Stigma in health professionals towards people with mental illness: An integrative review

Carrara, Bruna Sordi; Ventura, Carla Aparecida Arena; Bobbili, Sireesha J.; Jacobina, Olga Maria Pimentel; Khenti, Akwatu; Mendes, Isabel Amélia Costa

doi:10.1016/j.apnu.2019.01.006

Cited by 36 publications

(34 citation statements)

References 43 publications

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“…This dimension reflects the negative stereotypes that are part of the concept of stigma, often present in its measurement and with theoretical and empirical significance. As found in other studies, health care staff, even mental health care staff, share the same beliefs about people with mental illnesses as those of the general population (Carrara et al, 2019;Kopera et al, 2015). This situation has led the World Health Organization to include stigma reduction as an important area of work due to its consequences for the equity of care (WHO World Health Organization, 2013).…”

Section: Discussionmentioning

confidence: 73%

“…In health care, stigma affects professional-user interaction and, therefore, substantially influences the outcomes of physical and mental treatment and care for people diagnosed with a mental illness (Carrara et al, 2019;Knaak et al, 2017). Therefore, the study and understanding of the presence of stigma in this particular population has become a priority (Carrara et al, 2019;Hansson et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

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Psychometric properties of the attitudes scale of health care professionals’ toward people with a diagnosis of mental illness (EAPS-TM)

et al. 2021

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Health care providers have been shown to stigmatize mental disorders, which has serious consequences in the care, treatment and recovery of people. The instruments that have been developed to assess stigma in this population are few in number; some do not specifically focus on health workers, are aimed at a reduced range of professionals, and lack robust psychometric analyses. The aim of this study was to develop and evaluate the psychometric properties of an instrument meant to assess the stigmatizing attitudes of health care providers toward people with mental illnesses. An instrumental design with two independent convenience samples of health care providers who worked in primary and secondary health care centers was used. The first sample (n = 272) was used for exploratory factor analysis, and the second sample (n = 419) was used for confirmatory analysis. Each subject received the studied scale, a sociodemographic background survey and the Social Distance Scale (SD), which were all used for the concurrent validity analysis. To evaluate concurrent validity, the Pearson correlation index was used, while internal consistency was evaluated via Cronbach's alpha and McDonald's total omega coefficient. The final instrument includes 2 dimensions: stigmatizing beliefs (12 items) and infantilization and relational distance (6 items). Reliability indexes (Cronbach's alpha and McDonald's total omega) are between 0.73 and 0.86, respectively. Moreover, concurrent validity present moderated and significant correlations ranging from r p = 0.28 (p < .001) to r p = 0.45 (p < .001). The instrument has a robust factor structure and suitable levels of internal consistency and concurrent validity, which support its use in studying the attitudes of health care providers.

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Section: Discussionmentioning

confidence: 73%

Section: Introductionmentioning

confidence: 99%

Psychometric properties of the attitudes scale of health care professionals’ toward people with a diagnosis of mental illness (EAPS-TM)

et al. 2021

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“…From the Delphi consensus regarding the stigmatization process associated with substance use disorders, two themes can be emphasized: negative beliefs and positive attitudes. Stigma is characterized as labeling, stereotyping, and separation of others from oneself, leading to status loss and discrimination [33,34]. Subthemes extracted from the Delphi consensus were related to attitudes such as the view that the patient's personal characteristics are determinant of treatment, that abstinence is the only option, that substance use disorders are the cause of vulnerabilities and a strictly medical view of the disorder.…”

Section: Discussionmentioning

confidence: 99%

Massive open online course for Brazilian healthcare providers working with substance use disorders: curriculum design

2020

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Background: Interpersonal and technical skills are required for the care of people living with substance use disorders. Considering the applicability and usability of online courses as continuing professional education initiatives, this study aimed to describe the content design process of an introductory-level healthcare-centered Massive Open Online Course (MOOC). Methods: The content of the course was informed through needs assessment, by using three sources: (a) narrative literature review, (b) Delphi health experts panel consensus, and (c) focus groups conducted with people living with substance use disorders. The data from the empirical research phases were analyzed through qualitative Thematic Analysis. Results: The product of this research project is the introductory-level Massive Open Online Course "Healthcare: Developing Relational Skills for the Assistance of People Living with Substance Use Disorders" which approaches health communication and empathetic relational professional skills as a means of reducing stigmatization of people living with substance use disorders. Conclusions: Diverse strategies for designing distance education initiatives have to consider different views on the subject being approached in such courses. The product presented in this paper has the potential to be an educational tool for topics traditionally not addressed in Brazilian continuing education and can be used as a model to the design of online courses directed to the development of work-related skills for the healthcare professions.

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“…Right from the start, this might adversely affect the therapeutic alliance. This in turn hinders the mental health professionals' understanding of the service user's problem, leading service users to disengage from treatment more readily [11] which ultimately sets up a vicious cycle as a self-fulfilling prophecy. This only serves to reinforce the pre-existing negative stereotypes held by the mental health professional.…”

Section: Healthcare Professionals As Stigmatizersmentioning

confidence: 99%

Give, and You Shall Receive: Mental Health Professionals and Stigma Towards Persons with Mental Illness

Soh

2020

SJPBS

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Stigma in health professionals towards people with mental illness: An integrative review

Cited by 36 publications

References 43 publications

Psychometric properties of the attitudes scale of health care professionals’ toward people with a diagnosis of mental illness (EAPS-TM)

Psychometric properties of the attitudes scale of health care professionals’ toward people with a diagnosis of mental illness (EAPS-TM)

Massive open online course for Brazilian healthcare providers working with substance use disorders: curriculum design

Give, and You Shall Receive: Mental Health Professionals and Stigma Towards Persons with Mental Illness

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