El estigma hacia el trastorno mental grave (TMG) en profesionales: una revisión sistemática

Autores/as

DOI:

https://doi.org/10.5944/ap.18.2.33953

Palabras clave:

estigma, salud mental, trastorno mental grave

Resumen

El estigma en profesionales de la salud es un objeto de estudio al que se le está prestando mayor atención. Esto debido al papel clave que desempeñan en el proceso de recuperación, así como en la implementación de intervenciones y difusión de las condiciones de salud mental que engloba el concepto Trastorno Mental Grave. El objetivo de este artículo es realizar una revisión sistemática de las investigaciones que abordan el estigma en profesionales de la salud para conocer el estado de conocimiento actual en este tema. Los resultados señalan relaciones complejas que forman parte del fenómeno del estigma. Por un lado, por la presencia de estigma (creencias, emociones y conductas discriminatorias) en los/as profesionales de la salud, así como relaciones entre este estigma y las prácticas de atención. Por otro lado, también muestran a los/as profesionales como objeto de estigmatización y las consecuencias estresoras del estigma en el ejercicio de su profesión. Finalmente, emerge una última categoría que muestra a los profesionales como agentes de desestigmatización.

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Adewuya, A. & Oguntade, A. (2007). Doctors’ attitude towards people with mental illness in Western Nigeria. Social Psychiatry and Psychiatric Epidemiology, 42(11), 931–936. Doi:10.1007/s00127-007-0246-4

Angermeyer, M. C., Matschinger, H. & Corrigan, P. (2004). Familiarity with Mental Illness and Social Distance from People with Schizophrenia and Major Depression: Testing a Model Using Data from a Representative Population Survey. Schizophr. Res., 69, 175-182.

Badallo, A., Ballesteros, F., Bertina, A., Cerezo, A., Magro, M. B. y Polvorinos, S. (2018): La dinámica estigmatizante: generación y mantenimiento del estigma y el autoestigma asociado al trastorno mental en la vida cotidiana. Revista Clínica Contemporánea, 1(9), 1-15.Doi:10.5093/cc2018a3

Borge, L., Martinsen, E. W., Ruud, T., Watne, O., & Friis, S. (1999). Quality of life, loneliness, and social contact among long-term psychiatric patients. Psychiatric Services, 50(1), 81–84.Doi:10.1176/ps.50.1.81.

Cain, N. R. (2000). Psychotherapists with personal histories of psychiatric hospitalization: Countertransference in wounded healers. Psychiatric Rehabilitation Journal, 24(1).https://psycnet.apa.org/doiLanding?doi=10.1037/h0095127

Caldwell, T. M., & Jorm, A. F. (2001). Mental health nurses’ beliefs about likely outcomes for people with schizophrenia or depression: a comparison with the public and other healthcare professionals. Australian and New Zealand Journal of Mental Health Nursing, 10(1), 42-54.Doi:10.1046/j.1440-0979.2001.00190.x

Caplan, S., Little, T. & Garces-King, J. (2016). Stigma about mental illness among multidisciplinary health care providers in the Dominican Republic. International Perspectives in Psychology: Research, Practice, Consultation, 5(3), 192–206.Doi:10.1037/ipp0000057

Castillejos, M., Bordallo, A., Aguilera, D. & Moreno, B. (2019). Perceptions about mental illness among general practitioners. International Journal of Mental Health System, 13(27). Doi:10.1186/s13033-019-0284-9

Castro-de Diego, S. E. y de Vicente-Colomina, A. (2019). Atribución causal y creencias sobre los trastornos mentales en población general y psicólogos. Un estudio exploratorio. Clínica y Salud, 30, 81-90. Doi:10.5093/clysa2019a13

Chambers, M., Guise, V., Välimäki, M., Botelho, M., Scott, A., Staniuliené, V. & Zanotti, R. (2010). Nurses’ attitudes to mental illness: A comparison of a sample of nurses from five European countries. International Journal of Nursing Studies, 47(3), 350–362. doi:10.1016/j.ijnurstu.2009.08.008

