Attitudes Towards the Mentally Ill: A Study with Health Workers at a University Hospital in Rio de Janeiro
- 450 Downloads
As there are few studies about evaluation of attitudes of health care workers to people with mental disorders in Brazil, a cross-sectional study was carried out to assess the health professionals’ attitudes working in a university hospital in Rio de Janeiro and also examine the proportion of negative and positive attitudes endorsed by healthcare professionals in Brazil towards people with mental illness in comparison with other parts of the world. Data were collected using the Community Attitudes towards the Mentally Ill (CAMI) in a random sampling frame of health professionals (n = 246) working in a University Hospital in Rio de Janeiro between April 2013 and June 2013. The CAMI consists of four sub-scales: Authoritarianism, Benevolence, Social Restrictiveness and Community Mental Health Ideology. The results showed attitudes that range from neutral to positive, with the Benevolence and Social Restrictiveness sub-scales showing the least stigmatizing results. The following individual characteristics were associated with negative attitudes: lower levels of education and less clinical experience. In general, health workers attitudes towards service users are characterized as positive when compared with other international studies. However, educational programs for health workers should be reinforced to further promote pre-existing positive attitudes towards people with mental health and the implementation of Brazilian Mental Health Policies.
KeywordsAttitudes of health workers Social stigma Severe mental disorders
This study was funded by FAPERJ (Rio de Janeiro State Foundation to Support Research; Grant Number: E-26/1011.843/2012).
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no conflict of interest.
The informed consent was obtained from all individual participants included in the study.
Research Involving Human and Animal Rights
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This article does not contain studies with animals performed by any of the authors.
- 4.Botega NJ, Dalgalarrondo P. Saúde mental no hospital geral: espaço para o psíquico. In Saúdeloucura. 1993, (Vol. 9). Hucitec.Google Scholar
- 5.Link BG, Cullen FT, Frank J, Wozniak JF.: The social rejection of former mental patients: Understanding why labels matter. American Journal of Sociology 1461–1500, 1987.Google Scholar
- 13.Mion JZ, Schneider JF.: Leitos psiquiátricos em hospital geral: visão de profissionais que atuam em hospital geral. Revista Eletrônica de Enfermagem 5(1), 2006 Disponível em http:/www.fen.ufg.br/Revista. Acessado em 15/07/2011.
- 14.Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde/DAPE. Saúde mental no SUS: as novas fronteiras da Reforma Psiquiátrica. Brasília: Ministério da Saúde. 2011, 106 p. Relatório de gestão 2007–2010.Google Scholar
- 15.Pedrão LJ, Galera SAF, Silva MCP, Gonzalez AC, Costa Júnior MLD, Souza MCB.: Perfil das atitudes de formandos em enfermagem frente aos transtornos mentais no Brasil, Chile e Peru. Rev Latino-am Enfermagem 13(3):339–43, 2005.Google Scholar
- 19.Gonçalves S, Abelha L, Legay LF, Lovisi, GM.: Community attitudes toward mentally ill (CAMI). Cad. Saúde Colet 16(4):749–764, 2008.Google Scholar
- 20.Abelha L, Gonçalves S, Fonseca D, Legay L, Yang L, Valencia E, Lovisi G, Sarução, K. Analysis of Psychometric properties of the Brazilian Portuguese version of the Community Attitudes towards the Mentally Ill (CAMI-BR). Revista de la Facultad de Ciencias Medicas, Universidad Nacional de Córdoba (accept – expected to be published by June 2015).Google Scholar
- 21.Tabachnick BG, Fidell LS. Using multivariate statistics, 2001.Google Scholar