scholarly journals Empathy, Burnout, and Attitudes towards Mental Illness among Spanish Mental Health Nurses

Author(s):  
Daniel Román-Sánchez ◽  
Juan Carlos Paramio-Cuevas ◽  
Olga Paloma-Castro ◽  
José Luis Palazón-Fernández ◽  
Isabel Lepiani-Díaz ◽  
...  

Mental health nurses, together with psychiatrists, are the healthcare professionals who display the highest levels of empathy and the best attitudes towards patients with mental disorders. However, burnout is a common problem among these professionals. The aim of our study is to describe the association between empathy, burnout, and attitudes towards patients with mental disorders among mental health nurses in Spain. A descriptive cross-sectional design was used involving a sample of 750 specialist nurses working in mental health facilities in Spain. An intentional, non-probability, non-discriminative, exponential snowball sampling method was used. The Jefferson Scale of Empathy, the Maslach Burnout Inventory, and the Community Attitudes towards Mental Illness Inventory were used to measure the study variables. A positive correlation was observed between empathy and all the study variables, with the exception of the personal accomplishment dimension of burnout and the social restrictiveness and authoritarianism dimensions of attitudes towards mental illness, where a negative relation was observed. Our findings suggest that empathy is associated with an increase in positive attitudes towards patients with mental disorders, decreasing associated stigma, but did not act as a protective factor against burnout in the study sample.

2021 ◽  
Vol 8 ◽  
Author(s):  
Eleanor Quirke ◽  
Vitalii Klymchuk ◽  
Orest Suvalo ◽  
Ioannis Bakolis ◽  
Graham Thornicroft

Abstract Background and study objectives This study aimed to assess among Ukrainian adults: (1) knowledge of mental disorders; (2) attitudes towards people with mental health disorders, and to the delivery of mental health treatment within the community; and (3) behaviours towards people with mental disorders. Methodology A cross-sectional survey of Ukrainian adults aged 18–60 was conducted. Stigma-related mental health knowledge was measured using the mental health knowledge schedule. Attitude towards people with mental health disorders was assessed using the Community Attitudes towards Mental Illness scale. The Reported and Intended Behaviour scale was used to assess past and future intended behaviour towards people with mental health disorders. Results Associations between gender, age, and educational level and the knowledge and attitudes measures were identified. There was evidence of a positive association between being male and positive intended behaviours towards people with mental health disorders [mean difference (MD) = 0.509, 95% confidence interval (CI) 0.021–0.998]. Older age was negatively associated with positive intended behaviours towards people with mental health disorders (MD = −0.017, 95% CI 0.0733 to −0.001). Higher education was positively associated with stigma-related mental health knowledge (MD = 0.438, 95% CI 0.090–0.786), and negatively associated with authoritarian (MD = 0.755, 95% CI 0.295–1.215) attitudes towards people with mental health problems. Conclusion Overall, the findings indicate a degree of awareness of, and compassion towards, people with mental illness among Ukrainian adults, although this differed according to gender, region, and education level. Results indicate a need for the adoption and scaling-up of anti-stigma interventions that have been demonstrated to be effective.


2013 ◽  
Vol 44 (2) ◽  
pp. 315-324 ◽  
Author(s):  
N. R. Hamdi ◽  
W. G. Iacono

BackgroundEpidemiological research is believed to underestimate the lifetime prevalence of mental illness due to recall failure and a lack of rapport between researchers and participants.MethodIn this prospective study, we examined lifetime prevalence and co-morbidity rates of substance use disorders, antisocial personality disorder (ASPD) and major depressive disorder (MDD) in a representative, statewide Minnesota sample (n = 1252) assessed four times between the ages of 17 and 29 years with very low attrition.ResultsLifetime prevalence rates of all disorders more than doubled between the ages of 17 and 29 years in both men and women, and our prospective rates at the age of 29 years were consistently higher than rates from leading epidemiological surveys. Although there was some variation, the general trend was for lifetime co-morbidity to increase between the ages of 17 and 29 years, and this trend was significant for MDD–alcohol dependence, MDD–nicotine dependence, and ASPD–nicotine dependence.ConclusionsOverall, our results show that emerging adulthood is a high-risk period for the development of mental illness, with increases in the lifetime prevalence and co-morbidity of mental disorders during this time. More than a quarter of individuals had met criteria for MDD and over a fifth had experienced alcohol dependence by the age of 29 years, indicating that mental illness is more common than is estimated in cross-sectional mental health surveys. These findings have important implications for the measurement of economic burden, resource allocation toward mental health services and research, advocacy organizations for the mentally ill, and etiological theories of mental disorders.


