Department of Family Medicine, Wroclaw Medical University, 51-141 Wroclaw, Poland.
Department and Clinic of Psychiatry, Wroclaw Medical University, 50-367 Wroclaw, Poland.
Int J Environ Res Public Health. 2021 Jun 13;18(12):6419. doi: 10.3390/ijerph18126419.
(1) Introduction: Stigmatization is a multi-level process leading to depreciation of particular social groups. It is particularly visible among people suffering from mental illnesses. Patient stigmatization is a serious problem in psychiatric care; thus, a reliable assessment of its level is important in the context of effective medical interventions. The aim of this paper is to assess the level of stigmatization of psychiatric patients among doctors. (2) Methods: An online, quantitative, CAWI (Computer Assisted Web Interview) study was conducted in the form of an anonymous, voluntary survey addressed to doctors working in Poland. The questionnaire questions included a socio-geographic assessment and questions assessing the level of stigmatization. A standardized psychometric tool, the MICA-4 Scale for doctors, was also used. The results obtained were compared with the evaluation of the existing reports on stigmatization among Polish society. (3) Results: 501 doctors of various specialties and at various stages of career participated in the study. Most of the respondents were women (75%). The average score of MICA-4 obtained by the respondents was 40.26 (minimum 17; maximum 67; SD 8.93). The women's score was lower than the men's ( = 0.034). (4) Conclusions: Stigmatization of psychiatric patients is a common phenomenon among doctors. The type of performed work and career stage has an impact on the perception of psychiatric patients. Specialists scored highest in the MICA-4 Scale, similarly to physicians of surgical fields. Due to the prevalence of the phenomenon of stigmatization, especially among people who are meant to provide patients with help, there is an urgent need to implement anti-stigma programs.
(1) 引言:污名化是一个导致特定社会群体贬值的多层次过程。它在患有精神疾病的人群中尤为明显。患者污名化是精神科护理中的一个严重问题;因此,在有效的医疗干预背景下,可靠地评估其程度非常重要。本文旨在评估医生对精神科患者的污名化程度。
(2) 方法:采用在线、定量、CAWI(计算机辅助网络访谈)研究形式,对在波兰工作的医生进行匿名、自愿调查。问卷问题包括社会地理评估和评估污名化程度的问题。还使用了标准化的心理测量工具,即医生用 MICA-4 量表。将获得的结果与波兰社会对污名化的现有报告进行比较。
(3) 结果:共有 501 名不同专业和职业阶段的医生参与了研究。大多数受访者为女性(75%)。受访者的 MICA-4 平均得分为 40.26(最低 17;最高 67;SD 8.93)。女性得分低于男性( = 0.034)。
(4) 结论:精神科患者的污名化是医生中常见的现象。所从事工作的类型和职业阶段对精神科患者的感知有影响。专家在 MICA-4 量表中得分最高,与外科领域的医生相似。由于污名化现象尤其在本应向患者提供帮助的人当中普遍存在,因此迫切需要实施反污名化计划。