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Stigma toward individuals with mental disorders among Brazilian psychiatrists: a latent class analysis
Brazilian Journal of Psychiatry ( IF 5.5 ) Pub Date : 2020-07-27 , DOI: 10.1590/1516-4446-2020-0864
Antônio G. da Silva 1 , Alexandre A. Loch 2 , Vanessa P. Leal 3 , Paulo R. da Silva 4 , Monike M. Rosa 3 , Ozeias da C. Bomfim 3 , Leandro F. Malloy-Diniz 5 , Marcelo L. Schwarzbold 3 , Alexandre P. Diaz 6 , Antônio P. Palha 1
Affiliation  

OBJECTIVE The stigma toward individuals with mental disorders is highly prevalent, not only in the general population but among health care providers as well. The aim of this study was to identify subgroups based on stigmatizing beliefs related to psychiatric disorders among Brazilian psychiatrists, as well as to investigate their association with clinical and personality characteristics. METHODS Latent cluster analysis was used to find subgroups of cases in multivariate data according to a psychotic (schizophrenia) and a nonpsychotic disorder (attention-deficit hyperactivity disorder). The clusters for each psychiatric disorder were compared according to sociodemographic, emotional traits, and personality characteristics. RESULTS A total of 779 psychiatrists answered the questionnaire. Three different subgroups of stigma levels were identified regarding schizophrenia: the highest (n=202 [51.7%]), intermediate (108 [27.6%]), and the lowest (81 [20.7%]). Participants from the highest stigma group had a significantly longer time since graduation, higher anxiety-state scores, and lower positive affect. Two subgroups were identified with respect to attention-deficit hyperactivity disorder, although there were no differences between them in sociodemographic or clinical variables. CONCLUSION There were more subgroups of stigmatizing beliefs regarding psychotic disorders. Individual characteristics, such as those related to trait anxiety and affect, can be associated with high stigma toward schizophrenia.

中文翻译:

巴西精神科医生对精神障碍患者的污名化:潜在类别分析

目标 对精神障碍患者的污名化非常普遍,不仅在一般人群中,而且在医疗保健提供者中也是如此。本研究的目的是根据巴西精神科医生中与精神疾病相关的污名化信念来确定亚组,并调查它们与临床和人格特征的关联。方法 潜在聚类分析用于根据精神病(精神分裂症)和非精神病(注意缺陷多动障碍)在多变量数据中找到病例亚组。根据社会人口统计学、情感特征和人格特征,对每种精神疾病的聚类进行了比较。结果 共有 779 名精神科医生回答了问卷。关于精神分裂症,确定了三个不同的耻辱水平亚组:最高(n=202 [51.7%])、中间(108 [27.6%])和最低(81 [20.7%])。来自最高污名组的参与者自毕业以来的时间明显更长,焦虑状态得分更高,积极情绪更低。尽管在社会人口统计学或临床变量方面没有差异,但在注意力缺陷多动障碍方面确定了两个亚组。结论 有更多关于精神障碍的污名化信念的亚组。个体特征,例如与特质焦虑和情感相关的特征,可能与对精神分裂症的高度歧视有关。来自最高污名组的参与者自毕业以来的时间明显更长,焦虑状态得分更高,积极情绪更低。尽管在社会人口统计学或临床变量方面没有差异,但在注意力缺陷多动障碍方面确定了两个亚组。结论 有更多关于精神障碍的污名化信念的亚组。个体特征,例如与特质焦虑和情感相关的特征,可能与对精神分裂症的高度歧视有关。来自最高污名组的参与者自毕业以来的时间明显更长,焦虑状态得分更高,积极情绪更低。尽管在社会人口统计学或临床变量方面没有差异,但在注意力缺陷多动障碍方面确定了两个亚组。结论 有更多关于精神障碍的污名化信念的亚组。个体特征,例如与特质焦虑和情感相关的特征,可能与对精神分裂症的高度歧视有关。结论 有更多关于精神障碍的污名化信念的亚组。个体特征,例如与特质焦虑和情感相关的特征,可能与对精神分裂症的高度歧视有关。结论 有更多关于精神障碍的污名化信念的亚组。个体特征,例如与特质焦虑和情感相关的特征,可能与对精神分裂症的高度歧视有关。
更新日期:2020-07-27
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