Authors,Author(s) ID,Title,Year,Source title,Volume,Issue,Art. No.,Page start,Page end,Page count,Cited by,DOI,Link,Affiliations,Authors with affiliations,Abstract,Author Keywords,Index Keywords,Molecular Sequence Numbers,Chemicals/CAS,Tradenames,Manufacturers,Funding Details,Funding Text 1,Funding Text 2,Funding Text 3,Funding Text 4,Funding Text 5,Funding Text 6,References,Correspondence Address,Editors,Sponsors,Publisher,Conference name,Conference date,Conference location,Conference code,ISSN,ISBN,CODEN,PubMed ID,Language of Original Document,Abbreviated Source Title,Document Type,Publication Stage,Open Access,Source,EID "Gonzales L., López-Aybar L., McCullough B.",55270108200;57224494136;57224493177;,Variation in provider attitudes and treatment recommendations for individuals with schizophrenia and additional marginalized identities: A mixed-method study.,2021,Psychiatric Rehabilitation Journal,44,2,,107,117,,1,10.1037/prj0000461,https://www.scopus.com/inward/record.uri?eid=2-s2.0-85107710953&doi=10.1037%2fprj0000461&partnerID=40&md5=28d34af1e9b4907322fae53d15926d5d,"Derner School of Psychology, Adelphi University, Garden City, NY, United States","Gonzales, L., Derner School of Psychology, Adelphi University, Garden City, NY, United States; López-Aybar, L., Derner School of Psychology, Adelphi University, Garden City, NY, United States; McCullough, B., Derner School of Psychology, Adelphi University, Garden City, NY, United States","Objective: This study evaluated correlates of mental health stigma among treatment providers, including whether provider attitudes, conceptualizations, and treatment recommendations regarding serious mental illness (SMI) may differ depending on client demographic characteristics. Methods: A total of 246 providers (medical students, psychology trainees, and licensed clinical psychologists) and 98 community members completed an online survey including measures of mental illness stigma and questions regarding a vignette of a person presenting to an emergency department (ER) with primary complaints of pain and a historical schizophrenia diagnosis. The vignette demographics were randomly varied using 2 × 2 × 2 factorial design including race (Black/White), housing status (housed/homeless), and criminal justice history (arrest/no arrest). Results: Providers endorsed mental health stigma at varying levels compared with the community sample, with medical students demonstrating the highest stigma. Prior experience working with psychiatric populations was associated with lower stigma. Providers were more likely to conceptualize homeless ER presentations as potentially due to a lack of resources or substance dependence and were less likely to conceptualize ER presentations with arrest histories as pain related. Homeless vignettes were more likely to be referred for social services and vignettes with arrest histories were less likely to be referred for follow-up pain services. Conclusions and Implications for Practice: Findings suggest that individuals with SMI and additional marginalized identities likely experience exacerbated stigma within treatment settings, and this may also influence treatment decision-making. There is a need to consider intersectionality in future research and interventions for decreasing mental health stigma in healthcare settings. 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J.,Article,Final,,Scopus,2-s2.0-85107710953 "Salime S., Clesse C., Batt M.",57196004339;57173274600;57223425667;,Health professional’s social representation about ederly subject with mental health disorders: a pilot study on 790 health professionals,2021,Aging and Mental Health,25,2,,350,359,,1,10.1080/13607863.2019.1671318,https://www.scopus.com/inward/record.uri?eid=2-s2.0-85075779171&doi=10.1080%2f13607863.2019.1671318&partnerID=40&md5=c6568e47f8588bb834f49d7cc4a7add4,"INTERPSY Laboratory, Université de Lorraine, Nancy, France; Espoir 54 Association, Nancy, France; Jury-les-Metz, Metz Cedex 3, France; IREPS Grand-Est, Nancy, France","Salime, S., INTERPSY Laboratory, Université de Lorraine, Nancy, France, Espoir 54 Association, Nancy, France; Clesse, C., INTERPSY Laboratory, Université de Lorraine, Nancy, France, Jury-les-Metz, Metz Cedex 3, France, IREPS Grand-Est, Nancy, France; Batt, M., INTERPSY Laboratory, Université de Lorraine, Nancy, France","Objectives: The objective of the present study was to identify the structure and content of the Social Representation (SR) of health professionals regarding elderly subjects with mental health disorders and compare the latter to the lay Social Representation identified in the literature. Method: The structure and content of the SR of health professionals was examined in 790 careproviders from the ‘Grand Est’ region of France through the use of the free and hierarchical associations methodology of Abric and Vergés. A prototypical and categorical analysis as well as a similarity analysis and factorial correspondence analysis were applied to the results. Results: Analysis of the collated data revealed that the items ‘chronic’, ‘dependent’, ‘behavior disorders’, ‘memory disorders’, ‘solitude’ and ‘social isolation’ were the characteristic components of the central core of the social representation. Discussion: Only the peripheral elements were more sensitive to the field of practice of each profession. These findings thus highlight that the SR of health professionals is substantially identical to that of the all-comer SR on several dimensions. © 2020 Informa UK Limited, trading as Taylor & Francis Group.",central core; Discrimination; healthcare personnel; institutionalization; stigmatization,aged; France; health care personnel; health personnel attitude; human; mental disease; mental health; pilot study; Aged; Attitude of Health Personnel; France; Health Personnel; Humans; Mental Disorders; Mental Health; Pilot Projects,,,,,,,,,,,,"Abric, J.C., Central system, peripheral system: Their functions and roles in the dynamics of social representations (1993) Papers on Social Representations, 2, pp. 75-78; Abric, J.C., (2003), pp. 59-80. , La recherche du noyau central et de la zone muette des représentations sociales. Dans: Jean-Claude Abric éd., Méthodes détude des représentations sociales (). 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Manual [Internet]. Version juin 2006; Walmsley, C., Social representations and the study of professional practice (2004) International Journal of Qualitative Methods, 3 (4), pp. 40-55; (1996) Psychiatry of the elderly: The WPA/WHO a consensus statement, , Geneva: WHO; Zani, B., The psychiatric nurse: A social psychological study of a profession facing institutional changes (1987) Social Behaviour, 2 (2), pp. 87-98; Zani, B., Social representations of mental illness: Lay and professional perspectives (1993) Empirical Approaches to Social Representations, 45 (4), pp. 315-330","Salime, S.; INTERPSY Laboratory, France; email: Samira.salime@espoir54.org",,,Routledge,,,,,13607863,,AMHTF,31602992,English,Aging Ment. Health,Article,Final,,Scopus,2-s2.0-85075779171 "Aftab A., Joshi Y., Sewell D.",56181417300;57214809019;7006531365;,Conceptualizations of mental disorder at a us academic medical center,2020,Journal of Nervous and Mental Disease,208,11,,848,856,,3,10.1097/NMD.0000000000001227,https://www.scopus.com/inward/record.uri?eid=2-s2.0-85094931208&doi=10.1097%2fNMD.0000000000001227&partnerID=40&md5=c9ed4ea8a5f7f6904437ba94fa8116e7,"Department of Psychiatry, Case Western Reserve University, Cleveland, United States; Northcoast Behavioral Healthcare, Ohio Department of Mental Health and Addiction Services, Northfield, OH, United States; Va San Diego Healthcare System, Mental Illness, Research, Education and Clinical Center, San Diego, CA, United States; Department of Psychiatry, University of California San Diego, San Diego, CA, United States","Aftab, A., Department of Psychiatry, Case Western Reserve University, Cleveland, United States, Northcoast Behavioral Healthcare, Ohio Department of Mental Health and Addiction Services, Northfield, OH, United States; Joshi, Y., Va San Diego Healthcare System, Mental Illness, Research, Education and Clinical Center, San Diego, CA, United States, Department of Psychiatry, University of California San Diego, San Diego, CA, United States; Sewell, D., Department of Psychiatry, University of California San Diego, San Diego, CA, United States","How health care professionals conceptualize mental illness has received relatively little attention in existing literature. This survey explored how health care professionals, academic faculty, and trainees at a US academic medical center (departments of psychiatry, neurology, family medicine, and geriatric medicine, as well as medical students, nurses, and social workers) conceptualize the notion of mental disorder. Respondents (N = 209) were asked to rate their agreement or disagreement with a variety of conceptual statements. Overall, distress and impairment were seen as essential features of mental disorder, and the presence of a biological abnormality was not considered necessary. There was significant correlation between disease status and biological etiology attribution for all conditions except homosexuality. Psychology trainees and psychologists were significantly less likely to call a condition a disease compared with other groups. There was a general lack of consensus regarding conceptual issues fundamental to psychiatry. Conceptualizations of mental disorder held by respondents were complex and did not fit easily within the ""biological psychiatry""paradigm. © Wolters Kluwer Health, Inc. All rights reserved.",Biological psychiatry; concepts; mental disorder; paradigm; philosophy of psychiatry; survey,adult; Article; cross-sectional study; distress syndrome; female; homosexuality; human; male; medical student; mental disease; nurse; psychiatrist; psychologist; social worker; United States; university hospital; clinical trial; concept formation; health personnel attitude; mental disease; multicenter study; procedures; psychiatry; psychology; questionnaire; United States; university hospital; Academic Medical Centers; Attitude of Health Personnel; Concept Formation; Cross-Sectional Studies; Female; Humans; Male; Mental Disorders; Psychiatry; Surveys and Questionnaires; United States,,,,,"National Institutes of Health, NIH: 1 U01 AG062371-01; Brain and Behavior Research Foundation, BBRF",Dr Joshi is supported by a Career Development Award # IK2 RX00339 from the US Department of Veterans Affairs Rehabilitation Research and Development Service and Brain Behavior Research Foundation Young Investigator Award. The contents do not represent the views of the US Department of Veterans Affairs or the US government. Dr Sewell receives funding from NIH grant 1 U01 AG062371-01 as one of the key personnel for a study whose focus is the implementation of novel raining methods to enhance cognition in aging.,,,,,,"Aftab, A., Nassir Ghaemi, S., Stagno, S., A didactic course on ""philosophy of psychiatry"" for psychiatry residents (2018) Acad Psychiatry, 42, pp. 559-563; Aftab, A., Waterman, G.S., Conceptual competence in psychiatry: Recommendations for education and training (2020) Acad Psychiatry, , doi: 10.1007/s40596-020-01183-3; (2013) Diagnostic and Statistical Manual of Mental Disorders, , (5th ed). Arlington, VA: American Psychiatric Publishing; Bolton, D., (2008) What Is Mental Disorder?: An Essay in Philosophy, Science, and Values, , New York: Oxford University Press; Border, R., Johnson, E.C., Evans, L.M., Smolen, A., Berley, N., Sullivan, P.F., Keller, M.C., No support for historical candidate gene or candidate gene-by-interaction hypotheses for major depression across multiple large samples (2019) Am J Psychiatry, 176, pp. 376-387; Conrad, P., (2007) The Medicalization of Society: On the Transformation of Human Conditions into Treatable Disorders, , Baltimore, MD: JHU Press; Frances, A., (2013) Saving Normal: An Insider's Revolt against Out-of-control Psychiatric Diagnosis, DSM-5, Big Pharma and the Medicalization of Ordinary Life, , New York: William Morrow & Co; Gardner, C., Kleinman, A., Medicine and the mind-The consequences of psychiatry's identity crisis (2019) N Engl J Med, 381, pp. 1697-1699; Gotzsche-Astrup, O., Moskowitz, A., Personality disorders and the DSM-5: Scientific and extra-scientific factors in the maintenance of the status quo (2016) Aust N Z J Psychiatry, 50, pp. 119-127; Guze, S.B., Biological psychiatry: Is there any other kind? (1989) Psychol Med, 19, pp. 315-323; Harland, R., Antonova, E., Owen, G.S., Broome, M., Landau, S., Deeley, Q., Murray, R., A study of psychiatrists' concepts of mental illness (2009) Psychol Med, 39, pp. 967-976; Haskins, J., Carson, J.G., Chang, C.H., Kirshnit, C., Link, D.P., Navarra, L., Scher, L.M., Yellowlees, P., The suicide prevention, depression awareness, and clinical engagement program for faculty and residents at the University of California, Davis health system (2016) Acad Psychiatry, 40, pp. 23-29; Haslam, N., Ban, L., Kaufmann, L., Lay conceptions of mental disorder: The folk psychiatry model (2007) Aust Psychol, 42, pp. 129-137; Haslam, N., Kvaale, E.P., Biogenetic explanations of mental disorder: The mixed-blessings model (2015) Curr Dir Psychol Sci, 24, pp. 399-404; Holt-Lunstad, J., Smith, T.B., Baker, M., Harris, T., Stephenson, D., Loneliness and social isolation as risk factors for mortality: A meta-analytic review (2015) Perspect Psychol Sci, 10, pp. 227-237; Huda, A.S., (2019) The Medical Model in Mental Health: An Explanation and Evaluation, , New York: Oxford University Press, USA; Hutchison, L., Clark, M., Gnerre, C., Rollhaus, E., Eisenberg, R., Mowrey, W., Child and adolescent psychiatry Trainees' attitudes toward prescribing and managing psychotropic medications (2020) Acad Psychiatry, 44, pp. 277-282; Isenberg-Grzeda, E., Weiss, A., Blackmore, M.A., Shen, M.J., Abrams, M.S., Woesner, M.E., A survey of American and Canadian psychiatry residents on their training, teaching practices, and attitudes toward teaching (2016) Acad Psychiatry, 40, pp. 812-815; Karter, J.M., An ecological model for conceptual competence in psychiatric diagnosis (2019) J Humanist Psychol, pp. 1-26. , https://doi.org/10.1177/0022167819852488; Kendler, K.S., What psychiatric genetics has taught us about the nature of psychiatric illness and what is left to learn (2013) Mol Psychiatry, 18, pp. 1058-1066; Leaune, E., Durif-Bruckert, C., Noelle, H., Joubert, F., Ravella, N., Haesebaert, J., Poulet, E., Cuvillier, B., Impact of exposure to severe suicidal behaviours in patients during psychiatric training: An online French survey (2019) Early Interv Psychiatry; Lebowitz, M.S., Appelbaum, P.S., Biomedical explanations of psychopathology and their implications for attitudes and beliefs about mental disorders (2019) Annu Rev Clin Psychol, 15, pp. 555-577; Murphy, D., Zalta, E., Concepts of disease and health (2015) The Stanford Encyclopedia of Philosophy, , https://plato.stanford.edu/archives/spr2015/entries/health-disease/, In (Ed), Available at: Accessed February 29, 2020; Addiction Science, , https://www.drugabuse.gov/related-topics/addiction-science, Available at: Accessed February 29, 2020; Phillips, J., Frances, A., Cerullo, M.A., Chardavoyne, J., Decker, H.S., First, M.B., Ghaemi, N., Zachar, P., The six most essential questions in psychiatric diagnosis: A pluralogue part 1: Conceptual and definitional issues in psychiatric diagnosis (2012) Philos Ethics Humanit Med, 7, p. 3; Pies, R., On myths and countermyths: More on Szaszian fallacies (1979) Arch Gen Psychiatry, 36, pp. 139-144; Pies, R., Does psychiatry Medicalize normality? (2013) Philosophy Now, , https://philosophynow.org/issues/99/Does_Psychiatry_Medicalize_Normality, Available at: Accessed February 29, 2020; Read, R., Moberly, N.J., Salter, D., Broome, M.R., Concepts of mental disorders in trainee clinical psychologists (2017) Clin Psychol Psychother, 24, pp. 441-450; Rounsaville, B.J., Alarcón, R.D., Andrews, G., Jackson, J.S., Kendell, R.E., Kendler, K., Kupfer, D.J., Regier, D.A., Basic nomenclature issues for DSM-V (2002) A Research Agenda for DSM-V, pp. 1-29. , In, (Eds), (pp). Washington, DC: American Psychiatric Association; Sedler, M.J., Medicalization in psychiatry: The medical model, descriptive diagnosis, and lost knowledge (2016) Med Health Care Philos, 19, pp. 247-252; Steingard, S., (2019) Critical Psychiatry: Controversies and Clinical Implications, , Cham, Switzerland: Springer; Tikkinen, K.A., Leinonen, J.S., Guyatt, G.H., Ebrahim, S., Jarvinen, T.L., What is a disease? Perspectives of the public, health professionals and legislators (2012) Bmj Open, 2, p. e001632; Tikkinen, K.A.O., Rutanen, J., Frances, A., Perry, B.L., Dennis, B.B., Agarwal, A., Maqbool, A., Guyatt, G.H., Public, health professional and legislator perspectives on the concept of psychiatric disease: A population-based survey (2019) Bmj Open, 9, p. e024265; Van Praag, H.M., Kraepelin, biological psychiatry, and beyond (2008) Eur Arch Psychiatry Clin Neurosci, 258 (SUPPL 2), pp. 29-32; Walter, H., The third wave of biological psychiatry (2013) Front Psychol, 4, p. 582; (2019) Burn-out An ""occupational Phenomenon"": International Classification of Diseases, , https://www.who.int/mental_health/evidence/burn-out/en/, Available at: Accessed September 2, 2019; Wyatt, W.J., Midkiff, D.M., Biological psychiatry: A practice in search of a science (2006) Behav Soc Issues, 15, pp. 132-152; Zachar, P., First, M.B., Kendler, K.S., The bereavement exclusion debate in the DSM-5: A history (2017) Clin Psychol Sci, 5, pp. 890-906; Zachar, P., Kendler, K.S., Psychiatric disorders: A conceptual taxonomy (2007) Am J Psychiatry, 164, pp. 557-565","Aftab, A.Green Road, United States; email: awaisaftab@gmail.com",,,Lippincott Williams and Wilkins,,,,,223018,,JNMDA,32947448,English,J. Nerv. Ment. Dis.,Article,Final,,Scopus,2-s2.0-85094931208 "Ceuterick M., Bracke P., Van Canegem T., Buffel V.",57205116772;6603759197;57215674455;56047576900;,Assessing Provider Bias in General Practitioners’ Assessment and Referral of Depressive Patients with Different Migration Backgrounds: Methodological Insights on the Use of a Video-Vignette Study,2020,Community Mental Health Journal,56,8,,1457,1472,,1,10.1007/s10597-020-00590-y,https://www.scopus.com/inward/record.uri?eid=2-s2.0-85081553015&doi=10.1007%2fs10597-020-00590-y&partnerID=40&md5=15a69e40c5b31fc724c6f094d00cf052,"Department of Sociology, Ghent University, Korte Meer 5, Gent, 9000, Belgium; Antwerp University, Sint Jacobstraat 2, Antwerpen, 2000, Belgium","Ceuterick, M., Department of Sociology, Ghent University, Korte Meer 5, Gent, 9000, Belgium; Bracke, P., Department of Sociology, Ghent University, Korte Meer 5, Gent, 9000, Belgium; Van Canegem, T., Department of Sociology, Ghent University, Korte Meer 5, Gent, 9000, Belgium; Buffel, V., Antwerp University, Sint Jacobstraat 2, Antwerpen, 2000, Belgium","Although the prevalence of common mental health conditions such as depression and anxiety, is higher among people with a migration background, these groups are generally underrepresented in all forms of institutionalized mental health care. At the root of this striking discrepancy might be unequal referral by health care practitioners. In this article we describe the development of a quasi-experimental video vignette methodology to assess potential forms of unequal diagnosing, treatment and referral patterns, based on clients’ migration background and asylum status. The presented methodology also allows to explore whether potential differences are related to provider bias, i.e. underlying attitudes and expectations held by general practitioners. Potential assets and drawbacks of this methodology are discussed in detail. © 2020, Springer Science+Business Media, LLC, part of Springer Nature.",Belgium; Culturally sensitive care; General practitioner; Mental health; Migration; Provider bias; Video vignette study,adult; article; attitude; Belgium; expectation; general practitioner; human; mental health; patient referral; potential difference; videorecording; vignette; anxiety disorder; mental health; mental health service; patient referral; Anxiety Disorders; General Practitioners; Humans; Mental Health; Mental Health Services; Referral and Consultation,,,,,,,,,,,,"Aberegg, S.K., Terry, P.B., Medical decision-making and healthcare disparities: The physician's role (2004) Journal of Laboratory and Clinical Medicine, 144 (1), pp. 11-17. , PID: 15252402; Adamson, J., Ben-Shlomo, Y., Chaturvedi, N., Donovan, J., Ethnicity, socio-economic position and gender—do they affect reported health—care seeking behaviour? (2003) Social science & medicine, 57 (5), pp. 895-904; Alonso, J., Angermeyer, M., Bernert, S., Bruffaerts, R., Brugha, T., Bryson, H., Disability and quality of life impact of mental disorders in Europe: Results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project (2004) Acta Psychiatrica Scand., 109, pp. 38-46; Alonso, J., Angermeyer, M., Bernert, S., Bruffaerts, R., Brugha, T., Bryson, H., Prevalence of mental disorders in Europe: Results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project (2004) Acta Psychiatrica Scandinavica, 109, pp. 21-27; Arber, S., McKinlay, J., Adams, A., Marceau, L., Link, C., O’Donnell, A., Patient characteristics and inequalities in doctors’ diagnostic and management strategies relating to CHD: A video-simulation experiment (2006) Social Science & Medicine, 62 (1), pp. 103-115; Atzmüller, C., Steiner, P.M., Experimental vignette studies in survey research (2010) Methodology.; Ayazi, T., Bøgwald, K., Immigrants' use of out-patient psychiatric services (2008) Tidsskrift for den Norske laegeforening: tidsskrift for praktisk medicin, ny raekke, 128 (2), pp. 162-165; Bachmann, L.M., Mühleisen, A., Bock, A., ter Riet, G., Held, U., Kessels, A.G., Vignette studies of medical choice and judgement to study caregivers' medical decision behaviour: systematic review (2008) BMC Medical Research Methodology, 8 (1), p. 50. , PID: 18664302; Begeer, S., El Bouk, S., Boussaid, W., Terwogt, M.M., Koot, H.M., Underdiagnosis and referral bias of autism in ethnic minorities (2009) Journal of autism and developmental disorders, 39 (1), p. 142. , PID: 18600440; Bell, P., Zech, E., Access to mental health for asylum seekers in the European Union. An analysis of disparities between legal rights and reality (2009) Archives of Public Health, 67 (1), p. 30. , PID: 3436694; Bhugra, D., Migration and schizophrenia (2000) Acta Psychiatrica Scandinavica, 102, pp. 68-73; Bhugra, D., Migration and mental health (2004) Acta Psychiatrica Scandinavica, 109 (4), pp. 243-258. , COI: 1:STN:280:DC%2BD2c7hvVKjuw%3D%3D; Bradby, H., Humphris, R., Newall, D., Phillimore, J., (2015) Public Health Aspects of Migrant Health: A Review of the Evidence on Health Status for Refugees and Asylum Seekers in the European Region; Burgess, D.J., Crowley-Matoka, M., Phelan, S., Dovidio, J.F., Kerns, R., Roth, C., Patient race and physicians' decisions to prescribe opioids for chronic low back pain (2008) Social Science & Medicine, 67 (11), pp. 1852-1860; Bursztein Lipsicas, C., Mäkinen, I.H., Wasserman, D., Apter, A., Bobes, J., Kerkhof, A., Immigration and recommended care after a suicide attempt in Europe: Equity or bias? (2013) The European Journal of Public Health, 24 (1), pp. 63-65. , PID: 23813716; Dauvrin, M., Derluyn, I., Coune, I., Verrept, H., Lorant, V., Towards fair health policies for migrants and ethnic minorities: The case-study of ETHEALTH in Belgium (2012) BMC Public Health, 12 (1), p. 726. , PID: 22938597; Dauvrin, M., Keygnaert, I., Gysen, J., Kerstens, B., Derluyn, I., Lorant, V., 7.5-O1 Access to health care for undocumented migrants in Belgium: Why are we still waiting for progress? (2018) The European Journal of Public Health, 28, pp. ck047-ck262; Declercq, T., Habraken, H., Van Den Ameele, H., (2017) Depressie bij volwassenen, , Richtlijn voor goede medische praktijkvoering, Domus Medica; Declercq, T., Habraken, H., van den Ameele, H., Callens, J., De Lepeleire, J., Cloetens, H., (2017) Richtlijn voor goede medische praktijkvoering: Depressie bij volwassenen, p. 88. , Domus Medica vzw, Antwerpen; Derluyn, I., Mels, C., Broekaert, E., Mental health problems in separated refugee adolescents (2009) Journal of adolescent health, 44 (3), pp. 291-297. , PID: 19237116; Drewniak, D., Krones, T., Sauer, C., Wild, V., The influence of patients’ immigration background and residence permit status on treatment decisions in health care. 