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Community Mental Health Journal

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04.02.2020 | Original Paper

The Views of Non-psychiatric Medical Specialists About People with Schizophrenia and Depression

verfasst von: Lorenza Magliano, Gennaro Ruggiero, John Read, Alessia Mancuso, Angela Schiavone, Annalisa Sepe

Erschienen in: Community Mental Health Journal | Ausgabe 6/2020

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Abstract

This study explored the views of non-psychiatric medical specialists about people with schizophrenia and depression and examined whether specialists’ approach to these clients, and their perception of dangerousness and social distance, differed by disorder. Non-psychiatric medical specialists working in community centers in Italy read either a schizophrenia or depression description and then completed a questionnaire on their views about people with that disorder. The schizophrenia-group (N = 114) was more sure than the depression-group (N = 97) that the patients should be approached differently in outpatient specialized clinics like those where the respondents worked; are incapable of caring for their own health; and are kept at distance by others. Perceived dangerousness did not significantly differ between the two groups. These findings highlight the potential effects of attitudes on medical practice and outline the need to educate non-psychiatric medical specialists on stigma as a strategy to reduce health discrepancies, particularly toward people diagnosed with schizophrenia.

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Ashworth, M., Schofield, P., & Das-Munshi, J. (2017). Physical health in severe mental illness. British Journal of General Practice,67(663), 436–437. https://doi.org/10.3399/bjgp17X692621.CrossRefPubMed

Corrigan, P. W., Mittal, D., Reaves, C. M., Haynes, T. F., Han, X., Morris, S., et al. (2014). Mental health stigma and primary health care decisions. Psychiatry Research,218(1–2), 35–38. https://doi.org/10.1016/j.psychres.2014.04.028.CrossRefPubMedPubMedCentral

De Hert, M., Correll, C. U., Bobes, J., Cetkovich-Bakmas, M., Cohen, D., Asai, I., et al. (2011a). Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care. World Psychiatry,10(1), 52–77. https://doi.org/10.1002/j.2051-5545.2011.tb00014.x.CrossRef

De Hert, M., Cohen, D., Bobes, J., Cetkovich-Bakmas, M., Leucht, S., Ndetei, D. M., et al. (2011b). Physical illness in patients with severe mental disorders. II. Barriers to care, monitoring and treatment guidelines, plus recommendations at the system and individual level. World Psychiatry,10(2), 138–151. https://doi.org/10.1002/j.2051-5545.2011.tb00036.x.CrossRefPubMed

Fenton, W. S., & Stover, E. S. (2006). Mood disorders: Cardiovascular and diabetes comorbidity. Current Opinion Psychiatry,19(4), 421–427. https://doi.org/10.1097/01.yco.0000228765.33356.9f.CrossRef

Giandinoto, J. A., Stephenson, J., & Edward, K. L. (2018). General hospital health professionals' attitudes and perceived dangerousness towards patients with comorbid mental and physical health conditions: Systematic review and meta-analysis. International Journal of Mental Health Nursing,27(3), 942–955. https://doi.org/10.1111/inm.12433.CrossRefPubMed

Harangozo, J., Reneses, B., Brohan, E., Sebes, J., Csukly, G., López-Ibor, J. J., et al. (2014). Stigma and discrimination against people with schizophrenia related to medical services. International Journal of Social Psychiatry,60(4), 359–366. https://doi.org/10.1177/0020764013490263.CrossRefPubMed

Henderson, C., Noblett, J., Parke, H., Clement, S., Caffrey, A., Gale-Grant, O., et al. (2014). Mental health-related stigma in health care and mental health-care settings. The Lancet Psychiatry,1(6), 467–482. https://doi.org/10.1016/S2215-0366(14)00023-6.CrossRefPubMed

Horsfall, J., Cleary, M., & Hunt, G. E. (2010). Stigma in mental health: Clients and professionals. Issues in Mental Health Nursing,31(7), 450–455. https://doi.org/10.3109/01612840903537167.CrossRefPubMed

