Skip to main content
Top
Published in: Social Psychiatry and Psychiatric Epidemiology 2/2015

01-02-2015 | Original Paper

Differential stigmatizing attitudes of healthcare professionals towards psychiatry and patients with mental health problems: something to worry about? A pilot study

Authors: Laura M. Gras, Marte Swart, Cees J. Slooff, Jaap van Weeghel, Henderikus Knegtering, Stynke Castelein

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 2/2015

Login to get access

Abstract

Purpose

This study compares stigmatizing attitudes of different healthcare professionals towards psychiatry and patients with mental health problems.

Methods

The Mental Illness Clinicians Attitude (MICA) questionnaire is used to assess stigmatizing attitudes in three groups: general practitioners (GPs, n = 55), mental healthcare professionals (MHCs, n = 67) and forensic psychiatric professionals (FPs, n = 53).

Results

A modest positive attitude towards psychiatry was found in the three groups (n = 176). Significant differences were found on the total MICA-score (p < 0.001). GPs scored significantly higher than the FPs and the latter scored significantly higher than the MHCs on all factors of the MICA. Most stigmatizing attitudes were found on professionals’ views of health/social care field and mental illness and disclosure. Personal and work experience did not influence stigmatizing attitudes.

Conclusions

Although all three groups have a relatively positive attitude using the MICA, there is room for improvement. Bias toward socially acceptable answers cannot be ruled out. Patients’ view on stigmatizing attitudes of professionals may be a next step in stigma research in professionals.
Literature
1.
go back to reference Lauber C, Anthony M, Ajdacic-Gross V, Rössler W (2004) What about psychiatrists’ attitude to mentally ill people? Eur Psychiatry 19:423–427PubMedCrossRef Lauber C, Anthony M, Ajdacic-Gross V, Rössler W (2004) What about psychiatrists’ attitude to mentally ill people? Eur Psychiatry 19:423–427PubMedCrossRef
2.
go back to reference Schulze B (2007) Stigma and mental health professionals: a review of the evidence on an intricate relationship. Int Rev Psychiatry 19:137–155PubMedCrossRef Schulze B (2007) Stigma and mental health professionals: a review of the evidence on an intricate relationship. Int Rev Psychiatry 19:137–155PubMedCrossRef
3.
go back to reference Mak WWS, Poon CYM, Pun LYK, Cheung SF (2007) Meta-analysis of stigma and mental health. Soc Sci Med 65:245–261PubMedCrossRef Mak WWS, Poon CYM, Pun LYK, Cheung SF (2007) Meta-analysis of stigma and mental health. Soc Sci Med 65:245–261PubMedCrossRef
4.
go back to reference Borge L, Martinsen EW, Ruud T, Watne O, Friis S (1999) Quality of life, loneliness, and social contact among long-term psychiatric patients. Psychiatr Serv 50:81–84PubMedCrossRef Borge L, Martinsen EW, Ruud T, Watne O, Friis S (1999) Quality of life, loneliness, and social contact among long-term psychiatric patients. Psychiatr Serv 50:81–84PubMedCrossRef
5.
go back to reference Thornicroft G (2008) Stigma and discrimination limit access to mental health care. Epidemiol Psichiatr Soc 17:14–19PubMedCrossRef Thornicroft G (2008) Stigma and discrimination limit access to mental health care. Epidemiol Psichiatr Soc 17:14–19PubMedCrossRef
6.
go back to reference Kassam A, Glozier N, Leese M, Henderson C, Thornicroft G (2010) Development and responsiveness of a scale to measure clinicians’ attitudes to people with mental illness (medical student version). Acta Psychiatr Scand 122:153–161PubMedCrossRef Kassam A, Glozier N, Leese M, Henderson C, Thornicroft G (2010) Development and responsiveness of a scale to measure clinicians’ attitudes to people with mental illness (medical student version). Acta Psychiatr Scand 122:153–161PubMedCrossRef
7.