Chang, N., Ribot, V. y Pérez, V. (2018): Influencia del estigma social en la rehabilitación y reinserción social de personas con esquizofrenia. Revista Habanera de Ciencias Médicas, 17(5), 705-719. http://www.revhabanera.sld.cu/index.php/rhab/article/view/2415

Chang, S., Picco, L., Abdin, E., Yuan, Q., Chong, S. & Subramaniam, M. (2019). Resilience and associative stigma among mental health professionals in a tertiary psychiatric hospital: a cross-sectional study in Singapore. BMJ Open, 9(12). doi: 10.1136/bmjopen-2019-033762

Chien, W., Yeung, F. y Chan, A. (2014). Perceived Stigma of Patients with Severe Mental Illness in Hong Kong: Relationships with Patients’ Psychosocial Conditions and Attitudes of Family Caregivers and Health Professionals. Adm Policy Mental Health, 41, 237-251. Doi:10.1007/s10488-012-0463-3

Chikaodiri, A. (2009). Attitude of health workers to the care of psychiatric patients. Annals of General Psychiatry, 8(1). Doi:10.1186/1744-859x-8-19

Corrigan, P. (2016): Lessons learned from unintended consequences about erasing the stigma of mental illness. World Psychiatry, 15(1), 67-73. Doi:10.1002/wps.20295

Corrigan, P., River, P., Lundin, R., Penn, D., Uphoff-Wasowski, K., Campion, J., Mathisen, J., Gagnon, C., Bergman, M., Goldstein, H. y Kubiak, M. (2001). “Three strategies for changing attributions about severe mental illness”. Schizophrenia bulletin, 27(2),187-195. Doi:10.1093/oxfordjournals.schbul.a006865

Del Olmo-Romero, F., González, M., Sarró, S., Grácio, J., Martin-Carrasco, M., Martínez-Cabezón, A., Perna, G & Pomarol-Clotet, E. (2018). Mental health professionals´ attitudes towards mental illness: professional and cultural factors in the INTER NOS study. European Archives of Psychiatry and Clinical Neuroscience.Doi:10.1007/s00406-018-0867-5

Delaney, K. R. (2012). Psychiatric mental health nurses: Stigma issues we fail to see. Archives of psychiatric nursing, 26(4), 333-335.Doi:10.1016/j.apnu.2012.04.006

Dobransky, K. (2018). Breaking Down Walls, Building Bridges: Professional Stigma Management in Mental Health Care. Society and Mental Health, 20(10).Doi: 10.1177/2156869317750705

Druetta, I., Ceresa, M.F. y Leiderman, E.A. (2013). Attitudes of mental health workers toward people with schizophrenia. Vertex, 24(110),245-252. https://europepmc.org/article/med/24260748

Economou, M., Peppou, L. E., Kontoangelos, K., Palli, A., Tsaliagkou, I., Legaki, E. M., ... & Papageorgiou, C. (2020). Mental health professionals’ attitudes to severe mental illness and its correlates in psychiatric hospitals of Attica: The role of workers’ empathy. Community mental health journal, 56(4), 614-625.Doi:10.1007/s10597-019-00521-6

Elliot, M. & Ragsdale, J. (2020). Mental health professionals with mental illnesses: A qualitative interview study. American Journal of Orthopsychiatry.Doi:10.1037/ort0000499

Gateshill, G., Kucharska-Pietura, K., & Wattis, J. (2011). Attitudes towards mental disorders and emotional empathy in mental health and other healthcare professionals. The Psychiatrist, 35(03), 101–105.Doi:10.1192/pb.bp.110.029900

Gil, H., Winter, M., León, P. y Navarrete E (2016): El estigma hacia personas con enfermedad mental en profesionales sanitarios del hospital general. Norte de Salud Mental, 14(55), 103-111.https://dialnet.unirioja.es/servlet/articulo?codigo=5836868

Goffman, E. (2006): Estigma. La identidad deteriorada. (1ª Edición. 10ª Reimpresión). Amorrortu (Trabajo original publicado en 1963).

