Skip to main content
Erschienen in: Social Psychiatry and Psychiatric Epidemiology 7/2010

01.07.2010 | Original Paper

Mental illness stigma and willingness to seek mental health care in the European Union

verfasst von: Ramin Mojtabai

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 7/2010

Einloggen, um Zugang zu erhalten

Abstract

Objective

It is often assumed that individual stigmatizing attitudes toward the mentally ill are linked to stigmatizing attitudes in the social milieu and that both, individual and social stigmatizing attitudes are major barriers to mental health treatment seeking. This study aims to examine these assumptions.

Method

Data from the 2005–2006 Eurobarometer general population survey (N = 29,248) are used to examine the association of social stigmatizing attitudes assessed in a random half of the sample with individual stigmatizing attitudes assessed in the other half of the sample, and to examine the association of both individual and social stigmatizing attitudes with willingness to seek professional help.

Results

Social stigmatizing attitudes are specifically and strongly associated with individual stigmatizing attitudes. Both social and individual stigmatizing attitudes are associated with willingness to seek professional help. Believing the mentally ill to be dangerous or not likely to recover, or living in a community with such beliefs, are associated with increased willingness to seek help; whereas, believing the mentally ill to be unpredictable or blameworthy for their illness, or living in a community with strong beliefs in blameworthiness of the mentally ill, are associated with decreased willingness to seek professional help.

