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The relationship between mental-health-related stigma among psychiatrists and country indicators across Europe

Published online by Cambridge University Press:  27 August 2024

D. Őri ,
P. Szocsics ,
T. Molnár ,
L. Bankovska Motlova ,
O. Kazakova ,
S. Mörkl ,
M. Wallies ,
M. Abdulhakim ,
S. Boivin  and
K. Bruna
...Show all authors
D. Őri*
Affiliation:
1Semmelweis University 2Heim Pal National Pediatric Institute, Budapest
P. Szocsics
Affiliation:
1Semmelweis University
T. Molnár
Affiliation:
3Aladar Petz County Teaching Hospital, Győr, Hungary
L. Bankovska Motlova
Affiliation:
4Charles University, Prague, Czech Republic
O. Kazakova
Affiliation:
5Psychiatric Clinic of Minsk City, Minsk, Belarus
S. Mörkl
Affiliation:
6Medical University of Graz, Graz, Austria
M. Wallies
Affiliation:
7Therapie auf Augenhoehe, Buelach, Switzerland
M. Abdulhakim
Affiliation:
8Vrije Universiteit Brussel, Brussels, Belgium
S. Boivin
Affiliation:
9EPSM du Finistère Sud, Quimper, France
K. Bruna
Affiliation:
10State Psychiatric Hospital Gintermuiza, Jelgava, Latvia
C. Cabaços
Affiliation:
11Centro Hospitalar e Universitário de Coimbra 12Coimbra University 13Coimbra Institute for Biomedical Imaging and Translational Research, Coimbra, Portugal
E. A. Carbone
Affiliation:
14University Magna Græcia of Catanzaro, Catanzaro, Italy
E. Dashi
Affiliation:
15University Hospital Center “Mother Theresa”, Tirane, Albania
G. Grech
Affiliation:
16Mount Carmel Hospital, Attard, Malta
S. Greguras
Affiliation:
17University Hospital Centre Zagreb, Zagreb, Croatia
I. Ivanovic
Affiliation:
18Clinical Centre of Montenegro, Podgorica, Montenegro
K. Guevara
Affiliation:
19State Psychiatric Hospital for Treatment of Drug Addiction and Alcoholism, Sofia, Bulgaria
S. Kakar
Affiliation:
20Erasmus University Medical Center, Rotterdam, Netherlands
K. Kotsis
Affiliation:
21University of Ioannina, Ioannina, Greece
I. M. I. Klinkby
Affiliation:
22Capital Region of Denmark, Copenhagen, Denmark
J. Maslak
Affiliation:
23Institute for Mental Health, Belgrade, Serbia
S. Matheiken
Affiliation:
24Pennine Care NHS Foundation Trust, Oldham, United Kingdom
A. Mirkovic
Affiliation:
25University Children’s Hospital, University Medical Centre Ljubljana, Ljubljana, Slovenia
N. Nechepurenko
Affiliation:
26The Serbsky State Scientific Center for Social and Forensic Psychiatry, Moscow, Russian Federation
A. Panayi
Affiliation:
27Freelancer, Larnaca, Cyprus
A. T. Pereira
Affiliation:
12Coimbra University 13Coimbra Institute for Biomedical Imaging and Translational Research, Coimbra, Portugal
E. Pomarol-Clotet
Affiliation:
28FIDMAG Germanes Hospitalàries Research Foundation 29Instituto de Salud Carlos III, Barcelona, Spain
S. Raaj
Affiliation:
30South Meath Mental Health Service, Co.Meath, Ireland
P. Rus Prelog
Affiliation:
31University Psychiatric Clinic Ljubljana, Ljubljana, Slovenia
J. Soler-Vidal
Affiliation:
28FIDMAG Germanes Hospitalàries Research Foundation 29Instituto de Salud Carlos III, Barcelona, Spain 32Complex Assistencial Salut Mental, Sant Boi de Llobregat, Spain
R. Strumila
Affiliation:
33CHU Montpellier 34University of Montpellier, Montpellier, France 35Vilnius University, Vilnius, Lithuania
F. Schuster
Affiliation:
36Technische Universität München, Munich, Germany
H. Kisand
Affiliation:
37University of Tartu, Tartu, Estonia
A. Reim
Affiliation:
37University of Tartu, Tartu, Estonia
G. Ahmadova
Affiliation:
38United City Hospital N15, Baku, Azerbaijan
M. Vircik
Affiliation:
39Psychiatric Hospital Michalovce, Mihalovce, Slovakia
H. Yilmaz Kafali
Affiliation:
40Sultanbeyli State Hospital, Istanbul, Türkiye
N. Grinko
Affiliation:
41Ukrainian Catholic University, Lviv, Ukraine
Z. Győrffy
Affiliation:
1Semmelweis University
S. Rózsa
Affiliation:
42Károli Gáspár University of the Reformed Church, Budapest, Hungary
*
*Corresponding author.

