Hostname: page-component-cd9895bd7-8ctnn Total loading time: 0 Render date: 2024-12-28T19:51:47.706Z Has data issue: false hasContentIssue false

Community attitudes towards mental illness and socio-demographic characteristics: an Italian study

Published online by Cambridge University Press:  11 October 2011

Chiara Buizza*
Affiliation:
IRCCS, “Centra S. Giovanni di Dio”, Fatebenefratelli, Brescia, Italy
Rosaria Pioli
Affiliation:
IRCCS, “Centra S. Giovanni di Dio”, Fatebenefratelli, Brescia, Italy
Marco Ponteri
Affiliation:
IRCCS, “Centra S. Giovanni di Dio”, Fatebenefratelli, Brescia, Italy
Michela Vittorielli
Affiliation:
IRCCS, “Centra S. Giovanni di Dio”, Fatebenefratelli, Brescia, Italy
Angela Corradi
Affiliation:
IRCCS, “Centra S. Giovanni di Dio”, Fatebenefratelli, Brescia, Italy
Nadia Minicuci
Affiliation:
CNR, Institute of Neuroscience, Aging Unit, c/o Clinica Medica, 1st University of Padova, Padova, Italy
Giuseppe Rossi
Affiliation:
IRCCS, “Centra S. Giovanni di Dio”, Fatebenefratelli, Brescia, Italy
*
Address for correspondence: Dr. C. Buizza, IRCCS “Centro S. Giovanni di Dio”, Fatebenefratelli, Via Pilastroni 4. 25125 Brescia(Italy). Fax: +39-030-353.3513 E-mail: [email protected]

Summary

Aim — To assess the association between socio-demographic characteristics and community attitudes towards mentally ill people. Method — We assessed a sample of 280 subjects, stratified for sex and age, which has identified using the electoral registers of Brescia. A letter was sent to everyone in order to introduce the future potential study participant to the topics of the public attitudes towards mental illness and it included an invitation to take part in the study. After, 280 subjects were contacted by telephone. Finally, 174 persons, who expressed their willingness to collaborate, were visited by a team of four trained interviewers. The instruments used were: a semi-structured interview; the Community Attitudes to the Mentally III (CAMI) inven-tory, which is composed by 40 statements, concerning the degree of acceptance of mental health services and mentally ill patients in the community; and the Fear and Behavioural Intentions (FABI) inventory, which is composed by 10 items, concerning fears and behavioural intentions towards mentally ill people. 106 subjects refused to participate. Results — Factor analysis of the CAMI revealed three components Physical distance and fear, Social isolation and Social responsibility and tolerance. Factor 1 is associated with: people >61 years old; people being divorced/widowed/living separated; people who haven't participated in social or volunteer activities. Factor 2 is associated with: people > 41 years old; people being schooled at a level that's higher than elementary level; unemployed people. Factor 3 doesn't present any associations. Conclusions — The results of this study outline the need to: a) promote interventions focused to improve the general attitude towards people with mental illness; b) to favour specific actions in order to prevent or eliminate prejudices in subgroups of the population.

Declaration of Interest: in the last two years the authors have been paid by the IRCCS Centra San Giovanni di Dio Fatebenefratelli in Brescia (Italy), as employees and free professionals.

