AIMS: To measure the stigma of healthcare providers toward people suffering from mental illness, the Opening Minds Stigma Scale for Health Care Providers (OMS-HC) is a commonly applied instrument. However, this scale has not been thoroughly validated in many European countries, its psychometric properties are still unknown and data on practicing psychiatrists is lacking. Therefore, this multicenter study aimed to assess the psychometric characteristics of the 15-item OMS-HC in trainees and specialists in adult and child psychiatry in 32 countries across Europe. MATERIALS AND METHODS: The OMS-HC was conducted as an anonymous online survey and sent via Email to European adult and child psychiatrists. Parallel analysis was used to estimate the number of OMS-HC dimensions. Separate for each country, the bifactor ESEM, a bifactor exploratory structural equation modeling approach, was applied to investigate the factor structure of the scale. Cross-cultural validation was done based on multigroup confirmatory factor analyses and reliability measures. RESULTS: A total of 4,245 practitioners were included, 2,826 (67%) female, 1,389 (33%) male. The majority (66%) of participants were specialists, with 78% working in adult psychiatry. When country data were analyzed separately, the bifactor model (higher-order factor solution with a general factor and three specific factors) showed the best model fit (for the total sample χ2/df = 9.760, RMSEA = 0.045 (0.042-0.049), CFI = 0.981; TLI = 0.960, WRMR = 1.200). The average proportion of variance explained by the general factor was high (ECV = 0.682). This suggests that the aspects of 'attitude,' 'disclosure and help-seeking,' and 'social distance' could be treated as a single dimension of stigma. Among the specific factors, the 'disclosure and help-seeking' factor explained a considerable unique proportion of variance in the observed scores. CONCLUSION: This international study has led to cross-cultural analysis of the OMS-HC on a large sample of practicing psychiatrists. The bifactor structure displayed the best overall model fit in each country. Rather than using the subscales, we recommend the total score to quantify the overall stigmatizing attitudes. Further studies are required to strengthen our findings in countries where the proposed model was found to be weak.

• MeSH
• dítě MeSH
• dospělí MeSH
• lidé MeSH
• postoj zdravotnického personálu * MeSH
• psychometrie MeSH
• reprodukovatelnost výsledků MeSH
• společenské stigma * MeSH
• zdravotnický personál MeSH
• Check Tag
• dítě MeSH
• dospělí MeSH
• lidé MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• multicentrická studie MeSH
• práce podpořená grantem MeSH

• MeSH
• antidepresiva aplikace a dávkování   škodlivé účinky   terapeutické užití   MeSH
• deprese * diagnóza   etiologie   farmakoterapie   MeSH
• lékové interakce MeSH
• lidé MeSH
• pacienti bez organického nálezu MeSH
• primární zdravotní péče MeSH
• psychoterapie MeSH
• rizikové faktory MeSH
• sebeposuzující dotazníky PHQ MeSH
• selektivní inhibitory zpětného vychytávání serotoninu aplikace a dávkování   škodlivé účinky   terapeutické užití   MeSH
• společenské stigma MeSH
• výchova a vzdělávání MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• zprávy MeSH

• MeSH
• antiretrovirové látky terapeutické užití   MeSH
• HIV infekce * prevence a kontrola   MeSH
• lidé MeSH
• preexpoziční profylaxe MeSH
• primární zdravotní péče MeSH
• společenské stigma MeSH
• testování na HIV MeSH
• Check Tag
• lidé MeSH

