Mental health stigma associated among professionals of primary health care
DOI:
https://doi.org/10.1590/1982-4327e3214Keywords:
Mental health, Stigma, Public health servicesAbstract
This study seeks to analyze the association between stigma towards people with mental health problems among Primary Health Care professionals in relation to sociodemographic, contact, and participation variables in mental health actions. The sample was composed of 289 professionals from Rio Grande do Sul/Brazil. We used a sociodemographic questionnaire; Mental Health Knowledge Questionnaire (MAKS-BR); Attribution Questionnaire (AQ-26B); and Mental health items of the National Program for Access and Quality Improvement in Primary Care (PMAQ-AB). Less attribution of stigma is related to greater knowledge in mental health, having mental health training, and performing mental health activities. Among the variables that most influence the relationship between knowledge and the attribution of stigma are personal contact, training, and performing mental health actions. Results point to the importance of mental health practices in Primary Care and team training to reduce stigma.
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Corrigan, P. W., Mittal, D., Reaves, C. M., Haynes, T. F., Han, X., Morris, S., & Sullivan, G. (2014). Mental health stigma and primary health care decisions. Psychiatry Research, 218(1-2), 35-38. doi:10.1016/j.psychres.2014.04.028
Corrigan, P. W., Schmidt, A., Bink, A. B., Nieweglowski, K., Al-Khouja, M. A., Qin, S., & Discont, S. (2017). Changing public stigma with continuum beliefs. Journal of Mental Health, 26(5), 411-418. doi:10.1080/09638237.2016.1207224
Del Olmo-Romero, F., González-Blanco, M., Sarró, S., Grácio, J., Martín-Carrasco, M., Martinez-Cabezón, A. C., ... González-Fraile, E. (2019). Mental health professionals’ attitudes towards mental illness: Professional and cultural factors in the INTER NOS study. European Archives of Psychiatry and Clinical Neuroscience, 269(3), 325-339. doi:10.1007/s00406-018-0867-5
Eksteen, H. C., Becker, P. J., & Lippi, G. (2017). Stigmatization towards the mentally ill: Perceptions of psychiatrists, pre-clinical and post-clinical rotation medical students. International Journal of Social Psychiatry, 63(8), 782-791. doi:10.1177/0020764017735865
Evans-Lacko, S., Little, K., Meltzer, H., Rose, D., Rhydderch, D., Henderson, C., & Thornicroft, G. (2010). Development and psychometric properties of the mental health knowledge schedule. The Canadian Journal of Psychiatry, 55(7), 440-448. doi:10.1177/070674371005500707
Felix, E., & Lynn, F. (2021). Mental health stigma and social contact revisited: The role of network closeness and negativity. Society and Mental Health. Advance online publication. doi:10.1177/21568693211043156
Goffman, E. (1970). Estigma: La identidad deteriorada [Stigma: Notes on the management of spoiled identity] (L. Guinsberg, Trans.). Buenos Aires, Argentina: Amorrortu.
Hair, J. F., Jr., Black, W. C., Babin, B. J., Anderson, R. E., & Tatham, R. L. (2009). Análise multivariada de dados [Multivariate date analysis] (A. S. Sant’Anna, Trans., 6th ed.). São Paulo, SP: Bookman.
Hansson, L., Stjernsward, S., & Svensson, B. (2016). Changes in attitudes, intended behaviour, and mental health literacy in the Swedish population 2009-2014: An evaluation of a national antistigma programme. Acta Psychiatrica Scandinavica, 134(Suppl. 446), 71-79. doi:10.1111/acps.12609
Hatzenbuehler, M. L., Phelan, J. C., & Link, B. G. (2013). Stigma as a fundamental cause of population health inequalities. American Journal of Public Health, 103(5), 813-821. doi:10.2105/AJPH.2012.301069
Hothorn, T., Hornik, K., van de Wiel, M. A., & Zeileis, A. (2008). Implementing a class of permutation tests: The coin package. Journal of Statistical Software, 28(8), 1-23. doi:10.18637/jss.v028.i08
Lima, M., & Dimenstein, M. (2016). O apoio matricial em saúde mental: Uma ferramenta apoiadora da atenção à crise [Matrix support in mental health: A tool for support in care in crisis situations]. Interface - Comunicação, Saúde, Educação, 20(58), 625-635. doi:10.1590/1807-57622015.0389
Link, B., & Hatzenbuehler, M. L. (2016). Stigma as an unrecognized determinant of population health: Research and policy implications. Journal of Health Politics, Policy and Law, 41(4), 653-673. doi:10.1215/03616878-3620869
Major, B., Dovidio, J. F., Link, B. G., & Calabrese, S. K. (2018). Stigma and its implications for health: Introduction and overview. In B. Major, J. F. Dovidio, & B. G. Link (Eds.), The Oxford handbook of stigma, discrimination, and health (pp. 3-28). New York, NY: Oxford University Press.
