Determining the Factors Affecting the Attitudes of Healthcare Professionals towards Individuals with Mental Illness

Öz

Aim: This study was conducted to determine the factors affecting the attitudes of healthcare professionals toward individuals with mental illness. Material and Methods: This study is a descriptive cross-sectional study. The sample consisted of 153 healthcare workers working in a hospital in Aksaray between December 2021 and May 2022 who met the inclusion criteria and agreed to participate in the study without sample selection. The data were collected using the "Personal Information Form", "Community Attitudes towards Individuals with Mental Problems Scale" and "Empathy Level Determination Scale". In the evaluation of the data, descriptive statistics, Pearson correlation analysis, and stepwise regression analysis were performed. Results: When the findings were evaluated, the attitudes of healthcare professionals towards individuals with mental illness were found to be negative. It is seen that empathic tendency decreases as the negative attitude towards mental illness develops. As a result of the regression analysis, the variable of thinking that the individual with mental illness is aggressive explains 8.1% of the community mental health ideology scores, 14.3% when the empathic tendency variable is added to the model, and 16% when the variable "would you rent your house to someone with mental problems assuming that he/she is a landlord?" is added to the model. Conclusion: It will be important to plan health services to increase the empathy level of health professionals, which is effective in developing positive attitudes towards individuals with mental illness.

Anahtar Kelimeler

• Attitude
• empathy
• healthcare professionals
• mental illness

Sağlık Çalışanlarının Ruhsal Bozukluğu Olan Bireylere Yönelik Tutumunu Etkileyen Faktörlerin Belirlenmesi

Öz

Amaç: Bu çalışma sağlık çalışanların ruhsal bozukluğu olan bireylere yönelik tutumunu etkileyen faktörlerin belirlenmesi amacıyla yapılmıştır. Gereç ve Yöntem: Bu çalışma tanımlayıcı kesitsel türde bir çalışmadır. Örneklemini Aralık 2021-Mayıs 2022 tarihleri arasında Aksaray’da bir hastanede çalışan, dahil edilme kriterlerini taşıyan ve örnekleme seçimine gidilmeden çalışmaya katılmayı kabul eden 153 sağlık çalışanı oluşturmuştur. Veriler “Kişisel Bilgi Formu”, “Ruhsal Sorunlu Bireylere Yönelik Toplum Tutumları Ölçeği” ve “Empati Düzeyi Belirleme Ölçeği” kullanılarak toplanmıştır. Verilerin değerlendirilmesinde tanımlayıcı istatistikler, pearson korelasyon analizi ve stepwise regresyon analizi kullanılmıştır. Bulgular: Bulgular değerlendirildiğinde sağlık çalışanlarının ruhsal hastalığı olan bireylere yönelik tutumu, olumsuz düzeyde bulunmuştur. Ruhsal hastalığa yönelik olumsuz tutum geliştikçe empatik eğilimin azaldığı görülmektedir. Regresyon analizi sonucunda ruhsal hastalığı olan bireyin saldırgan olduğunu düşünme değişkeni toplum ruh sağlığı ideolojisi puanlarının %8,1’ini açıklarken, empatik eğilim değişkeni modele eklendiğinde %14,3’ünü ve “ev sahibi olduğu varsayıldığında ruhsal sorunu olan birine evinizi kiraya verir misiniz?” değişkeni modele eklendiğinde ise %16’sını açıklamaktadır. Sonuç: Sağlık çalışanlarının ruh sağlığı bozuk bireylere yönelik olumlu tutum geliştirilmesinde etkili olan empati düzeyinin artırılmasına yönelik sağlık hizmetleri planlanması önemli olacaktır.