BACKGROUND: The Discrimination and Stigma Scale (DISC) is a patient-reported outcome measure which assesses experiences of discrimination among persons with a mental illness globally. METHODS: This study evaluated whether the psychometric properties of a short-form version, DISC-Ultra Short (DISCUS) (11-item), could be replicated in a sample of people with a wide range of mental disorders from 21 sites in 15 countries/territories, across six global regions. The frequency of experienced discrimination was reported. Scaling assumptions (confirmatory factor analysis, inter-item and item-total correlations), reliability (internal consistency) and validity (convergent validity, known groups method) were investigated in each region, and by diagnosis group. RESULTS: 1195 people participated. The most frequently reported experiences of discrimination were being shunned or avoided at work (48.7%) and discrimination in making or keeping friends (47.2%). Confirmatory factor analysis supported a unidimensional model across all six regions and five diagnosis groups. Convergent validity was confirmed in the total sample and within all regions [ Internalised Stigma of Mental Illness (ISMI-10): 0.28-0.67, stopping self: 0.54-0.72, stigma consciousness: -0.32-0.57], as was internal consistency reliability (α = 0.74-0.84). Known groups validity was established in the global sample with levels of experienced discrimination significantly higher for those experiencing higher depression [Patient Health Questionnaire (PHQ)-2: p < 0.001], lower mental wellbeing [Warwick-Edinburgh Well-being Scale (WEMWBS): p < 0.001], higher suicidal ideation [Beck Hopelessness Scale (BHS)-4: p < 0.001] and higher risk of suicidal behaviour [Suicidal Ideation Attributes Scale (SIDAS): p < 0.001]. CONCLUSIONS: The DISCUS is a reliable and valid unidimensional measure of experienced discrimination for use in global settings with similar properties to the longer DISC. It offers a brief assessment of experienced discrimination for use in clinical and research settings.

• MeSH
• duševní poruchy * diagnóza   MeSH
• lidé MeSH
• průzkumy a dotazníky MeSH
• psychometrie MeSH
• reprodukovatelnost výsledků MeSH
• sebevražedné myšlenky MeSH
• společenské stigma MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH
• Research Support, N.I.H., Extramural MeSH

INTRODUCTION: Borderline personality disorder (BPD) presents a highly stigmatised condition. Individuals with BPD may experience stigmatising attitudes and remarks from the general population and mental health professionals. Significant self-stigma also seems common. The paper reviews the current knowledge regarding the stigma connected to BPD. METHOD: The Web of Science, Medline, and Scopus databases identified studies published from January 1990 to January 2023. Additional references were found using analyses of the primary articles. The search terms included "borderline", "stigma", and "self-stigma". RESULTS: Public knowledge of BPD is scarce. The general population may interpret the BPD symptoms as "purposeful misbehaviour" rather than signs of a mental disorder. Mental health professionals commonly distance themselves from patients with BPD and may prematurely give up their treatment efforts. This stance often comes from believing BPD is difficult or impossible to treat. Therefore, treating patients with a personality disorder should be consulted with a supervisor, especially when the psychotherapist shows a negative attitude towards the patient. Generally, few BPD-specific destigmatisation interventions have been verified by research. Limited evidence suggests that targeted training of the healthcare providers can reduce stigmatising attitudes and that interventions combining positive messages of the recovery potential with biological aetiology of the disorder are most impactful in reducing the stigma. CONCLUSION: BPD is commonly stigmatised by the general population and mental health professionals. Destigmatising efforts need to tackle the stigma's primary sources, namely the general population's lack of understanding and the pessimistic beliefs in the healthcare providers. More BPD-specific research on stigma is needed.

• MeSH
• hraniční porucha osobnosti * terapie   MeSH
• lidé MeSH
• poruchy osobnosti MeSH
• psychotické poruchy * MeSH
• společenské stigma MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• přehledy MeSH

BACKGROUND: Prejudices against individuals with schizophrenia can interfere with diagnostic and treatment processes, particularly with the patient's further adaptation and reintegration. Self-stigma could have significant detrimental consequences for patients suffering from psychotic disorders, including schizophrenia. METHOD: This paper reviews findings about self-stigma connected to schizophrenia. The PubMed database used the keywords to find the papers published from January 1997 to March 2023, and 189 articles were included in the review process. RESULTS: The schizophrenia-related stigma decreases patients' self-confidence, worsens their social functioning, and impedes daily functioning. Feelings of embarrassment are prominent in many patients with schizophrenia. Self-stigma predicts many unfavourable outcomes - more severe social anxiety and depressive symptoms, lower self-confidence, hopelessness, worse social functioning, lower quality of life, worse treatment cooperation, and lower adherence to medication adherence. Addressing self-stigma in psychoeducation or psychotherapy may increase the patient's stigma resistance and well-being. Self-help groups present an underutilised but potentially effective strategy. CONCLUSION: Stigma presents a common issue in patients with schizophrenia. Targeting the issue in clinical management or psychotherapy may be beneficial. Still, more high-quality intervention studies are needed.