go back to reference Gabbidon J, Clement S, van Nieuwenhuizen A, Kassam A, Brohan E, Norman I, Thornicroft G (2013) Mental Illness Clinicians’ Attitudes (MICA) scale-psychometric properties of a version for healthcare students and professionals. Psychiatry Res 206:81–87PubMedCrossRef Gabbidon J, Clement S, van Nieuwenhuizen A, Kassam A, Brohan E, Norman I, Thornicroft G (2013) Mental Illness Clinicians’ Attitudes (MICA) scale-psychometric properties of a version for healthcare students and professionals. Psychiatry Res 206:81–87PubMedCrossRef
8.
go back to reference Livingston JD, Boyd JE (2010) Correlates and consequences of internalized stigma for people living with mental illness: a systematic review and meta-analysis. Soc Sci Med 71:2150–2161PubMedCrossRef Livingston JD, Boyd JE (2010) Correlates and consequences of internalized stigma for people living with mental illness: a systematic review and meta-analysis. Soc Sci Med 71:2150–2161PubMedCrossRef
9.
go back to reference Rüsch N, Corrigan P, Wassel A, Michaels P, Olschewski M, Wilkniss S, Batia K (2009) A stress-coping model of mental illness stigma I. Predictors of cognitive stress appraisal. Schizophr Res 110:59–64PubMedCentralPubMedCrossRef Rüsch N, Corrigan P, Wassel A, Michaels P, Olschewski M, Wilkniss S, Batia K (2009) A stress-coping model of mental illness stigma I. Predictors of cognitive stress appraisal. Schizophr Res 110:59–64PubMedCentralPubMedCrossRef
10.
go back to reference Jones S, Howard L, Thornicroft G (2008) ‘Diagnostic overshadowing’: worse physical health care for people with mental illness. Acta Psychiatr Scand 118:169–171PubMedCrossRef Jones S, Howard L, Thornicroft G (2008) ‘Diagnostic overshadowing’: worse physical health care for people with mental illness. Acta Psychiatr Scand 118:169–171PubMedCrossRef
11.
go back to reference National Collaborating Centre for Mental Health (2009) Schizophrenia: core interventions in the treatment and management of schizophrenia in adults in primary and secondary care. NICE, London National Collaborating Centre for Mental Health (2009) Schizophrenia: core interventions in the treatment and management of schizophrenia in adults in primary and secondary care. NICE, London
13.
go back to reference Lawrie SM, Martin K, McNeill G, Drife J, Chrystie P, Reid A, Wu P, Nammary S, Ball J (1998) General practitioners’ attitudes to psychiatric and medical illness. Psychol Med 28:1463–1467PubMedCrossRef Lawrie SM, Martin K, McNeill G, Drife J, Chrystie P, Reid A, Wu P, Nammary S, Ball J (1998) General practitioners’ attitudes to psychiatric and medical illness. Psychol Med 28:1463–1467PubMedCrossRef
14.
go back to reference Harrison G, Hopper K, Craig T, Laska E, Siegel C, Wanderling J, Dube KC, Ganev K, Giel R, Van der Heiden W, Holmberg S, Janca K, Lee A, León PW, Malhotra CA, Marsella S, Nakane AJ, Sartorius N, Shen Y, Skoda Y, Thara C, Tsirkin R, Varma SJ, Walsh VK, Wiersma D (2001) Recovery from psychotic illness: a 15- and 25-year international follow-up study. Br J Psychiatry 178:506–517PubMedCrossRef Harrison G, Hopper K, Craig T, Laska E, Siegel C, Wanderling J, Dube KC, Ganev K, Giel R, Van der Heiden W, Holmberg S, Janca K, Lee A, León PW, Malhotra CA, Marsella S, Nakane AJ, Sartorius N, Shen Y, Skoda Y, Thara C, Tsirkin R, Varma SJ, Walsh VK, Wiersma D (2001) Recovery from psychotic illness: a 15- and 25-year international follow-up study. Br J Psychiatry 178:506–517PubMedCrossRef
15.
go back to reference Brohan E, Gauci D, Sartorius N, Thornicroft G (2011) Self-stigma, empowerment and perceived discrimination among people with bipolar disorder or depression in 13 European countries: the GAMIAN-Europe study. J Affect Disord 129:56–63PubMedCrossRef Brohan E, Gauci D, Sartorius N, Thornicroft G (2011) Self-stigma, empowerment and perceived discrimination among people with bipolar disorder or depression in 13 European countries: the GAMIAN-Europe study. J Affect Disord 129:56–63PubMedCrossRef
16.
go back to reference Uçok A, Brohan E, Rose D, Sartorius N, Leese M, Yoon CK, Plooy A, Ertekin BA, Milev R, Thornicroft G (2012) Anticipated discrimination among people with schizophrenia. Acta Psychiatr Scand 125:77–83PubMedCrossRef Uçok A, Brohan E, Rose D, Sartorius N, Leese M, Yoon CK, Plooy A, Ertekin BA, Milev R, Thornicroft G (2012) Anticipated discrimination among people with schizophrenia. Acta Psychiatr Scand 125:77–83PubMedCrossRef
