A cross-sectional study on the attitude of nonpsychiatric health-care professionals toward mental health

Rayaji Shaktidevi, M. Aswath, H. Kshamaa, Vathsalya Gowda
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Abstract

Background: Mental illness is one of the leading causes of disability worldwide. General health facilities are the first point of contact for patients with mental illness. Physicians seldom detect mental health issues, and referrals to mental health professionals are made infrequently. Therefore, health-care professionals need to be educated to have adequate knowledge and positive attitude for detection and timely intervention for the mentally ill. In this study, we intended to concentrate on the attitude of nonpsychiatric health-care professionals toward mental illness. Methods: This study is a cross-sectional study. We studied 260 nurses, interns, and postgraduates at a medical college in Bangalore, Karnataka, with copies of a semi-structured socioeconomical questionnaire and Mental Illness: Clinicians' Attitude Scale-Version 4. Results: We found that younger age group (p < 0.001), history of previous psychiatric consultations with themselves (p < 0.001) or with families/friends (p < 0.05), and postgraduates (p < 0.05) had a significantly more positive attitude toward mental illness, but that the group with older age group (p < 0.001), and nursing staff (p < 0.001), had a significantly more negative attitude toward mental illness. Conclusion: Adequate training and knowledge about mental illness are needed for health-care providers, to enable them for early detection, decreased morbidity, and reduced stigma of the mentally ill.
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非精神科医护人员心理健康态度的横断面研究
背景:精神疾病是全世界致残的主要原因之一。一般卫生设施是精神疾病患者的第一接触点。医生很少发现心理健康问题,很少向心理健康专业人员转诊。因此,需要对保健专业人员进行教育,使其具备足够的知识和积极的态度,以便发现和及时干预精神病患者。在这项研究中,我们打算集中在非精神卫生保健专业人员对精神疾病的态度。方法:本研究为横断面研究。我们对卡纳塔克邦班加罗尔一所医学院的260名护士、实习生和研究生进行了研究,使用了半结构化的社会经济问卷和精神疾病:临床医生态度量表-第4版。结果:低龄组(p < 0.001)、自诊史(p < 0.001)、家人/朋友就诊史(p < 0.05)、研究生(p < 0.05)对精神疾病的态度较积极,而高龄组(p < 0.001)、护理人员(p < 0.001)对精神疾病的态度较消极。结论:需要对卫生保健提供者进行充分的精神疾病培训和知识,使他们能够及早发现,降低发病率,减少对精神疾病的污名化。
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