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A video vignette study (2016) Journal of Occupational Rehabilitation, 26 (3), pp. 340-349. , PID: 26615412; Mascini, P., Van Bochove, M., Gender stereotyping in the Dutch asylum procedure: “Independent” men versus “dependent” women (2009) International Migration Review, 43 (1), pp. 112-133; McGuire, T.G., Ayanian, J.Z., Ford, D.E., Henke, R.E., Rost, K.M., Zaslavsky, A.M., Testing for statistical discrimination by race/ethnicity in panel data for depression treatment in primary care (2008) Health Services Research, 43 (2), pp. 531-551. , PID: 18370966; McKinlay, J., Piccolo, R., Marceau, L., An additional cause of health care disparities: The variable clinical decisions of primary care doctors (2013) Journal of Evaluation in Clinical Practice, 19 (4), pp. 664-673. , PID: 23216876; Miranda, J., Cooper, L.A., Disparities in care for depression among primary care patients (2004) Journal of General Internal Medicine, 19 (2), pp. 120-126. , PID: 15009791; Missinne, S., Bracke, P., Depressive symptoms among immigrants and ethnic minorities: A population based study in 23 European countries (2012) Social Psychiatry and Psychiatric Epidemiology, 47 (1), pp. 97-109. , PID: 21110000; Morgan, C., Mallett, R., Hutchinson, G., Leff, J., Negative pathways to psychiatric care and ethnicity: The bridge between social science and psychiatry (2004) Social Science & Medicine, 58 (4), pp. 739-752; Mortelmans, D., (2013) Handbook of qualitative research methods, , Acco, Leuven; Moskowitz, D., Thom, D.H., Guzman, D., Penko, J., Miaskowski, C., Kushel, M., Is primary care providers’ trust in socially marginalized patients affected by race? (2011) Journal of General Internal Medicine, 26 (8), pp. 846-851. , PID: 21394422; (2018), 1997–2017: een balans van twee decennia immigratie in België. Myriatics, 10; Pager, D., The use of field experiments for studies of employment discrimination: Contributions, critiques, and directions for the future (2007) The Annals of the American Academy of Political and Social Science, 609 (1), pp. 104-133; Quillian, L., New approaches to understanding racial prejudice and discrimination (2006) Annual Revies of Sociology, 32, pp. 299-328; Reibling, N., Wendt, C., Gatekeeping and provider choice in OECD healthcare systems (2012) Current Sociology, 60 (4), pp. 489-505; Ross, S., Moffat, K., McConnachie, A., Gordon, J., Wilson, P., Sex and attitude: A randomized vignette study of the management of depression by general practitioners (1999) British Journal of General Practice, 49 (438), pp. 17-21. , COI: 1:STN:280:DC%2BD3c%2Foslyqsg%3D%3D, PID: 10622010; Sandhu, S., Bjerre, N.V., Dauvrin, M., Dias, S., Gaddini, A., Greacen, T., Experiences with treating immigrants: A qualitative study in mental health services across 16 European countries (2013) Social Psychiatry and Psychiatric Epidemiology, 48 (1), pp. 105-116; Satinsky, E., Fuhr, D.C., Woodward, A., Sondorp, E., Roberts, B., Mental health care utilisation and access among refugees and asylum seekers in Europe: A systematic review (2019) Health Policy, 123 (9), pp. 851-863. , PID: 30850148; Schulman, K.A., Berlin, J.A., Harless, W., Kerner, J.F., Sistrunk, S., Gersh, B.J., The effect of race and sex on physicians' recommendations for cardiac catheterization (1999) New England Journal of Medicine, 340 (8), pp. 618-626. , COI: 1:STN:280:DyaK1M7ktVyltw%3D%3D, PID: 10029647; Seguin, M., Hall, L., Atherton, H., Barnes, R., Leydon, G., Murray, E., Protocol paper for the ‘Harnessing resources from the internet to maximise outcomes from GP consultations (HaRI)’study: A mixed qualitative methods study (2018) British Medical Journal Open, 8 (8); Serneels, G., Villanueva O'Driscoll, J., Imeraj, L., Vanfraussen, K., Lampo, A., An intervention supporting the mental health of children with a refugee background (2017) Issues in Mental Health Nursing, 38 (4), pp. 327-336. , PID: 28379743; Sharma, R., Mitra, A., Stano, M., Insurance, race/ethnicity, and sex in the search for a new physician (2015) Economics Letters, 137, pp. 150-153; Shavers, V.L., Fagan, P., Jones, D., Klein, W.M., Boyington, J., Moten, C., The state of research on racial/ethnic discrimination in the receipt of health care (2012) American Journal of Public Health, 102 (5), pp. 953-966. , PID: 22494002; Sheringham, J., Sequeira, R., Myles, J., Hamilton, W., McDonnell, J., Offman, J., Variations in GPs' decisions to investigate suspected lung cancer: A factorial experiment using multimedia vignettes (2017) BMJ Quality & Safety, 26 (6), pp. 449-459; Shields, C.G., Coker, C.J., Poulsen, S.S., Doyle, J.M., Fiscella, K., Epstein, R.M., Patient-centered communication and prognosis discussions with cancer patients (2009) Patient Education Counseling, 77 (3), pp. 437-442. , PID: 19819098; Shin, R.Q., Smith, L.C., Welch, J.C., Ezeofor, I., Is Allison more likely than Lakisha to receive a callback from counseling professionals? A racism audit study (2016) The Counseling Psychologist, 44 (8), pp. 1187-1211; Stepanikova, I., Racial-ethnic biases, time pressure, and medical decisions (2012) Journal of Health and Social Behavior, 53 (3), pp. 329-343. , PID: 22811465; Stevenson, F., Achieving visibility? Use of non-verbal communication in interactions between patients and pharmacists who do not share a common language (2014) Sociology of Health and Illness, 36 (5), pp. 756-771; Thom, D., Guzman, D., Wu, A., Penko, J., Miaskowski, C., Kushel, M., Physician trust in the patient: Development and validation of a new measure (2011) Annals of Family Medicine, 9 (2), pp. 148-154; Tiemeier, H.D., De Vries, W.J., van het Loo, M., Kahan, J.P., Klazinga, N., Grol, R.P.T.M., Guideline adherence rates and interprofessional variation in a vignette study of depression (2002) BMJ Quality & Safety, 11 (3), pp. 214-218. , COI: 1:STN:280:DC%2BD38jisFWhug%3D%3D; van Loon, A., van Schaik, A., Dekker, J., Beekman, A., Bridging the gap for ethnic minority adult outpatients with depression and anxiety disorders by culturally adapted treatments (2013) Journal of Affective Disorders, 147 (1), pp. 9-16; Van Vliet, L.M., Hillen, M.A., van der Wall, E., Plum, N., Bensing, J.M., How to create and administer scripted video-vignettes in an experimental study on disclosure of a palliative breast cancer diagnosis (2013) Patient Education and Counseling, 91 (1), pp. 56-64. , PID: 23219482; Verhaeghe, P., Van der Bracht, K., Praktijktesten: Van Onderzoeksmethode Naar Beleidsinstrument Tegen Discriminatie? (2017) Sociologos, 38 (1), pp. 182-200; White, A., Stubblefield-Tave, B., Some advice for physicians and other clinicians treating minorities, women, and other patients at risk of receiving health care disparities (2017) Journal of Racial and Ethnic Health Disparities, 4 (3), pp. 472-479. , PID: 27287277; Ziebland, S.B., Stevenson, F., Pope, C., Greenhalgh, T., Murray, E., Atherton, H.C., General Practitioners use of online resources during medical visits: Managing the boundary between inside and outside the clinic (2018) Sociology of Health and Illness, 41, pp. 65-81; Zschirnt, E., Research ethics in correspondence testing: An update (2019) Research Ethics, 15 (2), pp. 1-21","Bracke, P.; Department of Sociology, Korte Meer 5, Belgium; email: Piet.Bracke@UGent.be",,,Springer,,,,,103853,,CMHJA,32133547,English,Community Ment. Health J.,Article,Final,,Scopus,2-s2.0-85081553015 "Finamore C., Rocca F., Parker J., Blazdell J., Dale O.",57218852350;57218848629;55854055900;57218851318;56769227300;,"The impact of a co-produced personality disorder training on staff burnout, knowledge and attitudes",2020,Mental Health Review Journal,25,3,,269,280,,1,10.1108/MHRJ-01-2020-0009,https://www.scopus.com/inward/record.uri?eid=2-s2.0-85090441688&doi=10.1108%2fMHRJ-01-2020-0009&partnerID=40&md5=3abd7bcf96d753d110cb54bf66655e90,"Cassel Hospital Research Unit, West London NHS Trust, London, United Kingdom; Managed Clinical Network for Personality Disorders, West London NHS Trust, London, United Kingdom; Independent Service User Researcher, London, United Kingdom; Claybrook Centre, West London NHS Trust, London, United Kingdom","Finamore, C., Cassel Hospital Research Unit, West London NHS Trust, London, United Kingdom; Rocca, F., Managed Clinical Network for Personality Disorders, West London NHS Trust, London, United Kingdom; Parker, J., Independent Service User Researcher, London, United Kingdom; Blazdell, J., Managed Clinical Network for Personality Disorders, West London NHS Trust, London, United Kingdom; Dale, O., Claybrook Centre, West London NHS Trust, London, United Kingdom","Purpose: Mental health professionals working with patients with personality disorder are at risk of burnout. Burnout can adversely affect workforce retention and the delivery of high-quality care. The purpose of this paper is to investigate the impact of the three-day Knowledge and Understanding Framework (KUF) awareness-level personality disorder training on burnout, knowledge and attitudes in staff working in mental health settings. Design/methodology/approach: A total of 253 mental health professionals attended the KUF training, delivered through a co-production model (i.e. co-delivered by a mental health professional and service user consultant with lived experience). Questionnaires were administered at pre- and post-training to assess changes in burnout symptoms and understanding, perceived capabilities and emotional reactions concerning personality disorder. Findings: There were improvements in two burnout domains: decreases in emotional exhaustion (p = 0.009) and increases in personal accomplishment (p < 0.001) between pre-and post-training. Significant improvements were found in understanding, perceived capabilities and emotional reactions (p < 0.001). Research limitations/implications: This evaluation is limited by a lack of a control group and long-term follow-up. Further research is required to investigate the sustainability of reductions in burnout for mental health professionals attending training and supervision structures. Originality/value: KUF training may contribute to reductions in the high levels of burnout often experienced amongst staff working in mental health settings and could form a part of a broader strategy focussing on continued supervision and opportunities to integrate learning into practice. © 2020, Emerald Publishing Limited.",Burnout; Co-production; Knowledge and understanding framework; Mental health training; Personality disorder,,,,,,,,,,,,,"Ahola, K., Honkonen, T., Isometsä, E., Kalimo, R., Nykyri, E., Aromaa, A., Lönnqvist, J., The relationship between job-related burnout and depressive disorders – results from the Finnish health 2000 study (2005) Journal of Affective Disorders, 88 (1), pp. 55-62; Baldwin, V., Blazdell, J., Gordon, N., Gordon, F., (2019) A Review of the National Personality Disorder Knowledge and Understanding Framework, , Ministry of Justice; Bateman, A.W., Tyrer, P., Services for personality disorder: organisation for inclusion (2004) Advances in Psychiatric Treatment, 10 (6), pp. 425-433; Beckwith, H., Moran, P.F., Reilly, J.G., Personality disorder prevalence in psychiatric outpatients: a systematic literature review (2014) Personality and Mental Health, 8 (2), pp. 91-101; BoltonFeigenbaumJones, W., Woodward, C., (2010) Development of the PDKASQ (personality disorder – knowledge, attitudes and skills questionnaire); Boyer, S.L., Bond, G.R., Does assertive community treatment reduce burnout? A comparison with traditional case management (1999) Mental Health Services Research, 1 (1), pp. 31-45; BuchanCharlesworthGershlick, J., Seccombe, I., (2019) NHS staffing trends, retention and attrition, , www.health.org.uk/sites/default/files/upload/publications/2019/A%20Critical%20Moment_1.pdf, A critical moment: :, accessed 10 January 2020; Burke, R.J., Richardsen, A.M., Psychological burnout in organisations (1993) Handbook of Organisational Behavior, , Golembiewski R.T., (Ed.), New York, NY: Marcel Dekker; Byrne, M., Henagulph, S., Mclvor, R.J., Ramsey, J., Carson, J., The impact of a diagnosis of personality disorder on service usage in an adult community mental health team (2014) Social Psychiatry and Psychiatric Epidemiology, 49 (2), pp. 307-316; Campbell, M., Staff training and challenging behaviour: who needs it? (2007) Journal of Intellectual Disabilities, 11 (2), pp. 143-156; Carney, J., Donovan, R., Yurdin, M., Starr, R., Incidence of burnout among New York city intensive case managers: summary of findings (1993) Psychosocial Rehabilitation Journal, 16 (4), pp. 25-38; Chemiss, C., (1980) Staff Burnout: Job Stress in the Human Services, , Sage, Beverly Hills, CA; Coid, J., Yang, M., Prevalence and correlates of personality disorder in great Britain (2006) British Journal of Psychiatry, 188 (5), pp. 423-431; Coid, J., Yang, M., Bebbington, P., Moran, P., Brugha, T., Jenkins, R., Farrell, M., Ullrich, S., Borderline personality disorder: health service use and social functioning among a national household population (2009) Psychological Medicine, 39 (10), pp. 1721-1731; Cooper, C.L., (1998) Theories of Organisational Stress, , Oxford University Press, Oxford; Davies, J., Sampson, M., Beesley, F., Smith, D., Baldwin, V., An evaluation of knowledge and understanding framework personality disorder awareness training: can a co-production model be effective in a local NHS mental health trust? (2014) Personality and Mental Health, 8 (2), pp. 161-168; Dreison, K.C., Luther, L., Bonfils, K.A., Sliter, M.T., McGrew, J.H., Salyers, M.P., Job burnout in mental health providers: a meta-analysis of 35 years of intervention research (2018) Journal of Occupational Health Psychology, 23 (1), pp. 18-30; Ebrahim, S., Robinson, S., Crooks, S., Harenwall, S., Forsyth, A., Evaluation of awareness level knowledge and understanding framework personality disorder training with mental health staff: impact on attitudes and clinical practice (2016) The Journal of Mental Health Training, Education and Practice, 11 (3); Edwards, D., Burnard, P., Owen, M., A systematic review of the effectiveness of stress-management interventions (2000) Journal of Psychiatric and Mental Health Nursing, 10 (3), pp. 370-371; Evans, S., Sethi, F., Dale, O., Stanton, C., Sedgwick, R., Doran, M., Shoolbred, L., Haigh, R., Personality disorder service provision: a review of the recent literature (2017) Mental Health Review Journal, 22 (2), pp. 65-82; Ewers, P., Bradshaw, T., McGovern, J., Ewers, B., Does training in psychosocial interventions reduce burnout rates in forensic nurses? (2002) Journal of Advanced Nursing, 37 (5), pp. 470-476; Fok, M.L., Hayes, R.D., Chang, C., Stewart, R., Callard, F.J., Moran, P., Life expectancy at birth and all-cause mortality among people with personality disorder (2012) Journal of Psychosomatic Research, 73 (2), pp. 104-107; Fothergill, A., Edwards, D., Burnard, P., Stress, burnout, coping, and stress management in psychiatrists: findings from a systematic review (2004) The International Journal of Social Psychiatry, 50 (1), pp. 54-65; Hagen, J., Knizek, B.L., Hjelmeland, H., Mental health nurses' experiences of caring for suicidal patients in psychiatric wards: an emotional endeavour (2017) Archives of Psychiatric Nursing, 31 (1), pp. 31-37; Keown, P., Holloway, F., Kuipers, E., The prevalence of personality disorders, psychotic disorders and affective disorders amongst the patients seen by a community mental health team in London (2002) Social Psychiatry and Psychiatric Epidemiology, 37 (5), pp. 225-229; Krawitz, R., Jackson, W., Consumer–clinician co‐taught borderline personality disorder training: a pilot evaluation (2007) International Journal of Mental Health Nursing, 16 (5), pp. 360-364; Lamb, N., Sibbald, S., Stirzacker, A., Shining lights in dark corners of people’s lives (2018) The Consensus Statement for People with Complex Mental Health Difficulties Who Are Diagnosed with a Personality Disorder, , www.mind.org.uk/media-a/4408/consensus-statement-final.pdf, accessed 15 June 2020; Lamph, G., Latham, C., Smith, D., Brown, A., Doyle, J., Sampson, M., Evaluating the impact of a nationally recognised training programme that aims to raise the awareness and challenge attitudes of personality disorder in multi-agency partners (2014) The Journal of Mental Health Training, Education and Practice, 9 (2), pp. 89-100; Lewis, G., Appleby, L., Personality disorder: the patient’s psychiatrists dislike, The (1988) British Journal of Psychiatry, 153 (1), pp. 44-49; Maslach, C., Jackson, S.E., Leiter, M.P., (1996) Maslach Burnout Inventory Manual, , 3rd ed, Consulting Psychologists Press, Palo Alto, Calif; Maslach, C., Schaufeli, W.B., Leiter, M.P., Job burnout (2001) Annual Review of Psychology, 52 (1), pp. 397-422; Melchior, M.E., Philipsen, H., Abu-Saad, H.H., Halfens, R.J., van de Berg, A.A., Gassman, P., The effectiveness of primary nursing on burnout among psychiatric nurses in long-stay settings (1996) Journal of Advanced Nursing, 24 (4), pp. 694-702; Meuldijk, D., McCarthy, A., Bourke, M.E., Grenyer, B.F.S., The value of psychological treatment for borderline personality disorder: systematic review and cost offset analysis of economic evaluations (2017) PLoS One, 12 (3), p. e0171592; Morse, G., Salyers, M.P., Rollins, A.L., Monroe-DeVita, M., Pfahler, C., Burnout in mental health services: a review of the problem and its remediation (2012) Administration and Policy in Mental Health and Mental Health Services Research, 39 (5), pp. 341-352; (2009) Borderline personality disorder: treatment and management. NICE CG78, London, , www.nice.org.uk/guidance/CG78, accessed 10 January 2020; (2003) Personality Disorder: No Longer a Diagnosis of Exclusion, , Department of Health, London; Newton-Howes, G., Tyrer, P., Johnson, T., Personality disorder and the outcome of depression: meta-analysis of published studies (2005) The British Journal of Psychiatry, 188 (1), pp. 13-20; Newton-Howes, G., Weaver, T., Tyrer, P., Attitudes of staff towards patients with personality disorder in community mental health teams. Australian and New Zealand (2008) Journal of Psychiatry, 42, pp. 572-577; Paris, M., Hoge, M.A., Burnout in the mental health workforce: a review (2010) The Journal of Behavioral Health Services & Research, 37 (4), pp. 519-528; (2020) Services for People Diagnosed with Personality Disorder, , Position Statement 01/2020, Royal College of Psychiatrists; Salyers, M.P., Hudson, C., Morse, G., Rollins, A.L., Monroe-DeVita, M., Wilson, C., Freeland, L., BREATHE: a pilot study of a one-day retreat to reduce burnout among mental health professionals (2011) Psychiatric Services, 62 (2), pp. 214-217; Stalker, C., Harvey, C., (2002) Partnerships for Children and Families Project Professional Burnout: A Review of Theory, Research, and Prevention, , Wilfrid Laurier University; Awa, W.L., Plaumann, M., Walter, U., Burnout prevention: a review of intervention programs (2010) Patient Education and Counseling, 78 (2), pp. 184-190; Mcgovern, J., Ewers, P., Bradshaw, T., McGovern, J., Ewers, B., Does training in psychosocial interventions reduce burnout rates in forensic nurses? (2002) Journal of Advanced Nursing, 37 (5), pp. 470-476; Maslach, C., Jackson, S.E., The measurement of experienced burnout (1981) Journal of Organizational Behavior, 2 (2), pp. 99-113; Moran, P., Stewart, R., Brugha, T., Bebbington, P., Bhugra, D., Jenkins, R., Coid, J.W., Personality disorder and cardiovascular disease: results from a national household survey (2007) The Journal of Clinical Psychiatry, 68 (1), pp. 69-74; (2019), www.longtermplan.nhs.uk/wp-content/uploads/2019/07/nhs-mental-health-implementation-plan-2019-20-2023-24.pdf, accessed 15 June 2020; (2003) Breaking the Cycle of Rejection: The Personality Disorder Capabilities Framework, , Department of Health, London; Services for People Diagnosed with Personality Disorder, , Royal College of Psychiatrists","Finamore, C.; Cassel Hospital Research Unit, United Kingdom; email: chloe.finamore@westlondon.nhs.uk",,,Emerald Group Holdings Ltd.,,,,,13619322,,,,English,Ment. Health Rev. J.,Article,Final,,Scopus,2-s2.0-85090441688 "Economou M., Peppou L.E., Kontoangelos K., Palli A., Tsaliagkou I., Legaki E.-M., Gournellis R., Papageorgiou C.",7005542657;36970180000;23980449000;9942623300;55209963400;19640350000;6508022334;8750311100;,Mental Health Professionals’ Attitudes to Severe Mental Illness and Its Correlates in Psychiatric Hospitals of Attica: The Role of Workers’ Empathy,2020,Community Mental Health Journal,56,4,,614,625,,5,10.1007/s10597-019-00521-6,https://www.scopus.com/inward/record.uri?eid=2-s2.0-85076881600&doi=10.1007%2fs10597-019-00521-6&partnerID=40&md5=aeabf800f75ce1062a91ac745d31605f,"First Department of Psychiatry, Medical School, Aigintion Hospital, National and Kapodistrian University of Athens, Athens, Greece; Community Mental Health Centre, University Mental Health, Neurosciences and Precision Medicine Research Institute “Costas Stefanis” (U.M.H.R.I.), 2 Soranou toy Efesiou St, Athens, 11527, Greece; Second Department of Psychiatry, Medical School, Aigintion Hospital, National and Kapodistrian University of Athens, Athens, Greece; Department of Medicine, National and Kapodistrian University of Athens, Athens, Greece","Economou, M., First Department of Psychiatry, Medical School, Aigintion Hospital, National and Kapodistrian University of Athens, Athens, Greece, Community Mental Health Centre, University Mental Health, Neurosciences and Precision Medicine Research Institute “Costas Stefanis” (U.M.H.R.I.), 2 Soranou toy Efesiou St, Athens, 11527, Greece; Peppou, L.E., Community Mental Health Centre, University Mental Health, Neurosciences and Precision Medicine Research Institute “Costas Stefanis” (U.M.H.R.I.), 2 Soranou toy Efesiou St, Athens, 11527, Greece; Kontoangelos, K., First Department of Psychiatry, Medical School, Aigintion Hospital, National and Kapodistrian University of Athens, Athens, Greece, Community Mental Health Centre, University Mental Health, Neurosciences and Precision Medicine Research Institute “Costas Stefanis” (U.M.H.R.I.), 2 Soranou toy Efesiou St, Athens, 11527, Greece; Palli, A., Community Mental Health Centre, University Mental Health, Neurosciences and Precision Medicine Research Institute “Costas Stefanis” (U.M.H.R.I.), 2 Soranou toy Efesiou St, Athens, 11527, Greece; Tsaliagkou, I., Community Mental Health Centre, University Mental Health, Neurosciences and Precision Medicine Research Institute “Costas Stefanis” (U.M.H.R.I.), 2 Soranou toy Efesiou St, Athens, 11527, Greece; Legaki, E.