Complejo Asistencial Benito Menni and Clínica San Miguel, Sisters Hospitallers, Madrid, Spain.
Miniresidencia Aravaca, Línea de Rehabilitación, Sisters Hospitallers, Madrid, Spain.
Eur Arch Psychiatry Clin Neurosci. 2019 Apr;269(3):325-339. doi: 10.1007/s00406-018-0867-5. Epub 2018 Jan 20.
Research shows that personnel working in mental health facilities may share some of the societal prejudices towards mental illness. This might result in stigmatizing behaviours towards people suffering from mental disorders, undermining the quality of their care.
To describe and compare attitudes towards mental illness across a sample of professionals working in a wide range of mental health facilities in Spain, Portugal and Italy.
We administered a survey to personnel including two questionnaires related to stigmatizing attitudes: The Community Attitudes toward the Mentally Ill (CAMI) and the Attribution Questionnaire (AQ-27). Data were compared according to professional category, work setting and country.
34.06% (1525) professionals of the surveyed population responded adequately. Psychologists and social therapists had the most positive attitudes, and nursing assistants the most negative, on most factors of CAMI and AQ-27. Community staff had more positive attitudes than hospital-based professionals in most factors on CAMI and in discriminatory responses on AQ-27.
Globally, mental health professionals showed a positive attitude towards mental illness, but also a relative support to coercive treatments. There are differences in attitudes modulated by professional category and setting. Results can guide preventive strategies, particularly for the hospital-based and nursing staff.
研究表明，精神卫生机构的工作人员可能会对精神疾病持有一些社会偏见。这可能导致他们对患有精神障碍的人产生污名化行为，从而影响他们的护理质量。
描述并比较西班牙、葡萄牙和意大利广泛的精神卫生机构工作人员对精神疾病的态度。
我们向工作人员发放了一份调查问卷，其中包括两个与污名化态度相关的问卷：社区对精神疾病的态度问卷（CAMI）和归因问卷（AQ-27）。根据专业类别、工作场所和国家对数据进行了比较。
调查人群中 34.06%（1525 人）的专业人员做出了适当的回应。在 CAMI 和 AQ-27 的大多数因素上，心理学家和社会治疗师的态度最为积极，而护理助理的态度最为消极。社区工作人员在 CAMI 的大多数因素上以及在 AQ-27 的歧视性反应上比医院专业人员的态度更为积极。
总体而言，精神卫生专业人员对精神疾病持积极态度，但也相对支持强制性治疗。态度因专业类别和工作场所而异。研究结果可以为预防策略提供指导，特别是针对医院和护理人员。