Anahtar Kelimeler

• Empati
• ruhsal hastalık
• sağlık çalışanları
• tutum

Kaynakça

1. 1. Medeni İ, İlhan MN, Medeni V. Bir İlçede Yaşayan 15 Yaş ve Üzeri Kişilerde Depresyon Sıklığı ve İlişkili Risk Etmenleri. Kriz Dergisi. 2020;28(3):125-34.
2. 2. Evli M. Ruhsal hastalıklara yönelik inanç ve tutum ilişkisinde psikiyatri hemşireliği eğitiminin etkisi. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi. 2021;4(1):64-74.
3. 3. Yadav T, Arya K, Kataria D, Balhara YS. Impact of psychiatric education and training on attitude of medical students towards mentally ill: A comparative analysis. Industrial psychiatry journal. 2012;21(1): 22-31.
4. 4. Malas EM. Ruhsal duruma karşı stigma-derleme. Manas Sosyal Araştırmalar Dergisi. 2019;8(1):1170-88.
5. 5. Kihumuro RB, Kaggwa MM, Kintu TM, Rakandi RM, Muwanga DR, Muganzi DJ et al. Knowledge, attitude and perceptions of medical students towards mental health in a university in Uganda. BMC Medical Education. 2022;22(1):730-9.
6. 6. Iqbal MZ, Rathi R, Prajapati SK, Zi QM, Pheng TS, Wei KH, et al. Knowledge, attitude, and practice about mental health challenges among healthcare students of a private university. Journal of Pharmacy & Bioallied Sciences. 2021;13(1):136-150.
7. 7. Okpalauwaekwe U, Mela M, Oji C. Knowledge of and attitude to mental illnesses in Nigeria: a scoping review. Integr J Glob Health. 2017;1(1):5-13.
8. 8. Puspitasari IM, Garnisa IT, Sinuraya RK, Witriani W. Perceptions, knowledge, and attitude toward mental health disorders and their treatment among students in an Indonesian University. Psychology Research and Behavior Management. 2020;3(5):845-54.