-M., Department of Medicine, National and Kapodistrian University of Athens, Athens, Greece; Gournellis, R., Second Department of Psychiatry, Medical School, Aigintion Hospital, National and Kapodistrian University of Athens, Athens, Greece; Papageorgiou, C., First Department of Psychiatry, Medical School, Aigintion Hospital, National and Kapodistrian University of Athens, Athens, Greece","To describe mental health workers’ attitudes to severe mental illness and to explore its socio-demographic and professional correlates, including the influence of empathy. A total of 127 mental health staff working on the psychiatric hospitals of Attica participated in the study. Stigma was assessed with the Attitudes to Severe Mental Illness scale (ASMI) and the Greek Social Distance scale; whilst Empathy with the Interpersonal Reactivity Index. Participants’ unfavourable attitudes to severe mental illness were limited to pessimism about recovery, difficulty in viewing people with mental illness as similar to other people and desire to keep distance in intimate encounters. Professional group and personal experience with mental illness were found to predict stigma. Only perspective taking was associated with both stigma measures; while Fantasy was positively correlated with social distance. Anti-stigma interventions in mental healthcare should prioritize nurses and psychiatrists and aim at enhancing perspective taking. © 2019, Springer Science+Business Media, LLC, part of Springer Nature.",Iatrogenic stigma; Mental health workers; Perspective taking; Social distance; Stereotypes,"empathy; health personnel attitude; human; mental disease; mental health; mental hospital; questionnaire; social stigma; Attitude of Health Personnel; Empathy; Hospitals, Psychiatric; Humans; Mental Disorders; Mental Health; Social Stigma; Surveys and Questionnaires",,,,,,,,,,,,"Allport, G.W., (1954) The nature of prejudice, , Addison-Wesley, Cambridge; Batson, C.D., Polycarpou, M.P., Harmon-Jones, E., Imhoff, H.J., Mitchener, E.C., Bednar, L.L., Highberger, L., Empathy and attitudes: Can feeling for a member of a stigmatized group improve feelings toward the group? (1997) Journal of Personality and Social Psychology, 72 (1), p. 105. , …; Bayar, M.R., Poyraz, B.Ç., Aksoy-Poyraz, C., Arikan, M.K., Reducing mental illness stigma in mental health professionals using a web-based approach (2009) The Israel Journal of Psychiatry and Related Sciences, 46 (3), p. 226; Borge, L., Martinsen, E.W., Ruud, T., Watne, O., Friis, S., Quality of life, loneliness, and social contact among long-term psychiatric patients (1999) Psychiatric Services (Washington, D.C.), 50 (1), pp. 81-84; Caldwell, T.M., Jorm, A.F., Mental health nurses’ beliefs about likely outcomes for people with schizophrenia or depression: A comparison with the public and other healthcare professionals (2001) The Australian and New Zealand Journal of Mental Health Nursing, 10 (1), pp. 42-51; Christodoulou, G., Ploumpidis, D., Christodoulou, N., Anagnostopoulos, D., Mental health profile of Greece (2010) International Psychiatry, 7 (3), pp. 64-67; Clement, S., Schauman, O., Graham, T., Maggioni, F., Evans-Lacko, S., Bezborodovs, N., Thornicroft, G., What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies (2015) Psychological Medicine, , …; Corrigan, P.W., Nieweglowski, K., How does familiarity impact the stigma of mental illness? (2019) Clinical Psychology Review, 70, pp. 40-50; Cutler, J.L., Harding, K.J., Mozian, S.A., Wright, L.L., Pica, A.G., Masters, S.R., Graham, M.J., Discrediting the notion “working with ‘crazies’ will make you ‘crazy’”: Addressing stigma and enhancing empathy in medical student education (2009) Advances in Health Sciences Education, 14 (4), pp. 487-502; Davies, K., Tropp, L.R., Aron, A., Pettigrew, T.F., Wright, S.C., Cross-group friendships and intergroup attitudes (2011) Personality and Social Psychology Review, 15 (4), pp. 332-351; Davis, M.H., (1980) Interpersonal reactivity index, , Edwin Mellen Press, Lewiston; De Corte, K., Buysse, A., Verhofstadt, L.L., Roeyers, H., Ponnet, K., Davis, M.H., Measuring empathic tendencies: Reliability and validity of the Dutch version of the interpersonal reactivity index (2007) Psychologica Belgica; Economou, M., Kontoangelos, K., Peppou, L.E., Arvaniti, A., Samakouri, M., Douzenis, A., Papadimitriou, G.N., Medical students’ attitudes to mental illnesses and to psychiatry before and after the psychiatric clerkship: Training in a specialty and a general hospital (2017) Psychiatry Research, 258, pp. 108-115; Economou, M., Peppou, E., Louki, E., Charitsi, M., Stefanis, C.N., Social Distance Scale: Greek adaptation and psychometric properties (2010) Psychiatrike, 21 (3), pp. 217-225; Economou, M., Peppou, L.E., Louki, E., Stefanis, C.N., Medical students’ beliefs and attitudes towards schizophrenia before and after undergraduate psychiatric training in Greece (2012) Psychiatry and Clinical Neurosciences; Economou, M., Richardson, C., Gramandani, C., Stalikas, A., Stefanis, C., Knowledge about schizophrenia and attitudes towards people with schizophrenia in Greece (2009) International Journal of Social Psychiatry; Gateshill, G., Kucharska-Pietura, K., Wattis, J., Attitudes towards mental disorders and emotional empathy in mental health and other healthcare professionals (2011) Psychiatrist; Gilet, A.-L., Mella, N., Studer, J., Grühn, D., Labouvie-Vief, G., Assessing dispositional empathy in adults: A French validation of the Interpersonal Reactivity Index (IRI) (2013) Canadian Journal of Behavioural Science/Revue canadienne des sciences du comportement, 45 (1), p. 42; Gras, L.M., Swart, M., Slooff, C.J., van Weeghel, J., Knegtering, H., Castelein, S., Differential stigmatizing attitudes of healthcare professionals towards psychiatry and patients with mental health problems: Something to worry about? A pilot study (2015) Social Psychiatry and Psychiatric Epidemiology; Gray, A.J., Stigma in psychiatry (2002) Journal of the Royal Society of Medicine; Griffiths, K.M., Christensen, H., Jorm, A.F., Evans, K., Groves, C., Effect of web-based depression literacy and cognitive-behavioural therapy interventions on stigmatising attitudes to depression: Randomised controlled trial (2004) British Journal of Psychiatry, 185 (4), pp. 342-349; Hansson, L., Jormfeldt, H., Svedberg, P., Svensson, B., Mental health professionals’ attitudes towards people with mental illness: Do they differ from attitudes held by people with mental illness? (2013) International Journal of Social Psychiatry; Harangozo, J., Reneses, B., Brohan, E., Sebes, J., Csukly, G., López-Ibor, J.J., Thornicroft, G., Stigma and discrimination against people with schizophrenia related to medical services (2014) International Journal of Social Psychiatry, , …; Holmqvist, R., Associations between staff feelings toward patients and treatment outcome at psychiatric treatment homes (2000) Journal of Nervous and Mental Disease; Holmqvist, R., Staff feelings and patient diagnosis (2000) The Canadian Journal of Psychiatry, 45 (4), pp. 349-356; Hsiao, C.Y., Lu, H.L., Tsai, Y.F., Factors influencing mental health nurses’ attitudes towards people with mental illness (2015) International Journal of Mental Health Nursing; Jorm, A.F., Christensen, H., Medway, J., Korten, A.E., Jacomb, P.A., Rodgers, B., Public belief systems about the helpfulness of interventions for depression: Associations with history of depression and professional help- seeking (2000) Social Psychiatry and Psychiatric Epidemiology; Kassam, A., Papish, A., Modgill, G., Patten, S., The development and psychometric properties of a new scale to measure mental illness related stigma by health care providers: The opening minds scale for Health Care Providers (OMS-HC) (2012) BMC Psychiatry, 12 (1), p. 62; Kitanaka, J., Prototypes in psychiatry and the structure of clinical empathy (2019) Psychiatry and Clinical Neurosciences; Knaak, S., Mantler, E., Szeto, A., Mental illness-related stigma in healthcare (2017) Healthcare Management Forum, 30 (2), pp. 111-116; Knaak, S., Modgill, G., Patten, S.B., Key ingredients of anti-stigma programs for health care providers: A data synthesis of evaluative studies (2014) The Canadian Journal of Psychiatry, 59, pp. 19-26; Lauber, C., Nordt, C., Braunschweig, C., Rössler, W., Do mental health professionals stigmatize their patients? (2006) Acta Psychiatrica Scandinavica; Lauber, C., Nordt, C., Falcato, L., Rössler, W., Factors influencing social distance toward people with mental illness (2004) Community Mental Health Journal, 40 (3), pp. 265-274; Link, B.G., Mirotznik, J., Cullen, F.T., The effectiveness of stigma coping orientations: Can negative consequences of mental illness labeling be avoided? (1991) Journal of Health and Social Behavior; Link, B.G., Yang, L.H., Phelan, J.C., Collins, P.Y., Measuring mental illness stigma (2004) Schizophrenia Bulletin, 30 (3), pp. 511-541; Madianos, M., Economou, M., Peppou, L.E., Kallergis, G., Rogakou, E., Alevizopoulos, G., Measuring public attitudes to severe mental illness in Greece: Development of a new scale (2012) The European Journal of Psychiatry, 26 (1), pp. 55-67; Magliano, L., Fiorillo, A., De Rosa, C., Malangone, C., Maj, M., Beliefs about schizophrenia in Italy: A comparative nationwide survey of the general public, mental health professionals, and patients’ relatives (2004) Canadian Journal of Psychiatry, 49 (5), pp. 323-331; Maranzan, K.A., Interprofessional education in mental health: An opportunity to reduce mental illness stigma (2016) Journal of Interprofessional Care, 30 (3), pp. 370-377; Mehta, N., Clement, S., Marcus, E., Stona, A.C., Bezborodovs, N., EvansLacko, S., Thornicroft, G., Evidence for effective interventions to reduce mental Healthrelated stigma and discrimination in the medium and long term: Systematic review (2015) British Journal of Psychiatry, , …; Nordt, C., Rössler, W., Lauber, C., Attitudes of mental health professionals toward people with schizophrenia and major depression (2006) Schizophrenia Bulletin, 32 (4), pp. 709-714; Owen, P.R., Portrayals of schizophrenia by entertainment media: A content analysis of contemporary movies (2012) Psychiatric Services, 63 (7), pp. 655-659; Panayiotopoulos, C., Pavlakis, A., Apostolou, M., Improving mental health services through the measurement of attitudes and knowledge of mental health professionals and the general population in cyprus (2012) International Journal of Mental Health; Pascucci, M., Ventriglio, A., Stella, E., Di Sabatino, D., La Montagna, M., Nicastro, R., Bellomo, A., Empathy and attitudes towards mental illness among Italian medical students (2017) International Journal of Culture and Mental Health, , …; Peris, T.S., Teachman, B.A., Nosek, B.A., Implicit and explicit stigma of mental illness: Links to clinical care (2008) The Journal of Nervous and Mental Disease, 196 (10), pp. 752-760; Pettigrew, T.F., Tropp, L.R., How does intergroup contact reduce prejudice? Meta-analytic tests of three mediators (2008) European Journal of Social Psychology, 38 (6), pp. 922-934; Pulos, S., Elison, J., Lennon, R., The hierarchical structure of the Interpersonal Reactivity Index (2004) Social Behavior and Personality, 32 (4), pp. 355-360; Ramiah, A.A., Hewstone, M., Intergroup contact as a tool for reducing, resolving, and preventing intergroup conflict: Evidence, limitations, and potential (2013) American Psychologist, 68 (7), pp. 527-542; Santamaría-García, H., Baez, S., García, A.M., Flichtentrei, D., Prats, M., Mastandueno, R., Ibáñez, A., Empathy for others’ suffering and its mediators in mental health professionals (2017) Scientific Reports, 7 (1). , …; Sartorius, N., Iatrogenic stigma of mental illness (2002) British Medical Journal, 324 (7352), pp. 1470-1471; Schulze, B., Stigma and mental health professionals: A review of the evidence on an intricate relationship (2007) International Review of Psychiatry; Schulze, B., Angermeyer, M.C., Subjective experiences of stigma. A focus group study of schizophrenic patients, their relatives and mental health professionals (2003) Social Science and Medicine; Shih, M., Wang, E., Trahan Bucher, A., Stotzer, R., Perspective taking: Reducing prejudice towards general outgroups and specific individuals (2009) Group Processes & Intergroup Relations, 12 (5), pp. 565-577; Stuart, H., Media portrayal of mental illness and its treatments: What effect does it have on people with mental illness? (2006) CNS Drugs; Stuber, J.P., Rocha, A., Christian, A., Link, B.G., Conceptions of mental illness: Attitudes of mental health professionals and the general public (2014) Psychiatric Services; Stylianidis, S., Peppou, L.E., Drakonakis, N., Douzenis, A., Panagou, A., Tsikou, K., Saraceno, B., Mental health care in Athens: Are compulsory admissions in Greece a one-way road? (2017) International Journal of Law and Psychiatry, 52, pp. 28-34. , …; Thornicroft, G., Stigma and discrimination limit access to mental health care (2008) Epidemiologia e Psichiatria Sociale; Thornicroft, G., Brohan, E., Rose, D., Sartorius, N., Leese, M., Global pattern of experienced and anticipated discrimination against people with schizophrenia: A cross-sectional survey (2009) Lancet (London, England), 373 (9661), pp. 408-415; Thornicroft, G., Mehta, N., Clement, S., Evans-Lacko, S., Doherty, M., Rose, D., Henderson, C., Evidence for effective interventions to reduce mental-health-related stigma and discrimination (2016) The Lancet, 387 (10023), pp. 1123-1132. , …; Vescio, T.K., Sechrist, G.B., Paolucci, M.P., Perspective taking and prejudice reduction: The mediational role of empathy arousal and situational attributions (2003) European Journal of Social Psychology, 33 (4), pp. 455-472; Wahl, O., Aroesty-Cohen, E., Attitudes of mental health professionals about mental illness: A review of the recent literature (2010) Journal of Community Psychology; Wilkinson, H., Whittington, R., Perry, L., Eames, C., Examining the relationship between burnout and empathy in healthcare professionals: A systematic review (2017) Burnout Research, 6, pp. 18-29; Yamaguchi, S., Wu, S.-I., Biswas, M., Yate, M., Aoki, Y., Barley, E.A., Thornicroft, G., Effects of short-term interventions to reduce mental health–related stigma in university or college students: A systematic review (2013) The Journal of Nervous and Mental Disease, 201 (6), pp. 490-503","Economou, M.; Community Mental Health Centre, 2 Soranou toy Efesiou St, Greece; email: antistigma@epipsi.eu",,,Springer,,,,,103853,,CMHJA,31863225,English,Community Ment. Health J.,Article,Final,,Scopus,2-s2.0-85076881600 "Sakellari E., Iliadou M., Pikouli K., Konstantakopoulos G.",24072132700;26027927000;57197792866;16425957400;,Health professionals' attitudes towards breastfeeding among women with schizophrenia: Greek version of a specific rating scale,2020,Psychiatrike = Psychiatriki,31,2,,151,161,,,10.22365/jpsych.2020.312.151,https://www.scopus.com/inward/record.uri?eid=2-s2.0-85089930120&doi=10.22365%2fjpsych.2020.312.151&partnerID=40&md5=4d72ce1beb5e2d628992222997d31f38,"Department of Public and Community Health, University of West Attica, Athens, Greece; Department of Nursing Science, University of Turku, Turku, Finland; Department of Midwifery, University of West Attica, Athens, United States; Department of Nursing, University of Peloponnese, Sparti, Greece; Byron-Kessariani Community Mental Health Centre, First Department of Psychiatry, Athens University Medical School, Eginition Hospital, Athens, Greece; Department of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College London, United Kingdom","Sakellari, E., Department of Public and Community Health, University of West Attica, Athens, Greece, Department of Nursing Science, University of Turku, Turku, Finland; Iliadou, M., Department of Midwifery, University of West Attica, Athens, United States, Department of Nursing, University of Peloponnese, Sparti, Greece; Pikouli, K., Byron-Kessariani Community Mental Health Centre, First Department of Psychiatry, Athens University Medical School, Eginition Hospital, Athens, Greece; Konstantakopoulos, G., Byron-Kessariani Community Mental Health Centre, First Department of Psychiatry, Athens University Medical School, Eginition Hospital, Athens, Greece, Department of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College London, United Kingdom","Breastfeeding is the optimal feeding mode for the mother and her child. The pregnancy rates of mothers with schizophrenia do not differ significantly from those of the general population. However, research on breastfeeding among women with schizophrenia is extremely limited. The current study aims to explore the health professionals' attitudes towards breastfeeding among women with schizophrenia in Greece and to examine the validity and reliability of the Greek version of a specific rating scale for further research on attitudes towards breastfeeding among women with schizophrenia. This study had a cross-sectional descriptive design and the participants were health professionals working closely with women/mothers at different health care settings in Athens (health visitors, midwives, nurses working in mental health care). Data were collected using a self-report questionnaire on knowledge and attitudes regarding breastfeeding, knowledge, feelings and attitudes regarding schizophrenia, professional guidance for women with schizophrenia about breastfeeding; and personal and professional attitudes towards breastfeeding among women with schizophrenia. The results of the study showed that health care professionals of different disciplines seemed to have similar positive attitudes towards breastfeeding among women with schizophrenia. Professionals that had attended breastfeeding seminars had significantly greater scores on both knowledge of breastfeeding and attitudes towards breastfeeding. Greater scores on attitudes towards women with schizophrenia and attitudes towards breastfeeding among women with schizophrenia were found in those that had previous contact with a person with schizophrenia. Furthermore, greater scores on attitudes towards women with schizophrenia imporwere found in those that have provided consultation to a woman with schizophrenia on breastfeeding issues. The results suggest that this tool is a reliable and valid measure. The results of the exploratory factor analysis showed that there was a discriminative capacity among items. The five derived factors were knowledge of breastfeeding, attitudes towards breastfeeding, knowledge of schizophrenia, attitudes towards women with schizophrenia, attitudes towards breastfeeding among women with schizophrenia. Further research is needed among medical doctors and other mental health professionals who are involved in the care of women with schizophrenia. In addition, the experiences and the needs of mothers with schizophrenia should be explored in order to gain useful information for practice. The results of the current and future studies are expected to inform strategic planning.",,"adult; attitude to health; breast feeding; cross-sectional study; female; Greece; health personnel attitude; human; maternal behavior; needs assessment; newborn; organization and management; personnel management; procedures; professional competence; psychological rating scale; psychology; reproducibility; schizophrenia; Adult; Attitude of Health Personnel; Breast Feeding; Cross-Sectional Studies; Female; Greece; Health Knowledge, Attitudes, Practice; Humans; Infant, Newborn; Maternal Behavior; Needs Assessment; Professional Competence; Psychiatric Status Rating Scales; Reproducibility of Results; Schizophrenia; Schizophrenic Psychology; Staff Development",,,,,,,,,,,,,,,,NLM (Medline),,,,,11052333,,,32840219,English,Psychiatriki,Article,Final,"All Open Access, Bronze",Scopus,2-s2.0-85089930120 "Dalky H.F., Abu-Hassan H.H., Dalky A.F., Al-Delaimy W.",54906168700;57194103930;57211914370;57213317236;,"Assessment of Mental Health Stigma Components of Mental Health Knowledge, Attitudes and Behaviors Among Jordanian Healthcare Providers",2020,Community Mental Health Journal,56,3,,524,531,,3,10.1007/s10597-019-00509-2,https://www.scopus.com/inward/record.uri?eid=2-s2.0-85075357762&doi=10.1007%2fs10597-019-00509-2&partnerID=40&md5=11763b30c6428dbb78dd2821bb348608,"Faculty of Nursing, Jordan University of Science & Technology, P.O Box 3030, Irbid, 22110, Jordan; School of Medicine, University of Jordan, Amman, Jordan; Family Medicine Department, UCSD, San Diego, CA, United States; Faculty of Medicine, Jordan University of Science & Technology, P.O Box 3030, Irbid, 22110, Jordan; Division of Global Health, Department of Family Medicine and Public Health, University of California, San Diego, CA, United States","Dalky, H.F., Faculty of Nursing, Jordan University of Science & Technology, P.O Box 3030, Irbid, 22110, Jordan; Abu-Hassan, H.H., School of Medicine, University of Jordan, Amman, Jordan, Family Medicine Department, UCSD, San Diego, CA, United States; Dalky, A.F., Faculty of Medicine, Jordan University of Science & Technology, P.O Box 3030, Irbid, 22110, Jordan; Al-Delaimy, W., Division of Global Health, Department of Family Medicine and Public Health, University of California, San Diego, CA, United States","Health care providers (HCPs)’ stigma perception can determine their behaviors and attitudes toward providing mental health services. This study aimed to assess stigma components of knowledge, attitude, and behavior among HCPs in Jordan. A cross sectional descriptive study using a convenience sample of 541 HCPs utilized. The Mental Health Knowledge Schedule (MAKS), the Mental Illness: Clinicians’ Attitudes Scale (MICA) and the Reported and Intended Behavior Scale (RIBS) were used to evaluate HCPs’ perceived stigma. Mean scores on RIBS were lowest and at mid-point for MAKS and MICA. Results revealed significantly that HCPs perceived stigma demonstrated in greater negative attitudes correlated with less knowledge (r =.18,.17; p =.01,.009) for both physicians and nurses. And between attitudes and reported intended behavior (r =.13, p =.025) among nurses. This make them less likely to deal with mental health problems in primary healthcare centers. The reported stigma in this context is possibly due to lack of training, inadequate experience, and cultural dynamics. Indeed, awareness programs are important to prepare those HCPs to provide mental health care in these settings shall they are asked to. © 2019, Springer Science+Business Media, LLC, part of Springer Nature.",Attitude; Behavior; Jordan; Knowledge; Mental health; Stigma,"attitude to health; cross-sectional study; health care personnel; health personnel attitude; human; Jordan; mental disease; mental health; questionnaire; social stigma; Attitude of Health Personnel; Cross-Sectional Studies; Health Knowledge, Attitudes, Practice; Health Personnel; Humans; Jordan; Mental Disorders; Mental Health; Social Stigma; Surveys and Questionnaires",,,,,"20170113; Foundation for the National Institutes of Health, FNIH; Fogarty International Center, FIC","This study was supported by grant # 5R25TW010026-02 from the Fogarty International Center of the U.S. National Institutes of Health on behalf of the Research Ethics Program in Jordan. Also, the Deanship of Research/Jordan University of Science & Technology funded the study with Amount (JOD): 2450; Research Grant No: 20170113.",,,,,,"Bener, A., Abou-Saleh, M.T., Dafeeah, E.E., Bhugra, D., The prevalence and burden of psychiatric disorders in primary health care visits in Qatar: Too little time? (2015) Journal of Family Medecine and Primary Care, 4, pp. 89-95; Dalky, H.F., Arabic translation and cultural adaptation of the stigma-devaluation scale in Jordan (2012) Journal of Mental Health, 21, pp. 72-82; Dalky, H.F., Qandil, A.M., Natour, A.S., Menninger, J., Quality of life, stigma, and burden perception among family caregivers and patients with psychiatric illnesses in Jordan (2017) Community Mental Health Journal, 53, pp. 266-274; (2018) Jordan in Figuers and Statistical Year Book, , http://dosweb.dos.gov.jo/products/jordan-in-figure2018/, Hashemite Kingdom of Jordan: Department of Statistics, Retrieved November 9, 2019 from; Evans-Lacko, S., Little, K., Meltzer, H., Rose, D., Rhydderch, D., Henderson, C., Thornicroft, G., Development and psychometric properties of the Mental Health Knowledge Schedule (2010) Canadian Journal of Psychiatry, 55 (7), pp. 440-448; Evans-Lacko, S., Rose, D., Little, K., Flach, C., Rhydderch, D., Henderson, C., Thornicroft, G., Development and psychometric properties of the reported and intended behaviour scale (RIBS): A stigma-related behaviour measure (2011) Epidemiology and Psychiatric Sciences, 20 (3), pp. 263-271; Gabbidon, J., Clement, S., Nieuwenhuizen, A., Kassam, A., Brohan, E., Norman, I., Thornicroft, G., Mental illness: Clinicians’ attitudes (MICA) scale: Psychometric properties of a version for healthcare students and professionals (2013) Psychiatric Research, 206, pp. 81-87; Giandinoto, J.