Conclusion

The view that all stigmatizing attitudes toward mental illness are associated with reluctance to seek professional help may be naive as some stigmatizing attitudes may be associated with increased willingness to seek help. The complex association of different stigmatizing attitudes with professional help seeking should be carefully considered in planning anti-stigma campaigns.
Literatur
1.
Zurück zum Zitat Link BG, Phelan JC (1999) The labeling theory of mental disorder (II): the consequences of labeling. In: Horwitz AV, Scheid TL (eds) A handbook for the study of mental health. Cambridge University Press, Cambridge, UK, pp 361–376 Link BG, Phelan JC (1999) The labeling theory of mental disorder (II): the consequences of labeling. In: Horwitz AV, Scheid TL (eds) A handbook for the study of mental health. Cambridge University Press, Cambridge, UK, pp 361–376
2.
Zurück zum Zitat Farina A, Feliner RD (1973) Employment interviewer reactions to former mental patients. J Abnorm Psychol 82:268–272CrossRefPubMed Farina A, Feliner RD (1973) Employment interviewer reactions to former mental patients. J Abnorm Psychol 82:268–272CrossRefPubMed
3.
Zurück zum Zitat Link BG (1982) Mental patient status, work and income: an examination of the effects of a psychiatric label. Am Soc Rev 47:202–215CrossRef Link BG (1982) Mental patient status, work and income: an examination of the effects of a psychiatric label. Am Soc Rev 47:202–215CrossRef
4.
Zurück zum Zitat Link BG (1987) Understanding labeling effects in the area of mental disorders: an assessment of the effects of expectations of rejection. Am Soc Rev 52:96–112CrossRef Link BG (1987) Understanding labeling effects in the area of mental disorders: an assessment of the effects of expectations of rejection. Am Soc Rev 52:96–112CrossRef
5.
Zurück zum Zitat Page S (1995) Effects of the mental illness label in 1993: acceptance and rejection in the community. J Health Soc Policy 7:61–68CrossRefPubMed Page S (1995) Effects of the mental illness label in 1993: acceptance and rejection in the community. J Health Soc Policy 7:61–68CrossRefPubMed
6.
Zurück zum Zitat Wahl OF (1999) Mental health consumers’ experience of stigma. Schiz Bull 25:467–478 Wahl OF (1999) Mental health consumers’ experience of stigma. Schiz Bull 25:467–478
7.
Zurück zum Zitat Webber A, Orcutt JD (1984) Employers’ reactions to racial and psychiatric stigmata: a field experiment. Deviant Behav 5:327–336CrossRef Webber A, Orcutt JD (1984) Employers’ reactions to racial and psychiatric stigmata: a field experiment. Deviant Behav 5:327–336CrossRef
8.
Zurück zum Zitat Britten N (1998) Psychiatry, stigma, and resistance. Psychiatrists need to concentrate on understanding, not simply compliance. BMJ 317:963–964PubMed Britten N (1998) Psychiatry, stigma, and resistance. Psychiatrists need to concentrate on understanding, not simply compliance. BMJ 317:963–964PubMed
9.
10.
Zurück zum Zitat Jorm AF, Angermeyer MC, Katschnig H (2000) Public knowledge of and attitudes to mental disorders: A limiting factor in the optimal use of treatment services. In: Andrews G, Henderson S (eds) Unmet need in psychiatry. Cambridge University Press, Cambridge, UK, pp 399–416CrossRef Jorm AF, Angermeyer MC, Katschnig H (2000) Public knowledge of and attitudes to mental disorders: A limiting factor in the optimal use of treatment services. In: Andrews G, Henderson S (eds) Unmet need in psychiatry. Cambridge University Press, Cambridge, UK, pp 399–416CrossRef
11.
Zurück zum Zitat Meltzer H, Bebbington P, Brugha T, Farrell M, Jenkins R, Lewis G (2003) The reluctance to seek treatment for neurotic disorders. Int Rev Psychiatry 15:123–128CrossRefPubMed Meltzer H, Bebbington P, Brugha T, Farrell M, Jenkins R, Lewis G (2003) The reluctance to seek treatment for neurotic disorders. Int Rev Psychiatry 15:123–128CrossRefPubMed
12.
Zurück zum Zitat Cooper AE, Corrigan PW, Watson AC (2003) Mental illness stigma and care seeking. J Nerv Ment Dis 191:339–341CrossRefPubMed Cooper AE, Corrigan PW, Watson AC (2003) Mental illness stigma and care seeking. J Nerv Ment Dis 191:339–341CrossRefPubMed
13.
Zurück zum Zitat Leaf PJ, Bruce ML, Tischler GL, Holzer CE (1987) The relationship between demographic factors and attitudes toward mental health services. J Community Psychol 15:275–284CrossRefPubMed Leaf PJ, Bruce ML, Tischler GL, Holzer CE (1987) The relationship between demographic factors and attitudes toward mental health services. J Community Psychol 15:275–284CrossRefPubMed
14.
Zurück zum Zitat Mojtabai R (2007) Americans’ attitudes toward mental health treatment seeking: 1990–2003. Psychiatr Serv 58:642–651CrossRefPubMed Mojtabai R (2007) Americans’ attitudes toward mental health treatment seeking: 1990–2003. Psychiatr Serv 58:642–651CrossRefPubMed
15.