Author(s):  
Amal Ibrahim Khalil

Background: A sound mental health is the key component of health and the absence of mental health could create a great deal of burden to the functioning of a nation. As well the attitudes of the public towards mental health issues are important factors in fighting the stigma with mental disorders Aim: To investigate the Saudi people level of mental health literacy and attitudes regarding mental disorders and those affected people. Participants and Methods: A descriptive cross sectional survey was used and a convenient sample of 255 subjects from general Saudi population attending to general public collections area, such as, shopping malls, universities, and restaurants in Jeddah city. The tool consisted of sociodemographic data sheet and self-administered checklist developed by Kumar et al., 2012 for assessing the attitude and awareness level of public towards mental disorders. Results: A total of 255 people were interviewed. Most of the respondents 66.3% were females and the majority of the studied population have little awareness and had negative attitude toward the nature of mental illness as well 72.2% indicted that Evil Spirit causing mental illness. Negative attitude responses were ranging from 47 -57% regarding stigmatization, after effect and treatment. Conclusion and recommendations: the findings concluded that there was a decreased level of mental health literacy among studied population as well as negative attitudes and stigmatization of mental illness. Therefore, more work needs to be done to educate the public about the psychobiological underpinnings of psychiatric disorders and the value of effective treatments.


Author(s):  
Kristina Willeke ◽  
Patrick Janson ◽  
Katharina Zink ◽  
Carolin Stupp ◽  
Sarah Kittel-Schneider ◽  
...  

We aimed to systematically identify and evaluate all studies of good quality that compared the occurrence of mental disorders in the self-employed versus employees. Adhering to the Cochrane guidelines, we conducted a systematic review and searched three major medical databases (MEDLINE, Web of Science, Embase), complemented by hand search. We included 26 (three longitudinal and 23 cross-sectional) population-based studies of good quality (using a validated quality assessment tool), with data from 3,128,877 participants in total. The longest of these studies, a Swedish national register evaluation with 25 years follow-up, showed a higher incidence of mental illness among the self-employed compared to white-collar workers, but a lower incidence compared to blue-collar workers. In the second longitudinal study from Sweden the self-employed had a lower incidence of mental illness compared to both blue- and white-collar workers over 15 years, whereas the third longitudinal study (South Korea) did not find a difference regarding the incidence of depressive symptoms over 6 years. Results from the cross-sectional studies showed associations between self-employment and poor general mental health and stress, but were inconsistent regarding other mental outcomes. Most studies from South Korea found a higher prevalence of mental disorders among the self-employed compared to employees, whereas the results of cross-sectional studies from outside Asia were less consistent. In conclusion, we found evidence from population-based studies for a link between self-employment and increased risk of mental illness. Further longitudinal studies are needed examining the potential risk for the development of mental disorders in specific subtypes of the self-employed.


2021 ◽  
Vol 14 (4) ◽  
pp. 651-658
Author(s):  
Teguh Pribadi ◽  
Evi Indrayana ◽  
Satrio Kusumo Lelono