Jorm, A. F., Reavley, N. J., & Ross, A. M. (2012). Belief in the dangerousness of people with mental disorders: A review. Australian and New Zealand Journal of Psychiatry,46(11), 1029–1045. https://doi.org/10.1177/0004867412442406.CrossRefPubMed

Lakin, J. R., Block, S. D., Billings, J. A., Koritsanszky, L. A., Cunningham, R., Wichmann, L., et al. (2016). Improving communication about serious illness in primary care: A review. JAMA Internal Medicine,176(9), 1380–1387. https://doi.org/10.1001/jamainternmed.2016.3212.CrossRefPubMed

Lam, T. P., Lam, K. F., Lam, E. W., & Ku, Y. S. (2013). Attitudes of primary care physicians towards patients with mental illness in Hong Kong. Asia-Pacific Psychiatry,5(1), E19–E28. https://doi.org/10.1111/j.1758-5872.2012.00208.x.CrossRefPubMed

Latoo, J., Mistry, M., & Dunne, F. J. (2013). Physical morbidity and mortality in people with mental illness. British Journal of Medical Practitioners,6(3), a621.

Leucht, S., Burkard, T., Henderson, J., Maj, M., & Sartorius, N. (2007). Physical illness and schizophrenia: A review of the literature. Acta Psychiatrica Scandinavica,116(5), 317–333. https://doi.org/10.1111/j.1600-0447.2007.01095.x.CrossRefPubMed

Lien, Y. J., & Kao, Y. C. (2019). Public beliefs and attitudes toward schizophrenia and depression in Taiwan: A nationwide survey. Psychiatry Research,273, 435–442. https://doi.org/10.1016/j.psychres.2019.01.062.CrossRefPubMed

Magliano, L., & Marassi, R. (2018). "Schizophrenia" and "psychosis" in Italian national newspapers: Do these terms convey different messages? Schizophrenia Research,197, 611–612. https://doi.org/10.1016/j.schres.2018.02.021.CrossRefPubMed

Magliano, L., Read, J., Sagliocchi, A., Oliviero, N., D'Ambrosio, A., Campitiello, F., et al. (2014). "Social dangerousness and incurability in schizophrenia": Results of an educational intervention for medical and psychology students. Psychiatry Research,219(3), 457–463. https://doi.org/10.1016/j.psychres.2014.06.002.CrossRefPubMed

Magliano, L., Strino, A., Punzo, R., Acone, R., Affuso, G., & Read, J. (2017a). Effects of the diagnostic label 'schizophrenia', actively used or passively accepted, on general practitioners' views of this disorder. International Journal of Social Psychiatry,63(3), 224–234. https://doi.org/10.1177/0020764017695353.CrossRefPubMed

Magliano, L., Read, J., & Affuso, G. (2017b). Predictors of staff attitudes toward schizophrenia treatments. Psychiatric Services,68(12), 1321. https://doi.org/10.1176/appi.ps.201700257.CrossRefPubMed

Magliano, L., Schioppa, G., Costanzo, R., Petrillo, M., & Read, J. (2017c). The opinions of italian psychology students about people diagnosed with depression and Schizophrenia: A comparative study. Journal of Psychosocial Rehabilitation and Mental Health,4(2), 147–157. https://doi.org/10.1007/s40737-017-0087-8.CrossRef

Mather, B., Roche, M., & Duffield, C. (2014). Disparities in treatment of people with mental disorder in non-psychiatric hospitals: A review of the literature. Archives of Psychiatric Nursing,28(2), 80–86. https://doi.org/10.1016/j.apnu.2013.10.009.CrossRefPubMed

Nordt, C., Rössler, W., & Lauber, C. (2006). Attitudes of mental health professionals toward people with schizophrenia and major depression. Schizophrenia Bulletin,32(4), 709–714. https://doi.org/10.1093/schbul/sbj065.CrossRefPubMedPubMedCentral