Zurück zum Zitat Sirey JA, Bruce ML, Alexopoulos GS, Perlick DA, Friedman SJ, Meyers BS (2001) Stigma as a barrier to recovery: perceived stigma and patient-rated severity of illness as predictors of antidepressant drug adherence. Psychiatr Serv 52:1615–1620CrossRefPubMed Sirey JA, Bruce ML, Alexopoulos GS, Perlick DA, Friedman SJ, Meyers BS (2001) Stigma as a barrier to recovery: perceived stigma and patient-rated severity of illness as predictors of antidepressant drug adherence. Psychiatr Serv 52:1615–1620CrossRefPubMed
16.
Zurück zum Zitat Sirey JA, Bruce ML, Alexopoulos GS, Perlick DA, Raue P, Friedman SJ, Meyers BS (2001) Perceived stigma as a predictor of treatment discontinuation in young and older outpatients with depression. Am J Psychiatry 158:479–481CrossRefPubMed Sirey JA, Bruce ML, Alexopoulos GS, Perlick DA, Raue P, Friedman SJ, Meyers BS (2001) Perceived stigma as a predictor of treatment discontinuation in young and older outpatients with depression. Am J Psychiatry 158:479–481CrossRefPubMed
17.
Zurück zum Zitat Vogel DL, Wade NG, Hackler AH (2007) Perceived public stigma and the willingness to seek counseling: The mediating roles of self-stigma and attitudes toward counseling. J Counseling Psychol 54:40–50CrossRef Vogel DL, Wade NG, Hackler AH (2007) Perceived public stigma and the willingness to seek counseling: The mediating roles of self-stigma and attitudes toward counseling. J Counseling Psychol 54:40–50CrossRef
18.
Zurück zum Zitat Crocker J, Lutsky N (1986) Stigma and the dynamics of social cognition. In: Ainlay SC, Becker G, Coleman LM (eds) The dilemma of difference: a multidisciplinary view of stigma. Plenum Press, New York, pp 95–121 Crocker J, Lutsky N (1986) Stigma and the dynamics of social cognition. In: Ainlay SC, Becker G, Coleman LM (eds) The dilemma of difference: a multidisciplinary view of stigma. Plenum Press, New York, pp 95–121
20.
Zurück zum Zitat Kreft IGG, Jd Leeuw (1998) Introducing multilevel modeling. Sage, London, UK Kreft IGG, Jd Leeuw (1998) Introducing multilevel modeling. Sage, London, UK
21.
Zurück zum Zitat StataCorp (2008) Stata statistical software, Release 10.1. Stata Corporation, College Station StataCorp (2008) Stata statistical software, Release 10.1. Stata Corporation, College Station
22.
Zurück zum Zitat Corrigan P, Gelb B (2006) Three programs that use mass approaches to challenge the stigma of mental illness. Psychiatr Serv 57:393–398CrossRefPubMed Corrigan P, Gelb B (2006) Three programs that use mass approaches to challenge the stigma of mental illness. Psychiatr Serv 57:393–398CrossRefPubMed
23.
Zurück zum Zitat Angermeyer MC, Matschinger H (2003) The stigma of mental illness: effects of labelling on public attitudes towards people with mental disorder. Acta Psychiatr Scand 108:304–309CrossRefPubMed Angermeyer MC, Matschinger H (2003) The stigma of mental illness: effects of labelling on public attitudes towards people with mental disorder. Acta Psychiatr Scand 108:304–309CrossRefPubMed
24.
Zurück zum Zitat Greenfield SF, Reizes JM, Muenz LR, Kopans B, Kozloff RC, Jacobs DG (2000) Treatment for depression following the 1996 national depression screening day. Am J Psychiatry 157:1867–1869CrossRefPubMed Greenfield SF, Reizes JM, Muenz LR, Kopans B, Kozloff RC, Jacobs DG (2000) Treatment for depression following the 1996 national depression screening day. Am J Psychiatry 157:1867–1869CrossRefPubMed
25.
Zurück zum Zitat Paykel ES, Hart D, Priest RG (1998) Changes in public attitudes to depression during the defeat depression campaign. Br J Psychiatry 173:519–522CrossRefPubMed Paykel ES, Hart D, Priest RG (1998) Changes in public attitudes to depression during the defeat depression campaign. Br J Psychiatry 173:519–522CrossRefPubMed
26.
Zurück zum Zitat Schulze B, Richter-Werling M, Matschinger H, Angermeyer MC (2003) Crazy? So what! Effects of a school project on students’ attitudes towards people with schizophrenia. Acta Psychiatr Scand 107:142–150CrossRefPubMed Schulze B, Richter-Werling M, Matschinger H, Angermeyer MC (2003) Crazy? So what! Effects of a school project on students’ attitudes towards people with schizophrenia. Acta Psychiatr Scand 107:142–150CrossRefPubMed
27.
Zurück zum Zitat Thornicroft G, Rose D, Kassam A, Sartorius N (2007) Stigma: ignorance, prejudice or discrimination? Br J Psychiatry 190:192–193CrossRefPubMed Thornicroft G, Rose D, Kassam A, Sartorius N (2007) Stigma: ignorance, prejudice or discrimination? Br J Psychiatry 190:192–193CrossRefPubMed
28.
Zurück zum Zitat Warner R (2005) Local projects of the world psychiatric association programme to reduce stigma and discrimination. Psychiatr Serv 56:570–575CrossRefPubMed Warner R (2005) Local projects of the world psychiatric association programme to reduce stigma and discrimination. Psychiatr Serv 56:570–575CrossRefPubMed