Type
Original Papers
Copyright
Copyright © Cambridge University Press 2005

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Addison, S.J. & Thorpe, S.J. (2004). Factors involved in the formation of attitudes towards those who are mentally ill. Social Psychiatry and Psychiatric Epidemiology 39(3), 228234.Google ScholarPubMed
Ajzen, I. & Fishbein, M. (1980). Understanding Attitudes and Predicting Social Behaviour. New York: Prentice-Hall.Google Scholar
Bellotti, G., Tiberi, E. & Ravaccia, F. (1977). Immagine del malato di mente in alcuni quotidiani e settimanali. IKON 101/102, 137155.Google Scholar
Bhugra, D. (1989). Attitudes towards mental illness. Acta Psychiatrica Scandinavica 80, 112.CrossRefGoogle ScholarPubMed
Brockington, I.F., Hall, P., Levings, J. & Murphy, C. (1993). The community's tolerance of the mentally ill. British Journal of Psychiatry 162, 9399.CrossRefGoogle ScholarPubMed
Bugge, C, Smith, L.N. & Shanley, E. (1997). A descriptive study of multidisciplinary mental health staff moving to community: the demo-graphic and educational issues. Journal of Psychiatry and Mental Health Nursing 4, 4554.CrossRefGoogle Scholar
Crisp, A.H., Gelder, M.G., Rix, S., Meltzer, H.I. & Rowlands, O.J. (2000). Stigmatisation of people with mental illnesses. British Journal of Psychiatry 177, 47.CrossRefGoogle ScholarPubMed
Dickerson, F.B., Sommerville, J., Origoni, A.E., Ringel, N.B. & Parente, F. (2002) Experiences of stigma among outpatients with schizophrenia. Schizophrenia Bulletin 28(1). 143155.CrossRefGoogle ScholarPubMed
Ekdawi, M. & Conning, A. (1994). Psychiatric Rehabilitation: a Practical Guide. Chapman & Hall: London.Google Scholar
Greenwood, R. & Johnson, V. (1987). Employer perspectives on workers with disabilities. Journal of Rehabilitation July/Aueust/September. 3745.Google Scholar
Horwitz, A. (1982). The reaction to mental illness In The Social Control of Menial Illness (ed. Horwitz, A.). pp. 85120. John Wiley: New York.Google Scholar
Johnson, V., Greenwood, R., & Shriner, K. (1988). Work performance and work personality: employer concerns about workers with disabilities. Rehabilitation Counseling Bulletin 32, 5057.Google Scholar
Kemali, D., Maj, M, Veltro, F., Crepet, P. & Lobrace, S. (1989). Sondaggio sulle opinioni degli italiani nei riguardi dei malati di mente e della situazione dell'assistenza psichiatrica. Rivista Sperimenlale di Freniatria 113, Suppl. al Fasc. V, 13011351.Google Scholar
Lauber, C.Nordt, C.Sartorius, N., Falcato, L. & Rossler, W. (2000). Public acceptance of restrictions on mentally ill people. Acta Psvchiatrica Scandinavica, Suppl. 407, 102, 26-32.Google Scholar
Link, B.G. (2001). Stigma: many mechanisms multifaceted responses. Epidemiologia e Psichiatria Sociale 10, 811.CrossRefGoogle ScholarPubMed
Link, B.G. & Cullen, F.T. (1986) Contact with the mentally ill and perceptions of how dangerous they are. Journal of Health and Social Behaviour 27, 289303.CrossRefGoogle ScholarPubMed
Link, B.G., Struening, E.L., Rahav, M., Phelan, J.C. & Nuttbrock, L. (1997). On stigma and its consequences: evidence from a longitudinal study of men with dual diagnoses of mental illness and substance abuse. Journal of Health and Social Behaviour 38(2), 177–90.CrossRefGoogle ScholarPubMed
Madianos, M.G., Madianou, D., Vlachonikolis, J. & Stefanis, C.N. (1987). Attitudes towards mental illness in the Athens area: implications for community mental health intervention. Acta Psvchiatrica Scandinavica 75, 158165.CrossRefGoogle ScholarPubMed
Madianos, M.G., Economou, M., Hatjiandreou, M., Papageorgiou, A. & Rogakou, E. (1999). Changes in public attitudes towards mental illness in the Athens area (1979/1980-1994). Acta Psychiatrica Scandinavica 99, 7378.CrossRefGoogle ScholarPubMed
Magliano, L., De Rosa, C, Fiorillo, A., Marangone, C, Guarneri, M., Marasco, C. & Maj, M. (2003). Cause e conseguenze psicosociali della schizofrenia: le opinioni degli italiani. Epidemiologia e Psichiatria Sociale 12, 187197.CrossRefGoogle Scholar
