Vietnam [ 11 , 31 ] shows high rates of experienced discrimination towards patients diagnosed with schizophrenia, drawing similarity to comparable Asian cohorts such as from China [ 32 ] and Western countries [ 33 ].…”

Section: Introductionmentioning

confidence: 99%

Treatment recommendation differences for schizophrenia and major depression: a population-based study in a Vietnamese cohort

Böge

Hahn

Cao

et al. 2018

Int J Ment Health Syst

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BackgroundIn Vietnam, the mental health care infrastructure is on the verge of transformation with an increase in the demand for access to adequate and effective mental health care services. Public attitudes towards mental illness, as well as corresponding treatment options influence help-seeking behaviors of patients and caregivers, affecting the course of their treatment. This study assesses attitudes towards treatment options for depression and schizophrenia, as the two most common psychiatric disorders in Vietnam, accounting for at least 75% of all psychiatric inpatients.MethodsA general population-based survey was conducted in Hanoi, Vietnam between April and August 2013. Participants received a description of a person with symptoms of either depression (n = 326) or schizophrenia (n = 403) and were asked to give recommendations for adequate sources of mental health support and treatment options. Multiple analyses on a single item level compared the likelihood of recommendation between schizophrenia and depression.ResultsOverall, respondents recommended health care services, ranging from seeking mental health care professionals, psychotherapists, and psychiatrists for both disorders. Psychotherapy was the most favored treatment method, whereas further treatment options, such as concentration and relaxation exercises, meditation or yoga and psychotropic medication were also endorsed as helpful. For the schizophrenia vignette condition, psychotherapy, visiting a psychiatrist or psychotherapist received stronger endorsement rates as compared to the depression vignette. Furthermore, ECT, Feng Shui-based practices, praying and visiting natural healers were recommended less by respondents for the depression vignette in comparison with the schizophrenia vignette.ConclusionsThe Vietnamese public endorsed evidence-based treatment recommendations from a variety of treatments options. Differences in the treatment recommendations between depression and schizophrenia reflected the perceived severity of each disorder. Further developments of the Vietnamese mental health care system concerning mental health care providers, as well as the legal regulations surrounding the provision of psychotherapy are needed.

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Public attitudes towards psychiatrists in the metropolitan area of Hanoi, Vietnam

Cited by 18 publications

References 35 publications

Perceived stigmatization and discrimination of people with mental illness: A survey-based study of the general population in five metropolitan cities in India

Perceived stigmatization and discrimination of people with mental illness: A survey-based study of the general population in five metropolitan cities in India

Service use and perceptions of service effectiveness by parents of individuals with intellectual disabilities: comparing Jewish and Arab Israeli parental caregivers

Treatment recommendation differences for schizophrenia and major depression: a population-based study in a Vietnamese cohort

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