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Aug 6, 2019

WCP-2019

Understanding Stigma - A study on mental health related stigma by Portuguese health care professionals

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stigma

health professionals

social restriction

pity

responsability

Abstract

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26

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Abstract

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Keywords

stigma

health professionals

social restriction

pity

responsability

Abstract

Background: Mental illness-related stigma creates serious barriers to access employment, education, housing, health and social care. Growing evidence shows that health care professionals also stigmatise and discriminate against people with mental illness. This form of interpersonal stigma leads to unequal attention to emotional and physical complaints, paternalistic behaviours, coercive treatment and exclusion of patients from decisions. Furthermore, it is deeply related to self-stigma and to the recovery process. Objectives: To explore mental health-related stigma in a Portuguese health care setting. Methods: We apply a questionnaire with 38 questions to general practitioners, working on primary health care units in Ocidental Porto region, Porto district (Portugal). We evaluate the following stigma dimensions: responsibility, pity, perceived dangerousness and social restriction. For statistical analysis we use the Stata 13 software and use a regression analysis. Results and Conclusions: We find that psychiatry internship reduces the likelihood of pitying the patient. Furthermore, while having personal history reduces pity, family history increases it. We develop an index of social restriction using principle component analysis. We find that older individuals tend to present more social restriction and having a friend with psychiatry history reduces it. Our results suggest that gender may influence the believe that people are responsible for their mental illness- male professionals tend to hold patients accountable for the disease. Our work allows a better understanding of the complex and multidimensional concept of stigma related to mental health. Adding new insights on stigma research, we hope to promote more successful and lasting anti-stigma strategies.

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© Copyright 2019 Morressier GmbH.
All rights reserved.