Stigma toward individuals with mental disorders among Brazilian psychiatrists: a latent class analysis

Abstract

Objective: The stigma toward individuals with mental disorders is highly prevalent, not only in the general population but among health care providers as well. The aim of this study was to identify subgroups based on stigmatizing beliefs related to psychiatric disorders among Brazilian psychiatrists, as well as to investigate their association with clinical and personality characteristics. Methods: Latent cluster analysis was used to find subgroups of cases in multivariate data according to a psychotic (schizophrenia) and a nonpsychotic disorder (attention-deficit hyperactivity disorder). The clusters for each psychiatric disorder were compared according to sociodemographic, emotional traits, and personality characteristics. Results: A total of 779 psychiatrists answered the questionnaire. Three different subgroups of stigma levels were identified regarding schizophrenia: the highest (n=202 [51.7%]), intermediate ( 108[27.6%]), and the lowest (81 [20.7%]). Participants from the highest stigma group had a significantly longer time since graduation, higher anxiety-state scores, and lower positive affect. Two subgroups were identified with respect to attention-deficit hyperactivity disorder, although there were no differences between them in sociodemographic or clinical variables. Conclusion: There were more subgroups of stigmatizing beliefs regarding psychotic disorders. Individual characteristics, such as those related to trait anxiety and affect, can be associated with high stigma toward schizophrenia.

Cultural adaptation of the mental health first aid guidelines for depression in Brazil: a Delphi expert consensus study

“…For instance, the following statements from the English-language guidelines "The first aider should be open to any opportunity that presents itself to talk about their concerns with the person" and "The first aider should know that allowing the person to talk about how they are feeling can help them feel better, not worse" received low ratings by both panels. This may be because mental health problems are stigmatized in Brazil [11], even among mental health professionals [31], and talking openly about a mental health problem may be considered demeaning to a person with depression in Brazil. Furthermore, statements related to the first aider prioritizing the person's safety above all were seen in the Brazilian adapted guidelines.…”

Burden of disease, incidence, and spatial distribution of Schizophrenia in Ecuador from 2011 to 2021 using hospital discharge records

“…Moreover, these demographics face additional risks including metabolic syndrome, diabetes, sedentary lifestyles, and smoking. Often, they lack preventive care, partly attributable to inadequate health education and pervasive stigmatization [14,15]. The diagnosis further limits their access to regular medical care.…”

Attitudes of psychiatrists towards people with mental illness: a cross-sectional, multicentre study of stigma in 32 European countries

“… 10 Psychiatrists who had regular contact with people with mental illness in their community showed more favourable attitudes toward them. 8 , 11 However, a large study among psychiatrists showed that close relationships or frequent contact with affected family members could result in more stigma than infrequent contact. 11 …”

“…8 , 11 However, a large study among psychiatrists showed that close relationships or frequent contact with affected family members could result in more stigma than infrequent contact. 11 …”