17.
go back to reference Pinfold V, Huxley P, Thornicroft G, Farmer P, Toulmin H, Graham T (2003) Reducing psychiatric stigma and discrimination–evaluating an educational intervention with the police force in England. Soc Psychiatry Psychiatr Epidemiol 38:337–344PubMed Pinfold V, Huxley P, Thornicroft G, Farmer P, Toulmin H, Graham T (2003) Reducing psychiatric stigma and discrimination–evaluating an educational intervention with the police force in England. Soc Psychiatry Psychiatr Epidemiol 38:337–344PubMed
18.
go back to reference Walter G (1998) The attitude of health professionals towards carers and individuals with mental illness. Australas Psychiatry 6:70–72CrossRef Walter G (1998) The attitude of health professionals towards carers and individuals with mental illness. Australas Psychiatry 6:70–72CrossRef
19.
go back to reference Corrigan P, Watson A, Ottati V (2003) From whence comes mental illness stigma? Int J Soc Psychiatry 49:142–157PubMedCrossRef Corrigan P, Watson A, Ottati V (2003) From whence comes mental illness stigma? Int J Soc Psychiatry 49:142–157PubMedCrossRef
20.
go back to reference Buszewicz M, Pistrang N, Barker C, Cape J, Martin J (2006) Patients’ experiences of GP consultations for psychological problems: a qualitative study. Br J Gen Pract 56:496–503PubMedCentralPubMed Buszewicz M, Pistrang N, Barker C, Cape J, Martin J (2006) Patients’ experiences of GP consultations for psychological problems: a qualitative study. Br J Gen Pract 56:496–503PubMedCentralPubMed
21.
go back to reference Adriaensen K, Pieters G, De Lepeleire J (2011) Stigmatisation of psychiatric patients by general practitioners and medical students: a review of the literature. Tijdschr Psychiatr 53:885–894PubMed Adriaensen K, Pieters G, De Lepeleire J (2011) Stigmatisation of psychiatric patients by general practitioners and medical students: a review of the literature. Tijdschr Psychiatr 53:885–894PubMed
23.
go back to reference Lawrie SM, Parsons C, Patrick J, Masson S, Sussmann J, Cumming D, Lewin J, Pickup S (1996) A controlled trial of general practitioners’ attitudes to patients with schizophrenia. Health Bull 54:201–203 Lawrie SM, Parsons C, Patrick J, Masson S, Sussmann J, Cumming D, Lewin J, Pickup S (1996) A controlled trial of general practitioners’ attitudes to patients with schizophrenia. Health Bull 54:201–203
24.
go back to reference Oud MJT, Schuling J, Slooff CJ, Groenier KH, Dekker JH, Meyboom-de Jong B (2009) Care for patients with severe mental illness: the general practitioner’s role perspective. BMC Fam Pract 10:29PubMedCentralPubMedCrossRef Oud MJT, Schuling J, Slooff CJ, Groenier KH, Dekker JH, Meyboom-de Jong B (2009) Care for patients with severe mental illness: the general practitioner’s role perspective. BMC Fam Pract 10:29PubMedCentralPubMedCrossRef
25.
go back to reference Jorm AF, Korten AE, Jacomb PA, Rodgers B, Pollitt P (1997) Beliefs about the helpfulness of interventions for mental disorders: a comparison of general practitioners, psychiatrists and clinical psychologists. Aust N Z J Psychiatry 31:844–851PubMedCrossRef Jorm AF, Korten AE, Jacomb PA, Rodgers B, Pollitt P (1997) Beliefs about the helpfulness of interventions for mental disorders: a comparison of general practitioners, psychiatrists and clinical psychologists. Aust N Z J Psychiatry 31:844–851PubMedCrossRef
26.
go back to reference Jorm AF, Korten AE, Jacomb PA, Christensen H, Henderson S (1999) Attitudes towards people with a mental disorder: a survey of the Australian public and health professionals. Aust N Z J Psychiatry 33:77–83PubMedCrossRef Jorm AF, Korten AE, Jacomb PA, Christensen H, Henderson S (1999) Attitudes towards people with a mental disorder: a survey of the Australian public and health professionals. Aust N Z J Psychiatry 33:77–83PubMedCrossRef
27.