-A., Stephenson, J., Edward, K.-L., General hospital health professionals attitudes and perceived dangerousness towards patients with comorbid mental and physical health conditions: Systematic review and meta-analysis (2018) International Journal of Mental Health Nursing, 27 (3), pp. 942-955; Goffman, E., (1963) Stigma: Notes on the management of spoiled identity, , Prentice Hall, New York; Gronholm, P., Henderson, C., Deb, T., Thornicroft, G., Gronholm, P.C., Interventions to reduce discrimination and stigma: The state of the art (2017) Social Psychiatry and Psychiatric Epidemiology, 52 (3), pp. 249-258; Hamilton, S., Lewis-Holmes, E., Pinfold, V., Henderson, C., Rose, D., Thornicroft, G., Discrimination against people with a mental health diagnosis: Qualitative analysis of reported experiences (2014) Journal of Mental Health, 23, pp. 88-93; Henderson, C., Evans-Lacko, S., Thornicroft, G., Mental illness stigma, help seeking, and public health programs (2013) American Journal of Public Health, 103 (5), pp. 777-780; Henderson, C., Robinson, E., Evans-Lacko, S., Thornicroft, G., Relationships between anti-stigma programme awareness, disclosure comfort and intended help-seeking regarding a mental health problem (2017) British Journal of Psychiatry, 211 (5), pp. 316-322; (2015) Mental Health and Psychosocial Support Capacities and Experiences, , https://internationalmedicalcorps.org/document.doc?id=515, January; Jorm, A.F., Mental health literacy: Empowering the community to take action for better mental health (2012) The American Psychologist, 67 (3), pp. 231-243; Keynejad, R.C., Dua, T., Barbui, C., Thornicroft, G., WHO Mental Health Gap Action Programme (mhGAP) Intervention Guide (2018) Evidence-Based Mental Health, 21, pp. 30-34; Li, J., Thornicroft, G., Huang, Y., Levels of stigma among community mental health staff in Guangzhou, China (2014) BMC Psychiatry, 14, p. 231; Link, B., Yang, L.H., Phelan, J.C., Collins, P.Y., Measuring mental illness stigma (2004) Schizophrenia Bulletin, 30 (3), pp. 511-541; Mojtabai, R., Evans-Lacko, S., Schomerus, G., Thornicroft, G., Attitudes toward mental health help seeking as predictors of future help-seeking behavior and use of mental health treatments (2016) Psychiatric Services, 67 (6), pp. 650-657; (2019) Mental health by the numbers, , https://www.nami.org/learn-more/mental-health-by-the-numbers; Petersen, I., Evans-Lacko, S., Semrau, M., Barry, M.M., Chisholm, D., Gronholm, P., Thornicroft, G., Promotion, prevention and protection: Interventions at the population- and community-levels for mental, neurological and substance use disorders in low- and middle-income countries (2016) International Journal of Mental Health Systems, 10, p. 30; Picco, L., Abdin, E., Chong, S.A., Pang, S., Shafie, S., Chua, B.Y., Subramaniam, M., Attitudes toward seeking professional psychological help: Factor structure and socio-semographic predictors (2016) Frontiers in Psychology, 7, p. 547; Reavley, N.J., Jorm, A.F., Young people’s stigmatizing attitudes towards people with mental disorders: Findings from an Australian national survey (2011) The Australian and New Zeland Journal Of Psychiatry, 45 (12), pp. 1033-1039; Thornicroft, G., Deb, T., Henderson, C., Community mental health care worldwide: Current status and further developments (2016) World Psychiatry, 15 (3), pp. 276-286; Thornicroft, G., Mehta, N., Clement, S., Evans-Lacko, S., Doherty, M., Rose, D., Henderson, C., Evidence for effective interventions to reduce mental-health-related stigma and discrimination (2016) The Lancet, 387 (10023), pp. 1123-1132; Thornicroft, G., Rose, D., Kassam, A., Discrimination in health care against people with mental illness (2007) International Review of Psychiatry, 19 (2), pp. 113-122; Thornicroft, G., Rose, D., Kassam, A., Sartorius, N., Stigma: Ignorance, prejudice or discrimination? (2007) The British Journal of Psychiatry: The Journal of Mental Science, 190, pp. 192-193; van Boekel, L.C., Brouwers, E.P., van Weeghel, J., Garretsen, H.F., Stigma among health professionals towards patients with substance use disorders and its consequences for healthcare delivery: Systematic review (2013) Drug and Alcohol Dependency, 131, pp. 23-35; (2010) Mental Health Gap Action Programm (Mhgap): 2Nd Meeting of the Mhgap Forum, , https://www.who.int/mental_health/mhgap/mhgap_forum_oct2010_annex_e.pdf, Retrieved November 9, 2019, from; (2013) Investing in Mental Health: Evidence for Action, , https://www.who.int/mental_health/publications/financing/investing_in_mh_2013/en/, Retrieved November 9, 2019, from; (2011) WHO-AIMS Report on Mental Health System in Jordan, , https://www.who.int/mental_health/evidence/mh_aims_report_jordan_jan_2011_en.pdf?ua=1, Amman, Jordan, Retrieved November 9, 2019, from; Yap, M.B., Reavley, N., Jorm, A.F., Associations between stigma and help-seeking intentions and beliefs: Findings from an Australian national survey of young people (2013) Psychiatric Research, 210 (3), pp. 1154-1160; Zalazar, V., Leiderman, E.A., Agrest, M., Nemirovsky, M., Lipovetzky, G., Thornicroft, G., Reported and intended behavior towards people with mental health problems in Argentina (2018) International Journal of Mental Health, 47 (3), pp. 215-227","Dalky, H.F.; Faculty of Nursing, P.O Box 3030, Jordan; email: hfdalky@just.edu.jo",,,Springer,,,,,103853,,CMHJA,31760548,English,Community Ment. Health J.,Article,Final,,Scopus,2-s2.0-85075357762 "Rivera-Segarra E., Varas-Díaz N., Santos-Figueroa A.",56355360200;23061975700;55522877200;,"""that's all Fake"": Health professionals stigma and physical healthcare of people living with Serious Mental Illness",2019,PLoS ONE,14,12,e0226401,,,,5,10.1371/journal.pone.0226401,https://www.scopus.com/inward/record.uri?eid=2-s2.0-85076698710&doi=10.1371%2fjournal.pone.0226401&partnerID=40&md5=45ec65abe2fb0fb43c089d212d0c1e3b,"School of Behavioral and Brain Sciences, Ponce Health Sciences University, Ponce, Puerto Rico; Department of Global and Sociocultural Studies, Florida International University, Miami, United States; Department of Psychology, University of Puerto Rico, Mayagüez Campus, Mayagüez, Puerto Rico","Rivera-Segarra, E., School of Behavioral and Brain Sciences, Ponce Health Sciences University, Ponce, Puerto Rico; Varas-Díaz, N., Department of Global and Sociocultural Studies, Florida International University, Miami, United States; Santos-Figueroa, A., Department of Psychology, University of Puerto Rico, Mayagüez Campus, Mayagüez, Puerto Rico","Background People living with a Serious Mental Illness (SMI) die earlier than the general population due to preventable medical conditions. Latinos living with SMI are a particularly vulnerable population with higher prevalence of chronic medical conditions. Stigma has been identified as a factor that fosters health inequities for Latinos/as with SMI, particularly Puerto Ricans. Although personal and social consequences of stigmatization have been well documented, research regarding the role of cultural factors on healthcare interactions is scarce. Furthermore, little research has focused on addressing stigma from the perspective of healthcare professionals. Methods We investigated this process through a qualitative design using semi-structured individual interviews with 11 healthcare professionals (8 physicians and 3 nurses) in Puerto Rico. We conducted a thematic analysis to analyze the data. Results Following a thematic analysis, we found three main themes and nine sub-themes related to the stigmatization process. Some participants reported perceptions of dangerousness and uneasiness, social distance and inadequate care. Participants also emphasized a lack of medical training regarding SMI within the Puerto Rican context. Conclusions These findings support the need to develop culturally appropriate public health interventions targeting healthcare professionals in order to address stigma and eliminate health disparities among Latinos/as with SMI. © 2019 Rivera-Segarra et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.",,adult; Article; bipolar disorder; borderline state; controlled study; depression; female; hazard; health belief; health care; health care personnel; health care planning; health disparity; human; male; medical education; mental disease; middle aged; perception; Puerto Rico; schizophrenia; semi structured interview; social determinants of health; social distance; social participation; social psychology; complication; health personnel attitude; interview; mental disease; psychology; social stigma; young adult; Adult; Attitude of Health Personnel; Female; Humans; Interviews as Topic; Male; Mental Disorders; Middle Aged; Puerto Rico; Social Stigma; Young Adult,,,,,"National Institute of Mental Health, NIMH: R25MH067127; National Institute on Drug Abuse, NIDA: K02DA035122; National Institute on Minority Health and Health Disparities, NIMHD: U54MD007579",,,,,,,"(2009), https://www.nimh.nih.gov/health/statistics/mental-illness.shtml, National Institutes of Mental Health; 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This is to our knowledge the first study investigating depression stigma in crisis hotline counselors. The association between stigma and self-rated knowledge and their exploration of suicide risk and consecutive management of suicidal callers is being investigated. Methods: Data on depression stigma, self-rated knowledge, self-reported exploration and management of suicidality was collected from 893 counselors working for the German crisis hotline. Stigma in counselors had been compared to matched population sample (1002). Results: Crisis hotline counselors reported significantly lower depression stigma compared to the general population. Depression stigma and age associations differed in both samples. The reported exploration of suicide risk in callers differed depending on the self-rated knowledge about suicidality and depending on the personal depression stigma, but not the reported consecutive management. Conclusion: Compared to the general population, crisis hotline counselors seem to have fewer stigmatizing attitudes toward depression. Attitudes and self-rated knowledge seem to influence the confidence in counselors regarding the exploration of suicidal callers, but not the consecutive management. The results indicate that a profound training and hands-on information about depression and suicide risk seem to be essential. © 2019 The Author(s).",Counselor; Crisis hotline; Depression stigma; Helpline; Suicide prevention,"adult; aged; Article; controlled study; counselor; cross-sectional study; depression; emergency health service; female; health practitioner; health service; human; Likert scale; major clinical study; male; mental disease; mental health care; prevalence; primary medical care; risk assessment; scoring system; self concept; stigma; suicidal behavior; suicide; attitude to health; crisis intervention; depression; hotline; middle aged; procedures; psychology; questionnaire; self report; social stigma; suicidal ideation; suicide; young adult; Adult; Aged; Counselors; Crisis Intervention; Cross-Sectional Studies; Depression; Female; Health Knowledge, Attitudes, Practice; Hotlines; Humans; Male; Middle Aged; Self Report; Social Stigma; Suicidal Ideation; Suicide; Surveys and Questionnaires; Young Adult",,,,,,,,,,,,"Gould, M.S., Munfakh, J.L.H., Kleinman, M., Lake, A.M., National suicide prevention lifeline: Enhancing mental health care for suicidal individuals and other people in crisis (2012) Suicide Life Threat Behav, 42, pp. 22-35. , 10.1111/j.1943-278X.2011.00068.x 22320194; Gould, M.S., Cross, W., Pisani, A.R., Munfakh, J.L., Kleinman, M., Impact of applied suicide intervention skills training on the National Suicide Prevention Lifeline (2013) Suicide Life Threat Behav, 43, pp. 676-691. , 10.1111/sltb.12049 23889494 23889494; King, R., Nurcombe, B., Bickman, L., Hides, L., Reid, W., Telephone counselling for adolescent suicide prevention: Changes in suicidality and mental state from beginning to end of a counselling session (2003) Suicide Life Threat Behav, 33, pp. 400-411; Woodward, A., Helplines, Tele-web support services, and suicide prevention (2016) The International Handbook of Suicide Prevention, pp. 490-504. , J. Pirkis R. 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Hauschildt B.D. Blömeke (eds) Vandenhoeck & Ruprecht Göttingen, Bristol, CT, U.S.A; Niemand bringt sich gerne um (2009) Handbuch für Die Suizidprävention in der TelefonSeelsorge [ENGL TITEL], , http://www.telefonseelsorge.de/sites/default/files/Handbuch%20Suizidpra%CC%88vention.pdf, TelefonSeelsorge. Accessed 18 Jul 2018; Shaw, F.F.-T., Chiang, W.-H., An evaluation of suicide prevention hotline results in Taiwan: Caller profiles and the effect on emotional distress and suicide risk (2019) J Affect Disord, 244, pp. 16-20. , 10.1016/j.jad.2018.09.050 30292022; Coveney, C.M., Pollock, K., Armstrong, S., Moore, J., Callers' experiences of contacting a national suicide prevention helpline: Report of an online survey (2012) Crisis., 33, pp. 313-324. , 10.1027/0227-5910/a000151 22759662 3643796; Gould, M.S., Kalafat, J., Harrismunfakh, J.L., Kleinman, M., An evaluation of crisis hotline outcomes. Part 2: Suicidal callers (2007) Suicide Life Threat Behav, 37, pp. 338-352. , 10.1521/suli.2007.37.3.338 17579545; Tyson, P., Law, C., Reed, S., Johnsey, E., Aruna, O., Hall, S., Preventing suicide and self-harm (2016) Crisis., 37, pp. 353-360. , 10.1027/0227-5910/a000390 27278572; Lester, D., Saito, Y., Abe, K., The effect of suicide prevention centers on suicide in Japan (1997) Crisis., 18, p. 48. , 10.1027/0227-5910.18.1.48 1:STN:280:DyaK2s3os1Kgsw%3D%3D 9141778; Lester, D., The effectiveness of suicide prevention centers: A review (1997) Suicide Life Threat Behav, 27, pp. 304-310. , 1:STN:280:DyaK1c%2FhvF2gsQ%3D%3D 9357085; Leenaars, A.A., Lester, D., The impact of suicide prevention centers on the suicide rate in the Canadian provinces (2004) Crisis., 25, pp. 65-68. , 10.1027/0227-5910.25.2.65 15387212; (2016) Rückblick und Jahresbericht 2015 [Review and Annual Report 2015], , https://www.telefonseelsorge.de/sites/default/files/TS-Jubil%C3%A4umsbrosch%C3%BCre-2016-web.pdf, TelefonSeelsorge. Accessed 8 Mar 2019; Gesamtstatistik für das Jahr 2016 [Overall Statistics 2016], , https://www.telefonseelsorge.de/sites/default/files/Statistik%20TS%20in%20Deutschland%202016.pdf, TelefonSeelsorge. 22.02.2019; Fakhoury, W., Suicide: A call-sheet audit - Data from SANELINE (2000) Psychiatr Bull, 24, pp. 98-101. , 10.1192/pb.24.3.98; Ramchand, R., Jaycox, L., Ebener, P., Gilbert, M.L., Barnes-Proby, D., Goutam, P., Characteristics and proximal outcomes of calls made to suicide crisis hotlines in California (2017) Crisis., 38, pp. 26-35. , 10.1027/0227-5910/a000401 27338290; Busby Grant, J., Bruce, C.P., Batterham, P.J., Predictors of personal, perceived and self-stigma towards anxiety and depression (2016) Epidemiol Psychiatr Sci, 25, pp. 247-254. , 10.1017/S2045796015000220 1:STN:280:DC%2BC2MnmtV2qug%3D%3D 25791089; (2013) Jahresbericht 2012 [Annual Report 2012], , http://www.telefonseelsorge.de/sites/default/files/Jahresbericht-2012-TelefonSeelsorge.pdf, TelefonSeelsorge; Coppens, E., Van Audenhove, C., Scheerder, G., Arensman, E., Coffey, C., Costa, S., Public attitudes toward depression and help-seeking in four European countries baseline survey prior to the OSPI-Europe intervention (2013) J Affect Disord, 150, pp. 320-329. , 10.1016/j.jad.2013.04.013 23706876; Griffiths, K.M., Christensen, H., Jorm, A.F., Evans, K., Groves, C., Effect of web-based depression literacy and cognitive-behavioural therapy interventions on stigmatising attitudes to depression: Randomised controlled trial (2004) Br J Psychiatry, 185, pp. 342-349. , 10.1192/bjp.185.4.342 15458995; Boerema, A.M., Van Zoonen, K., Cuijpers, P., Holtmaat, C.J.M., Mokkink, L.B., Griffiths, K.M., Kleiboer, A.M., Psychometric properties of the Dutch depression stigma scale (DSS) and associations with personal and perceived stigma in a depressed and community sample (2016) PLoS One, 11, p. e0160740. , 10.1371/journal.pone.0160740 1:CAS:528:DC%2BC2sXht1yqsbjI 27500969 4976889; Griffiths, K.M., Nakane, Y., Christensen, H., Yoshioka, K., Jorm, A.F., Nakane, H., Stigma in response to mental disorders: A comparison of Australia and Japan (2006) BMC Psychiatry, 6, p. 21. , 10.1186/1471-244X-6-21 16716231 1525161; Dietrich, S., Mergl, R., Rummel-Kluge, C., Personal and perceived stigmatization of depression: A comparison of data from the general population, participants of a depression congress and job placement officers in Germany (2014) Psychiatry Res, 220, pp. 598-603. , 10.1016/j.psychres.2014.06.044 25086761; Thoemmes, F., (2012) Propensity Score Matching in SPSS, , https://arxiv.org/ftp/arxiv/papers/1201/1201.6385.pdf, Accessed 9 July 2018; Richard, L., VassarStats: Website for Statistical Computation. 09.02.2018, , http://vassarstats.net; Cohen, J., (1988) Statistical Power Analysis for the Behavioral Sciences, , 2 Taylor and Francis Hoboken; Paterson, H., Reniers, R., Völlm, B., Personality types and mental health experiences of those who volunteer for helplines (2009) Br J Guid Couns, 37, pp. 459-471. , 10.1080/03069880903161419; King, G.D., McGowen, R., Doonan, R., Schweibert, D., The selection of paraprofessional telephone counselors using the California psychological inventory (1980) Am J Community Psychol, 8, pp. 495-501. , 10.1007/BF00912859 1:STN:280:DyaL3M%2FhvFSitw%3D%3D 7416103; Rek, I., Dinger, U., Who sits behind the telephone? Interpersonal characteristics of volunteer counselors in telephone emergency services (2016) J Couns Psychol, 63, pp. 429-442. , 10.1037/cou0000157 27213616; Dietrich, S., Mergl, R., Rummel-Kluge, C., Von den ersten Symptomen bis zur Behandlung einer Depression. Wann und bei wem suchen Menschen mit Depression Hilfe? Welche Rolle spielt Stigmatisierung? (2017) Psychiatr Prax, 44, pp. 461-468. , 10.1055/s-0042-113237 27627116; Schomerus, G., Van Der Auwera, S., Matschinger, H., Baumeister, S.E., Angermeyer, M.C., Do attitudes towards persons with mental illness worsen during the course of life? An age-period-cohort analysis (2015) Acta Psychiatr Scand, 132, pp. 357-364. , 10.1111/acps.12401 1:STN:280:DC%2BC2MrltVCkuw%3D%3D 25676686; Mishara, B.L., Chagnon, F., Daigle, M., Balan, B., Raymond, S., Marcoux, I., Which helper behaviors and intervention styles are related to better short-term outcomes in telephone crisis intervention? Results from a silent monitoring study of calls to the U.S. 1-800-SUICIDE network (2007) Suicide Life Threat Behav, 37, pp. 308-321. , 10.1521/suli.2007.37.3.308 17579543; Gould, M.S., Lake, A.M., Munfakh, J.L., Galfalvy, H., Kleinman, M., Williams, C., Helping callers to the National Suicide Prevention Lifeline who are at imminent risk of suicide: Evaluation of caller risk profiles and interventions implemented (2016) Suicide Life Threat Behav, 46, pp. 172-190. , 10.1111/sltb.12182 26242234","Heinz, I.; Department of Psychiatry and Psychotherapy, Semmelweisstr. 