• MeSH
• kvalita života MeSH
• lidé MeSH
• psychoterapie MeSH
• psychotické poruchy * MeSH
• schizofrenie * terapie   MeSH
• sebepojetí MeSH
• společenské stigma MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• přehledy MeSH

Artykuł prezentuje wyniki badania pilotażowego z wykorzystaniem polskiej wersji Skali postrzegania jąkania. Zjawisko stygmatyzacji w przypadku jąkania jest obecne i wywiera negatywny wpływ na jakość życia osób jąkających się. Celem opisywanego badania było rozpoznanie opinii tzw. podwójnych ekspertów na temat zjawiska stygmatyzacji i autostygmatyzacji w jąkaniu oraz poprawności polskiej adaptacji skali i potencjalnych możliwości jej stosowania w terapii osób dorosłych z jąkaniem. W tym badaniu jakościowym wzięło udział 7 respondentów - logopedów, psychologów, liderów ruchu samopomocy dla osób jąkających się, którzy mają osobiste doświadczenia związane z jąkaniem. Problem badawczy przyjął formę pytania: Jak respondenci oceniają rzetelność tłumaczenia skali i jej przydatność w procesie interwencji logopedycznej? W artykule przytoczono wybrane opinie respondentów oraz wskazano implikacje praktyczne podjętego badania.

The article presents the results of a pilot study using the Polish version of the Stuttering Perception Scale. The phenomenon of stigmatisation which is present in stuttering has a negative impact on the quality of life of those who stutter. The purpose of the study outlined below was to identify the opinions of those whoare known as 'double experts' on the phenomenon of stigmatisation and self-stigmatisation in stuttering, as well as on the correctness of the Polish adaptation ofthe scale and its potential applicability in the therapy of adults suffering from stuttering. This qualitative study involved 7 participants: speech therapists, psychologists, and/or leaders of the self-help movement for people who stutter, who have personal experience of stuttering. The research problem took the form of the question: How do respondents assess the reliability of the translation of the scale and its usefulness in the process of Speech Therapy intervention? The article cites selected opinions of the respondents and indicates the practical implications of the study.

• MeSH
• koktavost * MeSH
• lidé MeSH
• společenské stigma * MeSH
• výzkum MeSH
• Check Tag
• lidé MeSH

Elektrokonvulzivní terapie je důležitou biologickou modalitou léčby v moderní psychiatrii, která prošla za posledních 80 let radikálním vývojem nejen v oblasti technologie, ale i ve způsobu její aplikace. Navzdory širokému spektru využitelnosti a doposud nepřekonané účinnosti však dodnes nedokázala naplnit svůj plný potenciál, zejména kvůli stigmatizaci v očích veřejnosti. Na mnoha pracovištích se dodnes používá jako metoda poslední volby, moderní studie však ukazují, že by v léčbě měla být prosazována mnohem dřív.

Electroconvulsive therapy is an important biological treatment modality used in modern psychiatry, that underwent radical changes over the last 80 years, not only in its technological aspect, but also the way of application. Despite a large spectrum of its potential use and to this date, unparalleled efficacy, it has not yet been able to reach its full potential due to its stigmatisation in the public eye. It is often used as a „last choice“ treatment in many psychiatric institutions, despite numerous studies showing that it should be proposed to the patient earlier in the course of treatment.

• MeSH
• duševní poruchy terapie   MeSH
• elektrokonvulzívní terapie * metody   škodlivé účinky   trendy   MeSH
• lidé MeSH
• společenské stigma MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• práce podpořená grantem MeSH
• přehledy MeSH
• výukové testy MeSH

• MeSH
• duševní poruchy * MeSH
• duševní zdraví * MeSH
• lidé MeSH
• sociální diskriminace MeSH
• společenské stigma MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• přehledy MeSH

Příručka se zaměřuje na stigmata spojená s duševními nemocemi, na psychosociální pomoc v Česku a na komunikaci o vlastní duševní poruše. Určeno široké veřejnosti.

• MeSH
• duševně nemocní MeSH
• duševní poruchy * MeSH
• komunikace MeSH
• předsudek MeSH
• psychosociální podpůrné systémy MeSH
• sociální psychologie MeSH
• společenské stigma MeSH
• zveřejnění MeSH
• Publikační typ
• populární práce MeSH
• příručky MeSH
• Geografické názvy
• Česká republika MeSH

• Konspekt
• Druhy sociální pomoci a služeb
• NLK Obory
• psychiatrie
• psychologie, klinická psychologie
• sociologie