go back to reference Reavley NJ, Mackinnon AJ, Morgan AJ, Jorm AF (2014) Stigmatising attitudes towards people with mental disorders: a comparison of Australian health professionals with the general community. Aust N Z J Psychiatry 48:433–441PubMedCrossRef Reavley NJ, Mackinnon AJ, Morgan AJ, Jorm AF (2014) Stigmatising attitudes towards people with mental disorders: a comparison of Australian health professionals with the general community. Aust N Z J Psychiatry 48:433–441PubMedCrossRef
28.
go back to reference GGZ Nederland “Dutch Foundation for Mental Health in the Netherlands” (2010) Medewerkers@GGZ2009 “Emloyees 2009 in mental health care in the Netherlands”. GGZ Nederland 2010-363 GGZ Nederland “Dutch Foundation for Mental Health in the Netherlands” (2010) Medewerkers@GGZ2009 “Emloyees 2009 in mental health care in the Netherlands”. GGZ Nederland 2010-363
30.
go back to reference van Boekel L, Brouwers EPM, van Weeghel J, Garretsen HFL (2013) Stigma among health professionals towards patients with substance use disorders and its consequences for healthcare delivery: systematic review. Drug Alcohol Depend 131:23–35PubMedCrossRef van Boekel L, Brouwers EPM, van Weeghel J, Garretsen HFL (2013) Stigma among health professionals towards patients with substance use disorders and its consequences for healthcare delivery: systematic review. Drug Alcohol Depend 131:23–35PubMedCrossRef
31.
go back to reference Stromwall L, Holley L, Bashor K (2011) Stigma in the mental health workplace: perceptions of peer employees and clinicians. Community Ment Health J 47:472–481PubMedCrossRef Stromwall L, Holley L, Bashor K (2011) Stigma in the mental health workplace: perceptions of peer employees and clinicians. Community Ment Health J 47:472–481PubMedCrossRef
32.
go back to reference Brohan E, Clement S, Rose D, Sartorius N, Slade M, Thornicroft G (2013) Development and psychometric evaluation of the Discrimination and Stigma Scale (DISC). Psychiatry Res 208:33–40PubMedCrossRef Brohan E, Clement S, Rose D, Sartorius N, Slade M, Thornicroft G (2013) Development and psychometric evaluation of the Discrimination and Stigma Scale (DISC). Psychiatry Res 208:33–40PubMedCrossRef
33.
go back to reference Bayar MR, Poyraz BC, Aksoy-Poyraz C, Arikan MK (2009) Reducing mental illness stigma in mental health professionals using a web-based approach. Isr J Psychiatry Relat Sci 46:226–230PubMed Bayar MR, Poyraz BC, Aksoy-Poyraz C, Arikan MK (2009) Reducing mental illness stigma in mental health professionals using a web-based approach. Isr J Psychiatry Relat Sci 46:226–230PubMed
34.
go back to reference Lauber C, Nordt C, Braunschweig C, Rössler W (2006) Do mental health professionals stigmatize their patients? Acta Psychiatr Scand Supplementum:51–59 Lauber C, Nordt C, Braunschweig C, Rössler W (2006) Do mental health professionals stigmatize their patients? Acta Psychiatr Scand Supplementum:51–59
35.
go back to reference West K, Hewstone M, Lolliot S (2014) Intergroup contact and prejudice against people with schizophrenia. J Soc Psychol 154:217–232PubMedCrossRef West K, Hewstone M, Lolliot S (2014) Intergroup contact and prejudice against people with schizophrenia. J Soc Psychol 154:217–232PubMedCrossRef
36.
go back to reference De Graaf R, Ten Have M, Van Gool C, Van Dorsselaer S (2012) Prevalence of mental disorders, and trends from 1996 to 2009. Results from NEMESIS-2. Tijdschr Psychiatr 54:27–38PubMed De Graaf R, Ten Have M, Van Gool C, Van Dorsselaer S (2012) Prevalence of mental disorders, and trends from 1996 to 2009. Results from NEMESIS-2. Tijdschr Psychiatr 54:27–38PubMed
37.
go back to reference Malhi GS, Parker GB, Parker K, Carr VJ, Kirkby KC, Yellowlees P, Boyce P, Tonge B (2003) Attitudes toward psychiatry among students entering medical school. Acta Psychiatr Scand 107:424–429PubMedCrossRef Malhi GS, Parker GB, Parker K, Carr VJ, Kirkby KC, Yellowlees P, Boyce P, Tonge B (2003) Attitudes toward psychiatry among students entering medical school. Acta Psychiatr Scand 107:424–429PubMedCrossRef
38.
go back to reference Roberts L (2010) Stigma, hope, and challenge in psychiatry: trainee perspectives from five countries on four continents. Acad Psychiatry 34:1–4PubMedCrossRef Roberts L (2010) Stigma, hope, and challenge in psychiatry: trainee perspectives from five countries on four continents. Acad Psychiatry 34:1–4PubMedCrossRef