10, Haus 13, Germany; email: ines.heinz@medizin.uni-leipzig.de",,,BioMed Central Ltd.,,,,,1471244X,,BPMSC,31694588,English,BMC Psychiatry,Article,Final,"All Open Access, Gold, Green",Scopus,2-s2.0-85074622067 "Del Olmo-Romero F., González-Blanco M., Sarró S., Grácio J., Martín-Carrasco M., Martinez-Cabezón A.C., Perna G., Pomarol-Clotet E., Varandas P., Ballesteros-Rodríguez J., Rebolleda-Gil C., Vanni G., González-Fraile E., Moreno-Alcazar A., Feria I., Padilla P.P., Larraz J.A., Treserra J., Pérez A.C., Roy P., Morais A., Costa C., Vilas-Boas C., Correia M., Nunes N., Simões R., Carneiro P., Lander A., Remirez J., Arellano J., Pajares C.V., Rodríguez A., Huerta R., Jáñez M., Porta D., Valchera A., Carbonetti P., The INTER NOS group",57200291383;57200288465;6602585245;56601187200;55913782800;57200296870;57204261713;8873538700;57200296437;55510119600;56941831400;6602194818;55531872300;56646492000;57200297875;57200300050;57200298130;57200300399;57200292849;57193266228;57200291487;57200293289;57200292601;57200298453;57200288125;57220521773;57205605768;57200298349;57200293194;57200298248;57200293346;57201590868;56239164200;57200290309;57200289134;25626969400;55059206200;,Mental health professionals’ attitudes towards mental illness: professional and cultural factors in the INTER NOS study,2019,European Archives of Psychiatry and Clinical Neuroscience,269,3,,325,339,,12,10.1007/s00406-018-0867-5,https://www.scopus.com/inward/record.uri?eid=2-s2.0-85040687807&doi=10.1007%2fs00406-018-0867-5&partnerID=40&md5=9d1a51fbc13df7141f234b1919dd2aed,"Complejo Asistencial Benito Menni and Clínica San Miguel, Sisters Hospitallers, Madrid, Spain; Miniresidencia Aravaca, Línea de Rehabilitación, Sisters Hospitallers, Madrid, Spain; FIDMAG Research Foundation, Sisters Hospitallers, Barcelona, Spain; CIBERSAM (Centro de Investigación Biomédica en Red de Salud Mental), Madrid, Spain; Clínica Psiquiátrica de S. José, Sisters Hospitallers, Lisbon, Portugal; Nova Medical School/Faculdade De Ciências Médicas, Universidade Nova De Lisboa, Lisbon, Portugal; Champalimaud Clinical Centre, Fundação Champalimaud, Lisbon, Portugal; Institute of Psychiatric Research, Sisters Hospitallers, Bilbao, Spain; Centro De Día Villaverde, Línea De Rehabilitación, Sisters Hospitallers, Madrid, Spain; Vila San Benedetto, Sisters Hospitallers, Albese con Casano, Italy; Department of Psychiatry and Neuropsychology, Maastricht University, Maastricht, Netherlands; Department of Psychiatry and Behavioral Sciences, Leonard Miller School of Medicine, University of Miami, Miami, United States; Casa de Saúde da Idanha, Sisters Hospitallers, Lisbon, Portugal; University of the Basque Country, UPV/EHU, Leioa, Spain; Cochrane Associated Group UPV/EHU, Leioa, Spain; Centro De Rehabilitacion Psicosocial Aranjuez, Línea De Rehabilitación, Sisters Hospitallers, Madrid, Spain; International University of La Rioja (UNIR), C/ Gran Vía Rey Juan Carlos I, 41, Logroño, La Rioja 26002, Spain","Del Olmo-Romero, F., Complejo Asistencial Benito Menni and Clínica San Miguel, Sisters Hospitallers, Madrid, Spain; González-Blanco, M., Miniresidencia Aravaca, Línea de Rehabilitación, Sisters Hospitallers, Madrid, Spain; Sarró, S., FIDMAG Research Foundation, Sisters Hospitallers, Barcelona, Spain, CIBERSAM (Centro de Investigación Biomédica en Red de Salud Mental), Madrid, Spain; Grácio, J., Clínica Psiquiátrica de S. José, Sisters Hospitallers, Lisbon, Portugal, Nova Medical School/Faculdade De Ciências Médicas, Universidade Nova De Lisboa, Lisbon, Portugal, Champalimaud Clinical Centre, Fundação Champalimaud, Lisbon, Portugal; Martín-Carrasco, M., CIBERSAM (Centro de Investigación Biomédica en Red de Salud Mental), Madrid, Spain, Institute of Psychiatric Research, Sisters Hospitallers, Bilbao, Spain; Martinez-Cabezón, A.C., Centro De Día Villaverde, Línea De Rehabilitación, Sisters Hospitallers, Madrid, Spain; Perna, G., Vila San Benedetto, Sisters Hospitallers, Albese con Casano, Italy, Department of Psychiatry and Neuropsychology, Maastricht University, Maastricht, Netherlands, Department of Psychiatry and Behavioral Sciences, Leonard Miller School of Medicine, University of Miami, Miami, United States; Pomarol-Clotet, E., FIDMAG Research Foundation, Sisters Hospitallers, Barcelona, Spain, CIBERSAM (Centro de Investigación Biomédica en Red de Salud Mental), Madrid, Spain; Varandas, P., Clínica Psiquiátrica de S. José, Sisters Hospitallers, Lisbon, Portugal, Casa de Saúde da Idanha, Sisters Hospitallers, Lisbon, Portugal; Ballesteros-Rodríguez, J., CIBERSAM (Centro de Investigación Biomédica en Red de Salud Mental), Madrid, Spain, Institute of Psychiatric Research, Sisters Hospitallers, Bilbao, Spain, University of the Basque Country, UPV/EHU, Leioa, Spain, Cochrane Associated Group UPV/EHU, Leioa, Spain; Rebolleda-Gil, C., Centro De Rehabilitacion Psicosocial Aranjuez, Línea De Rehabilitación, Sisters Hospitallers, Madrid, Spain; Vanni, G., Vila San Benedetto, Sisters Hospitallers, Albese con Casano, Italy; González-Fraile, E., Cochrane Associated Group UPV/EHU, Leioa, Spain, International University of La Rioja (UNIR), C/ Gran Vía Rey Juan Carlos I, 41, Logroño, La Rioja 26002, Spain; Moreno-Alcazar, A.; Feria, I.; Padilla, P.P.; Larraz, J.A.; Treserra, J.; Pérez, A.C.; Roy, P.; Morais, A.; Costa, C.; Vilas-Boas, C.; Correia, M.; Nunes, N.; Simões, R.; Carneiro, P.; Lander, A.; Remirez, J.; Arellano, J.; Pajares, C.V.; Rodríguez, A.; Huerta, R.; Jáñez, M.; Porta, D.; Valchera, A.; Carbonetti, P.; The INTER NOS group","Background: Research shows that personnel working in mental health facilities may share some of the societal prejudices towards mental illness. This might result in stigmatizing behaviours towards people suffering from mental disorders, undermining the quality of their care. Aims: To describe and compare attitudes towards mental illness across a sample of professionals working in a wide range of mental health facilities in Spain, Portugal and Italy. Method: We administered a survey to personnel including two questionnaires related to stigmatizing attitudes: The Community Attitudes toward the Mentally Ill (CAMI) and the Attribution Questionnaire (AQ-27). Data were compared according to professional category, work setting and country. Results: 34.06% (1525) professionals of the surveyed population responded adequately. Psychologists and social therapists had the most positive attitudes, and nursing assistants the most negative, on most factors of CAMI and AQ-27. Community staff had more positive attitudes than hospital-based professionals in most factors on CAMI and in discriminatory responses on AQ-27. Conclusions: Globally, mental health professionals showed a positive attitude towards mental illness, but also a relative support to coercive treatments. There are differences in attitudes modulated by professional category and setting. Results can guide preventive strategies, particularly for the hospital-based and nursing staff. © 2018, Springer-Verlag GmbH Germany, part of Springer Nature.",Health personnel attitude; Mental health professionals; Mental illness; Social distance; Stigma,"adult; Article; community care; controlled study; cultural factor; developing country; female; health personnel attitude; health survey; human; Italy; male; mental disease; mental health care personnel; mental health organization; normal human; nursing assistant; occupational therapist; Portugal; priority journal; psychiatrist; psychologist; registered nurse; schizophrenia; social distance; Spain; stigma; clinical trial; cross-sectional study; health care personnel; hospital personnel; mental health service; middle aged; multicenter study; social stigma; statistics and numerical data; stereotyping; Adult; Attitude of Health Personnel; Cross-Sectional Studies; Female; Health Personnel; Humans; Italy; Male; Mental Disorders; Mental Health Services; Middle Aged; Personnel, Hospital; Portugal; Social Stigma; Spain; Stereotyping",,,,,,Funding Funding for the study was provided by Sisters Hospitallers with resources of their own.,,,,,,"Sartorius, N., Gaebel, W., Cleveland, H.-R., Stuart, H., Akiyama, T., Arboleda-Flórez, J., WPA guidance on how to combat stigmatization of psychiatry and psychiatrists (2010) World Psychiatry Off J World Psychiatr Assoc WPA, 9, pp. 131-144; Hatzenbuehler, M.L., Phelan, J.C., Link, B.G., Stigma as a fundamental cause of population health inequalities (2013) Am J Public Health, 103, pp. 813-821; Corrigan, P.W., Markowitz, F.E., Watson, A.C., Structural levels of mental illness stigma and discrimination (2004) Schizophr Bull, 30, pp. 481-491; Corrigan, P.W., Druss, B.G., Perlick, D.A., The impact of mental illness stigma on seeking and participating in mental health care (2014) Psychol Sci Public Interest; Schmitt, M.T., Branscombe, N.R., Postmes, T., Garcia, A., The consequences of perceived discrimination for psychological well-being: a meta-analytic review (2014) Psychol Bull, 140, pp. 921-948; Rüsch, N., Angermeyer, M.C., Corrigan, P.W., Mental illness stigma: concepts, consequences, and initiatives to reduce stigma (2005) Eur Psychiatry J Assoc Eur Psychiatr, 20, pp. 529-539; (2005) Stigma and discrimination against the mentally ill in Europe. 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KG,,,,,9401334,,EAPNE,29353369,English,Eur. Arch. Psychiatry Clin. Neurosci.,Article,Final,,Scopus,2-s2.0-85040687807 "Wlodarczyk J., Lawn S., Powell K., Crawford G.B., McMahon J., Burke J., Woodforde L., Kent M., Howell C., Litt J.",57191496643;7006905475;55710806000;8560915700;56034457000;57205019742;57205025467;57205022675;24485453300;7005728086;,Exploring general practitioners’ views and experiences of providing care to people with borderline personality disorder in primary care: A qualitative study in Australia,2018,International Journal of Environmental Research and Public Health,15,12,2763,,,,3,10.3390/ijerph15122763,https://www.scopus.com/inward/record.uri?eid=2-s2.0-85058334884&doi=10.3390%2fijerph15122763&partnerID=40&md5=a49f2970144f13ba2d7e49c7cdf0fdcc,"College of Medicine and Public Health, Flinders University, GPO Box 2100, Adelaide, 5001, Australia; Flinders Human Behaviour and Health Research Unit, Flinders University, GPO Box 2100, Adelaide, 5001, Australia; Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, 5000, Australia; North Adelaide Palliative Care Service, Discipline of Medicine, University of Adelaide, Adelaide, 5000, Australia; Private Mental Health Consumer Carer Network (Australia) Ltd, PO Box 542, Marden, 5070, Australia; Sanctuary BPD Carer Support, Adelaide, 5001, Australia; Carers SA, 338 Tapleys Hill Rd, Seaton, 5023, Australia; Borderline Personality Disorder Centre of Excellence, Country Health SA Mental Health Services, 22 King William St, Adelaide, 5000, Australia; Cate Howell and Colleagues, 14 Hay St, Goolwa, 5214, Australia; Department of General Practice, College of Medicine and Public Health, Flinders University, GPO Box 2100, Adelaide, 5001, Australia","Wlodarczyk, J., College of Medicine and Public Health, Flinders University, GPO Box 2100, Adelaide, 5001, Australia; Lawn, S., College of Medicine and Public Health, Flinders University, GPO Box 2100, Adelaide, 5001, Australia, Flinders Human Behaviour and Health Research Unit, Flinders University, GPO Box 2100, Adelaide, 5001, Australia; Powell, K., Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, 5000, Australia; Crawford, G.B., North Adelaide Palliative Care Service, Discipline of Medicine, University of Adelaide, Adelaide, 5000, Australia; McMahon, J., Private Mental Health Consumer Carer Network (Australia) Ltd, PO Box 542, Marden, 5070, Australia; Burke, J., Sanctuary BPD Carer Support, Adelaide, 5001, Australia; Woodforde, L., Carers SA, 338 Tapleys Hill Rd, Seaton, 5023, Australia; Kent, M., Borderline Personality Disorder Centre of Excellence, Country Health SA Mental Health Services, 22 King William St, Adelaide, 5000, Australia; Howell, C., Cate Howell and Colleagues, 14 Hay St, Goolwa, 5214, Australia; Litt, J., Department of General Practice, College of Medicine and Public Health, Flinders University, GPO Box 2100, Adelaide, 5001, Australia","The prevalence of people seeking care for Borderline Personality Disorder (BPD) in primary care is four to five times higher than in the general population. Therefore, general practitioners (GPs) are important sources of assessment, diagnosis, treatment, and care for these patients, as well as important providers of early intervention and long-term management for mental health and associated comorbidities. A thematic analysis of two focus groups with 12 GPs in South Australia (in discussion with 10 academic, clinical, and lived experience stakeholders) highlighted many challenges faced by GPs providing care to patients with BPD. Major themes were: (1) Challenges Surrounding Diagnosis of BPD; (2) Comorbidities and Clinical Complexity; (3) Difficulties with Patient Behaviour and the GP–Patient Relationship; and (4) Finding and Navigating Systems for Support. Health service pathways for this high-risk/high-need patient group are dependent on the quality of care that GPs provide, which is dependent on GPs’ capacity to identify and understand BPD. GPs also need to be supported sufficiently in order to develop the skills that are necessary to provide effective care for BPD patients. Systemic barriers and healthcare policy, to the extent that they dictate the organisation of primary care, are prominent structural factors obstructing GPs’ attempts to address multiple comorbidities for patients with BPD. Several strategies are suggested to support GPs supporting patients with BPD. © 2018 by the authors. Licensee MDPI, Basel, Switzerland.",Borderline personality disorder; General practitioners; Mental health services; Mental illness; Primary care; Qualitative research,health services; health worker; mental health; primary health care; qualitative analysis; adult; Article; Australia; borderline state; comorbidity; doctor patient relation; early intervention; female; general practitioner; health care delivery; health care organization; health care policy; health care quality; health care system; high risk patient; human; information processing; long term care; male; mental health care; normal human; patient attitude; physician attitude; primary medical care; professional competence; psychiatric diagnosis; psychologic assessment; qualitative research; social support; thematic analysis; borderline state; general practitioner; health personnel attitude; middle aged; primary health care; procedures; psychology; South Australia; Australia; South Australia; Adult; Attitude of Health Personnel; Australia; Borderline Personality Disorder; Female; Focus Groups; General Practitioners; Humans; Male; Middle Aged; Primary Health Care; Qualitative Research; South Australia,,,,,,,,,,,,"Grambal, A., Prask, J., Ociskova, M., Siepecky, M., Kotianova, A., Sedlackova, Z., Zatkova, M., Kamaradova, D., Borderline personality disorder and unmet needs (2017) Neuro. 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Psychiatry, 65, pp. 1660-1665; Sansone, R.A., Tahir, N.A., Buckner, V.R., Wiederman, M.W., The relationship between borderline personality symptomatology and somatic preoccupation among internal medicine outpatients (2008) Prim. Care Companion J. Clin. Psychiatry, 10, pp. 286-290; Jackson, H.J., Burgess, P.M., Personality Disorders in the Community: Results from the Australian national survey of mental health and well-being–Part III (2004) Soc. Psychiatry Psychiatr. Epidemiol., 39, pp. 765-776; Miller, R.C., The somatically preoccupied patient in primary care: Use of attachment theory to strengthen physician-patient relationships (2008) Osteopathic. Med. Prim. Care, 2, pp. 1-10; Fleury, M., Imboua, A., Aube, D., Farand, L., Lambert, Y., General practitioners’ management of mental disorders: A rewarding practice with considerable obstacles (2012) BMC Fam. Pract., 13, pp. 19-30","Lawn, S.; College of Medicine and Public Health, GPO Box 2100, Australia; email: sharon.lawn@flinders.edu.au",,,MDPI AG,,,,,16617827,,,30563256,English,Int. J. Environ. Res. Public Health,Article,Final,"All Open Access, Gold, Green",Scopus,2-s2.0-85058334884 "Fuss J., Briken P., Klein V.",35767583800;6602126301;55072525300;,Gender bias in clinicians' pathologization of atypical sexuality: A randomized controlled trial with mental health professionals,2018,Scientific Reports,8,1,3715,,,,13,10.1038/s41598-018-22108-z,https://www.scopus.com/inward/record.uri?eid=2-s2.0-85042722389&doi=10.1038%2fs41598-018-22108-z&partnerID=40&md5=9fcb689f022a79a6870548a7a4f2c15a,"Institute for Sex Research and Forensic Psychiatry, Center of Psychosocial Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany","Fuss, J., Institute for Sex Research and Forensic Psychiatry, Center of Psychosocial Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany; Briken, P., Institute for Sex Research and Forensic Psychiatry, Center of Psychosocial Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany; Klein, V., Institute for Sex Research and Forensic Psychiatry, Center of Psychosocial Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany","The psychiatric classification of ""normal"" versus disordered sexual behavior has been a subject of some dispute. Although atypical sexual interests have been viewed traditionally as typically male, epidemiological data indicate its presence in both genders. We examined how gender and sexual orientation influence whether or not atypical sexual behavior is classified as a mental disorder. Mental health professionals (N = 546) were presented with five case vignettes where subjects exhibit paraphilic behaviors; one case with psychotic symptoms served as the control condition. For each vignette we randomly changed the described subject's gender (male/female), sexual orientation (homosexual/heterosexual), and presented diagnostic criteria (fulfilled/ambiguous). Female subjects were significantly less pathologized and overall more stigmatized in terms of exhibitionistic, frotteuristic, sexual sadistic and pedophilic behavior. On the other hand, female sexual behavior that fulfilled diagnostic criteria for masochistic disorder was more pathologized. Our results demonstrate that nosologically irrelevant factors, which may be related to different sexual norms for men and women, affect clinicians' decisions regarding atypical sexuality. © 2018 The Author(s).",,"adult; clinical trial; controlled study; female; gender identity; human; male; mental health; psychodynamic psychotherapy; psychology; psychosexual disorder; randomized controlled trial; sexism; sexual behavior; sexuality; Adult; Female; Gender Identity; Humans; Male; Mental Health; Psychotherapy, Psychodynamic; Sexism; Sexual Behavior; Sexual Dysfunctions, Psychological; Sexuality",,,,,,,,,,,,"Foucault, M., Hurley, R., (1990) The History of Sexuality. Vol. 1: An Introduction, , (Vintage Books); Krafft-Ebing, R., (1886) Psychopathia Sexualis, , (Enke); De Block, A., Adriaens, P.R., Pathologizing sexual deviance: A history (2013) J. Sex Res., 50, pp. 276-298; Giami, A., Between DSM and ICD: Paraphilias and the transformation of sexual norms (2015) Arch. Sex. Behav., 44, pp. 1127-1138; Laqueur, T.W., (1990) Making Sex: Body and Gender from the Greeks to Freud, , (Harvard University Press); Engelhardt, H.T., The disease of masturbation: Values and the concept of disease (1974) Bull. Hist. Med., 48, p. 234; Drescher, J., Out of DSM: Depathologizing homosexuality (2015) Behav. Sci. (Basel), 5, pp. 565-575; Groneman, C., (2001) Nymphomania: A History, , (W.W. Norton); Eriksen, K., Kress, V.E., Gender and diagnosis: Struggles and suggestions for counselors (2008) J. Couns. Dev., 86, pp. 152-162; Lave, T., Only yesterday: The rise and fall of twentieth century sexual psychopath laws (2009) LA. Law Rev., p. 69; Joyal, C.C., Carpentier, J., The prevalence of paraphilic interests and behaviors in the general population: A provincial survey (2017) J. Sex Res., 54, pp. 161-171; Joyal, C.C., Cossette, A., Lapierre, V., What exactly is an unusual sexual fantasy? (2015) J. Sex. Med., 12, pp. 328-340; Richters, J., De Visser, R.O., Rissel, C.E., Grulich, A.E., Smith, A.M.A., Demographic and psychosocial features of participants in bondage and discipline, 'sadomasochism' or dominance and submission (BDSM): Data from a national survey (2008) J. Sex. Med., 5, pp. 1660-1668; Långström, N., Seto, M.C., Exhibitionistic and voyeuristic behavior in a swedish national population survey (2006) Arch. Sex. Behav., 35, pp. 427-435; Ahlers, C.J., How unusual are the contents of paraphilias? Paraphilia-associated sexual arousal patterns in a community-based sample of men (2011) J. Sex. Med., 8, pp. 1362-1370; Långström, N., The DSM diagnostic criteria for exhibitionism, voyeurism, and frotteurism (2010) Arch. Sex. Behav., 39, pp. 317-324; (2013) Diagnostic and Statistical Manual of Mental Disorders: DSM-5, , (American Psychiatric Association); Moser, C., DSM-5 and the paraphilic disorders: Conceptual issues (2016) Arch. Sex. Behav., p. 45; Moser, C., Kleinplatz, P.J., DSM-IV-TR and the paraphilias (2006) J. Psychol. Human Sex., 17, pp. 91-109; Moser, C., When is an unusual sexual interest a mental disorder? (2009) Arch. Sex. Behav., 38, pp. 323-325; Shindel, A.W., Moser, C.A., Why are the paraphilias mental disorders? (2011) J. Sex. Med., 8, pp. 927-929; Zonana, H., Sexual disorders: New and expanded proposals for the DSM-5-do we need them? (2011) J. Am. Acad. Psychiatry Law, 39, pp. 245-249; Reed, G.M., Disorders related to sexuality and gender identity in the ICD-11: Revising the ICD-10 classification based on current scientific evidence, best clinical practices, and human rights considerations (2016) World Psychiatry, 15, pp. 205-221; Robles, R., Categories that should be removed from mental disorders classifications: Perspectives and rationales of clinicians from eight countries (2015) J. Clin. Psychol., 71, pp. 267-281; (2011) ICD-10-tautiluokitusta Päivitetään 2011, , Finish-National-Institute-for-Health-and-Welfare-(THL); Glyde, T., BDSM: Psychotherapy's grey area (2015) The Lancet Psychiatry, 2, pp. 211-213; (2016) Court for The Eastern District of Virginia, , Doe-v.