A retrospective evaluation: Follow-up of patients with severe mental illness and the role of community mental health workers among cadres of non-specialist health workersBackground : The default of regular treatment can cause a recurrence of patients with mental disorders. As an effort to increase participation in medicine, one of them is increasing the role of mental health cadres. Based on the results of a pre-survey study conducted in the work area of Way Mili Health Center in December 2018 - January 2019, found it out that 39 patients who actively took part in mental health programs were only 38.46%. And out of 5 mental health cadres, only 1 cadre has an ideal role and the remaining role is less ideal due to individual busyness and cadre incentives that are not under the responsibilities given.Purpose: Knowing the relationship between follow-up of patients with severe mental illness and the role of community mental health workers among cadres of non-specialist health workersMethod: This type of research is a retrospective evaluation, quantitative, analytic survey with a cross sectional approach. The population in this study was caregiver of patient with mental disorders. The questionnaire to determine the role of mental health cadres contains 15 questions and looking at medical records / treatment cards to find the consistency of follow up of patients at the public health centre. Data were analyzed by univariate and bivariate (chi square).Results : It is knowing that all cadres totaling 30 have a mean age of 35.33 years with a standard deviation of ± 3.05 with an age range of 30-40 years and are mostly educated in junior high school (70%) and work as housewives (60%). respondents where the role of cadres was in the low category and 66.7% with follow-up of patients in the irregular category (63.3%). The results of statistical tests on the education variable of the cadres p-value = 0.01; work p-value = 0.002 and patient visits p-value = 0.009 which means <α, it can be concluded that there is a relationship between the Role of Mental Health Cadres and Visits of Mental Disorders Patients in the Work Area of Way Mili Community Health Center, Gunung Protector District, East Lampung Regency, 2019. OR value 8,250 means respondents with low cadre roles have an 8 times greater risk of irregular visits when with high cadre roles.Keywords: A retrospective evaluation; Follow-up of patients; Severe mental illness; Role; CadresPendahuluan: Kekambuhan pasien dengan gangguan jiwa dapat diakibatkan karena gagalnya keberlanjutan pengobatan secara rutin. Sebagai upaya meningkatkan partisipasi dalam pengobatan salah satunya peningkatan peran kader kesehatan jiwa. Berdasarkan hasil pra survey penelitian yang dilakukan di wilayah kerja Puskesmas Way Mili Desember 2018 – Januari 2019 diketahui dari 39 pasien yang ikut aktif dalam berpartisipasi dalam program kesehatan jiwa hanya sebanyak 38,46%. Dan dari 5 kader kesehatan jiwa didapatkan hanya 1 kader yang berperan ideal dan sisanya berperan kurang ideal dikarenakan kesibukan individu dan insentif kader yang kurang sesuai dengan tanggung jawab yang diberikan.Tujuan : diketahui hubungan peran kader kesehatan jiwa dengan kunjungan pasien gangguan jiwa di wilayah kerja puskesmas Way Mili Kecamatan Gunung Pelindung Kabupaten Lampung Timur Tahun 2019.Metode : Jenis penelitian yang digunakan adalah evaluasi retrospektif, kuantitatif, survey analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah perawat pasien gangguan jiwa. Kuesioner untuk mengetahui peran kader kesehatan jiwa berisi 15 pertanyaan dan melihat rekam medis / kartu pengobatan untuk mengetahui konsistensi tindak lanjut pasien di puskesmas. Data dianalisis secara univariat dan bivariat (chi square).Hasil : Diketahui bahwa semua kader yang berjumlah 30 memiliki usia rata-rata 35,33 tahun dengan standar deviasi ± 3,05 dengan rentang usia 30-40 tahun dan sebagian besar berpendidikan SMP (70%) dan bekerja sebagai ibu rumah tangga (60%) ). responden dimana peran kader dalam kategori rendah dan 66,7% dengan tindak lanjut pasien dalam kategori tidak teratur (63,3%). Hasil uji statistik variabel pendidikan kader p-value = 0,01; kerja p-value = 0,002 dan kunjungan pasien p-value = 0,009 yang berarti <α, maka dapat disimpulkan bahwa ada hubungan antara Peran Kader Kesehatan Jiwa dengan Kunjungan Penderita Gangguan Jiwa di Wilayah Kerja Kesehatan Masyarakat Way Mili. Center, Kecamatan Gunung Protector, Kabupaten Lampung Timur, 2019. OR bernilai 8.250 artinya responden dengan peran kader rendah memiliki risiko 8 kali lebih besar untuk melakukan kunjungan tidak teratur bila dengan peran kader tinggi.


