scholarly journals Why Mental Health–Related Stigma Matters for Physician Wellbeing, Burnout, and Patient Care

2020 ◽  
Vol 35 (5) ◽  
pp. 1579-1581 ◽  
Author(s):  
Hae Lin Cho ◽  
Caroline J. Huang
2021 ◽  
pp. 002076402110025
Author(s):  
Bárbara Almeida ◽  
Ana Samouco ◽  
Filipe Grilo ◽  
Sónia Pimenta ◽  
Ana Maria Moreira

Background: Physicians, including psychiatrists and general practitioners (GPs), have been reported as essential sources of stigma towards people diagnosed with a mental disorder (PDMDs), which constitutes an important barrier to recovery and is associated with poorer clinical outcomes. Therefore, psychiatrists and GPs are key populations where it is crucial to examine stigma, improve attitudes and reduce discrimination towards psychiatric patients. Aims: This study is the first to explore mental health-related stigma among Portuguese psychiatrists and GPs, examining the differences between these two specialities and assessing whether sociodemographic and professional variables are associated with stigma. Method: A cross-sectional study was performed between June 2018 and August 2019. A consecutive sample of 55 Psychiatrists and 67 GPs working in Porto (Portugal) filled a 25-item self-report questionnaire to assess their attitudes towards PDMDs in clinical practice. The instrument was designed by the authors, based on previous mental health-related stigma studies and validated scales. The questionnaire includes 12 stigma dimensions ( Autonomy, Coercion, Incompetence, Dangerousness, Permanence, Pity, Responsibility, Segregation, Labelling, Diagnostic Overshadowing, Shame and Parental Incompetence), and its total score was used to measure Overall Stigma (OS). Sample characteristics were examined using descriptive statistics, and the factors affecting stigma were assessed through regression analysis. Results: GPs exhibit significantly higher OS levels than psychiatrists, and present higher scores in the dimensions of dangerousness, parental incompetence, diagnostic overshadowing and responsibility. Besides medical speciality, several other sociodemographic variables were associated with sigma, including age, gender, having a friend with a mental disorder, professional category, agreement that Psychiatry diverges from core medicine and physician’s interest in mental health topics. Conclusions: Our data suggest that both psychiatrists and GPs hold some degree of stigmatizing attitudes towards PDMDs. Overall, these results bring new light to stigma research, and provide information to tailor anti-stigma interventions to Portuguese psychiatrists and GPs.


Author(s):  
Petra C. Gronholm ◽  
Claire Henderson ◽  
Tanya Deb ◽  
Graham Thornicroft

There is a rich literature on the nature of mental health-related stigma and the processes by which it severely affects the life chances of people with mental health problems. Applying this knowledge to deliver and evaluate interventions to reduce stigma in a lasting way is, however, a complex and long-term challenge. This chapter outlines how mental health-related stigma and discrimination have been defined; describes the negative impact they have on people with mental illness; summarizes anti-stigma strategies and the evidence regarding their effectiveness; and makes suggestions for future intervention development and evaluation. It seems likely that short-term interventions may only have a short-term impact, with the implication being the need to study longer-term interventions and to use interim process and outcome data to improve interventions along the way.


2019 ◽  
Vol 281 ◽  
pp. 112581 ◽  
Author(s):  
Mariangela Lanfredi ◽  
Ambra Macis ◽  
Clarissa Ferrari ◽  
Luciana Rillosi ◽  
Elena Cadone Ughi ◽  
...  

2016 ◽  
Vol 71 (3) ◽  
pp. 170-179 ◽  
Author(s):  
Shinsuke Koike ◽  
Sosei Yamaguchi ◽  
Kazusa Ohta ◽  
Yasutaka Ojio ◽  
Kei-ichiro Watanabe ◽  
...  

2010 ◽  
Vol 19 (1) ◽  
pp. 72-79 ◽  
Author(s):  
Sarah Clement ◽  
Manuela Jarrett ◽  
Claire Henderson ◽  
Graham Thornicroft

Aim-To develop and measure consensus about which type of message should be included in population-level campaigns to reduce mental health-related stigma.Methods- A panel of 32 experts attending an international conference on mental health stigma participated in a consensus development exercise. A modified nominal group technique was used incorporating two voting rounds, an overview of research evidence and group discussion.Results- There was high consensus (≥ 80°) regarding the inclusion of two of the message types presented - (i)recovery-orientedand (ii)see the personmessages, and reasonable consensus (≥ 70°) regarding (iii)social inclusion / human rightsand (iv)high prevalence of mental disordersmessages. Ratings differed according to whether the participant was a psychiatrist or had personal experience of mental ill health. Analysis of the qualitative data revealed four themes: (i) benefits of messages countering the ‘otherness’ of people with mental ill health; (ii) problematic nature of messages referring to aetiology; (iii) message impact being dependent on the particular audience; (iv) need for specific packages of messages.Conclusions- This study supports the use ofrecovery-orientedmessages andsee the personmessages.Social inclusion / human rightsmessages andhigh prevalence of mental disordersmessages also merit consideration.Declaration of Interest: This study was funded through a National Institute for Health Research (NIHR) Applied Programme grant awarded to the South London and Maudsley NHS Foundation Trust, and in relation to the NIHR Specialist Mental Health Biomedical Research Centre at the Institute of Psychiatry, King's College London and the South London and Maudsley NHS Foundation Trust. The views and opinions expressed herein are the authors and do not necessarily reflect those of the funding bodies. GT has received an unrestricted educational grant from Lundbeck and commissions from the Commonwealth of Australia for a review of their mental health plan. GT and CH lead the independent evaluation team for the UK ‘Time to Change: Let's end mental health discrimination now’ programme. GT has been a member of the independent evaluation team for Scotland's ‘See Me’ campaign.


2017 ◽  
Vol 39 (2) ◽  
pp. 126-134 ◽  
Author(s):  
Xiuying Xu ◽  
Xin-Min Li ◽  
Jinhui Zhang ◽  
Wenqiang Wang

2018 ◽  
Vol 1 (2) ◽  
pp. 25 ◽  
Author(s):  
Sean Bell ◽  
Sue Palmer-Conn

Policing and mental ill health are inextricably entwined. The police have a role to respond to distressed persons and depending on the circumstances act as mental health practitioners or law enforcement officers.  Policing can have an impact on the mental health of those delivering the service. Those working within policing will either experience, work alongside and/or manage colleagues with mental ill health. Therefore it is important that the attitudes of police officers and police staff to mental ill health are established. The research employs the Time to Change Survey to bench mark police attitudes against the general public. Results indicate that police officers/staff hold similar attitudes to the public. However police officers are less supportive of community based interventions. Police data portrays an organisation where mental health related stigma persists, where discussing or seeking help is avoided and having a mental health issue seen as career destroying.


Author(s):  
Micki Washburn ◽  
Kathryne Brewer ◽  
Robin Gearing ◽  
Roberta Leal ◽  
Miao Yu ◽  
...  

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