Somatic health care professionals’ stigmatization of patients with mental disorder: a scoping review
Abstract Background Patients with mental disorders have an increased risk of developing somatic disorders, just as they have a higher risk of dying from them. These patients often report feeling devaluated and rejected by health professionals in the somatic health care system, and increasing evidenc...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-09-01
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| Series: | BMC Psychiatry |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12888-021-03415-8 |
| _version_ | 1819124339433275392 |
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| author | Ida Nielsen Sølvhøj Amalie Oxholm Kusier Pia Vivian Pedersen Maj Britt Dahl Nielsen |
| author_facet | Ida Nielsen Sølvhøj Amalie Oxholm Kusier Pia Vivian Pedersen Maj Britt Dahl Nielsen |
| author_sort | Ida Nielsen Sølvhøj |
| collection | DOAJ |
| description | Abstract Background Patients with mental disorders have an increased risk of developing somatic disorders, just as they have a higher risk of dying from them. These patients often report feeling devaluated and rejected by health professionals in the somatic health care system, and increasing evidence shows that disparities in health care provision contribute to poor health outcomes. The aim of this review was to map and synthesize literature on somatic health professionals’ stigmatization toward patients with mental disorders. Methods We conducted a scoping review using Arksey and O’Malley’s framework and carried out a systematic search in three databases: Cinahl, MEDLINE, and PsycINFO in May–June 2019. Peer-reviewed articles published in English or Scandinavian languages during 2008–2019 were reviewed according to title, abstract and full-text reading. We organized and analyzed data using NVivo. Results A total of 137 articles meeting the eligibility criteria were reviewed and categorized as observational studies (n = 73) and intervention studies (n = 64). A majority of studies (N = 85) focused on patients with an unspecified number of mental disorders, while 52 studies focused on specific diagnoses, primarily schizophrenia (n = 13), self-harm (n = 13), and eating disorders (n = 9). Half of the studies focused on health students (n = 64), primarily nursing students (n = 26) and medical students (n = 25), while (n = 66) focused on health care professionals, primarily emergency staff (n = 16) and general practitioners (n = 13). Additionally, seven studies focused on both health professionals and students. A detailed characterization of the identified intervention studies was conducted, resulting in eight main types of interventions. Conclusions The large number of studies identified in this review suggests that stigmatizing attitudes and behaviors toward patients with mental disorders is a worldwide challenge within a somatic health care setting. For more targeted interventions, there is a need for further research on underexposed mental diagnoses and knowledge on whether specific health professionals have a more stigmatizing attitude or behavior toward specific mental disorders. |
| first_indexed | 2024-12-22T07:22:40Z |
| format | Article |
| id | doaj.art-cc68aad8a7d146149eebdd7ed8749260 |
| institution | Directory Open Access Journal |
| issn | 1471-244X |
| language | English |
| last_indexed | 2024-12-22T07:22:40Z |
| publishDate | 2021-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychiatry |
| spelling | doaj.art-cc68aad8a7d146149eebdd7ed87492602022-12-21T18:34:14ZengBMCBMC Psychiatry1471-244X2021-09-0121111910.1186/s12888-021-03415-8Somatic health care professionals’ stigmatization of patients with mental disorder: a scoping reviewIda Nielsen Sølvhøj0Amalie Oxholm Kusier1Pia Vivian Pedersen2Maj Britt Dahl Nielsen3National Institute of Public Health, University of Southern DenmarkNational Institute of Public Health, University of Southern DenmarkNational Institute of Public Health, University of Southern DenmarkNational Institute of Public Health, University of Southern DenmarkAbstract Background Patients with mental disorders have an increased risk of developing somatic disorders, just as they have a higher risk of dying from them. These patients often report feeling devaluated and rejected by health professionals in the somatic health care system, and increasing evidence shows that disparities in health care provision contribute to poor health outcomes. The aim of this review was to map and synthesize literature on somatic health professionals’ stigmatization toward patients with mental disorders. Methods We conducted a scoping review using Arksey and O’Malley’s framework and carried out a systematic search in three databases: Cinahl, MEDLINE, and PsycINFO in May–June 2019. Peer-reviewed articles published in English or Scandinavian languages during 2008–2019 were reviewed according to title, abstract and full-text reading. We organized and analyzed data using NVivo. Results A total of 137 articles meeting the eligibility criteria were reviewed and categorized as observational studies (n = 73) and intervention studies (n = 64). A majority of studies (N = 85) focused on patients with an unspecified number of mental disorders, while 52 studies focused on specific diagnoses, primarily schizophrenia (n = 13), self-harm (n = 13), and eating disorders (n = 9). Half of the studies focused on health students (n = 64), primarily nursing students (n = 26) and medical students (n = 25), while (n = 66) focused on health care professionals, primarily emergency staff (n = 16) and general practitioners (n = 13). Additionally, seven studies focused on both health professionals and students. A detailed characterization of the identified intervention studies was conducted, resulting in eight main types of interventions. Conclusions The large number of studies identified in this review suggests that stigmatizing attitudes and behaviors toward patients with mental disorders is a worldwide challenge within a somatic health care setting. For more targeted interventions, there is a need for further research on underexposed mental diagnoses and knowledge on whether specific health professionals have a more stigmatizing attitude or behavior toward specific mental disorders.https://doi.org/10.1186/s12888-021-03415-8Mental healthMental disordersScoping reviewHealth care professionalHealth care studentStigma |
| spellingShingle | Ida Nielsen Sølvhøj Amalie Oxholm Kusier Pia Vivian Pedersen Maj Britt Dahl Nielsen Somatic health care professionals’ stigmatization of patients with mental disorder: a scoping review BMC Psychiatry Mental health Mental disorders Scoping review Health care professional Health care student Stigma |
| title | Somatic health care professionals’ stigmatization of patients with mental disorder: a scoping review |
| title_full | Somatic health care professionals’ stigmatization of patients with mental disorder: a scoping review |
| title_fullStr | Somatic health care professionals’ stigmatization of patients with mental disorder: a scoping review |
| title_full_unstemmed | Somatic health care professionals’ stigmatization of patients with mental disorder: a scoping review |
| title_short | Somatic health care professionals’ stigmatization of patients with mental disorder: a scoping review |
| title_sort | somatic health care professionals stigmatization of patients with mental disorder a scoping review |
| topic | Mental health Mental disorders Scoping review Health care professional Health care student Stigma |
| url | https://doi.org/10.1186/s12888-021-03415-8 |
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