9. 9. Riffel T, Chen SP. Stigma in healthcare? Exploring the knowledge, attitudes, and behavioural responses of healthcare professionals and students toward individuals with mental illnesses. Psychiatric Quarterly. 2019;91(4):1103-19.
10. 10. Ma Z, Huang H, Nie G, Silenzio V. and Wei B. Attitude towards mental illness among primary healthcare providers: A community-based study in rural China. BioMed research international. 2018;3(4):35-42.
11. 11. Bağ B, Ekinci M. Sağlık personelinin ruhsal sorunları olan bireylere yönelik tutumlarının araştırılması. Elektronik Sosyal Bilimler Dergisi (elektronik). 2005;3(11):107-27.
12. 12. Durat G, Atmaca GD, Açıl HC, Oksal HA. Şizofreni hastası olan hasta yakınlarının şizofreniye ilişkin tutumları. Osmangazi Tıp Dergisi. 2016;39(1):43-50.
13. 13. Praharaj SK, Salagre S, Sharma PS. Stigma, Empathy, and Attitude (SEA) educational module for medical students to improve the knowledge and attitude towards persons with mental illness. Asian Journal of Psychiatry. 2021; 65:102834-102839.
14. 14. Román-Sánchez D, Paramio-Cuevas JC, Paloma-Castro O, Palazón-Fernández JL, Lepiani-Díaz I, de la Fuente Rodríguez JM. et al. Empathy, Burnout, and Attitudes towards Mental Illness among Spanish Mental Health Nurses. International Journal of Environmental Research and Public Health. 2022;19(2):692.
15. 15. Pascucci M, Ventriglio A, Stella E, Sabatino DD, Montagna ML, Nicastro R. et al. Empathy and attitudes towards mental illness among Italian medical students. International Journal of Culture and Mental Health. 2017;10(2):174-84.
16. 16. Kaya B. ve Çolakoğlu ÖM. Empati Düzeyi Belirleme Ölçeği (EDBÖ) Uyarlama Çalışması. İnönü Üniversitesi Eğitim Fakültesi Dergisi. 2015;16(1):17-30.
17. 17. Chapagai M, Dhungana S, Tulachan P, Ojha SP. Attitudes towards Psychiatry and Mental Illness among medical students in a university hospital. Journal of Institute of Medicine. 2016;11;39(1):53-7
18. 18. Wolska A, Malina A. Personality and attitudes towards people with mental disorders: Preliminary studies results. International Journal of Social Psychiatry. 2020;66(3): 270-8.
19. 19. Desai ND, Chavda PD. Attitudes of undergraduate medical students toward mental illnesses and psychiatry. J Educ Health Promot. 2018;7:50.
20. 20. Arabacı L, Çam O. Türkiye’de psikiyatri hastanelerinde çalışan hemşirelerin adli psikiyatri hastalarına yönelik tutumlarını etkileyen faktörler. Türk Psikiyatri Dergisi. 2013;24(4):253-9.
21. 21. Poreddi V, Thimmaiah R, Math, SB. Attitudes toward people with mental illness among medical students. J Neurosci Rural Pract. 2015;6:349-54.
22. 22. Taylor SM, Dear MJ. Scaling community attitudes toward the mentally ill. Schizophrenia Bulletin. 1981;7:225-2.
23. 23. Lawrence EJ, Shaw P, Baker D, Baron-Cohen S, David AS. Measuring empathy: Reliability and Validity of the Empathy Quotient. Psychological Medicine. 2004;34:911-924.
24. 24. Henderson C, Noblett J, Parke H, Clement S, Caffrey A, Grant OG et al. Mental health-related stigma in health care and mental health-care settings. The Lancet Psychiatry. 2014;1(6):467-482.
25. 25. Kolb K, Liu J, Jackman K. Stigma towards patients with mental illness: An online survey of United States nurses. Int J Ment Health Nurs. 2023;32(1):323-36.
26. 26. Chukwujekwu CD. Knowledge and Attitude about Mental Illness of Students in a University in Southern Nigeria. J Biosci Med. 2018;06:95–104.
27. 27. Minty Y, Moosa MYH, Jeenah FY. Mental illness attitudes and knowledge in non-specialist medical doctors working in state and private sectors. S Afr J Psychiatr. 2021;27(3):56-65.
28. 28. Mirnezami HF. Jacobsson L. Edin-Liljegren A. Changes in attitudes towards mental disorders and psychiatric treatment 1976-2014 in a Swedish population, Nordic Journal of Psychiatry. 2016;70(1):38–44.
29. 29. Lebowitz MS, Ahn WK. Using personification and agency reorientation to reduce mental-health clinicians’ stigmatizing attitudes toward patients. Stigma and Health. 2016;1(3):176–84.
30. 30. Şahin M, Demirkıran F & Kocairi C. Acil Serviste Çalışan Hemşirelerin Konversiyon Bozukluğu Olan Bireylere Yönelik Tutumları ve Damgalama: Kesitsel Bir Çalışma. Balıkesir Sağlık Bilimleri Dergisi.2021; 10(2), 125-133.
31. 31. Waugh W, Lethem C, Sherring S, Henderson C. Exploring experiences of and attitudes towards mental illness and disclosure amongst health care professionals: A qualitative study. Journal of Mental Health. 2017;26(5)457–63.
32. 32. Corrigan PW, Morris SB, Michaels PJ, Rafacz JD, Rüsch N. Challenging the public stigma of mental illness: a meta-analysis of outcome studies. Psychiatr Serv. 2012;63(10):963-73.
33. 33. Griffiths KM, Carron-Arthur B, Parsons A, Reid R. Effectiveness of programs for reducing the stigma associated with mental disorders. A meta-analysis of randomized controlled trials. World Psychiatry. 2014;13(2):161-75.
34. 34. Amaechi IA, Nwani PO, Akadieze AO. Stigmatizing attitude towards mental illness, disabilities, emotional and behavioural disorders, among healthcare students in a Tropical University College of Health Sciences. J Edu Health Promot. 2023;12:82.
35. 35. Kigozi-Male NG, Heunis JC & Engelbrecht MC. Primary health care nurses’ mental health knowledge and attitudes towards patients and mental health care in a South African metropolitan municipality. BMC nursing. 2023; 22(1), 1-8.
36. 36. Sreeram A, Cross WM & Townsin L. Mental Health Nurses' attitudes towards mental illness and recovery-oriented practice in acute inpatient psychiatric units: A non-participant observation study. International Journal of Mental Health Nursing. 2023; 32, 1112–1128.
37. 37. Stubbs A. Reducing mental illness stigma in health care students and professionals: a review of the literature. Australas Psychiatry. 2011;22(6):579-84.
38. 38. Bennett J. Stennett, R. Attitudes towards mental illness of nursing students in a Baccalaureate programme in Jamaica: A questionnaire survey. Journal of Psychiatric and Mental Health Nursing. 2015;22(8):599–605.
39. 39. Kılınç M, Uludağ A. The relationship between aggressive behavior and empathic tendency levels of health workers. Gaziantep University Journal of Social Sciences. 2017;16(3):809-825.
40. 40. Hsiao CY, Lu HL & Tsai YF. Factors influencing mental health nurses' attitudes towards people with mental illness. International journal of mental health nursing. 2015;24(3), 272-280.
41. 41. Dziwota E. Stygmatyzacja osób chorych psychicznie [Stigmatization of mentally ill people]. Current Problems of Psychiatry. 2014;15(1):18–23.
42. 42. Świtaj P, Wciórka J, Grygiel P, Smolarska-Świtaj J, Anczewska M, & Chrostek A. Frequency of stigmatization experiences among patients with schizophrenia as compared to those with other health problems. Postępy Psychiatrii i Neurologii. 2010;19(4):269-274.