Abstract

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Introduction

Mental health-related stigma occurs not only within the public community but is also an issue among healthcare professionals. The relationship between national culture and provider stigma remains yet to be empirically attested.

Objectives

We performed a cross-sectional multicentre study across 32 European countries to investigate the attitudes of psychiatrists towards patients with mental health problems. We aimed to examine the relationship of attitude with country-specific indicators.

Methods

We measured stigmatizing attitudes using the Opening Minds Stigma Scale for Health Care Providers (OMS-HC) within an online survey among specialists and trainees in general adult, child and adolescent psychiatry. Its total score was correlated with the Human Development Index (HDI), the Democracy Index (DI), the Social Progress Index (SPI), the number of psychiatrists per 100,000 people, and the Hofstede dimensions. Latent class analysis was done to find subgroups of countries according to the stigmatizing attitudes of psychiatrists and the six Hofstede dimensions.

Results

Altogether, n=4245 participants completed the survey. The total score of the OMS-HC significantly correlated with the long-term orientation (r=0.453, p=0.015) and indulgence dimensions (r=-0.629, p<0.0001) and with the HDI (r=-0.503, p=0.005), DI (r=-0.418, p=0.024), SPI (r=-0.348, p=0.040). The latent class analysis separated high- and low-stigma countries. High stigma was associated with high power distance and uncertainty scores.

Conclusions

Findings from this study not only expand knowledge of factors related to stigmatizing attitudes of healthcare professionals, but also enlighten the cultural aspects of the stigma that could contribute to the further development of anti-stigma programs.

Disclosure of Interest

D. Őri Grant / Research support from: Research grant form the Fulbright Association, P. Szocsics: None Declared, T. Molnár: None Declared, L. Bankovska Motlova: None Declared, O. Kazakova: None Declared, S. Mörkl: None Declared, M. Wallies: None Declared, M. Abdulhakim: None Declared, S. Boivin: None Declared, K. Bruna: None Declared, C. Cabaços: None Declared, E. A. Carbone: None Declared, E. Dashi: None Declared, G. Grech: None Declared, S. Greguras: None Declared, I. Ivanovic: None Declared, K. Guevara: None Declared, S. Kakar: None Declared, K. Kotsis: None Declared, I. Klinkby: None Declared, J. Maslak: None Declared, S. Matheiken: None Declared, A. Mirkovic: None Declared, N. Nechepurenko: None Declared, A. Panayi: None Declared, A. Pereira: None Declared, E. Pomarol-Clotet: None Declared, S. Raaj: None Declared, P. Rus Prelog: None Declared, J. Soler-Vidal: None Declared, R. Strumila: None Declared, F. Schuster: None Declared, H. Kisand: None Declared, A. Reim: None Declared, G. Ahmadova: None Declared, M. Vircik: None Declared, H. Yilmaz Kafali: None Declared, N. Grinko: None Declared, Z. Győrffy: None Declared, S. Rózsa: None Declared

Type
Abstract
Information
European Psychiatry , Volume 67 , Special Issue S1: Abstracts of the 32nd European Congress of Psychiatry , April 2024 , pp. S62 - S63
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of European Psychiatric Association
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