39.
go back to reference Short T, Thomas S, Mullen P, Ogloff JR (2013) Comparing violence in schizophrenia patients with and without comorbid substance-use disorders to community controls. Acta Psychiatr Scand 128:306–313PubMed Short T, Thomas S, Mullen P, Ogloff JR (2013) Comparing violence in schizophrenia patients with and without comorbid substance-use disorders to community controls. Acta Psychiatr Scand 128:306–313PubMed
40.
go back to reference Large M, Smith G, Swinson N, Shaw J, Nielssen O (2008) Homicide due to mental disorder in England and Wales over 50 years. Br J Psychiatry 193:130–133PubMedCrossRef Large M, Smith G, Swinson N, Shaw J, Nielssen O (2008) Homicide due to mental disorder in England and Wales over 50 years. Br J Psychiatry 193:130–133PubMedCrossRef
41.
go back to reference Walsh E, Moran P, Scott C, McKenzie K, Burns T, Creed F, Tyrer P, Murray R, Fahy T (2003) Prevalence of violent victimisation in severe mental illness. Br J Psychiatry 183:233–238PubMedCrossRef Walsh E, Moran P, Scott C, McKenzie K, Burns T, Creed F, Tyrer P, Murray R, Fahy T (2003) Prevalence of violent victimisation in severe mental illness. Br J Psychiatry 183:233–238PubMedCrossRef
42.
go back to reference Clement S, Lassman F, Barley E, Evans-Lacko S, Williams P, Yamaguchi S, Slade M, Rusch N, Thornicroft G (2013) Mass media interventions for reducing mental health-related stigma. Cochrane Database Syst Rev 7:CD009453PubMed Clement S, Lassman F, Barley E, Evans-Lacko S, Williams P, Yamaguchi S, Slade M, Rusch N, Thornicroft G (2013) Mass media interventions for reducing mental health-related stigma. Cochrane Database Syst Rev 7:CD009453PubMed
43.
go back to reference Henderson C, Corker E, Lewis-Holmes E, Hamilton S, Flach C, Rose D, Williams P, Pinfold V, Thornicroft G (2012) England’s time to change antistigma campaign: one-year outcomes of service user-rated experiences of discrimination. Psychiatr Serv 63:451–457PubMedCrossRef Henderson C, Corker E, Lewis-Holmes E, Hamilton S, Flach C, Rose D, Williams P, Pinfold V, Thornicroft G (2012) England’s time to change antistigma campaign: one-year outcomes of service user-rated experiences of discrimination. Psychiatr Serv 63:451–457PubMedCrossRef
44.
go back to reference Evans-Lacko S, Corker E, Williams MPH, Henderson C, Thornicroft G (2014) Effect of the Time to Change anti-stigma campaign on trends in mental-illness-related public stigma among the English population in 2003–13: an analysis of survey data. Lancet Psychiatry 1:121–128. doi:10.1016/S2215-0366(14)70243-3 CrossRef Evans-Lacko S, Corker E, Williams MPH, Henderson C, Thornicroft G (2014) Effect of the Time to Change anti-stigma campaign on trends in mental-illness-related public stigma among the English population in 2003–13: an analysis of survey data. Lancet Psychiatry 1:121–128. doi:10.​1016/​S2215-0366(14)70243-3 CrossRef
45.
go back to reference Griffiths KM, Carron-Arthur B, Parsons A, Reid R (2014) Effectiveness of programs for reducing the stigma associated with mental disorders. A meta-analysis of randomized controlled trials. World Psychiatry 13:161–175PubMedCentralPubMedCrossRef Griffiths KM, Carron-Arthur B, Parsons A, Reid R (2014) Effectiveness of programs for reducing the stigma associated with mental disorders. A meta-analysis of randomized controlled trials. World Psychiatry 13:161–175PubMedCentralPubMedCrossRef
Metadata
Title
Differential stigmatizing attitudes of healthcare professionals towards psychiatry and patients with mental health problems: something to worry about? A pilot study
Authors
Laura M. Gras
Marte Swart
Cees J. Slooff
Jaap van Weeghel
Henderikus Knegtering
Stynke Castelein
Publication date
01-02-2015
Publisher
Springer Berlin Heidelberg
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 2/2015
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-014-0931-z

Other articles of this Issue 2/2015

Social Psychiatry and Psychiatric Epidemiology 2/2015 Go to the issue