Hansson, L., Jormfeldt, H., Svedberg, P., & Svensson, B. (2011). Mental health professionals’ attitudes towards people with mental illness: Do they differ from attitudes held by people with mental illness? International Journal of Social Psychiatry, 59(1), 48–54. Doi:10.1177/0020764011423176

Harris, I., Leskela, J. y Hoffman-Konn, L. (2016). Provider lived experience and stigma. American Journal of Orthopsychiatry, 86(6), págs. 604-609.Doi:10.1037/ort0000179

Hengartner, M., Loch, A., Lawson, F., Guarniero, F., Wang, Y., Rössler, W. & Gattaz, W.(2012). Attitudes of mental health professionals towards persons with schizophrenia. A transcultural comparison between Switzerland and Brazil. Archives of Clinical Psychiatry, 39(4), 115–121.Doi:10.1590/s0101-60832012000400001

Holmqvist, R. (2000a). Associations between staff feelings toward patients and treatment outcome at psychiatric treatment homes. Journal of Nervous and Mental Disease.Doi:10.1097/00005 053-20000 6000-00007

Kopera, M., Suszek, H., Bonar, E., Myszka, M., Gmaj, B., Ilgen, M. & Wojnar, M. (2014). Evaluating Explicit and Implicit Stigma of Mental Illness in Mental Health Professionals and Medical Students. Community Mental Health Journal, 51, 628–634.Doi:10.1007/s10597-014-9796-6

Koutra, K., Mavroeides, G., & Triliva, S. (2021). Mental Health Professionals’ Attitudes Towards People with Severe Mental Illness: Are they Related to Professional Quality of Life? Community Mental Health Journal.doi:10.1007/s10597-021-00874-x

Lauber, C., Anthony, M., Ajdacic-Gross, V., & Rössler, W. (2004). What about psychiatrists’ attitude to mentally ill people? European Psychiatry, 19(7), 423–427. Doi:10.1016/j.eurpsy.2004.06.019

Li, J., Guo, Y., Huang, Y., Liu, J., Chen, W., Zhang, X., Evans, S y Thornicroft, G. (2017): Stigma and discrimination experienced by people with schizophrenia living in the community in Guangzhou, China. Psychiatry Research, 255, 225-231.Doi:10.1016/j.psychres.2017.05.040

Li, J., Li, J., Thornicroft, G. & Huang, Y. (2014). Levels of stigma among community mental health staff in Guangzhou, China. BMC Psychiatry, 14(1).Doi:10.1186/s12888-014-0231-x

Lien, Y.-Y., Lin, H.-S., Tsai, C.-H., Lien, Y.-J., & Wu, T.-T. (2019). Changes in Attitudes toward Mental Illness in Healthcare Professionals and Students. International Journal of Environmental Research and Public Health, 16(23).Doi:10.3390/ijerph16234655

Lin, X., Rosenheck, R., Sun, B., Xie, G., Zhong, G., Tan, C., … He, H. (2018). Associative stigma experienced by mental health professionals in China and the United States. Social Psychiatry and Psychiatric Epidemiology.Doi:10.1007/s00127-018-1643-6

Link, B. G., Struening, E. L., Neese-Todd, S., Asmussen, S. y Phelan, J. C. (2001). “Stigma as a barrier to recovery: The consequences of stigma for the self-esteem of people with mental illnesses”. Psychiatric Services, 52(12), 1621-1626. Doi:10.1176/appi.ps.52.12.1621

Link, B. G., Yang, L. H., Phelan, J. y Collins, P. (2004): Measuring Mental Illness Stigma. Schizophrenia Bull, 30(3), 511-541.Doi:10.1093/oxfordjournals.schbul.a007098