-Rector & Visitors-of-George-Mason-Univ.Le, Case No. 1:15-cv-209; Boysen, G., Ebersole, A., Casner, R., Coston, N., Gendered mental disorders: Masculine and feminine stereotypes about mental disorders and their relation to stigma (2014) J. Soc. Psychol., 154, pp. 546-565; Beech, A.R., Miner, M.H., Thornton, D., Paraphilias in the DSM-5 (2016) Annu. Rev. Clin. Psychol., 12, pp. 383-406; Boysen, G.A., A review of experimental studies of explicit and implicit bias among counselors (2009) J. Multicult. Couns. Devel., 37, pp. 240-249; Haslam, N., Kvaale, E.P., Biogenetic explanations of mental disorder (2015) Curr. Dir. Psychol. Sci., 24, pp. 399-404; Tolman, D.L., Diamond, L.M., Desegregating sexuality research: Cultural and biological perspectives on gender and desire Annu. Rev. Sex Res., 12, pp. 33-74; Peter Cryle, P., Lisa Downing, L., Feminine sexual pathologies (2008) J. Hist. Sex., 18, pp. 1-7; Sanchez, D.T., Fetterolf, J.C., Rudman, L.A., Eroticizing inequality in the United States: The consequences and determinants of traditional gender role adherence in intimate relationships (2012) J. Sex Res., 49, pp. 168-183; Breslow, N., Evans, L., Langley, J., On the prevalence and roles of females in the sadomasochistic subculture: Report of an empirical study (1985) Arch. Sex. Behav., 14, pp. 303-317; Levitt, E.E., Moser, C., Jamison, K.V., The prevalence and some attributes of females in the sadomasochistic subculture: A second report (1994) Arch. Sex. Behav., 23, pp. 465-473; Wilson, G.D., Lang, R.J., Sex differences in sexual fantasy patterns (1981) Pers. Individ. Dif., 2, pp. 343-346; Seto, M.C., Pedophilia: Psychopathology and theory (2008) Sexual Deviance: Theory, Assessment, and Treatment, pp. 164-182. , (ed. O'Donohue, D. R. L. & W. T.) (Guilford Press); Feldman, D.B., Crandall, C.S., Dimensions of mental illness stigma: What about mental illness causes social rejection? (2007) J. Soc. Clin. Psychol., 26, pp. 137-154; Ruiz, M.T., Verbrugge, L.M., A two way view of gender bias in medicine (1997) J. Epidemiol. Community Health, 51, pp. 106-109; (2001) The Principles of Medical Ethics: With Annotations Especially Applicable to Psychiatry, , (American Psychiatric Association); Ethical principles of psychologists and code of conduct (2002) Am. Psychol., 57, pp. 1060-1073; Fuss, J., Dressing, H., Briken, P., Neurogenetic evidence in the courtroom: A randomised controlled trial with German judges (2015) J Med Genet, 52, pp. 730-737; Mayring, P., (2010) Qualitative Inhaltsanalyse in Handbuch Qualitative Forschung in der Psychologie, , (Springer)","Fuss, J.; Institute for Sex Research and Forensic Psychiatry, Germany; email: jo.fuss@uke.de",,,Nature Publishing Group,,,,,20452322,,,29487335,English,Sci. Rep.,Article,Final,"All Open Access, Gold, Green",Scopus,2-s2.0-85042722389 Al-Atram A.A.,56786278100;,Physicians' Knowledge and Attitude towards Mental Health in Saudi Arabia,2018,Ethiopian journal of health sciences,28,6,,771,778,,5,10.4314/ejhs.v28i6.12,https://www.scopus.com/inward/record.uri?eid=2-s2.0-85059496237&doi=10.4314%2fejhs.v28i6.12&partnerID=40&md5=708f348947e86dfb7b581ac9b3a39a16,"Department of Psychiatry, College of Medicine, Majmaah University, Kingdom of Saudi Arabia, Al Majmaah, Saudi Arabia","Al-Atram, A.A., Department of Psychiatry, College of Medicine, Majmaah University, Kingdom of Saudi Arabia, Al Majmaah, Saudi Arabia","Background: Physicians working in Saudi Arabia belong to different countries and may have differences in knowledge and attitude towards psychiatry. We evaluated non-psychiatric physician's knowledge and attitude towards psychiatric disorders, such as anxiety and depression, in the Kingdom of Saudi Arabia. Methods: A descriptive cross-sectional study design was used. The current knowledge and attitude towards anxiety and depression of physicians were determined by using a questionnaire. We distributed 180 study questionnaires at various hospitals to be answered by physicians in the Riyadh Province of Saudi Arabia. One hundred and forty-two completed questionnaires were included in the study. The participants were divided into three groups: (1) 63(44.4%) general practitioners (GPs), (2) 55 (38.7%) specialists and (3) 24 (16.9%) family practitioners. Data were analysed using the chi-square, ANOVA and independent sample t-test. Results: GPs and specialists showed a negative attitude towards psychiatric patients, but family practitioners showed a positive attitude. There were statistically significant differences (p<0.05) in the knowledge regarding anxiety and depression among the groups. The relationship between specialty and knowledge was statistically significant (p<0.05) and the effect of first language is insignificant (p>0.05). Conclusion: Expansive enlightenment programmes, continued medical education and inclusion of psychiatric posting in rotating residential internship programme during undergraduate courses are required for physicians not only to fill the gap in knowledge and attitude but also to improve their cognitive, communication and interpersonal skills.",anxiety; depression; family doctors specialist; GPS; knowledge and attitude; mental health; survey,"adult; anxiety; anxiety disorder; attitude to health; clinical competence; cross-sectional study; depression; female; general practice; general practitioner; health personnel attitude; human; male; mental disease; mental health; mental patient; middle aged; physician; Saudi Arabia; specialization; Adult; Anxiety; Anxiety Disorders; Attitude of Health Personnel; Clinical Competence; Cross-Sectional Studies; Depression; Depressive Disorder; Family Practice; Female; General Practitioners; Health Knowledge, Attitudes, Practice; Humans; Male; Mental Disorders; Mental Health; Mentally Ill Persons; Middle Aged; Physicians; Saudi Arabia; Specialization",,,,,,,,,,,,,,,,NLM (Medline),,,,,24137170,,,30607094,English,Ethiop J Health Sci,Article,Final,"All Open Access, Bronze, Green",Scopus,2-s2.0-85059496237 "Day N.J.S., Hunt A., Cortis-Jones L., Grenyer B.F.S.",57203662961;57203662652;57203661091;6603713960;,Clinician attitudes towards borderline personality disorder: A 15-year comparison,2018,Personality and Mental Health,12,4,,309,320,,11,10.1002/pmh.1429,https://www.scopus.com/inward/record.uri?eid=2-s2.0-85052597383&doi=10.1002%2fpmh.1429&partnerID=40&md5=50eae37a5aad4678ba6f561f8b5bf277,"Illawarra Health and Medical Research Institute and School of Psychology, University of Wollongong, Wollongong, NSW, Australia","Day, N.J.S., Illawarra Health and Medical Research Institute and School of Psychology, University of Wollongong, Wollongong, NSW, Australia; Hunt, A., Illawarra Health and Medical Research Institute and School of Psychology, University of Wollongong, Wollongong, NSW, Australia; Cortis-Jones, L., Illawarra Health and Medical Research Institute and School of Psychology, University of Wollongong, Wollongong, NSW, Australia; Grenyer, B.F.S., Illawarra Health and Medical Research Institute and School of Psychology, University of Wollongong, Wollongong, NSW, Australia","Stigma towards people with borderline personality disorder has been a common theme reported within mental health services staff. A longitudinal, mixed method design investigated attitudes of mental health staff working at the same public health service in 2000 and 2015. Participants from both the 2000 and 2015 samples completed a short 10-item version of the Attitude to Personality Disorders Questionnaire and identical qualitative questions. The 2015 sample also completed the Attitude to Deliberate Self-Harm Questionnaire and the Attitude and Skills Questionnaire. Qualitatively, the 2000 sample endorsed much more negative descriptions (e.g. ‘attention seeking’ and ‘manipulative’), and the 2015 sample focused more on treatment approaches and skills (e.g. ‘management plan’ and ‘empathy’). Quantitatively, the 2015 sample endorsed more positive attitudes than the 2000 sample. This positive attitudinal shift is an encouraging step in successful treatment of borderline personality disorder and may reflect a changing landscape of the mental health system and greater awareness and use of effective treatments. © 2018 John Wiley & Sons, Ltd. © 2018 John Wiley & Sons, Ltd.",,"adult; attitude to health; automutilation; borderline state; female; health personnel attitude; human; male; mental health service; middle aged; psychology; Adult; Attitude of Health Personnel; Borderline Personality Disorder; Female; Health Knowledge, Attitudes, Practice; Humans; Male; Mental Health Services; Middle Aged; Self-Injurious Behavior",,,,,,,,,,,,"(2013) Diagnostic and Statistical Manual of Mental Disorders, , 5th, Edition., Arlington, VA, American Psychiatric Association; Bender, D.S., Dolan, R.T., Skodol, A.E., Sanislow, C.A., Dyck, I.R., McGlashan, T.H., Treatment utilization by patients with personality disorders (2001) Am J Psychiatry, 158, pp. 295-302; Bender, D.S., Skodol, A.E., Pagano, M.E., Dyck, I.R., Grilo, C.M., Shea, M.T., Prospective assessment of treatment use by patients with personality disorders (2006) Psychiatr Serv, 57, pp. 254-257; Grenyer, B.F.S., An integrative relational step-down model of care: the project air strategy for personality disorders (2014) The ACPARIAN, 9, pp. 8-13; Fallon, P., Travelling through the system: the lived experience of people with borderline personality disorder in contact with psychiatric services (2003) J Psychiatr Ment Health Nurs, 10, pp. 393-400; Aviram, R.B., Brodsky, B.S., Stanley, B., Borderline personality disorder, stigma, and treatment implications (2006) Harv Rev Psychiatry, 14, pp. 249-256; Markham, D., Attitudes towards patients with a diagnosis of ‘borderline personality disorder’: social rejection and dangerousness (2003) J Ment Health, 12, pp. 595-612; Markham, D., Trower, P., The effects of the psychiatric label ‘borderline personality disorder’ on nursing staff's perceptions and causal attributions for challenging behaviours (2003) Br J Clin Psychiatry, 42, pp. 243-256; (2005) Not for Service: Experiences of Injusice and Despair in Mental Health Care in Australia, , Canberra, ACT, Mental Health Council of Australia; Thornicroft, G., Brohan, E., Kassam, A., Lewis-Holmes, E., Reducing stigma and discrimination: candidate interventions (2008) Int J Ment Heal Syst, 2, p. 3; Fanaian, M., Lewis, K., Grenyer, B.F.S., Improving services for people with personality disorders: the views of experienced clinicians (2013) Int J Ment Health Nurs, 22, pp. 465-471; Grenyer, B.F.S., Ng, F.Y., Townsend, M.L., Rao, S., Personality disorder: a mental health priority area (2017) Aust N Z J Psychiatry, 51, pp. 872-875; Black, D.W., Pfohl, B., Blum, N., McCormick, B., Allen, J., North, C.S., Attitudes toward borderline personality disorder: a survey of 706 mental health clinicians (2011) CNS Spectr, 16, pp. 67-74; Sansone, R.A., Sansone, L.A., Responses of mental health clinicians to patients with borderline personality disorder (2013) Innov Clin Neurosci, 10, pp. 39-42; Cleary, M., Siegfried, N., Walter, G., Experience, knowledge and attitudes of mental health staff regarding clients with a borderline personality disorder (2002) Int J Ment Health Nurs, 11, pp. 186-191; Commons Treloar, A.J., Lewis, A.J., Targeted clinical education for staff attitudes towards deliberate self-harm in borderline personality disorder: randomized controlled trial (2008) Aust. N Z J Psychiatry, 42, pp. 981-988; Shanks, C., Pfohl, B., Blum, N., Black, D.W., Can negative attitudes toward patients with borderline personality disorder be changed? The effect of attending a STEPPS workshop (2011) J Pers Disord, 25, pp. 806-812; Egan, S., Haley, S., Rees, C., Attitudes of clinical psychologists towards clients with personality disorders (2014) Aust J Psychol, 66, pp. 175-180; Beryl, R., Völlm, B., Attitudes to personality disorder of staff working in high and medium secure hospitals (2017) Personal Ment Health, , https://doi.org/10.1002/pmh.1396; Deans, C., Meocevic, E., Attitudes of registered psychiatric nurses towards patients diagnosed with borderline personality disorder (2006) Contemp Nurse, 21, pp. 43-49; Potter, N.N., What is manipulative behavior, anyway? (2006) J Pers Disord, 20, pp. 139-156; Woollaston, K., ‘Destructive whirlwind’: nurses' perceptions of patients diagnosed with borderline personality disorder (2008) J Psychiatr Ment Health Nurs, 15, pp. 703-709; Holmqvist, R., Armelius, K., Countertransference feelings and the psychiatric staff's self-image (2000) J Clin Psychol, 56, pp. 475-490; Horn, N., Johnstone, L., Brooke, S., Some service user perspectives on the diagnosis of borderline personality disorder (2007) J Ment Health, 16, pp. 255-269; Bourke, M., Grenyer, B., Therapists' metacognitive monitoring of the psychotherapeutic process with patients with borderline personality disorder (2017) J Psychiatr Pract, 23, pp. 246-253; Fraser, K., Gallop, R., Nurses' confirming/disconfirming responses to patients diagnosed with borderline personality disorder (1993) Arch Psychiatr Nurs, 7, pp. 336-341; Mackay, N., Barrowclough, C., Accident and emergency staff's perceptions of deliberate self-harm: attributions, emotions and willingness to help (2005) Br J Clin Psychiatry, 44, pp. 255-267; Clarke, L., Whittaker, M., Self-mutilation: culture, contexts and nursing responses (1998) J Clin Nurs, 7, pp. 129-137; Cristea, I.A., Gentili, C., Cotet, C.D., Palomba, D., Barbui, C., Cuijpers, P., Efficacy of psychotherapies for borderline personality disorder: a systematic review and meta-analysis (2017) JAMA Psychiat; Grenyer, B.F.S., Improved prognosis for borderline personality disorder: new treatment guidelines outline specific communication strategies that work (2013) Med J Aust, 198, pp. 464-465; Meuldijk, D., McCarthy, A., Bourke, M.E., Grenyer, B.F.S., The value of psychological treatment for borderline personality disorder: systematic review and cost offset analysis of economic evaluations (2017) PloS one, 12, pp. 1-19; Viney, L.L., Rudd, M.G., Grenyer, B.F.S., Tych, A.M., (1995) Content Analysis Scales of Psychosocial Maturity (CASPM) Scoring Manual, , Australia, Wollongong, University of Wollongong; Smith, A.E., Humphreys, M.S., Evaluation of unsupervised semantic mapping of natural language with Leximancer concept mapping (2006) Behav Res Methods, 38, pp. 262-279; Guest, G., Bunce, A., Johnson, L., How many interviews are enough? An experiment with data saturation and variability (2006) Field Methods, 18, pp. 59-82; Crouch, M., McKenzie, H., The logic of small samples in interview-based qualitative research (2006) Soc Sci Inf, 45, pp. 483-499; Hays, W.L., (1994) Statistics, , 5th, Edition., New York, Holt, Rinehart and Winston; Field, A., (2009) Discovering Statistics using IBM SPSS Statistics, , London, Sage; Goodman, L.A., Snowball sampling (1961) Ann Math Stat, 32, pp. 148-170; Bowers, L., Allan, T., The attitude to personality disorder questionnaire: psychometric properties and results (2006) J Pers Disord, 20, pp. 281-293; Bowers, L., Carr-Walker, P., Allan, T., Callaghan, P., Nijman, H., Paton, J., Attitude to personality disorder among prison officers working in a dangerous and severe personality disorder unit (2006) Int J Law Psychiatry, 29, pp. 242-333; Maltman, L., Hamilton, L., Preliminary evaluation of personality disorder awareness workshops for prison staff (2011) Br J Forensic Pract, 13, pp. 244-256; McAllister, M., Creedy, D., Moyle, M., Farrugia, C., Nurses' attitudes towards clients who self-harm (2002) J Adv Nurs, 40, pp. 578-586; Perboell, P.W., Hammer, N.M., Oestergaard, B., Konradsen, H., Danish emergency nurses' attitudes towards self-harm – a cross-sectional study (2015) Int Emerg Nurs, 23, pp. 144-149; Hauck, J.L., Harrison, B.E., Montecalvo, A.L., Psychiatric nurses' attitudes toward patients with borderline personality disorder experiencing deliberate self-harm (2013) J Psychosoc Nurs Ment Health Serv, 51, pp. 20-29; McCarthy, L., Gijbels, H., An examination of emergency department nurses' attitudes towards deliberate self-harm in an Irish teaching hospital (2009) Int Emerg Nurs, 18, pp. 29-35; Krawitz, R., Borderline personality disorder: attitudinal change following training (2004) Aust N Z J Psychiatry, 38, pp. 554-559; Corrigan, P.W., How stigma interferes with mental health care (2004) Am Psychol, 59, pp. 614-625; Hicks, K.M., Hinck, S.M., Best-practice intervention for care of clients who self-mutilate (2009) J Am Acad Nurse Pract, 21, pp. 430-436; Horsfall, J., Cleary, M., Hunt, G.E., Stigma in mental health: clients and professionals (2010) Issues Ment Health Nurs, 31, pp. 450-455","Grenyer, B.F.S.; Illawarra Health and Medical Research Institute and School of Psychology, Australia; email: grenyer@uow.edu.au",,,John Wiley and Sons Ltd,,,,,19328621,,,30094955,English,Pers. Ment. Health,Article,Final,,Scopus,2-s2.0-85052597383 "Spagnolo J., Champagne F., Leduc N., Rivard M., Piat M., Laporta M., Melki W., Charfi F.",56943316600;7006865680;7003675774;7006662689;6604070039;6602179924;15128654300;56997162600;,"Mental health knowledge, attitudes, and self-efficacy among primary care physicians working in the Greater Tunis area of Tunisia",2018,International Journal of Mental Health Systems,12,1,63,,,,12,10.1186/s13033-018-0243-x,https://www.scopus.com/inward/record.uri?eid=2-s2.0-85055693395&doi=10.1186%2fs13033-018-0243-x&partnerID=40&md5=5c25dc2c25175cc1af14c04076f563fb,"School of Public Health, IRSPUM, University of Montreal, Montreal, QC H3N1X9, Canada; School of Public Health, University of Montreal, Montreal, QC, Canada; Douglas Mental Health University Institute, McGill University, Montreal, QC, Canada; Montreal WHO-PAHO Collaborating Center for Research and Training in Mental Health, McGill University, Montreal, QC, Canada; Razi Hospital, University of Tunis El-Manar, Tunis, Tunisia; Mongi-Slim Hospital, University of Tunis El-Manar, Tunis, Tunisia","Spagnolo, J., School of Public Health, IRSPUM, University of Montreal, Montreal, QC H3N1X9, Canada; Champagne, F., School of Public Health, IRSPUM, University of Montreal, Montreal, QC H3N1X9, Canada; Leduc, N., School of Public Health, University of Montreal, Montreal, QC, Canada; Rivard, M., School of Public Health, University of Montreal, Montreal, QC, Canada; Piat, M., Douglas Mental Health University Institute, McGill University, Montreal, QC, Canada; Laporta, M., Montreal WHO-PAHO Collaborating Center for Research and Training in Mental Health, McGill University, Montreal, QC, Canada; Melki, W., Razi Hospital, University of Tunis El-Manar, Tunis, Tunisia; Charfi, F., Mongi-Slim Hospital, University of Tunis El-Manar, Tunis, Tunisia","Background: Non-specialists' involvement in mental health care is encouraged in the field of global mental health to address the treatment gap caused by mental illness, especially in low- and middle-income countries. While primary care physicians (PCPs) are involved in mental health care in Tunisia, a lower-middle-income country in North Africa, it is unclear to what extent they are prepared and willing to address mental health problems, substance use disorders, and suicide/self-harm. In this context, we aim (1) to report on mental health knowledge, attitudes, and self-efficacy among a sample of PCPs working in the Greater Tunis area, prior to the implementation of a mental health training program developed by the World Health Organization; and (2) to identify what characteristics are associated with these competencies. Methods: In total, 112 PCPs completed questionnaires related to their socio-demographic and practice characteristics, as well as their mental health knowledge, attitudes, and self-efficacy. Descriptive analyses and regression models were performed. Findings: PCPs had more knowledge about depression, symptoms related to psychosis, and best practices after a suicide attempt; had favourable attitudes about distinctions between physical and mental health, learning about mental health, and the acceptance of colleagues with mental health issues; and believed most in their capabilities related to depression and anxiety. However, most PCPs had less knowledge about substance use disorders and myths about suicide attempts; had unfavorable attitudes about the dangerousness of people with mental health problems, personal disclosure of mental illness, non-specialists' role in assessing mental health problems, and personal recovery; and believed the least in their capabilities related to substance use disorders, suicide/self-harm, and psychosis. Participation in previous mental health training, weekly hours (and weekly hours dedicated to mental health), weekly provision of psychoeducation, and certain work locations were associated with better mental health competencies, whereas mental health knowledge was negatively associated with weekly referrals to specialized services. Conclusions: Findings suggest that PCPs in our sample engage in mental health care, but with some gaps in competencies. Mental health training and increased interactions/involvement with people consulting for mental health issues may help further develop non-specialists' mental health competencies, and integrate mental health into primary care settings. © 2018 The Author(s).",Attitudes; Knowledge; Mental health; Physicians; Primary care; Self-efficacy; Tunisia,adult; Article; attitude to mental illness; controlled study; female; general practitioner; human; male; medical education; medical practice; mental disease; mental health; middle aged; physician attitude; priority journal; professional competence; professional knowledge; psychoeducation; questionnaire; self concept; Tunisia,,,,,"Institut National de Santé Publique du Québec, INSPQ; Fonds de Recherche du Québec - Santé, FRQS; Mitacs: 06835","project #33,774). Data collection was funded by Mitacs Globalink (research fellowship, #IT06835). The overall project in which this baseline collection is inscribed is funded by Institut de recherche en santé publique de l’Université de Montréal (IRSPUM)—Nouvelles initiatives. Financial support for publication was provided by Institut de recherche en santé publique de l’Université de Montréal (IRSPUM).","Jessica Spagnolo is funded by Fonds de recherche du Québec—Santé (FRQS,",,,,,"Becker, A.E., Kleinman, A., Global health and the global agenda (2013) N Engl J Med.; (2010) MhGAP Intervention Guide for Mental, Neurological and Substance Use Disorders in Non-specialized Health Settings (Version 1.0), , http://apps.who.int/iris/bitstream/10665/44406/1/9789241548069_eng.pdf, WHO Geneva: World Health Organization Accessed 22 Dec 2017; (2013) Mental Health Action Plan, 2013-2020, , http://apps.who.int/iris/bitstream/10665/89966/1/9789241506021_eng.pdf?ua=1, WHO World Geneva: Health Organization Accessed 15 Dec 2017; (2016) MhGAP Intervention Guide for Mental, Neurological and Substance Use Disorders in Non-specialized Health Settings (Version 2.0), , http://apps.who.int/iris/bitstream/10665/250239/1/9789241549790-eng.pdf, WHO Geneva: World Health Organization Accessed 22 Dec 2017; Van Ginneken, N., Tharyan, P., Rao, G.N., Meera, S.M., Pian, J., Chandrashekar, S., Patel, V., Non-specialist health worker interventions for the care of mental, neurological and substance-abuse disorders in low- and middle-income countries (2013) Cochrane Library.; Bruckner, T.A., Scheffler, R.M., Shen, G., Yoon, J., Chisholm, D., Morris, J., Fulton, B.D., Saxena, S., The mental health workforce gap in low- and middle-income countries: A needs-based approach (2010) Bull World Health Organ.; Kakuma, R., Minas, H., Van Ginneken, N., Dal Poz, M.R., Desiraju, K., Morris, J.E., Saxena, S., Scheffler, R.M., Human resources for mental health care: Current situation and strategies for action (2011) Lancet.; (2015) 2014 Mental Health Atlas, , http://apps.who.int/iris/bitstream/10665/178879/1/9789241565011_eng.pdf, WHO Geneva: World Health Organization Accessed 28 Nov 2017; Madur, G., Non-specialists can reduce symptoms in mental health patients in developing countries, says Cochrane review (2013) BMJ.; Montaño, D.E., Kasprzyk, D., Theory of reasoned action, theory of planned behavior, and the integrated behavioral model (2008) Health Behavior and Health Education: Theory, Research, and Practice, pp. 67-92. , K. 