Effect of perceived stigma on work and social roles among individuals with mental health disorders in Saudi Arabia: findings from a national survey

IF 3.6 3区 医学 Q1 PSYCHIATRY Annals of General Psychiatry Pub Date : 2023-12-14 DOI:10.1186/s12991-023-00482-x
Areej AlFattani, Lisa Bilal, Sami Y. Saad, Mohammad Talal Naseem, Sanaa Hyder, Abdulhamid Alhabib, Abdullah Alsubaie, Yasmin Altwaijri
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Abstract

It is known worldwide that stigma towards mental illness exists. Studies on stigma perceived by patients with mental illness have shown decreased quality of life and a negative impact on work, school and social life. The aim of this study was to estimate the prevalence of perceived stigma among respondents who had been diagnosed with a mental illness during the past 12 months, its association with socio-demographic variables and its effect on work and social roles limitations among Saudis. The Saudi National Mental Health Survey (SNMHS) data were used for the analysis. The SNMHS is a nationally representative survey that was conducted using face-to -face interviews with Saudi individuals (age 15–65) in their households. Respondents were diagnosed (N = 639) with mental disorders based on a well-validated questionnaire—the Composite International Diagnostic Interview (CIDI) 3.0. Two dimensions from CIDI assessed perceived stigma: embarrassment and perceived discrimination. The prevalence of perceived stigma was 27.8% among mentally ill respondents. Stigma was lower among respondents who didn’t seek any type of treatment than those who sought treatment OR = 0.28 (95% CI 0.084–0.935, P = 0.03). Respondents who reported perceived stigma had more work role limitations (OR = 1.1 95% CI 1.01–0.10 P 0.006) and social limitations (OR = 1.3 95% CI 0.99–1.62 P 0.05) than respondents who didn’t report stigma. Perceived stigma is experienced by mentally ill individuals and it negatively affects their work and social roles. Awareness programs to remove stigma and educate the public are needed to be established by policymakers and healthcare providers in Saudi Arabia.
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沙特阿拉伯精神疾病患者的耻辱感对其工作和社会角色的影响:一项全国调查的结果
全世界都知道,对精神疾病的污名是存在的。对精神疾病患者感到耻辱的研究表明,生活质量下降,对工作、学校和社会生活产生负面影响。本研究的目的是估计在过去12个月内被诊断患有精神疾病的受访者中感知耻辱的流行程度,其与社会人口变量的关系及其对沙特人工作和社会角色限制的影响。分析使用了沙特国家心理健康调查(SNMHS)的数据。SNMHS是一项具有全国代表性的调查,通过对沙特家庭中的个人(15-65岁)进行面对面访谈进行。根据一份有效的问卷-综合国际诊断访谈(CIDI) 3.0,受访者被诊断为精神障碍(N = 639)。CIDI评估了感知耻辱的两个维度:尴尬和感知歧视。在精神疾病被调查者中,污名感的患病率为27.8%。未寻求任何治疗的受访者的耻辱感低于寻求治疗的受访者(OR = 0.28) (95% CI 0.084-0.935, P = 0.03)。与未报告污名的受访者相比,报告污名的受访者有更多的工作角色限制(OR = 1.1 95% CI 1.01-0.10 P 0.006)和社会限制(OR = 1.3 95% CI 0.99-1.62 P 0.05)。精神疾病患者感受到的耻辱感会对他们的工作和社会角色产生负面影响。沙特阿拉伯的政策制定者和医疗保健提供者需要建立提高认识的项目,以消除耻辱感并教育公众。
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来源期刊
CiteScore
6.60
自引率
2.70%
发文量
43
审稿时长
>12 weeks
期刊介绍: Annals of General Psychiatry considers manuscripts on all aspects of psychiatry, including neuroscience and psychological medicine. Both basic and clinical neuroscience contributions are encouraged. Annals of General Psychiatry emphasizes a biopsychosocial approach to illness and health and strongly supports and follows the principles of evidence-based medicine. As an open access journal, Annals of General Psychiatry facilitates the worldwide distribution of high quality psychiatry and mental health research. The journal considers submissions on a wide range of topics including, but not limited to, psychopharmacology, forensic psychiatry, psychotic disorders, psychiatric genetics, and mood and anxiety disorders.
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