Loch, A. A., Guarniero, F. B., Lawson, F. L., Hengartner, M. P., Rössler, W., Gattaz, W. F. & Wang, Y. (2013). Stigma toward schizophrenia: do all psychiatrists behave the same? Latent profile analysis of a national sample of psychiatrists in Brazil. BMC Psychiatry, 13(1).Doi:10.1186/1471-244x-13-92

López, M., Laviana, M., Fernández, L., López, A., Rodríguez, A. M., y Aparicio, A. (2008). La lucha contra el estigma y la discriminación en salud mental: Una estrategia compleja basada en la información disponible. Revista de la Asociación Española de Neuropsiquiatría, 28(1), 48-83. https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0211-57352008000100004

Martin, A., Chilton, J., Paasche, C., Weller, I., Amsalem, D. & Neary, S. (2020).

Shared Living Experiences by Physicians have a Positive Impact on Mental Health Attitudes and Stigma among Medical Students: A Mixed-Methods Study. Journal of Medical Education and Curricular Development, 7.Doi: 10.1177/2382120520968072

Muñoz, M., Pérez, E., Crespo, M. y Guillén, A. (2009). Estigma y enfermedad mental. Análisis del rechazo social que sufren las personas con enfermedad mental. Editorial Complutense. https://webs.ucm.es/BUCM/ecsa//9788474919806.pdf

Moll, S., Eakin, J., Franche, R. & Strike, C. (2012). When Health Care Workers

Experience Mental Ill Health: Institutional Practices of Silence. Qualitative Health Research, 23(2), 167-179.Doi: 10.1177/1049732312466296

Nakash, O., Nagar, M. & Levav, I. (2015.) Predictors of mental health care stigma and its association with the therapeutic alliance during the initial intake session. Psychotherapy Research, 25(2), 214-221.Doi:10.1080/10503307.2014.885147

Nordt, C., Rössler, W., & Lauber, C. (2006). Attitudes of mental health professionals toward people with schizophrenia and major depression. Schizophrenia bulletin, 32(4), 709-714. Doi:10.1093/schbul/sbj065

O’Reilly, C. L., Paul, D., McCahon, R., Shankar, S., Rosen, A., & Ramzy, T. (2019).Stigma and discrimination in individuals with severe and persistent mental illness in an assertive community treatment team:Perceptions of families and healthcare professionals. International Journal of Social Psychiatry, 65(7-8), 570-579. Doi:10.1177/0020764019867358

Ordan, R., Shor, R., Liebergall‐Wischnitzer, M., Noble, L., & Noble, A. (2018). Nurses’ professional stigma and attitudes towards postpartum women with severe mental illness. Journal of Clinical Nursing, 27(7-8), 1543-1551.Doi:10.1111/jocn.14179

Picco, L., Chang, S., Abdin, E., Yiang, B., Yuan, Q., Ajit, J., Ong, S., Lai, K., Choon, H., Ann, S. & Subramaniam, M. (2019). Associative stigma among mental health professionals in Singapore: a cross-sectional study. BMJ Open, 9.Doi:10.1136/bmjopen-2018-028179

Rivera-Segarra, E., Varas-Díaz, N. & Santos-Figueroa, A. (2019). “That´s all Fake”:Health professionals stigma and physical healthcare of people living with Serious Mental Illness. PLoS ONE 14(12).Doi:journal.pone.0226401

Rodríguez, F., Caballero, N., Tallo, E., Méndez, M., Hernández, M. C., López, S., Vilches, P. y González-Dávila, E. (2018): Efectividad de una estrategia de apoyo individualizado al empleo para personas con trastornos mentales graves. Gaceta Sanitaria, 32(6), 513-518. Doi:10.1016/j.gaceta.2017.05.007

Rose, G., von Hippel, C., Brener, L., & von Hippel, B. (2018). Attitudes of people working in mental health non-governmental organisations in Australia: A comparison with other mental health professionals. Health Psychology Open, 5(1).Doi:10.1177/2055102918765413

