STIGMA TOWARDS PATIENTS WITH MENTAL ILLNESS AMONG POSTGRADUATE TRAINEES OF A TERTIARY CARE HOSPITAL

  • Aliya Khan Jinnah Postgraduate Medical Centre Karachi, Pakistan
  • Darshana Kumari Jinnah Postgraduate Medical Centre Karachi, Pakistan
  • Muhammad Ayub Jinnah Postgraduate Medical Centre Karachi, Pakistan
  • Muhammad Ali Imtiaz Medecins Sans Frontieres
  • Muhammad Shaheryar Ali Jinnah Postgraduate Medical Centre Karachi, Pakistan
Keywords: Stigma, doctors, Community Attitudes Towards Mental Illness (CAMI) scale, psychiatric illnesses.

Abstract

Objective: To assess stigmatizing attitude by using “Community Attitudes Towards Mental Illness” (CAMI) subscale scores toward patients with mental illness among postgraduate trainees of a tertiary care facility.

Study Design: Descriptive Cross sectional study.

Place and duration of study: This study was conducted at Jinnah Postgraduate Medical Centre, Karachi from December to June 2019.

Subjects and Methods: A total number of 110 FCPS Postgraduate Trainees working in different departments of JPMC were selected. Study variables like age, gender, marital status, speciality, year of training, total duration of clinical experience, the experience of working in the psychiatry department, family and personal history of psychiatric illness were collected through semi-structured proforma and stigma was assessed by “Community Attitudes Towards Mental Illness ” (CAMI) scale which had four subscales: Authoritarianism, Benevolence, Social Restrictiveness and Community Mental Health Ideology (CMHI).

 Results: 110 doctors participated in the study. We found a 30.9% stigma among postgraduate trainees. Those with clinical experience of 1-4 years had higher benevolence scores than those who had clinical experience of 4-8 years. Female gender has higher scores on Benevolence and Community Mental Health Ideology subscale than males, which showed female has a more positive attitude towards mental illness. Those with a personal history of psychiatric illness had less score on a social restrictive scale which showed a less stigmatizing attitude.

Conclusion: Mental illness is a severe issue that affects millions of people worldwide. Many people who suffer from mental illness are often stigmatized by society and even medical professionals. It is important to create awareness among healthcare professionals about the importance of understanding and treating mental illness with respect and compassion.

Downloads

Download data is not yet available.

Author Biographies

Muhammad Ayub, Jinnah Postgraduate Medical Centre Karachi, Pakistan

Consultant Psychiatrist

Muhammad Shaheryar Ali, Jinnah Postgraduate Medical Centre Karachi, Pakistan

Resident Medical Officer

References

Thornicroft G. Shunned: discrimination against people with mental illness: Oxford university press Oxford; 2006.

Goffman E. Stigma. Notes on the Management of Spoiled Identity. New York: Simon and Shuster. Inc. 1963.

Byrne P. Psychiatric stigma. Brit J Psychiat. 2001;178(3):281-4.

Mental Health Commission of Canada. Opening minds interim report. 2013[cited 2018 June 12]; Available from: https://www.mentalhealthcommission.ca/sites/default/files/opening_minds_interim_report_0.pdf

Hamilton S, Pinfold V, Cotney J, Couperthwaite L, Matthews J, Barret K, et al. Qualitative analysis of mental health service users’ reported experiences of discrimination. Acta Psychiatr Scand. 2016;134(S446):14-22.

Sathyanath S, Mendonsa RD, Thattil AM, Chandran VM, Karkal RS. Socially restrictive attitudes towards people with mental illness among the non-psychiatry medical professionals in a university teaching hospital in South India. Int J Soc Psychiatry. 2016;62(3):221-6.

AO, Oguntade AA. Doctors’ attitude towards people with mental illness in Western Nigeria. Soc Psychiatry Psychiatr Epidemiol. 2007;42(11):931-6.

Sharma B, Sampath H, Soohinda G, Dutta S. Stigma among doctors towards people with mental illness. Int J Res Med Sci. 2019;7(1):15-9.

Nieuwhof MG, Rademakers JJ, Kuyvenhoven MM, Soethout MB, Ten Cate TJ: Students’ conceptions of the medical profession: an interview study. Med Teach. 2008, 27: 709-714.

Korszun A, Dinos S, Ahmed K, Kamaldeep B: Medical attitudes about mental illness: does medical-school education reduce stigma?. Acad Psychiatry. 2012, 36: 197-204.

Schwenk TL, Davis L, Wimsatt LA: Depression, stigma, and suicidal ideation in medical students. JAMA. 2010, 304 (11): 1181-1190. 10.1001/jama.2010.1300.

Chandramouleeswaran S, Rajaleelan W, Edwin NC, Koshy I. Stigma and attitudes toward patients with psychiatric illness among postgraduate Indian physicians. Indian J Psychol Med. 2017;39(6):746-9.

Buseh AG, Park CG, Stevens PE, McElmurry BJ, Kelber ST. HIV/AIDS stigmatizing attitudes among young people in Swaziland: individual and environmental factors. Journal of HIV/AIDS prevention in children & youth. 2006 Dec 18;7(1):97-120

Mukherjee R, Fialho A, Wijetunge A, Checinski K, Surgenor T. The stigmatisation of psychiatric illness: the attitudes of medical students and doctors in a London teaching hospital. Psychiatr Bull. 2002;26(5):178-81

Busby Grant J, Bruce CP, Batterham PJ. Predictors of personal, perceived and self-stigma towards anxiety and depression. Epidemiology and Psychiatric Sciences, 25 (3), 247–254.

Muga F, Hagali M. What do final year medical students at the University of Papua New Guinea think of psychiatry?. Papua New Guinea Medical Journal. 2006 Sep;49(3/4):126-36.

Cheng DR, Poon F, Nguyen TT, Woodman RJ, Parker JD. Stigma and perception of psychological distress and depression in Australian-trained medical students: results from an inter-state medical school survey. Psychiatry research. 2013 Oct 30;209(3):684-90.

Schenner M, Kohlbauer D, Günther V. Communicate instead of stigmatizing-does social contact with a depressed person change attitudes of medical students towards psychiatric disorders? A study of attitudes of medical students to psychiatric patients. Neuropsychiatrie: Klinik, Diagnostik, Therapie und Rehabilitation: Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater. 2011 Jan 1;25(4):199-207.

Published
2023-07-02
How to Cite
1.
Khan A, Kumari D, Ayub M, Imtiaz MA, Ali MS. STIGMA TOWARDS PATIENTS WITH MENTAL ILLNESS AMONG POSTGRADUATE TRAINEES OF A TERTIARY CARE HOSPITAL. J Pak Psychiatr Soc [Internet]. 2023Jul.2 [cited 2024Jul.13];20(02). Available from: https://jpps.pk/index.php/journal/article/view/261