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Attitudes of psychiatrists towards people with mental illness: a cross-sectional, multicentre study of stigma in 32 European countries
D. Őri, P. Szocsics, T. Molnár, LB. Motlova, O. Kazakova, S. Mörkl, M. Wallies, M. Abdulhakim, S. Boivin, K. Bruna, C. Cabaços, EA. Carbone, E. Dashi, G. Grech, S. Greguras, I. Ivanovic, K. Guevara, S. Kakar, K. Kotsis, IM. Ingeholm Klinkby, J....
Status neindexováno Jazyk angličtina Země Anglie, Velká Británie
Typ dokumentu časopisecké články
NLK
Directory of Open Access Journals
od 2018
PubMed Central
od 2018
Europe PubMed Central
od 2018
ROAD: Directory of Open Access Scholarly Resources
od 2018
- Publikační typ
- časopisecké články MeSH
BACKGROUND: Mental health-related stigma occurs among the public and professionals alike. The lived experience of mental illness has been linked to less stigmatising attitudes. However, data on psychiatrists and the relationship between stigmatising attitudes and psychotherapeutic activity or case discussion groups remains scarce. METHODS: A cross-sectional multicentre study was performed in 32 European countries to investigate the lived experiences and attitudes of psychiatrists toward patients with mental illness as well as the relationship between stigma, psychosocial and professional factors. The self-reported, anonymous, internet-based Opening Minds Stigma Scale for Health Care Providers was used to measure the stigmatising attitudes. The survey was translated into the local language of each participating country. All participants were practising specialists and trainees in general adult or child and adolescent psychiatry. The study took place between 2nd October, 2019 and 9th July, 2021 and was preregistered at ClinicalTrial.gov (NCT04644978). FINDINGS: A total of 4245 psychiatrists completed the survey. The majority, 2797 (66%), had completed training in psychiatry, and 3320 (78%) worked in adult psychiatry. The final regression model showed that across European countries more favourable attitudes toward people with mental illness were statistically significantly associated with the lived experience of participants (including seeking help for their own mental health conditions (d = -0.92, 95% confidence interval (CI) = -1.68 to -0.15, p = 0.019), receiving medical treatment for a mental illness (d = -0.88, 95% CI = -1.71 to -0.04, p = 0.040), as well as having a friend or a family member similarly affected (d = -0.68, 95% CI = -1.14 to -0.22, p = 0.004)), being surrounded by colleagues who are less stigmatising (d = -0.98, 95% CI = -1.26 to -0.70, p < 0.001), providing psychotherapy to patients (d = -1.14, 95% CI = -1.63 to -0.65 p < 0.001), and being open to (d = -1.69, 95% CI = -2.53 to -0.85, p < 0.001) and actively participating in (d = -0.94, 95% CI = -1.45 to -0.42, p < 0.001) case discussion, supervision, or Balint groups. INTERPRETATION: Our study highlights the importance of psychotherapy training, supervision, case discussions and Balint groups in reducing the stigmatising attitudes of psychiatrists toward patients. As the findings represent cross-national predictors, Europe-wide policy interventions, national psychiatric education systems and the management of psychiatric institutions should take these findings into consideration. FUNDING: National Youth Talent Award (Ministry of Human Resources, Hungary, (NTP-NFTÖ-20-B-0134). All authors received no funding for their contribution.