Pescosolido, B. A., Medina, T. R., Martin, J. K., & Long, J. S. (2013). The "backbone" of stigma: Identifying the global core of public prejudice associated with mental illness. American Journal of Public Health,103(5), 853–860. https://doi.org/10.2105/AJPH.2012.301147.CrossRefPubMedPubMedCentral

Reavley, N. J., Mackinnon, A. J., Morgan, A. J., & Jorm, A. F. (2014). Stigmatising attitudes towards people with mental disorders: A comparison of Australian health professionals with the general community. Australian & New Zealand Journal of Psychiatry,48(5), 433–441. https://doi.org/10.1177/0004867413500351.CrossRef

Schomerus, G., Matschinger, H., & Angermeyer, M. C. (2013). Continuum beliefs and stigmatizing attitudes towards persons with schizophrenia, depression and alcohol dependence. Psychiatry Research,209(3), 665–669. https://doi.org/10.1016/j.psychres.2013.02.006.CrossRefPubMed

Sullivan, G., Mittal, D., Reaves, C. M., Haynes, T. F., Han, X., Mukherjee, S., et al. (2015). Influence of schizophrenia diagnosis on providers' practice decisions. Journal of Clinical Psychiatry,76, 1068–1074. https://doi.org/10.4088/JCP.14m09465.CrossRefPubMed

Thornicroft, G. (2011). Physical health disparities and mental illness: The scandal of premature mortality. The British Journal of Psychiatry,199(6), 441–442. https://doi.org/10.1192/bjp.bp.111.092718.CrossRefPubMed

Thornicroft, G., Rose, D., & Kassam, A. (2007). Discrimination in health care against people with mental illness. International Review of Psychiatry,19(2), 113–122. https://doi.org/10.1080/09540260701278937.CrossRefPubMed

Uçok, A., Soygür, H., Atakli, C., Kuscu, K., Sartorius, N., Duman, Z. C., et al. (2006). The impact of antistigma education on the attitudes of general practitioners regarding schizophrenia. Psychiatry and Clinical Neurosciences,60(4), 439–443. https://doi.org/10.1111/j.1440-1819.2006.01529.x.CrossRefPubMed

van Nieuwenhuizen, A., Henderson, C., Kassam, A., Graham, T., Murray, J., Howard, L. M., et al. (2013). Emergency department staff views and experiences on diagnostic overshadowing related to people with mental illness. Epidemiology and Psychiatric Sciences,22(3), 255–262. https://doi.org/10.1017/S2045796012000571.CrossRefPubMed

Vancampfort, D., Rosenbaum, S., Ward, P. B., & Stubbs, B. (2015). Exercise improves cardiorespiratory fitness in people with schizophrenia: A systematic review and meta-analysis. Schizophrenia Research,169(1–3), 453–457. https://doi.org/10.1016/j.schres.2015.09.029.CrossRefPubMed

Welch, L. C., Litman, H. J., Borba, C. P., Vincenzi, B., & Henderson, D. C. (2015). Does a physician's attitude toward a patient with mental illness affect clinical management of diabetes? Results from a mixed-method study. Health Services Research,50(4), 998–1020. https://doi.org/10.1111/1475-6773.12267.CrossRefPubMed

Wood, L., Birtel, M., Alsawy, S., Pyle, M., & Morrison, A. (2014). Public perceptions of stigma towards people with schizophrenia, depression and anxiety. Psychiatry Research,220(12), 604–608. https://doi.org/10.1016/j.psychres.2014.07.012.CrossRefPubMed

Titel: The Views of Non-psychiatric Medical Specialists About People with Schizophrenia and Depression
verfasst von: Lorenza Magliano
Gennaro Ruggiero
John Read
Alessia Mancuso
Angela Schiavone
Annalisa Sepe
Publikationsdatum: 04.02.2020
Verlag: Springer US
Erschienen in: Community Mental Health Journal / Ausgabe 6/2020
Print ISSN: 0010-3853
Elektronische ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-020-00567-x

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The Views of Non-psychiatric Medical Specialists About People with Schizophrenia and Depression

Abstract

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Demenzkranke durch Antipsychotika vielfach gefährdet

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

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