2021 ◽  
pp. OP.20.01037
Author(s):  
Okan Avcı ◽  
Yakup İriağaç ◽  
Eyyüp Çavdar ◽  
Erdoğan Selçuk Şeber

PURPOSE: Medical oncology physicians have been identified as one of the main risk groups for the development of burnout. Mindfulness as being aware of the moment nonjudgmentally seems to be a protective factor against burnout. We aimed to reveal mindfulness levels among medical oncology doctors and the potential impact of mindfulness on burnout syndrome. METHODS: In this cross-sectional study, the data of 285 medical oncology doctors were analyzed. The Mindful Attention Awareness Scale was used for mindfulness evaluation, and the Maslach Burnout Inventory was used for burnout assessment. After defining mindfulness levels among medical oncology doctors, the relationship between mindfulness and burnout was analyzed by the Pearson correlation and bivariate logistic regression tests. RESULTS: The mean Mindful Attention Awareness Scale score of participants was 54.52 ± 13.77. Mindfulness was associated with age ( P < .001), having a hobby ( P = .008), regular exercise ( P = .001), professional title ( P = .02), and professional experience ( P = .02). As the level of mindfulness increased, emotional exhaustion and depersonalization decreased, whereas personal accomplishment increased significantly (all P < .001). In the regression analysis, mindfulness was significantly associated with all three subscales of burnout (all P < .01). CONCLUSION: We have demonstrated for the first time on such a large scale that higher levels of mindfulness were related with lower burnout among medical oncology physicians. These findings suggest the potential benefits of mindfulness-based interventions in reducing burnout levels in medical oncologists.


2017 ◽  
Vol 8 (1) ◽  
pp. 33
Author(s):  
Rajni Suri ◽  
Anshu Suri ◽  
Neelam Kumari ◽  
Amool R. Singh ◽  
Manisha Kiran

The role of women is very crucial in our society. She cares for her parents, partner, children and other relatives. She performs all types of duties in family and also in the society without any expectations. Because of playing many roles, women often face many challenges in their life including both physical and mental. Mental health problems affect women and men equally, but some problems are more common among women including both physical and mental health problems. Aim of the study - The present study is aimed to describe and compare the clinical and socio-demographic correlates of female mentally ill patients. Methods and Materials: The study includes 180 female mentally ill patients based on cross sectional design and the sample for the study was drawn purposively. A semi structured socio-demographic data sheet was prepared to collect relevant information as per the need of the study. Result: The present study reveals that the socio-demographic factors contribute a vital role in mental illness. Findings also showed that majority of patients had mental problems in the age range of 20-30 have high rate. Illiterate and primary level of education and daily wage working women as well as low and middle socio-economic status women are more prone to have mental illness. Other factors like marital status, type of family and religion etc also important factors for mental illness. Keywords: Socio demographic profile, female, psychiatric patient


Author(s):  
Sofia Pappa ◽  
Joshua Barnett ◽  
Ines Berges ◽  
Nikolaos Sakkas

The burden of the COVID-19 pandemic on health systems and the physical and mental health of healthcare workers (HCWs) has been substantial. This cross-sectional study aims to assess the effects of COVID-19 on the psychological wellbeing of mental health workers who provide care to a vulnerable patient population that have been particularly affected during this crisis. A total of 387 HCWs from across a large urban mental health service completed a self-administered questionnaire consisting of socio-demographic, lifestyle and work-based information and validated psychometric scales. Depression and anxiety were measured using the Patient Health Questionnaire (PHQ-9) and the Generalized Anxiety Disorder Scale (GAD-7), respectively; sleep problems with the Athens Insomnia Scale (AIS); burnout with the Maslach Burnout Inventory (MBI); and resilience with the Resilience Scale-14 (RS-14). Multivariable logistic regression analysis was performed to determine potential mediating factors. Prevalence of burnout was notable, with 52% recording moderate/severe in Emotional Exhaustion, 19.5% moderate/severe in Depersonalisation, and 55.5% low/moderate Personal Accomplishment. Over half of all respondents (52%) experienced sleep problems; the presence of depressive symptoms was a significant predictor of insomnia. An increase in potentially harmful lifestyle changes, such as smoking, alcohol consumption and overeating was also observed. However, high Resilience was reported by 70% of the samples and the importance of this is highlighted. Female gender was associated with increased levels of depression and emotional exhaustion while those with a history of mental health conditions were most at risk of affective symptoms, insomnia, and burnout. Overall, our study revealed considerable levels of psychological distress and maladaptive coping strategies but also resilience and satisfaction with organizational support provided. Findings can inform tailored interventions in order to mitigate vulnerability and prevent long-term psychological sequelae.


BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e041371
Author(s):  
Alyssa Howren ◽  
J Antonio Aviña-Zubieta ◽  
Deborah Da Costa ◽  
Joseph H Puyat ◽  
Hui Xie ◽  
...  

ObjectiveTo evaluate the association between having arthritis and the perceived need for mental healthcare and use of mental health support among individuals with mental disorders.DesignA cross-sectional analysis using data from Canadian Community Health Survey—Mental Health (2012).SettingThe survey was administered across Canada’s 10 provinces using multistage cluster sampling.ParticipantsThe study sample consisted of individuals reporting depression, anxiety or bipolar disorder.Study variables and analysisThe explanatory variable was self-reported doctor-diagnosed arthritis, and outcomes were perceived need for mental healthcare and use of mental health support. We computed overall and gender-stratified multivariable binomial logistic regression models adjusted for age, gender, race/ethnicity, income and geographical region.ResultsAmong 1774 individuals with a mental disorder in the study sample, 436 (20.4%) reported having arthritis. Arthritis was associated with increased odds of having a perceived need for mental healthcare (adjusted OR (aOR) 1.71, 95% CI 1.06 to 2.77). In the gender-stratified models, this association was increased among men (aOR 2.69, 95% CI 1.32 to 5.49) but not women (aOR 1.48, 95% CI 0.78 to 2.82). Evaluation of the association between arthritis and use of mental health support resulted in an aOR of 1.50 (95% CI 0.89 to 2.51). Individuals with arthritis tended to use medications and professional services as opposed to non-professional support.ConclusionComorbid arthritis among individuals with a mental disorder was associated with an increased perceived need for mental healthcare, especially in men, underscoring the importance of understanding the role of masculinity in health seeking. Assessing the mental health of patients with arthritis continues to be essential for clinical care.


Author(s):  
Eglė Slabšinskienė ◽  
Andrej Gorelik ◽  
Aistė Kavaliauskienė ◽  
Apolinaras Zaborskis

Although burnout has been described as a serious hazard for personal and professional lives and has been surveyed among dentists in many countries, no study has been published regarding burnout among dentists in Lithuania. This study aimed to evaluate the burnout level among Lithuanian dentists and its association with demographic variables, job satisfaction, and other job-related variables. The data were collected among dentists online or during professional conferences while using an anonymous questionnaire (n = 380). The Maslach Burnout Inventory (MBI) was used to evaluate the burnout level. A Poisson regression was applied for the analysis of relationships between variables. We observed that 42.3% of the respondents had a high emotional exhaustion (EE) (95% confidence interval (CI): 37.4–42.3%), while 18.7% (95% CI: 15.0–22.9%) and 28,2% (95% CI: 23.4–32.6%) had high depersonalization (DP) and low personal accomplishment (PA), respectively. Nonetheless, 15.3% (95% CI: 11.8–18.9%) of the study population experienced a high level of overall burnout. An original job satisfaction index was elaborated. It was significantly associated with sum scores of all burnout dimensions: with the EE sum score (Ratio of Sum Score Means (RSSM) 1.54; 95% CI: 1.46–1.62), DP sum score (RSSM 1.59; 95% CI: 1.45–1.74), and PA sum score (RSSM 0.88; 95% CI: 0.84–0.92). It was concluded that Lithuanian dentists can be characterised by high burnout intensity and high prevalence of burnout, being especially evident in emotional exhaustion. The dentist with low job satisfaction appeared to be the most vulnerable to all burnout dimensions.


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