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Mental illness stigma and willingness to seek mental health care in the European Union

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Social Psychiatry and Psychiatric Epidemiology Aims and scope Submit manuscript

Abstract

Objective

It is often assumed that individual stigmatizing attitudes toward the mentally ill are linked to stigmatizing attitudes in the social milieu and that both, individual and social stigmatizing attitudes are major barriers to mental health treatment seeking. This study aims to examine these assumptions.

Method

Data from the 2005–2006 Eurobarometer general population survey (N = 29,248) are used to examine the association of social stigmatizing attitudes assessed in a random half of the sample with individual stigmatizing attitudes assessed in the other half of the sample, and to examine the association of both individual and social stigmatizing attitudes with willingness to seek professional help.

Results

Social stigmatizing attitudes are specifically and strongly associated with individual stigmatizing attitudes. Both social and individual stigmatizing attitudes are associated with willingness to seek professional help. Believing the mentally ill to be dangerous or not likely to recover, or living in a community with such beliefs, are associated with increased willingness to seek help; whereas, believing the mentally ill to be unpredictable or blameworthy for their illness, or living in a community with strong beliefs in blameworthiness of the mentally ill, are associated with decreased willingness to seek professional help.

Conclusion

The view that all stigmatizing attitudes toward mental illness are associated with reluctance to seek professional help may be naive as some stigmatizing attitudes may be associated with increased willingness to seek help. The complex association of different stigmatizing attitudes with professional help seeking should be carefully considered in planning anti-stigma campaigns.

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Acknowledgments

Author’s work was in part supported by the Center for Mental Health Initiatives at the Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.

Conflict of interest statement

Dr. Mojtabai has received research funding and consultant fees from Bristol-Myers Squibb company.

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Authors and Affiliations

  1. Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, 21205, USA

    Ramin Mojtabai

  2. Department of Psychiatry, Johns Hopkins University, Baltimore, MD, 21287, USA

    Ramin Mojtabai

  3. Room 797, Hampton House, 624 North Broadway, Baltimore, MD, 21205, USA

    Ramin Mojtabai

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  1. Ramin Mojtabai
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Correspondence to Ramin Mojtabai.

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Mojtabai, R. Mental illness stigma and willingness to seek mental health care in the European Union. Soc Psychiat Epidemiol 45, 705–712 (2010). https://doi.org/10.1007/s00127-009-0109-2

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  • DOI: https://doi.org/10.1007/s00127-009-0109-2

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