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Prince (eds) Oxford University Press New York; Fleury, M.J., Bamvita, J.M., Farand, L., Tremblay, J., Variables associated with general practitioners taking on patients with common mental disorders (2008) Ment Health Fam Med.; Fleury, M.J., Imboua, A., Aubé, D., Farand, L., Lambert, Y., General practitioners' management of mental disorders: A rewarding practice with considerable obstacles (2012) BMC Fam Pract.; Spagnolo, J., Champagne, F., Leduc, N., Melki, W., Guesmi, I., Bram, N., Guisset, A.L., Charfi, F., Tailoring a training based on the Mental Health Gap Action Programme (mhGAP) Intervention Guide (IG) to Tunisia: Process and relevant adaptations (2018) Glob Ment Health.; Ferrari, A.J., Norman, R.E., Freedman, G., Baxter, A.J., Pirkis, J.E., Harris, M.G., Page, A., Whiteford, H.A., The burden attributable to mental and substance use disorders as risk factors for suicide: Findings from the global burden of disease study 2010 (2014) PLoS ONE.; Sweileh, W., Zyoud, S.H., Al-Jabi, S.W., Sawalha, A.F., Substance use disorders in Arab countries: Research activity and bibliometric analysis (2014) Subst Abuse Treat Prev Policy.; Burti, L., Mosher, L.R., Attitudes, values and beliefs of mental health workers (2003) Epidemiol Psichiatr Soc., 12 (4), pp. 227-231; Thornicroft, G., Brohan, E., Kassam, A., Lewis-Holmes, E., Reducing stigma and discrimination: Candidate interventions (2008) Int J Ment Health Syst.; Mascayano, F., Armijo, J.E., Yang, L.H., Addressing stigma relating to mental illness in low- and middle-income countries (2015) Front Psychiatry.; Aboaja, A., Myles, P., Hughes, P., Mental health e-supervision for primary care doctors in Sudan using the WHO mhGAP Intervention Guide (2015) Br J Psych Int.; Sheikh, T.L., Adekeye, O., Olisah, V.O., Mohammed, A., Stigmatisation of mental illness among employees of a northern Nigerian university (2015) Niger Med J.; Li, J., Li, J., Thornicroft, G., Huang, Y., Levels of stigma among community mental health staff in Guangzhou, China (2014) BMC Psychiatry.; Michalak, E.E., Livingston, J.D., Maxwell, V., Hole, R., Hawke, L.D., Parikh, S.V., Using theatre to address mental illness stigma: A knowledge translation study in bipolar disorder (2014) Int J Bipolar Disord.; Nana Dube, F., Uys LR (2016) Integrating Mental Health Care Services in Primary Health Care Clinics: A Survey of Primary Health Care Nurses' Knowledge, Attitudes and Beliefs.; Janoušková, M., Weissová, A., Formánek, T., Pasz, J., Bankovská-Motlová, L., Mental illness stigma among medical students and teachers (2017) Int J Soc Psychiatry.; Khenti, A., Mann, R., Sapag, J.C., Bobbili, S.J., Lentinello, E.K., Van Der Maas, M., Agic, B., Corrigan, C., Protocol: A cluster randomised control trial study exploring stigmatisation and recovery-based perspectives regarding mental illness and substance use problems among primary healthcare providers across Toronto, Ontario (2017) BMJ Open.; Décret n° 2011-4132 du 17 novembre 2011, fixant le cadre général du régime des études médicales habilitant à l'exercice de la médecine de famille et à la spécialisation en médecine (2011) J Officiel de la République Tunisienne., 90, pp. 2701-2707. , Ministère de la santé publique","Spagnolo, J.; School of Public Health, Canada; email: jessica.maria-violanda.spagnolo@umontreal.ca",,,BioMed Central Ltd.,,,,,17524458,,,,English,Int. J. Ment. Health Syst.,Article,Final,"All Open Access, Gold, Green",Scopus,2-s2.0-85055693395 "Pranckeviciene A., Zardeckaite-Matulaitiene K., Marksaityte R., Endriulaitiene A., Tillman D.R., Hof D.D.",8720784700;37029118400;26423799800;16744902000;55875476500;24480980300;,Social distance in Lithuanian psychology and social work students and professionals,2018,Social Psychiatry and Psychiatric Epidemiology,53,8,,849,857,,6,10.1007/s00127-018-1495-0,https://www.scopus.com/inward/record.uri?eid=2-s2.0-85042125747&doi=10.1007%2fs00127-018-1495-0&partnerID=40&md5=0dc95992da9b483360750dc102c21b99,"Neuroscience Institute, Lithuanian University of Health Sciences, Eiveniu str. 4, Kaunas, 50161, Lithuania; Psychology Department, Vytautas Magnus University, Jonavos str. 66-328, Kaunas, 44191, Lithuania; Univeristy of Nebraska Kearney, 2504 9th Ave, Kearney, NE 68849, United States","Pranckeviciene, A., Neuroscience Institute, Lithuanian University of Health Sciences, Eiveniu str. 4, Kaunas, 50161, Lithuania, Psychology Department, Vytautas Magnus University, Jonavos str. 66-328, Kaunas, 44191, Lithuania; Zardeckaite-Matulaitiene, K., Psychology Department, Vytautas Magnus University, Jonavos str. 66-328, Kaunas, 44191, Lithuania; Marksaityte, R., Psychology Department, Vytautas Magnus University, Jonavos str. 66-328, Kaunas, 44191, Lithuania; Endriulaitiene, A., Psychology Department, Vytautas Magnus University, Jonavos str. 66-328, Kaunas, 44191, Lithuania; Tillman, D.R., Univeristy of Nebraska Kearney, 2504 9th Ave, Kearney, NE 68849, United States; Hof, D.D., Univeristy of Nebraska Kearney, 2504 9th Ave, Kearney, NE 68849, United States","Purpose: This cross-sectional study aimed to compare desire for social distance from people with mental illness in the disciplines of social work and psychology, and among students and professionals having different professional experience. Methods: 948 respondents (715 students and 233 professionals) from Lithuanian educational and mental health-care institutions participated in an anonymous survey. Social distance was measured using Lithuanian Social Distance Scale which was created for this study. Participants also answered questions about familiarity with mental illness. Bias of social desirability was measured using the balanced inventory of desirable responding. Results: Series of ANCOVA analysis revealed that psychology and social work master’s and PhD students reported less social distance from people with mental illness when compared with bachelor’s students. Familiarity with mental illness was significantly related to less social distance in the student sample, but not in professionals’ sample. The strongest desire for social distance in the professionals’ sample was observed in social workers having less than 5 years of professional practice and most experienced psychologists with more than 10 years of professional practice. Conclusions: Social distance from people with mental illness decreases through the study years; however, results of professional psychologists and social workers illustrate different trajectories in social distance through the professional career. The results of this study support the need for anti-stigma programmes and initiatives orientated towards mental health professionals. © 2018, Springer-Verlag GmbH Germany, part of Springer Nature.",Professional experience; Psychologists; Social distance from people with mental illness; Social workers; Students,"adult; cross-sectional study; education; female; health care personnel; health student; human; Lithuania; male; mental disease; psychology; questionnaire; social distance; social stigma; social work; Adult; Cross-Sectional Studies; Female; Health Personnel; Humans; Lithuania; Male; Mental Disorders; Psychology; Social Distance; Social Stigma; Social Work; Students, Health Occupations; Surveys and Questionnaires",,,,,Lietuvos Mokslo Taryba: MIP-001/2015,Funding Preparation of this paper was supported by the Research Council of Lithuania (Grant number: MIP-001/2015).,,,,,,"Anagnostopoulos, F., Hantzi, A., Familiarity with and social distance from people with mental illness: testing the mediating effects of prejudiced attitudes (2011) J Community Appl Soc Psychol, 21, pp. 451-460; Corrigan, P., How stigma interferes with mental health care (2004) Am Psychol, 59 (7), pp. 614-625. , PID: 15491256; Overton, S.L., Medina, S.L., The stigma of mental illness (2008) J Couns, 86 (2), pp. 143-151; Lammie, C., Harrison, T.E., Macmahon, K., Knifton, L., Practitioner attitudes towards patients in forensic mental health settings (2010) J Psychiatr Ment Health Nurs, 17 (8), pp. 706-714. , PID: 21050337; Brown, R., Griggs, M., Cummins, J., Nittler, J., Gordy-Panhorst, K., Hoffman, K.G., What can a brief narrative exercise reveal about medical students’ development as patient-centered physicians and their attitudes toward patients with mental illness? 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(2002) J Ment Health, 11, pp. 657-665; Serafini, G., Pompili, M., Haghighat, R., Pucci, D., Pastina, M., Lester, D., Stigmatization of schizophrenia as perceived by nurses, medical doctors, medical students and patients (2011) J Psychiatr Ment Health Nurs, 18 (7), pp. 576-585. , PID: 21848591; Sivakumar, K., Wilkinson, G., Toone, B.K., Greer, S., Attitudes to psychiatry in doctors at the end of their first post-graduate year: two-year follow-up of a cohort of medical students (1986) Psychol Med, 16 (2), pp. 457-460. , PID: 3726016; Rubio-Valera, M., Aznar-Lou, I., Vives-Collet, M., Fernandez, A., Gil-Girbau, M., Serrano-Blanco, A., Reducing the mental health-related stigma of social work students: a cluster RCT (2016) Res Soc Work Pract; Phelan, J.E., Basow, S.A., College students’ attitudes toward mental illness: an examination of the stigma process (2007) J Appl Soc Psychol, 37 (12), pp. 2877-2902; Gable, K.N., Muhlstadt, K.L., Celio, M.A., A mental health elective to improve pharmacy students’ perspectives on mental illness (2011) Am J Pharm Educ, 75 (2); Ahmedani, B.K., Mental health stigma: society, individuals, and the profession (2011) J Soc Work, 8 (2), pp. 1-16; Maranzan, K.A., Addressing mental illness stigma in the psychology classroom (2016) PLAT, 15 (3), pp. 235-249; Knaak, S., Modgill, G., Patten, S.B., Key ingredients of anti-stigma programs for health care providers: a data synthesis of evaluative studies (2014) Can J Psychiatry, 59 (10), pp. S19-S26. , PID: 25565698; Lebowitz, M.S., Ahn, W., Using personification and agency reorientation to reduce mental-health clinicians’ stigmatizing attitudes toward patients (2016) Stigma Health, 1 (3), pp. 176-184. , PID: 27766309; Casad, B.J., Flores, A.J., Didway, J.D., Using the Implicit Association Test as an unconsciousness raising tool in psychology (2012) Teach Psychol, 40 (2), pp. 118-123","Pranckeviciene, A.; Neuroscience Institute, Eiveniu str. 4, Lithuania; email: aiste.pranckeviciene@lsmuni.lt",,,Dr. Dietrich Steinkopff Verlag GmbH and Co. KG,,,,,9337954,,SPPEE,29453748,English,Soc. Psychiatry Psychiatr. Epidemiol.,Article,Final,,Scopus,2-s2.0-85042125747 "Caplan S., Little T.V., Reyna P., Sosa Lovera A., Garces-King J., Queen K., Nahar R.",22133309200;57213891918;57190944052;57190943059;57190944778;57190950822;56459886600;,Mental health services in the Dominican Republic from the perspective of health care providers,2018,Global Public Health,13,7,,874,898,,6,10.1080/17441692.2016.1213308,https://www.scopus.com/inward/record.uri?eid=2-s2.0-84984626871&doi=10.1080%2f17441692.2016.1213308&partnerID=40&md5=2d4026fd0eb6727112f20697aaa59e58,"School of Nursing, Rutgers, The State University of New Jersey, New Brunswick, NJ, United States; College of Liberal Arts, University of Massachusetts Boston, Boston, MA, United States; Department of Mental Health, Ministry of Public Health, Santo Domingo, Dominican Republic; New Jersey Trauma Center, University Hospital, Newark, NJ, United States; Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, United States","Caplan, S., School of Nursing, Rutgers, The State University of New Jersey, New Brunswick, NJ, United States; Little, T.V., College of Liberal Arts, University of Massachusetts Boston, Boston, MA, United States; Reyna, P., Department of Mental Health, Ministry of Public Health, Santo Domingo, Dominican Republic; Sosa Lovera, A., Department of Mental Health, Ministry of Public Health, Santo Domingo, Dominican Republic; Garces-King, J., New Jersey Trauma Center, University Hospital, Newark, NJ, United States; Queen, K., Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, United States; Nahar, R., Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, United States","This study examines mental health services in five different regions of the Dominican Republic (DR) from the perspectives of health care providers. The purpose of this research was to (1) examine existing mental health care services; (2) identify barriers to treatment and mental health services delivery; and (3) explore potential strategies to improve mental health services delivery. Thirty-seven health care workers including physicians, nurses, psychologists, governmental administrators, and non-governmental community health workers were part of five focus groups and subsequent follow-up interviews. Transcripts were coded and analysed to obtain the most parsimonious categories of themes. Results indicated that there is insufficient funding allocated to mental health. The unreliable distribution of psychiatric medications precludes care for patients with severe chronic mental illness. Stigmatising attitudes among health care providers influences the quality of care. The prevalence of domestic violence is a significant public health problem contributing to mental illness. In conclusion, our study findings call for a re-examination of priority public health foci, with special attention to mental health and domestic violence in the DR. From a policy perspective, mental health care should be integrated into primary care and coupled with provider and patient education to reduce stigma. A social determinants approach could ameliorate systemic factors contributing to mental illness. © 2016 Informa UK Limited, trading as Taylor & Francis Group.",domestic violence; Dominican Republic; Mental health services; policy; stigma,Article; domestic violence; Dominican Republic; female; health auxiliary; health care delivery; health care disparity; health care policy; health personnel attitude; human; male; mental disease; mental health care; mental health care personnel; mental health service; nurse; patient education; physician; primary medical care; priority journal; stigma; health care personnel; health personnel attitude; information processing; interview; psychology; public health; qualitative research; social stigma; Attitude of Health Personnel; Dominican Republic; Female; Focus Groups; Health Personnel; Humans; Interviews as Topic; Male; Mental Health Services; Public Health; Qualitative Research; Social Stigma,,,,,"Center for Global Health, CGH; Rutgers, The State University of New Jersey","This work was supported by the Rutgers Centers for Global Advancement and International Affairs (GAIA Centers). Office of the Minister of Mental Health, Dominican Republic and Dr Miese Michel, Dr Plinio Lora Pacheco, Luis Fecundo, Greorio Malena, Vice-Consul, the staff at Padre Billini, Hospital, Santo Domingo, the staff at Dr. Luis Manuel Murillo King, La Vega, Hospital Municipal of Yamasa, the staff at Dr. Pedro E. De Marchena Hospital, Bonao, the staff at San Cristobal Community Medical Clinic, the Office of Research, UNIBE, The Center for International, Advancement and Global Affairs, International Collaborative Research grants, Rutgers, The State University of New Jersey, The Center for Urban Youth, Rutgers School of Nursing, Karen W. Lin, MD, Associate Professor, Department of Family Medicine and Community Health, Robert Wood Johnson Medical School, Assistant Dean for Global Health, Javier I Escobar MD, Associate Dean for Global Health, Professor of Psychiatry and Family Medicine, Rutgers-Robert Wood Johnson Medical School, and Jonathan Tsui, Medical Student, Rutgers-Robert Wood Johnson Medical School.",,,,,,"Acosta, D., Rottbeck, R., Rodriguez, J.G., Gonzalez, L.M., Almanzar, M.R., Minaya, S.N., Prince, M.J., The prevalence and social patterning of chronic diseases among older people in a population undergoing health transition. 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Retrieved from","Caplan, S.; School of Nursing, United States; email: susan.caplan@rutgers.edu",,,Routledge,,,,,17441692,,,27568727,English,Global Public Health,Article,Final,,Scopus,2-s2.0-84984626871 "Beryl R., Völlm B.",56347244500;6602415383;,Attitudes to personality disorder of staff working in high-security and medium-security hospitals,2018,Personality and Mental Health,12,1,,25,37,,11,10.1002/pmh.1396,https://www.scopus.com/inward/record.uri?eid=2-s2.0-85042103450&doi=10.1002%2fpmh.1396&partnerID=40&md5=778ee3fa117bff75a0bd51968378e8fd,"Centre of Forensic and Family Psychology, Division of Psychiatry and Applied Psychology, School of Medicine, University of Nottingham, Floor B, Yang Fujia Building, Jubilee Campus, Wollaton Road, Nottingham, NG8 1BB, United Kingdom; Division of Psychiatry and Applied Psychology, School of Medicine, Institute of Mental Health, University of Nottingham Innovation Park, University of Nottingham, Triumph Rd, Nottingham, NG7 2TU, United Kingdom","Beryl, R., Centre of Forensic and Family Psychology, Division of Psychiatry and Applied Psychology, School of Medicine, University of Nottingham, Floor B, Yang Fujia Building, Jubilee Campus, Wollaton Road, Nottingham, NG8 1BB, United Kingdom; Völlm, B., Division of Psychiatry and Applied Psychology, School of Medicine, Institute of Mental Health, University of Nottingham Innovation Park, University of Nottingham, Triumph Rd, Nottingham, NG7 2TU, United Kingdom","The discourse surrounding personality disorder is largely negative, and the diagnosis is considered to be associated with a degree of stigma. This study aimed to investigate staff attitudes towards personality disorder in high-security and medium-security forensic–psychiatric hospitals in the UK. The Attitude to Personality Disorder Questionnaire was completed by 132 participants who were all current employees with clinical roles. Staff attitudes to personality disorder in the current study were significantly less positive than in comparable studies in similar settings. Having completed staff training surrounding personality disorder and being from a non-nursing professional background were the best predictors of positive attitudes to personality disorder. The findings of this study offer support to the pursuit of improving access to training in personality disorder for those working with this clinical presentation. Copyright © 2017 John Wiley & Sons, Ltd. Copyright © 2017 John Wiley & Sons, Ltd.",,"adult; attitude to health; female; forensic psychiatry; health personnel attitude; hospital personnel; human; male; mental hospital; middle aged; personality disorder; statistics and numerical data; United Kingdom; Adult; Attitude of Health Personnel; Female; Forensic Psychiatry; Health Knowledge, Attitudes, Practice; Hospitals, Psychiatric; Humans; Male; Middle Aged; Personality Disorders; Personnel, Hospital; United Kingdom",,,,,,,,,,,,"Tyrer, P., Mulder, R., Crawford, M., Newton-Howes, G., Simonsen, E., Ndetei, D., Personality disorder: A new global perspective (2010) World Psychiatry, 9, pp. 56-60; Huang, B., Grant, B.F., Dawson, D.A., Stinson, F.S., Chou, S.P., Saha, T.D., Race-ethnicity and the prevalence and co-occurrence of diagnostic and statistical manual of mental disorders, fourth edition, alcohol and drug use disorders and axis I and II disorders: United States, 2001 to 2002 (2006) Compr Psychiatry, 47, pp. 252-257; Beckwith, H., Moran, P.F., Reilly, J., Personality disorder prevalence in psychiatric outpatients: A systematic literature review (2014) Personality and Mental Health, 8, pp. 91-101; Lazenweger, M.F., Epidemiology of personality disorders (2008) Psychiatric Clinics of North America, 31 (3), pp. 395-403; Fazel, S., Danesh, J., Serious mental disorder in 23000 prisoners: A systematic review of 62 surveys (2002) The Lancet, 359, pp. 545-550; Colom, F., Vieta, E.M., Martínez-Arán, A., Reinares, M., Benabarre, A., Gastó, C., Clinical factors associated with treatment noncompliance in euthymic bipolar patients (2000) J Clin Psychiatry, 61, pp. 549-555; Newton-Howes, G., Tyrer, P., Johnson, T., Personality disorder and the outcome of depression: A meta-analysis of published studies (2006) Br J Psychiatry, 188, pp. 13-20; Newton-Howes, G., Tyrer, P., Weaver, T., Social functioning of patients with personality disorder in secondary care (2008) Psychiatr Serv, 59, pp. 1033-1037; Brody, E.M., Farber, B.A., The effects of therapist experience and patient diagnosis on countertransference (1996) Psychotherapy, 33, pp. 372-380; Lewis, G., Appleby, L., Personality disorder: The patients psychiatrists dislike (1988) Br J Psychiatry, 153, pp. 44-49; Markham, D., Attitudes towards patients with a diagnosis of ‘borderline personality disorder’: social rejection and dangerousness (2003) Journal of Mental Health, 12 (6), pp. 595-612; Bowers, L., Carr-Walker, P., Allan, T., Callaghan, P., Nijman, H., Paton, J., Attitude to personality disorder among prison officers working in a dangerous and severe personality disorder unit (2006) Int J Law Psychiatry, 29, pp. 333-342; Gallop, R., Lancee, W.J., Garfinkel, P., How nursing staff respond to the label borderline personality (1989) Hospital and Community Psychiatry, 40 (8), pp. 815-819; Woollaston, K., Hixenbaugh, P., ‘Destructive Whirlwind’: nurses' perceptions of patients diagnosed with Borderline Personality Disorder (1989) J Psychiatr Ment Health Nurs, 15, pp. 703-709; Sheehan, L., Nieweglowski, K., Corrigan, P., The stigma of personality disorders (2016) Curr Psychiatry Rep, 18, pp. 1-7; Black, D.W., Pfohl, B., Blum, N., McCormick, B., Allen, J., North, C.S., Attitudes towards borderline personality disorder: A survey of 706 mental health clinicians (2011) CNS Spectr, 16, pp. 67-74; Nehls, N., Borderline personality disorder: The voice of patients (1999) Research in Nursing and Health, 22, pp. 285-293; Moore, E., Personality disorder: Its impact on staff and the role of supervision (2012) Advances in Psychiatric Treatment, 18 (1), pp. 44-55; Adshead, G., Three degrees of security: Attachment and forensic institutions (2002) Crim Behav Ment Health, 12, pp. S31-S45; Blackburn, R., Logan, C., Donnelly, J., Renwick, S., Personality disorder, psychopathy, and other mental disorders: Comorbidity among mentally disordered offenders in English and Scottish high security hospitals (2003) Journal of Forensic Psychiatry, 14 (111), p. 137; Davison, S.E., Principles of managing patients with personality disorder (2002) Advances in Psychiatric Treatment, 8 (1), pp. 1-9; Maden, A., Curle, C., Meux, C., (1995) Treatment and security needs of special hospital patients, , London, Whurr; Bowers, L., Allan, T., The Attitude to Personality Disorder Questionnaire: Psychometric properties and results (2006) J Pers Disord, 20 (3), pp. 281-293; Bowers, L., Callaghan, P., Nijman, H., Paton, J., Carr-Walker, P., Allan, T., (2003) The Right People for the Job: choosing staff that will adjust positively and productively to working in the new personality disorder (PD) services, , Report to the Home Office., London, City University; (2003) Personality disorder: No longer a diagnosis of exclusion—Policy implementation guidance for the development of services for people with personality disorder, , London, Department of Health; (2003) Breaking the cycle of rejection: The personality disorder capabilities framework, , London, Department of Health; (2007) The knowledge and understanding framework, , London, DoH & MoJ; (2009) Recognising complexity: Commissioning guidance for personality disorder, , London, DH; Joseph, N., Benefield, N., A joint offender personality disorder pathway strategy: An outline summary (2012) Criminal Behaviour & Mental Health, 22, pp. 210-217; Carr-Walker, P., Bowers, L., Callaghan, P., Nijman, H., Paton, J., Attitudes towards personality disorders: Comparison between prison officers and psychiatric nurses (2004) Legal and Criminological Psychology, 9 (2), pp. 265-277; Bowers, L., McFarlane, L., Kiyimba, F., Clark, N., Alexander, J., (2000) Factors underlying and maintaining nurses' attitudes to patients with severe personality disorder, , Final report to National Forensic Mental Health R&D; Bowers, L., Whittington, R., Nolan, P., Parkin, D., Curtis, S., Bhui, K., Relationship between service ecology, special observation and self-harm during acute in-patient care: City-128 study (2008) Br J Psychiatry, 193 (5), pp. 395-401; Purves, D., Sands, N., Crisis and triage clinicians' attitudes toward working with people with personality disorder (2009) Perspect Psychiatr Care, 45 (3), pp. 208-215; Chartonas, D., Kyratsous, M., Dracass, S., Lee, T., Bhui, K., Personality disorder: still the patients psychiatrists dislike? (2017) BJPsych Bull, 41, pp. 12-17; Jorm, A.F., Korten, A.E., Jacomb, P.A., Beliefs about the helpfulness of interventions for mental disorders: A comparison of general practitioners, psychiatrists and clinical psychologists (1997) Aust N Z J Psychiatry, 31, pp. 844-851; Jorm, A.F., Mental health literacy: Empowering the community to take action for better mental health (2012) Am Psychol, 67, pp. 231-243; Shanks, C., Pfohl, B., Blum, N., Black, D.W., Can negative attitudes toward patients with borderline personality disorder be changed? The effect of attending a STEPPS workshop (2011) J Pers Disord, 25, pp. 806-812; Krawitz, R., Borderline Personality disorder: attitudinal change following training (2004) Aust N Z J Psychiatry, 38, pp. 554-559; Davies, J., Sampson, M., Beesley, F., Smith, D., Baldwin, V., An evaluation of knowledge and understanding