Mangili, E., Ponteri, M., Buizza, C. & Rossi, G. (2004). Atteggiamenti nei confronti delle disabilita e della malattia mentale nei luoghi di lavoro: una rassegna. Epidemiologia e Psichiatria Sociale 13(1), 2946.CrossRefGoogle Scholar
Markowitz, F.E. (1998). The effects of stigma on the psychological well-being and life satisfaction of persons with mental illness. Journal of Health and Social Behaviour 39(4), 335347.CrossRefGoogle ScholarPubMed
Milstein, G., Guarnaccia, P. & Midlarsky, E. (1995). Ethnic differences in the interpretation of mental illness: perspectives of caregivers. In Research in Community and Mental Health, vol. 8 (ed. Greenley, J. R.), pp. 155178. JAI Press Inc.: Greenwich.Google Scholar
Penn, D.L., Guynan, K., Daily, T., Spaulding, W.D., Garbi, C.P. & Sullivan, M. (1994). Dispelling the stigma of schizophrenia: what sort of information is best? Schizophrenia Bulletin 20, 567578.CrossRefGoogle ScholarPubMed
Rogers, EM. (1996). The field of health communication today: An upto-date report. Journal of Health Communication 1, 1523.CrossRefGoogle Scholar
Rosenfield, S. (1997). Labeling mental illness: the effects of received services and perceived stigma on life satisfaction. American Sociological Review 62, 660672.CrossRefGoogle Scholar
SAS Institute (1989). SAS/STAT User's Guide. Version 6. ed. 4. Volume 2. SAS Institute: Cary. NC.Google Scholar
Segal, S.P., Baumohl, J. & Moyles, E.W. (1980). Neighbourhood types and community reaction to the mentally ill: a paradox of intensity. Journal of Health and Social Behaviour 21(4). 345359.CrossRefGoogle Scholar
Scheff, T. J., (1966). Being Mentally III. A Sociological Theory. Aldine Pubbl.: Chicago (Trad, it: Per infermita mentale, 1974, Feltrinelli, Milano).Google Scholar
Taylor, M.S. & Dear, M.J. (1981). Scaling community attitudes towards the mentally ill. Schizophrenia Bulletin 7, 225240.CrossRefGoogle Scholar
Taylor, J. & Taylor, D. (1989). Mental Health in the 1990's From Custody to Care? Office of Health Economics: London.Google Scholar
Thompson, A.H., Stuart, H., Bland, R.C., Arboleda-Florez, J., Warner, R., Dickson, R.A., Sartorius, N., Lopez-Ibor, J.J., Stefanis, C.N., Wig, N.N. & World Psychiatric Association (2002). Attitudes about schizophrenia from the pilot site of the WPA worldwide campaign against the stigma of schizophrenia. Social Psychiatry and Psychiatric Epidemiology 37(10), 475482.CrossRefGoogle ScholarPubMed
Trute, B & Loewen, A., (1978). Pubblic attitude toward the mentally ill as a function of prior personal experience? Social Psychiatry 13, 7984.CrossRefGoogle Scholar
Trute, B., Tefft, B. & Segall, A. (1989). Social rejection of the mentally ill: a replication study of public attitude. Social Psychiatry and Psychiatric Epidemiology 24, 6976.CrossRefGoogle ScholarPubMed
Vezzoli, R., Archiati, L., Buizza, C, Pasqualetti, P., Rossi, G. & Pioli, R. (2001). Attitudes towards psychiatric patients: a pilot study in a Northern Italian town. European Pychiatry 16, 451458.CrossRefGoogle Scholar
Warner, R. (2001). Combating the stigma of schizophrenia. Epidemiologia e Psichiatria Sociale 10, 1217.CrossRefGoogle ScholarPubMed
Wolff, G., Pathare, S., Craig, T. & Leff, J. (1996a). Community attitudes to mental illness. British Journal of Psychiatry 168, 183190.CrossRefGoogle ScholarPubMed
Wolff, G., Pathare, S., Craig, T. & Leff, J. (1996b). Community knowledge of mental illness and reaction to mentally ill people. British Journal of Psychiatry 168, 191198.CrossRefGoogle ScholarPubMed
Wolff, G., Pathare, S., Craig, T. & Leff, J. (1996c). Public education for community care: a new approach. British Journal of Psychiatry 168, 441447.CrossRefGoogle ScholarPubMed
World Psychiatric Association (1998). Fighting Stigma and Discrimination Because of Schizophrenia. World Psychiatric Association: New York.Google Scholar
Wright, E.R., Gronfein, W.P. & Owens, T.J. (2000). Deinstitutionalization, social rejection, and the self-esteem of former mental patients. Journal of Health and Social Behaviour 41(1), 6890.CrossRefGoogle ScholarPubMed