Saridi, M., Kordosi, A., Toska, A., Peppou, L., Economou, M. y Souliotis, K. (2017). Attitudes of health professionals towards the stigma surrounding depression in times of economic crisis. International Journal of Social Psyquiatry, 63(2), págs. 115-125. Doi:10.1177/0020764016685348

Sartorius, N. (2002). Iatrogenic stigma of mental illness. British Medical Journal, 324(7352), 1470–1471.Doi:10.1136/bmj.324.7352.1470

Siqueira, S., Abelha, L., Lovisi, G., Rodrigues, K. y Yang, L. (2016). Attitudes Towards the Mentally Ill: A Study with Health Workers at a University Hospital in Rio de Janeiro. Psyquiatry Q.Doi:10.1007/s11126-016-9431-5

Solmi, M., Granziol, U., Danieli, A., Frasson, A., Meneghetti, L., Ferranti, R., Zordan, M., Salvetti, B. Conca, A., Salcuni, S. & Zaninotto, L. (2020). Predictors of stigma in a sample of mental health professionals: network and moderator analysis on gender, years of experience, personality traits, and levels of burnout. European Psychiatry, 63(1). Doi:10.1192/j.eurpsy.2019.14

Steinberg, D. & Wetterneck, C. (2017). OCD taboo thoughts and stigmatizing attitudes in clinicians. Community mental health journal, 53(3), 275-280.Doi:10.1007/s10597-016-0055-x

Stuber, J., Rocha, A., Christian, A., & Link, B. (2014). Conceptions of Mental Illness: Attitudes of Mental Health Professionals and the General Public. Psychiatric Services, 65(4), 490–497. Doi:10.1176/appi.ps.201300136

Ubaka, C., Chikezie, C., Amorha, K., & Ukwe, C. (2018). Health professionals’ stigma towards the psychiatric ill in Nigeria. Ethiopian journal of health sciences, 28(4). Doi:10.4314/ejhs.v28i4.14

Ucok, A., Polat, A., Sartorius, N., Erkoc, S. & Atakli, C. (2004). Attitudes of psychiatrists toward patients with schizophrenia. Psychiatry and Clinical Neurosciences, 58(1), 89-91.Doi:10.1111/j.1440-1819.2004.01198.x

Velasco, R. (2013). De-construyendo el estigma en salud mental. Psychology, Society & Education, 5(1), 91-102.https://dialnet.unirioja.es/servlet/articulo?codigo=4489425

Verhaeghe, M. & Bracke, P. (2012). Associative Stigma among Mental Health Professionals. Journal of Health and Social Behavior, 53(1), 17–32.Doi:10.1177/0022146512439453

Wagner, L., Torres-González, F., Geidel, A. y King, M. (2011). Cuestiones existenciales en la esquizofrenia: percepción de portadores y cuidadores. Rev. Saúde Pública,45, 2, 401-408. https://www.scielosp.org/article/rsp/2011.v45n2/401-408/

World Health Organization (2001): Mental health resources in the world 2001. https://www.who.int/whr/2001/en/

World Health Organization (2018): Mental Health Atlas 2017. https://apps.who.int/iris/bitstream/handle/10665/272735/9789241514019-eng.pdf?ua=1

Yuan Q, Picco L, Chang S, Abdin E, Chua, B., Ong S, Lai, K., Ann, S. & Subramaniam, M. (2017) Attitudes to mental illness among mental health professionals in Singapore and comparisons with the general population. PLoS ONE, 12(11).Doi:10.1371/journal.pone.0187593

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Publicado

2023-03-30

Cómo citar

Martínez-Cava Cáceres, I. (2023). El estigma hacia el trastorno mental grave (TMG) en profesionales: una revisión sistemática. Acción Psicológica, 18(2), 53–66. https://doi.org/10.5944/ap.18.2.33953

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