Acute Psychiatric Department 1 Psychiatric Hospital Michalovce Michalovce Slovak Republic
Admission Ward State Psychiatric Hospital Gintermuiza Jelgava Latvia
Centre for Clinical Psychiatry University Psychiatric Clinic Ljubljana Ljubljana Slovenia
Centro de Investigacion Biomedica en Red de Salud Mental Instituto de Salud Carlos 3 Barcelona Spain
Coimbra Institute for Biomedical Imaging and Translational Research Coimbra Portugal
Department of Child and Adolescent Psychiatry Capital Region of Denmark Copenhagen Denmark
Department of Child and Adolescent Psychiatry EPSM du Finistère Sud Quimper France
Department of Clinical Psychology Ukrainian Catholic University Lviv Ukraine
Department of General Adult Psychiatry South Meath Mental Health Service Co Meath Ireland
Department of Medical and Surgical Sciences University Magna Græcia of Catanzaro Catanzaro Italy
Department of Mental Health Belgrade Serbia
Department of Mental Health Heim Pál National Pediatric Institute Budapest Hungary
Department of Neuroscience University Hospital Center Mother Theresa Tirane Albania
Department of Psychiatry Aladar Petz County Teaching Hospital Győr Hungary
Department of Psychiatry and Psychotherapy Semmelweis University Budapest Hungary
Department of Psychiatry Erasmus University Medical Center Rotterdam the Netherlands
Department of Psychiatry United City Hospital N15 Baku Azerbaijan
Department of Psychiatry University of Ioannina Ioannina Greece
Department of Psychiatry Vrije Universiteit Brussel Brussels Belgium
Department of Psychology Fevziye School Fundatitions Işık University Istanbul Turkey
Department of Urgent and Post Urgent Psychiatry CHU Montpellier Montpellier France
Division of Medical Psychology 3rd Faculty of Medicine Charles University Prague The Czech Republic
FIDMAG Germanes Hospitalàries Research Foundation Barcelona Spain
Hospital Benito Menni Complex Assistencial Salut Mental Sant Boi de Llobregat Spain
Inpatient Psychiatric Department 2 Psychiatric Clinic of Minsk City Minsk Belarus
Institute of Behavioural Sciences Semmelweis University Budapest Hungary
Institute of Functional Genomics University of Montpellier CNRS INSERM Montpellier France
Institute of Psychological Medicine Faculty of Medicine Coimbra University Coimbra Portugal
Mental Health Services Mount Carmel Hospital Attard Malta
Pennine Care NHS Foundation Trust Oldham United Kingdom
Psychiatry Department Centro Hospitalar e Universitário de Coimbra Coimbra Portugal
The Serbsky State Scientific Center for Social and Forensic Psychiatry Moscow Russian Federation
Citace poskytuje Crossref.org
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- $a BACKGROUND: Mental health-related stigma occurs among the public and professionals alike. The lived experience of mental illness has been linked to less stigmatising attitudes. However, data on psychiatrists and the relationship between stigmatising attitudes and psychotherapeutic activity or case discussion groups remains scarce. METHODS: A cross-sectional multicentre study was performed in 32 European countries to investigate the lived experiences and attitudes of psychiatrists toward patients with mental illness as well as the relationship between stigma, psychosocial and professional factors. The self-reported, anonymous, internet-based Opening Minds Stigma Scale for Health Care Providers was used to measure the stigmatising attitudes. The survey was translated into the local language of each participating country. All participants were practising specialists and trainees in general adult or child and adolescent psychiatry. The study took place between 2nd October, 2019 and 9th July, 2021 and was preregistered at ClinicalTrial.gov (NCT04644978). FINDINGS: A total of 4245 psychiatrists completed the survey. The majority, 2797 (66%), had completed training in psychiatry, and 3320 (78%) worked in adult psychiatry. The final regression model showed that across European countries more favourable attitudes toward people with mental illness were statistically significantly associated with the lived experience of participants (including seeking help for their own mental health conditions (d = -0.92, 95% confidence interval (CI) = -1.68 to -0.15, p = 0.019), receiving medical treatment for a mental illness (d = -0.88, 95% CI = -1.71 to -0.04, p = 0.040), as well as having a friend or a family member similarly affected (d = -0.68, 95% CI = -1.14 to -0.22, p = 0.004)), being surrounded by colleagues who are less stigmatising (d = -0.98, 95% CI = -1.26 to -0.70, p < 0.001), providing psychotherapy to patients (d = -1.14, 95% CI = -1.63 to -0.65 p < 0.001), and being open to (d = -1.69, 95% CI = -2.53 to -0.85, p < 0.001) and actively participating in (d = -0.94, 95% CI = -1.45 to -0.42, p < 0.001) case discussion, supervision, or Balint groups. INTERPRETATION: Our study highlights the importance of psychotherapy training, supervision, case discussions and Balint groups in reducing the stigmatising attitudes of psychiatrists toward patients. As the findings represent cross-national predictors, Europe-wide policy interventions, national psychiatric education systems and the management of psychiatric institutions should take these findings into consideration. FUNDING: National Youth Talent Award (Ministry of Human Resources, Hungary, (NTP-NFTÖ-20-B-0134). All authors received no funding for their contribution.
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