Ministério da Saúde. (2011, 26 de dezembro). Portaria No. 3.088, de 23 de dezembro de 2011. Institui a Rede de Atenção Psicossocial para pessoas com sofrimento ou transtorno mental e com necessidades decorrentes do uso de crack, álcool e outras drogas, no âmbito do Sistema Único de saúde (SUS) [Establishes Psychosocial Care Network for people with suffering or mental disorder and with needs from the use of crack, alcohol and other drugs, within the scope of the Universal Health System (SUS)]. Diário Oficial da União, seção 1.
Moro, L. M., Ferreira, G. S., & Rocha, K. B. (2020). Saúde mental na atenção básica: Análise das práticas de apoio matricial na perspectiva de profissionais [Mental health in primary health care: Analysis of matrix support practices from the perspective of professionals]. Estudos e Pesquisas em Psicologia, 20(2), 399-420. doi:10.12957/epp.2020.52563
Nyblade, L., Stockton, M. A., Giger, K., Bond, V., Ekstrand, M. L., Mc Lean, R., ... Wouters, E. (2019). Stigma in health facilities: Why it matters and how we can change it. BMC Medicine, 17(1), 25. doi:10.1186/s12916-019-1256-2
Oliveira, A. M., Machado, D., Fonseca, J. B., Palha, F., Silva Moreira, P., Sousa, N., ... Morgado, P. (2020). Stigmatizing attitudes toward patients with psychiatric disorders among medical students and professionals. Frontiers in Psychiatry, 11, 326. doi:10.3389/fpsyt.2020.00326
Pereira, A. A., Santos, S. M. E., & Faria, R. M. D. (2016). Versão brasileira do Attribution Questionnaire - Adaptação transcultural e validação de propriedades psicométricas [Brazilian version of the Attribution Questionnaire – Cross cultural adaptation and validation of psychometric properties]. Jornal Brasileiro de Psiquiatria, 65(4), 314-321. doi:10.1590/0047-2085000000139
Pereira, R. M. P., Amorim, F. F., & Gondim, M. F. N. (2020). A percepção e a prática dos profissionais da atenção primária à saúde sobre a saúde mental [Practice and perception of primary healthcare professionals about mental health]. Interface: Comunicação, Saúde, Educação, 24(Suppl. 1), e190664. doi:10.1590/Interface.190664
Pingani, L., Catellani, S., Del Vecchio, V., Sampogna, G., Ellefson, S. E., Rigatelli, M., ... Corrigan, P. W. (2016). Stigma in the context of schools: Analysis of the phenomenon of stigma in a population of university students. BMC Psychiatry, 16, 29. doi:10.1186/s12888-016-0734-8
Rocha, H. A., Santos, A. F., Reis, I. A., Santos, M. A. C., & Cherchiglia, M. L. (2018). Saúde mental na atenção básica: Uma avaliação por meio da Teoria da Resposta ao Item [Mental health in primary care: An evaluation using the Item Response Theory]. Revista de Saúde Pública, 52, 17. doi:10.11606/S1518-8787.2018052000051
Sapag, J. C., Sena, B. F., Bustamante, I. V., Bobbili, S. J., Velasco, P. R., Mascayano, F., ... Khenti, A. (2018). Stigma towards mental illness and substance use issues in primary health care: Challenges and opportunities for Latin America. Global Public Health, 13(10), 1468-1480. doi:10.1080/17441692.2017.1356347
Thornicroft, G., Rose, D., Kassam, A., & Sartorius, N. (2007). Stigma: Ignorance, prejudice or discrimination? The British Journal of Psychiatry, 190(3), 192-193. doi:10.1192/bjp.bp.106.025791
Thornicroft, G., Mehta, N., Clement, S., Evans-Lacko, S., Doherty, M., Rose, D., ... Henderson, C. (2016). Evidence for effective interventions to reduce mental-health-related stigma and discrimination. The Lancet, 387(10023), 1123-1132. doi:10.1016/S0140-6736(15)00298-6
Vistorte, A. O. R., Ribeiro, W. S., Jaen, D., Jorge, M. R., Evans-Lacko, S., & Mari, J. J. (2018). Stigmatizing attitudes of primary care professionals towards people with mental disorders: A systematic review. The International Journal of Psychiatry in Medicine, 53(4), 317-338. doi:10.1177/0091217418778620
Word Health Organization. (2001). World health report: Mental health: New understanding, new hope. Geneva, Switzerland: Author.
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