Attitudes of social distance and social responsibility for mental illness: A comparison of teachers and the general public

Bentz, W. Kenneth; Hollister, William G.; Kherlopian, Margaret

doi:10.1002/1520-6807(197004)7:2<198::aid-pits2310070218>3.0.co;2-d

Cited by 8 publications

(7 citation statements)

References 15 publications

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“…3 Feelings of distrust and social distance between the health care worker and patient have also been shown to negatively affect health care provision. [4][5][6] Stigma also negatively affects health care through the experience of self-stigma on the part of the patient. The internalisation of stigma conveyed by health professionals can discourage a client from seeking treatment for mental health and substance use problems.…”

Section: Abstract Stigma Psychometrics Opening Mindsmentioning

confidence: 99%

Examining the Application of the Opening Minds Survey in the Community Health Centre Setting

et al. 2017

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Section: Abstract Stigma Psychometrics Opening Mindsmentioning

confidence: 99%

Examining the Application of the Opening Minds Survey in the Community Health Centre Setting

et al. 2017

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“…The stigma of mental illness is a complex concept [4, 5], with multiple aspects and subcomponents that have been identified in previous studies. These domains include “perceived stigma” [6–9], “public stigma” [9], “self-stigma” [10], “structured stigma” [11–13], “social distance” [7, 14], “dangerousness” [6], “recovery” [15], “emotional reactions” [16], and “social responsibility and compassion” [17]. Another type of stigma often associated with mental illness is “double stigma,” which is stigma compounded by membership in more than one stigmatized group, such as due to one’s HIV/AIDS status, identifying as LGBT, ethnicity, religion, etc.…”

Section: Introductionmentioning

confidence: 99%

Association between attitudes of stigma toward mental illness and attitudes toward adoption of evidence-based practice within health care providers in Bahrain

et al. 2019

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The health care system is one of the key areas where people with mental illnesses could experience stigma. Clinicians can hold stigma attitudes during their interactions with patients with mental illness. To improve the quality of mental health services and primary care, evidence-based practices should be disseminated and implemented. In this study, we evaluated the attitudes of health care providers in Bahrain toward people with mental illness and adoption of evidence-based practice using the Opening Minds Stigma Scale for Healthcare Providers (OMS-HC) and Evidence-Based Practice Attitude Scale (EBPAS). We conducted a cross-sectional study across 12 primary health care centers and a psychiatric hospital (the country’s main mental health care facility). A self-report questionnaire was distributed among all health care providers. A total of 547 health care providers participated, with 274 from mental health services and 273 from primary care services. Results of the OMS-HC indicated differences between both main groups and subgroups. Regression model analysis reported significant outcomes. There was no statistical difference found between both groups in EBPAS scores. A weak but statistically significant negative association was reported between both scales. Participants showed varying stigma attitudes across different working environments, with less stigma shown in mental health services than in primary care services. Providers who were more open to adopting evidence-based practices showed less stigma toward people with mental illness. Comparing our findings with previous research showed that health care providers in Bahrain hold more stigma attitudes than other groups studied. We hope that this study serves as an initial step toward future campaigns against the stigma of mental illness in Bahrain and across the region.

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“…This definition speaks to the complexity of the stigma construct. Similarly, the research literature has identified various aspects related to and sub-components of the stigma construct, including perceived stigma [ 2 - 5 ], self-stigma [ 6 ], social distance [ 3 , 7 ], danger/violence [ 8 ], helping [ 8 ], negativism, as opposed to a belief in recovery [ 9 ], and emotional reactions [ 10 ] including social responsibility and lack of empathy or comparison towards people with mental illness. Corrigan and colleagues suggest that “stigma related to mental illness represents a significant public health concern because it is a major barrier to care seeking or ongoing treatment participation” [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Opening Minds Stigma Scale for Health Care Providers (OMS-HC): Examination of psychometric properties and responsiveness

et al. 2014

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BackgroundDiminishing stigmatization for those with mental illnesses by health care providers (HCPs) is becoming a priority for programming and policy, as well as research. In order to be successful, we must accurately measure stigmatizing attitudes and behaviours among HCPs. The Opening Minds Stigma Scale for Health Care Providers (OMS-HC) was developed to measure stigma in HCP populations. In this study we revisit the factor structure and the responsiveness of the OMS-HC in a larger, more representative sample of HCPs that are more likely to be targets for anti-stigma interventions.MethodsBaseline data were collected from HCPs (n = 1,523) during 12 different anti-stigma interventions across Canada. The majority of HCPs were women (77.4%) and were either physicians (MDs) (41.5%), nurses (17.0%), medical students (13.4%), or students in allied health programs (14.0%). Exploratory factor analysis (EFA) was conducted using complete pre-test (n = 1,305) survey data and responsiveness to change analyses was examined with pre and post matched data (n = 803). The internal consistency of the OMS-HC scale and subscales was evaluated using the Cronbach’s alpha coefficient. The scale’s sensitivity to change was examined using paired t-tests, effect sizes (Cohen’s d), and standardized response means (SRM).ResultsThe EFA favored a 3-factor structure which accounted for 45.3% of the variance using 15 of 20 items. The overall internal consistency for the 15-item scale (α = 0.79) and three subscales (α = 0.67 to 0.68) was acceptable. Subgroup analysis showed the internal consistency was satisfactory across HCP groups including physicians and nurses (α = 0.66 to 0.78). Evidence for the scale’s responsiveness to change occurred across multiple samples, including student-targeted interventions and workshops for practicing HCPs. The Social Distance subscale had the weakest level of responsiveness (SRM ≤ 0.50) whereas the more attitudinal-based items comprising the Attitude (SRM ≤ 0.91) and Disclosure and Help-seeking (SRM ≤ 0.68) subscales had stronger responsiveness.ConclusionsThe OMS-HC has shown to have acceptable internal consistency and has been successful in detecting positive changes in various anti-stigma interventions. Our results support the use of a 15-item scale, with the calculation of three sub scores for Attitude, Disclosure and Help-seeking, and Social Distance.

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Attitudes of social distance and social responsibility for mental illness: A comparison of teachers and the general public

Cited by 8 publications

References 15 publications

Examining the Application of the Opening Minds Survey in the Community Health Centre Setting

Examining the Application of the Opening Minds Survey in the Community Health Centre Setting

Association between attitudes of stigma toward mental illness and attitudes toward adoption of evidence-based practice within health care providers in Bahrain

Opening Minds Stigma Scale for Health Care Providers (OMS-HC): Examination of psychometric properties and responsiveness

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