29.
Zurück zum Zitat Chong SA, Verma S, Vaingankar JA, Chan YH, Wong LY, Heng BH (2007) Perception of the public towards the mentally ill in developed Asian country. Soc Psychiatry Psychiatr Epidemiol 42:734–739CrossRefPubMed Chong SA, Verma S, Vaingankar JA, Chan YH, Wong LY, Heng BH (2007) Perception of the public towards the mentally ill in developed Asian country. Soc Psychiatry Psychiatr Epidemiol 42:734–739CrossRefPubMed
30.
Zurück zum Zitat Edlund MJ, Unutzer J, Curran GM (2006) Perceived need for alcohol, drug, and mental health treatment. Soc Psychiatry Psychiatr Epidemiol 41:480–487CrossRefPubMed Edlund MJ, Unutzer J, Curran GM (2006) Perceived need for alcohol, drug, and mental health treatment. Soc Psychiatry Psychiatr Epidemiol 41:480–487CrossRefPubMed
31.
Zurück zum Zitat Mojtabai R, Olfson M, Mechanic D (2002) Perceived need and help-seeking in adults with mood, anxiety, or substance use disorders. Arch Gen Psychiatry 59:77–84CrossRefPubMed Mojtabai R, Olfson M, Mechanic D (2002) Perceived need and help-seeking in adults with mood, anxiety, or substance use disorders. Arch Gen Psychiatry 59:77–84CrossRefPubMed
32.
Zurück zum Zitat Benbow A (2007) Mental illness, stigma, and the media. J Clin Psychiatry 68(Suppl 2):31–35PubMed Benbow A (2007) Mental illness, stigma, and the media. J Clin Psychiatry 68(Suppl 2):31–35PubMed
33.
Zurück zum Zitat Okazaki S (2000) Treatment delay among Asian-American patients with severe mental illness. Am J Orthopsychiatry 70:58–64CrossRefPubMed Okazaki S (2000) Treatment delay among Asian-American patients with severe mental illness. Am J Orthopsychiatry 70:58–64CrossRefPubMed
34.
Zurück zum Zitat Wynaden D, Chapman R, Orb A, McGowan S, Zeeman Z, Yeak S (2005) Factors that influence Asian communities’ access to mental health care. Intern J Ment Health Nurs 14:88–95CrossRef Wynaden D, Chapman R, Orb A, McGowan S, Zeeman Z, Yeak S (2005) Factors that influence Asian communities’ access to mental health care. Intern J Ment Health Nurs 14:88–95CrossRef
35.
Zurück zum Zitat Van Voorhees BW, Fogel J, Houston TK, Cooper LA, Wang NY, Ford DE (2005) Beliefs and attitudes associated with the intention to not accept the diagnosis of depression among young adults. Ann Fam Med 3:38–46CrossRefPubMed Van Voorhees BW, Fogel J, Houston TK, Cooper LA, Wang NY, Ford DE (2005) Beliefs and attitudes associated with the intention to not accept the diagnosis of depression among young adults. Ann Fam Med 3:38–46CrossRefPubMed
36.
Zurück zum Zitat Van Voorhees BW, Fogel J, Houston TK, Cooper LA, Wang NY, Ford DE (2006) Attitudes and illness factors associated with low perceived need for depression treatment among young adults. Soc Psychiatry Psychiatr Epidemiol 41:746–754CrossRefPubMed Van Voorhees BW, Fogel J, Houston TK, Cooper LA, Wang NY, Ford DE (2006) Attitudes and illness factors associated with low perceived need for depression treatment among young adults. Soc Psychiatry Psychiatr Epidemiol 41:746–754CrossRefPubMed
37.
Zurück zum Zitat Sartorius N, Schulze H, Global Programme of the World Psychiatric Association (2005) Reducing the stigma of mental illness: a report from a global programme of the World Psychiatric Association. Cambridge University Press, Cambridge, UK Sartorius N, Schulze H, Global Programme of the World Psychiatric Association (2005) Reducing the stigma of mental illness: a report from a global programme of the World Psychiatric Association. Cambridge University Press, Cambridge, UK
38.
Zurück zum Zitat Jorm AF, Christensen H, Griffiths KM (2006) The public’s ability to recognize mental disorders and their beliefs about treatment: changes in Australia over 8 years. ANZ J Psychiatry 40:36–41 Jorm AF, Christensen H, Griffiths KM (2006) The public’s ability to recognize mental disorders and their beliefs about treatment: changes in Australia over 8 years. ANZ J Psychiatry 40:36–41
39.
Zurück zum Zitat Hugo CJ, Boshoff DE, Traut A, Zungu-Dirwayi N, Stein DJ (2003) Community attitudes toward and knowledge of mental illness in South Africa. Soc Psychiatry Psychiatr Epidemiol 38:715–719CrossRefPubMed Hugo CJ, Boshoff DE, Traut A, Zungu-Dirwayi N, Stein DJ (2003) Community attitudes toward and knowledge of mental illness in South Africa. Soc Psychiatry Psychiatr Epidemiol 38:715–719CrossRefPubMed
Metadaten
Titel
Mental illness stigma and willingness to seek mental health care in the European Union
verfasst von
Ramin Mojtabai
Publikationsdatum
01.07.2010
Verlag
Springer-Verlag
Erschienen in
Social Psychiatry and Psychiatric Epidemiology / Ausgabe 7/2010
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-009-0109-2

Weitere Artikel der Ausgabe 7/2010

Social Psychiatry and Psychiatric Epidemiology 7/2010 Zur Ausgabe

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.