Moradi-Gorabpasi Farhoud, Khademi Mojgan, Taghva Arsia, Shakeri Shirin, Panaghi Leili
Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Child and Adolescent Psychiatry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Front Psychiatry. 2025 Apr 2;16:1553197. doi: 10.3389/fpsyt.2025.1553197. eCollection 2025.
The COVID-19 pandemic has led to significant global disruption, resulting in increased stigma and discrimination towards certain communities and populations affected by the virus. Given that psychiatrists play a crucial role in both preventing and treating the complications associated with disease-related stigma, this study aims to examine their attitude towards the stigma associated with COVID-19.
This research utilized a cross-sectional survey design to evaluate psychiatrists' attitudes towards COVID-19 stigma. We used a 15-item researcher-made questionnaire with scores ranging from 15 to 75. The questionnaire was distributed to 131 psychiatrists in Tehran (capital city of Iran) from April 9, 2023 to May 26, 2023, with responses collected voluntarily. Data were analyzed with descriptive statistics, independent t-tests, and one-way ANOVA to evaluate stigma attitudes across demographic variables using SPSS software (version 25).
The Cronbach's alpha for the COVID-19 Stigma Attitude Scale for Psychiatrists (CSASP) was determined to be 0.861, indicating strong reliability. Moreover, all questions achieved acceptable corrected item-total correlation values above 0.2. It was revealed that the highest and lowest recorded scores were 68 and 25, respectively (average 51.16 ± 8.83). Also 19 individuals (14.5%) exhibited a weak attitude, 41 individuals (31.3%) displayed a rather weak attitude, 54 individuals (41.2%) showed a rather strong attitude, and 17 individuals (13%) demonstrated a strong attitude toward the presence of COVID-19 stigma. Furthermore, 96 individuals (73.3%) recognized stigma surrounding COVID-19 at the onset of the pandemic; of these, 11 (11.5%) disagreed with the idea of current stigma, while 18 (18.7%) had no opinion. Thus, 67 participants (69.8%) still believe such a stigma exists. Finally, 83 respondents (63.3%) acknowledged stigma related to AIDS and leprosy, with 53 (63.8%) of them also believing in the stigma surrounding COVID-19.
The findings highlighted various attitudes towards the ongoing stigma associated with COVID-19, with most psychiatrists recognizing its persistence throughout the pandemic. The research also points to the interconnectedness of stigma across different diseases, emphasizing common societal factors like fear, misinformation, and cultural biases. This underscores the crucial role psychiatrists play in addressing stigma and its effects on society.
新冠疫情已导致全球严重混乱,致使对受该病毒影响的某些社区和人群的污名化及歧视加剧。鉴于精神科医生在预防和治疗与疾病相关污名化的并发症方面发挥着关键作用,本研究旨在考察他们对新冠相关污名化的态度。
本研究采用横断面调查设计来评估精神科医生对新冠污名化的态度。我们使用了一份由研究者编制的包含15个条目的问卷,得分范围为15至75分。该问卷于2023年4月9日至2023年5月26日分发给德黑兰(伊朗首都)的131名精神科医生,答卷为自愿收集。使用SPSS软件(版本25)对数据进行描述性统计、独立t检验和单因素方差分析,以评估不同人口统计学变量下的污名化态度。
精神科医生新冠污名化态度量表(CSASP)的Cronbach's alpha系数确定为0.861,表明信度很强。此外,所有问题的校正条目 - 总分相关值均达到可接受的高于0.2的水平。结果显示,记录的最高分和最低分分别为68分和25分(平均51.16 ± 8.83)。此外,19名个体(14.5%)表现出较弱态度,41名个体(31.3%)表现出相当弱的态度,54名个体(41.2%)表现出较强态度,17名个体(13%)对新冠污名化的存在表现出强烈态度。此外,96名个体(73.3%)在疫情开始时就认识到新冠相关的污名化;其中,11人(11.5%)不同意当前存在污名化的观点,18人(18.7%)没有看法。因此,67名参与者(69.8%)仍然认为存在这样的污名化。最后,83名受访者(63.3%)承认存在与艾滋病和麻风病相关的污名化,其中53人(63.8%)也认为存在新冠相关的污名化。
研究结果凸显了对当前与新冠相关污名化的各种态度,大多数精神科医生认识到其在整个疫情期间的持续存在。该研究还指出不同疾病污名化之间的相互联系,强调了恐惧、错误信息和文化偏见等共同的社会因素。这凸显了精神科医生在应对污名化及其对社会的影响方面所起的关键作用。