General Medical Clinicians’ Attitudes Toward People with Serious Mental Illness: A Scoping Review

Chen, Lisa Nawei; Daumit, Gail L.; Linden, Sarah; McGinty, Emma E.

doi:10.1007/s11414-019-09652-w

Cited by 34 publications

(38 citation statements)

References 60 publications

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“…Healthcare professionals are an integral part of the formal healthcare service system who have been identified as an underrepresented group within the SMI stigma literature [28,[49][50][51][52]. Evidence suggests that healthcare professionals share similar attitudes to those of the general population perceiving PWSMI as incompetent, violent, and dangerous [53][54][55]. For example, research has shown that health professionals have more negative stereotypes and social distance desire for people with schizophrenia than people with depression [56][57][58].…”

Section: Mental Illness Stigma and Healthcare Professionalsmentioning

confidence: 99%

“That’s all Fake”: Health professionals stigma and physical healthcare of people living with Serious Mental Illness

2019

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Background People living with a Serious Mental Illness (SMI) die earlier than the general population due to preventable medical conditions. Latinos living with SMI are a particularly vulnerable population with higher prevalence of chronic medical conditions. Stigma has been identified as a factor that fosters health inequities for Latinos/as with SMI, particularly Puerto Ricans. Although personal and social consequences of stigmatization have been well documented, research regarding the role of cultural factors on healthcare interactions is scarce. Furthermore, little research has focused on addressing stigma from the perspective of healthcare professionals. Methods We investigated this process through a qualitative design using semi-structured individual interviews with 11 healthcare professionals (8 physicians and 3 nurses) in Puerto Rico. We conducted a thematic analysis to analyze the data. Results Following a thematic analysis, we found three main themes and nine sub-themes related to the stigmatization process. Some participants reported perceptions of dangerousness and uneasiness, social distance and inadequate care. Participants also emphasized a lack of medical training regarding SMI within the Puerto Rican context. Conclusions These findings support the need to develop culturally appropriate public health interventions targeting healthcare professionals in order to address stigma and eliminate health disparities among Latinos/as with SMI.

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Section: Mental Illness Stigma and Healthcare Professionalsmentioning

confidence: 99%

“That’s all Fake”: Health professionals stigma and physical healthcare of people living with Serious Mental Illness

2019

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“…In a review study examining the results of 17 investigations examining the attitudes of general medical clinicians (physicians, nurses, medical students, academicians, social service experts) toward patients with serious mental illness, it was determined that general medical clinicians had negative attitudes toward individuals with serious mental illness and that this attitude was generally more negative than attitudes among mental health clinicians. 33 In another study, primary care physicians were more likely to support stereotypical beliefs toward patients with schizophrenia compared to psychologists or mental health nurses. 34 Four studies evaluating the effects of clinicians' attitudes toward clinical decision making suggest that negative attitudes adversely affect clinical decision making regarding somatic care for individuals with serious mental illness.…”

Section: Discussionmentioning

confidence: 98%

Self‐management of chronic disease in individuals with psychotic disorder: A qualitative study

Adıbelli

Özkan

2020

Perspect Psychiatr Care

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The aim of this study was to evaluate self-management by individuals with a serious mental illness and an additional chronic disease.Design and Methods: Heidegger's hermeneutic phenomenological approach was used. The study was carried out with 12 participants with a serious mental illness and an additional chronic disease.Results: The participants had a diagnosis of schizophrenia and diabetes (75%). Based on the data, the difficulties faced by the patients in chronic disease management were determined as three themes: (a) personal-related difficulties, (b) family and society-related difficulties, and (c) healthcare system-related difficulties.Practice Implications: Nurses' interventions to accurately inform other clinicians and leading professional groups in the community will support individuals with serious mental illnesses to improve their self-management by reducing the burden of stigma.

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“…Research shows that provider stigma toward adult patients with mental illness is pervasive and can impact care (Henderson et al, 2014; Stone et al, 2019; Welch et al, 2015), and that healthcare providers who endorse stigma regarding mental illness were more likely to be pessimistic about patient adherence (Corrigan et al, 2014). The current study does not support the application of these concerns to parents with mental illness who have a child with SSRD as there was no impact on their child’s healthcare utilization or functional impairment in the current study.…”

Section: Discussionmentioning

confidence: 99%

Somatic symptom and related disorders in pediatric patients: Associations with parent psychiatric and substance use histories

Lavigne

Laake

Ibeziako

2020

Clin Child Psychol Psychiatry

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Parental response to pediatric patients with somatic symptom and related disorders (SSRDs) can impact symptom presentation. However, little is known about the impact of parent psychiatric and substance use disorder (SUD) history on the functional status and medical healthcare utilization of patients with SSRDs. The current study explored the associations between parent psychiatric & SUD history and patient somatic symptoms, functional disability, and hospital course in a medically hospitalized sample of pediatric patients with SSRDs. The electronic medical records of 375 pediatric patients with SSRDs, ages 5 to 18, admitted at a tertiary pediatric hospital were retrospectively reviewed. Parent psychiatric histories were identified in 45.1% of the sample. Parent SUD history and maternal psychiatric history were associated with more patient reported somatization. Parent psychiatric and SUD history were not associated with pediatric patients’ level of functional disability or healthcare utilization during admission, including admission length, number of tests, and number of consultations obtained. This study has implications regarding reduction of potential stigma towards parents with psychiatric or SUD histories whose children are hospitalized with SSRDs. While such histories may provide insights regarding somatization presentation of pediatric patients with these disorders, it may not necessarily impact level of functional disability or hospital course.

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General Medical Clinicians’ Attitudes Toward People with Serious Mental Illness: A Scoping Review

Cited by 34 publications

References 60 publications

“That’s all Fake”: Health professionals stigma and physical healthcare of people living with Serious Mental Illness

“That’s all Fake”: Health professionals stigma and physical healthcare of people living with Serious Mental Illness

Self‐management of chronic disease in individuals with psychotic disorder: A qualitative study

Somatic symptom and related disorders in pediatric patients: Associations with parent psychiatric and substance use histories

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