framework personality disorder awareness training: Can a co-production model be effective in a local NHS mental health trust? (2014) Personality and Mental Health, 8 (2), pp. 161-168; Lamph, G., Latham, C., Smith, D., Brown, A., Doyle, J., Sampson, M., Evaluating the impact of a nationally recognised training programme that aims to raise the awareness and challenge attitudes of personality disorder in multi-agency partners (2014) Journal of Mental Health Training, Education and Practice, 9 (2), pp. 89-100; Bolton, W., Feigenbaum, J., Jones, A., Woodward, C., (2010) Development of the PD-KASQ-personality disorder—Knowledge, , Attitudes and Skills Questionnaire, Unpublished; Breeze, J.A., Repper, J., Struggling for control: the care experiences of, difficult' patients in mental health services (1998) J Adv Nurs, 28, pp. 1301-1311; Bodner, E., Cohen-Fridel, S., Mashiah, M., Segal, M., Grinshpoon, A., Fischel, T., The attitudes of psychiatric hospital staff toward hospitalisation and treatment of patients with border personality disorder (2015) BMC Psychiatry, 15 (2), pp. 1-12; Clarke-Moore, J., Barber, M., (2009) A Secure Model of Nursing Care for Women in Therapeutic Relationships with Offenders, , In, Aiyegbusi A, Clarke-Moore J, eds., Publishers Jessica Kingsley; (2009) Borderline Personality Disorder: Treatment and Management, , Leicester (UK), British Psychological Society, NICE Clinical Guidelines, 78, 8; Murphy, N., McVey, D., The difficulties that staff experience in treating individuals with personality disorder (2010) Treating Personality Disorder, pp. 1-5. , In, McVey D, #x0026;, Murphy N, eds., Sussex, Routledge; Handerson, E., Harada, N., Amar, A., Caring for the forensic population: Recognizing the educational needs of emergency department nurses and physicians (2012) J Forensic Nurs, 8 (4), pp. 170-177","Beryl, R.; Centre of Forensic and Family Psychology, Floor B, Yang Fujia Building, Jubilee Campus, Wollaton Road, United Kingdom; email: rachelberyl16@gmail.com",,,John Wiley and Sons Ltd,,,,,19328621,,,29024462,English,Pers. Ment. Health,Article,Final,"All Open Access, Green",Scopus,2-s2.0-85042103450 "Adjorlolo S., Abdul-Nasiru I., Chan H.C., Bambi L.E.",56392927200;56993980700;25921240400;57200293817;,Mental Health Professionals’ Attitudes Toward Offenders With Mental Illness (Insanity Acquittees) in Ghana,2018,International Journal of Offender Therapy and Comparative Criminology,62,3,,629,654,,15,10.1177/0306624X16666802,https://www.scopus.com/inward/record.uri?eid=2-s2.0-85040699898&doi=10.1177%2f0306624X16666802&partnerID=40&md5=037cac6a5ba9fa97bc8450180ff75fd6,"City University of Hong Kong, Kowloon, Hong Kong; University of Ghana, Accra, Ghana","Adjorlolo, S., City University of Hong Kong, Kowloon, Hong Kong; Abdul-Nasiru, I., University of Ghana, Accra, Ghana; Chan, H.C., City University of Hong Kong, Kowloon, Hong Kong; Bambi, L.E., University of Ghana, Accra, Ghana","Mental health professionals’ attitudes toward offenders with mental illness have significant implications for the quality of care and treatment rendered, making it imperative for these professionals to be aware of their attitudes. Yet, this topical issue has received little research attention. Consequently, the present study investigates attitudes toward offenders with mental illness (insanity acquittees) in a sample of 113 registered mental health nurses in Ghana. Using a cross-sectional survey and self-report methodology, the participants respond to measures of attitudes toward offenders with mental illness, attitudes toward mental illness, conviction proneness, and criminal blameworthiness. The results show that mental health nurses who reportedly practiced for a longer duration (6 years and above) were more likely to be unsympathetic, while the male nurses who were aged 30 years and above were more likely to hold offenders with mental illness strictly liable for their offenses. Importantly, the nurses’ scores in conviction proneness and criminal blameworthiness significantly predict negative attitudes toward the offenders even after controlling for their attitudes toward mental illness. Yet, when the nurses’ conviction proneness and criminal blameworthiness were held constant, their attitudes toward mental illness failed to predict attitudes toward the offenders. This initial finding implies that the nurses’ views regarding criminal blameworthiness and conviction may be more influential in understanding their attitudes toward offenders with mental illness relative to their attitudes toward mental illness. © 2016, © The Author(s) 2016.",Africa; attitudes; Ghana; insanity defense; mental health nurses; offenders with mental illness,adult; article; forensic psychiatry; Ghana; human; male; male nurse; mental health; offender; self report; cross-sectional study; female; Ghana; health personnel attitude; mental patient; nurse; psychiatric nursing; questionnaire; Adult; Attitude of Health Personnel; Cross-Sectional Studies; Female; Ghana; Humans; Insanity Defense; Male; Mentally Ill Persons; Nurses; Psychiatric Nursing; Surveys and Questionnaires,,,,,,,,,,,,"Adinkrah, M., Criminal prosecution of suicide attempt survivors in Ghana (2013) International Journal of Offender Therapy and Comparative Criminology, 57, pp. 1477-1497; Adinkrah, M., Homicide-suicide in Ghana: Perpetrators, victims, and incidence characteristics (2014) International Journal of Offender Therapy and Comparative Criminology, 58, pp. 364-387; Adinkrah, M., (2015) Witchcraft, witches and violence in Ghana, , New York, NY, Berghahn Books; Adjorlolo, S., Can teleneuropsychology help meet the neuropsychological needs of Western Africans? 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Morgan, R.D., Steffan, J., Shaw, L.B., Wilson, S., Needs for and barriers to correctional mental health services: Inmate perceptions (2007) Psychiatric Services, 58, pp. 1181-1186; Nelson, M., Herlihy, B., Oescher, J., A survey of counselor attitudes towards sex offenders (2002) Journal of Mental Health Counseling, 24, pp. 51-67; Paradis, C.M., Solomon, L.Z., Owen, E., Brooker, M., Detection of cognitive malingering or suboptimal effort in defendants undergoing competency to stand trial evaluations (2013) Journal of Forensic Psychology Practice, 13, pp. 245-265; Raimundo Oda, A.M.G., Banzato, C.E.M., Dalgalarrondo, P., Some origins of cross-cultural psychiatry (2005) History of Psychiatry, 16, pp. 155-169; Read, U.M., Doku, V., Mental health research in Ghana: A literature review (2012) Ghana Medical Journal, 46, pp. 29-38; Renzaglia, G., Vess, J., Hodel, B., McCrary, L., Mentally disordered offenders: From forensic state hospital to conditional release in California (2004) International Journal of Law and Psychiatry, 27, pp. 31-44; Roberts, M., Mogan, C., Asare, J., An overview of Ghana’s mental health system: Results from an assessment using the World Health Organization’s Assessment Instrument for Mental Health Systems (WHO-AIMS) (2014) International Journal of Mental Health Systems, 8, p. 16; Rollwagen, H., The relationship between dwelling type and fear of crime (2016) Environment and Behavior, 48, pp. 365-387; Rose, D.N., Peter, E., Gallop, R., Angus, J.E., Liaschenko, J., Respect in forensic psychiatric nurse-patient relationships: A practical compromise (2011) Journal of Forensic Nursing, 7, pp. 3-16; Salekin, R.T., Worley, C., Grimes, R.D., Treatment of psychopathy: A review and brief introduction to the mental model approach for psychopathy (2010) Behavioral Sciences & the Law, 28, pp. 235-266; Skeem, J.L., Louden, J.E., Evans, J., Venirepersons’s attitudes toward the insanity defense: Developing, refining, and validating a scale (2004) Law and Human Behavior, 28, pp. 623-648; Steadman, H., Monahan, J., Hartstone, E., Davis, S., Robbins, P., Mentally disordered offenders (1982) Law and Human Behavior, 6, pp. 31-38; Stuber, J.P., Rocha, A., Christian, A., Link, B.G., Conceptions of mental illness: Attitudes of mental health professionals and the general public (2014) Psychiatric Services, 65, pp. 490-497; Tabachnick, B.G., Fidell, L.S., (2007) Using multivariate statistics, , 5th ed., Boston, MA, Pearson; Tseloni, A., Zarafonitou, C., Fear of crime and victimization: A multivariate multilevel analysis of competing measurements (2008) European Journal of Criminology, 5, pp. 387-409; Turkson, S., Asante, K., Psychiatric disorders among offender patients in the Accra Psychiatric Hospital (1996) West African Journal of Medicine, 16, pp. 88-92; Van Hal, G., The true cost of the economic crisis on psychological well-being: A review (2015) Psychology Research and Behavior Management, 8, pp. 17-25; Van Overwalle, F., Siebler, F., A connectionist model of attitude formation and change (2005) Personality and Social Psychology Review, 9, pp. 231-274; Vitacco, M.J., Malesky, L.A., Erickson, S., Leslie, W., Croysdale, A., Bloechl, A., Measuring attitudes toward the insanity defense in venirepersons: Refining the IDA-R in the evaluation of juror bias (2009) International Journal of Forensic Mental Health, 8, pp. 62-70; Vitacco, M.J., Vauter, R., Erickson, S.K., Ragatz, L., Evaluating conditional release in not guilty by reason of insanity acquittees: A prospective follow-up study in Virginia (2014) Law and Human Behavior, 38, pp. 346-356; Wampold, B.E., (2001) The great psychotherapy debate: Models, methods, and findings, , Mahwah, NJ, Lawrence Erlbaum; Wasyliw, O.E., Grossman, L.S., Haywood, T.W., Cavanaugh, J.L., Jr., The detection of malingering in criminal forensic groups: MMPI validity scales (1988) Journal of Personality Assessment, 52, pp. 321-333; Wilkins, K., Shields, M., Employer-provided support services and job dissatisfaction in Canadian registered nurses (2009) Nursing Research, 58, pp. 255-263; (2007) Ghana: A progressive mental health law. The country summary series, , Geneva, Switerland, WHO Department of Mental Health and Substance Abuse; Yeo, S., The insanity defence in the criminal laws of the Commonwealth of Nations (2008) Singapore Journal of Legal Studies, pp. 229-241. , December; Zajonc, R.B., Attitudinal effects of mere exposure (1968) Journal of Personality and Social Psychology, 9, pp. 248-251","Chan, H.C.; Department of Applied Social Sciences, Tat Chee Avenue, Hong Kong; email: oliverchan.ss@cityu.edu.hk",,,SAGE Publications Inc.,,,,,0306624X,,IOTCA,27589876,English,Int. J. Offender Ther. Comp. Criminol.,Article,Final,,Scopus,2-s2.0-85040699898 "Cremonini V., Pagnucci N., Giacometti F., Rubbi I.",57105678700;56166652800;57195927208;55430913000;,Health Care Professionals Attitudes Towards Mental Illness: Observational Study Performed at a Public Health Facility in Northern Italy,2018,Archives of Psychiatric Nursing,32,1,,24,30,,8,10.1016/j.apnu.2017.09.007,https://www.scopus.com/inward/record.uri?eid=2-s2.0-85030184969&doi=10.1016%2fj.apnu.2017.09.007&partnerID=40&md5=f11bfb27c7d545c32658ffec0a334547,"Università degli Studi di Bologna, Italy; Università degli Studi di Pisa, Department of Clinical and Experimental Medicine, Italy; Casa di Cura Villa Azzurra, Italy","Cremonini, V., Università degli Studi di Bologna, Italy; Pagnucci, N., Università degli Studi di Pisa, Department of Clinical and Experimental Medicine, Italy; Giacometti, F., Casa di Cura Villa Azzurra, Italy; Rubbi, I., Università degli Studi di Bologna, Italy","The United Nations Convention on the Rights of Persons with Disabilities Defines stigma as the process of social oppression barring persons with mental illness from enjoying social interaction through discrimination, exclusion and denial of human and social rights. Modern stereotypes still portray the mentally ill as guilty, unpredictable and violent. Observational studies report how healthcare professionals, including nurses, are often part of the stigma. Such phenomenon belittles the needs of people seeking mental care. The aim of this study is to describe attitudes held by psychiatric nurses and mental care professionals from different care settings of an Italian Healthcare Facility, towards the mentally ill and to identify any associated factors. Mental health care professionals were recruited for this observational study from 10 Italian different psychiatric care units. The Italian version of the Community Attitudes Mentally Ill inventory (CAMI-I) was validated and used for this study. 120 completed questionnaires were deemed valid. Optimal internal consistency (α = 0.856) was measured by calculating Cronbach's Alpha for the CAMI-I. Demographic variables were correlated to items grouped into three factors of the CAMI-I (authoritarian attitudes, benevolence, social restrictiveness). Parametric test (ANOVA) highlight significant differences between CAMI-I results for different demographic variables. Significant data were obtained by comparing responses for each factor of the CAMI-i per professional profile. All healthcare professionals studied show sensitivity and positive attitude towards mental illness. Positive approaches to mental illness contribute towards easing therapeutic care and recovery in patient-centred care. CAMI-I will be a useful tool to identifying discriminatory approaches and sensitize health professionals in Italy. © 2017 Elsevier Inc.",Attitudes; Health care professionals; Mental illness; Nursing; Stigma,female; health care personnel; health personnel attitude; human; Italy; male; mental disease; mental patient; psychiatric nursing; psychology; questionnaire; social stigma; Attitude of Health Personnel; Female; Health Personnel; Humans; Italy; Male; Mental Disorders; Mentally Ill Persons; Psychiatric Nursing; Social Stigma; Surveys and Questionnaires,,,,,,,,,,,,"Ahmead, M.K., Rahhal, A.A., Baker, J.A., The attitudes of mental health professionals towards patients with mental illness in an inpatient setting in Palestine (2010) International Journal of Mental Health Nursing, 19, pp. 356-362; Arboleda-Florez, J., Considerations on the stigma of mental illness (2003) Canadian Journal of Psychiatry, 48 (10), pp. 645-650; Arboleda-Florez, J., Stuart, H., From sin to science: Fighting the stigmatization of mental illnesses (2012) Canadian Journal of Psychiatry, 57 (8); Bailey, S.R., Critical care nurses’ and doctors’ attitudes to parasuicide patients (1994) The Australian Journal of Advanced Nursing, 11, pp. 11-17; Bailey, S.R., An exploration of critical care nurses’ and doctors’ attitudes towards psychiatric patients (1998) Australian Journal of Advanced Nursing, 15, pp. 8-14; Bcmohacomh British Columbia Minister of Health's Advisory Council on Mental Health, Discrimination against people with mental illnesses and their families: Changing attitudes, opening minds: Executive summary and major recommendations (2002), British Columbia Minister of Health Victoria, BC, Canada; Bjorkman, T., Angelman, T., Jonsson, M., Attitudes towards people with mental illness: A cross-sectional study among nursing staff in psychiatric and somatic care (2008) Scandinavian Journal of Caring Sciences, 22, pp. 170-177; Buizza, C., Pioli, R., Ponteri, M., Vittorielli, M., Corradi, A., Minucci, N., Rossi, G., Atteggiamenti verso la malattia mentale e caratteristiche socio-demografiche: uno studio in una città del nord Italia (2005) Epidemiologia e Psichiatria Sociale, 14, p. 3; Caldwell, T.M., Jorm, A.F., Mental health nurses’ beliefs about interventions for schizophrenia and depression: A comparison with psychiatrists and the public (2001) Australian and New Zealand Journal of Psychiatry, 10, pp. 42-54; Callaghan, P., Shan, C.S., Yu, L.S., Ching, L.W., Kwan, T.L., Attitudes towards mental illness: Testing the contact hypothesis among Chinese student nurses in Hong Kong (1997) Journal of Advanced Nursing, 26, pp. 33-40; Camimh Canadian Alliance on Mental Illness and Mental Health, Mental health literacy in Canada: Phase one draft report mental health literacy project (2007), http://www.camimh.ca/files/literacy/MHL_REPORT_Phase_One.pdf, May 2007. Retrieved from (Accessed 7 May 2015); Chambers, M., Guise, V., Valimaki, M., Rebelo Botelho, M.A., Scott, A., Staniuliene, V., Zanotti, R., Nurses’ attitudes to mental illness: A comparison of a sample of nurses from five European countries (2010) International Journal of Nursing Studies, 47, pp. 350-362; Corrigan, P., How clinical diagnosis might exacerbate the stigma of mental illness (2007) Social Work, 52 (1), pp. 31-39; Counture, S.M., Penn, D.L., Interpersonal contact and the stigma of mental illness: A review of the literature (2003) Journal of Mental Health, 12 (3), pp. 291-305; Faulkner, A., Stigma is still a significant concern in mental health (2012) Mental Health Today, 17 (17); Ghebrehiwet, T., Barrett, T., Nurses and mental health services in developing countries (2007) The Lancet, 370 (22), pp. 1016-1017; Gouthro, T.J., Recognizing and addressing the stigma associated with mental health nursing: A critical perspective (2009) Issues in Mental Health Nursing, 30, pp. 669-676; Halter, M.J., The stigma of seeking care and depression (2004) Archives of Psychiatric Nursing, 18 (5), pp. 178-184; Halter, M.J., Perceived characteristics of psychiatric nurses: Stigma by association (2008) Archives of Psychiatric Nursing, 22, pp. 22-26; Happel, B., Mental health nursing: Challenging stigma and discrimination towards people experiencing a mental illness (2005) International Journal of Mental Health Nursing, 14, p. 1; Hardcastele, M., Hardcastele, B., Stigma from mental illness in primary care (2003) Practice Nurse, 26, p. 14; Hinshaw, S.P., The mark of shame: Stigma of mental illness and an agenda for change (2007), Oxford University Press New York; Holmes, C.A., The slow death of psychiatric nursing: What next? (2006) Journal of Psychiatric and Mental Health Nursing, 13 (4), pp. 401-415; Horton, R., Launching a new movement for mental health (2007) The Lancet, 370 (9590), p. 806; Hugo, M., Mental health professionals’ attitudes towards people who have experienced a mental health disorder (2001) Journal of Psychiatric and Mental Health Nursing, 8, pp. 419-425; Kahn, A.M., Relationship between nurses’ opinions about mental illness and experience (1976) Nursing Research, 25 (2), pp. 136-140; Kingdon, D., Sharm, T., Hart, D., The schizophrenia subgroup of the Royal College of Psychiatrists’ changing minds campaign. What attitudes do psychiatrists hold towards people with mental illness? (2004) Psychiatric Bulletin, 28, pp. 401-406; Kongable, G.L., Tarko, M., Psychosocial aspects of medically compromised persons (2006) Psychiatric nursing for Canadian practice, , First Canadian edition Lippincott Williams & Wilkins Philadelphia; Lauber, C., Anthony, M., Ajdacic-Gross, V., Rossler, W., What about psychiatrists’ attitude to mentally ill people? (2004) European Psychiatry, 19, pp. 423-427; Lethoba, K.G., Netswera, F.G., Rankhumise, E., How professional nurses in a general hospital setting perceive mentally ill patients (2006) Curationis, 29, pp. 4-11; Levin, D., A cross-cultural study of attitudes toward mental illness (1972) Journal of Abnormal Psychology, 80 (2), pp. 111-114; Liggings, J., Hatcher, S., Stigma toward the mentally ill in the general hospital: A qualitative study (2005) General Hospital Psychiatry, 27 (5), pp. 359-364; Mavundla, T.R., Professional nurses’ perception of nursing mentally ill people in a general hospital setting (2000) Journal of Advanced Nursing, 32, pp. 1569-1578; Munro, S., Baker, J.A., Surveying the attitudes of acute mental health nurses (2007) Journal of Psychiatric and Mental Health Nursing, 14, pp. 196-202; Nunnally, J.C., Bernstein, I.H., Psychometric theory (1994), McGraw-Hill New York; Parcesepe, A.M., Cabassa, L.J., Public stigma of mental illness in the United States: A systematic literature review (2013) Administration and Policy in Mental Health and Mental Health Services Research, 40 (5), pp. 384-399; Patterson, P., Whittington, R., Bogg, J., Measuring nurse attitudes towards deliberate self-harm: the Self-Harm Antipathy Scale (SHAS) (2007) Journal of Psychiatric and Mental Health Nursing, 14, pp. 438-445; Payne, S., Mental health, poverty and social exclusion (2006) Poverty and social exclusion in Britain: The millennium survey, pp. 285-311; Peplau, L.A., Loneliness: A sourcebook of current theory, research and therapy (1982), Wiley-Interscience New York; Picard, A., The orphans of Medicare (2008), p. 8. , The Globe and Mail; Ross, C.A., Goldner, E.M., Stigma, negative attitudes and discrimination towards mental illness within the nursing profession: A review of the literature (2009) Journal of Psychiatric and Mental Health Nursing, 16, pp. 558-567; Rushworth, L., Happell, B., Psychiatric nursing education: Doing the impossible? (1998) Archives of Psychiatric Nursing, 12, pp. 319-325; Sadow, D., Ryder, M., Webster, D., Is education of health professionals encouraging stigma towards the mentally ill? (2002) Journal of Mental Health, 11 (6), pp. 657-665; Sartorius, N., Iatrogenic stigma of mental illness (2008) British Medical Journal, 321, pp. 1470-1471; Seeman, N., Tang, S., Brown, A.D., Ing, A., World survey of mental illness stigma (2016) Journal of Affective Disorders, 190, pp. 115-121; Sevigny, R., Yang, W., Zhang, P., Marleau, J.D., Yang, Z., Su, L., Wang, H., Attitudes toward the mentally ill in a sample of professionals working in a psychiatric hospital in Beijing (China) (1999) International Journal of Social Psychiatry, 45 (1), pp. 41-55; Smith, G.B., Hukill, E., Nurses impaired by emotional and psychological dysfunction (1996) Journal of the American Psychiatric Nurses Association, 2, pp. 192-200; Taylor, S.M., Dear, M.J., Scaling community attitudes toward the mentally ill (1981) Schizophrenia Bulletin, 7 (2), pp. 225-240; Telles Correia, D., Gama Marques, J., Gramaca, J., Sampaio, D., Stigma and attitudes towards psychiatric patients in Portuguese medical students (2015) Acta Médica Portuguesa, 28 (6), pp. 715-719; Thornicroft, G., Shunned: Discrimination against people with mental illness (2007), Oxford University Press Oxford; Thornicroft, G., Rose, D., Mehta, N., Discrimination against people with mental illness: What can psychiatrists do? (2010) Advances in Psychiatric Treatment, 16, pp. 53-59; Van Der Kluit, M.J., Goossens, P.J., Factors influencing attitudes of nurses in general health care toward patients with comorbid mental illness: An integrative literature review (2011) Issues in Mental Health Nursing, 32, pp. 519-527; Weiss, M.G., Ramakrishna, J., Somma, D., Health-related stigma: Rethinking concepts and interventions (2006) Psychology, Health & Medicine, 11 (3), pp. 277-287; Weller, L., Grunes, S., Does contact with the mentally ill affect nurses’ attitudes to mental illness? (1988) British Journal of Medical Psychology, 61, pp. 277-284; World Health Organization, Mental health declaration for Europe: Facing the challenges, building solutions (2005) First WHO European ministerial conference on mental health, Helsinki, Finland","Pagnucci, N.; Università degli Studi di Pisa, Via Savi, 10, Italy; email: nicola.pagnucci@for.unipi.it",,,W.B. Saunders,,,,,8839417,,,29413068,English,Arch. Psychiatr. Nurs.,Article,Final,,Scopus,2-s2.0-85030184969 "Adewuya A.O., Adewumi T., Ola B., Abosede O., Oyeneyin A., Fasawe A., Idris O.",9336864100;23003236400;12766682500;7801576483;57194053805;36988076200;6603925710;,"Primary health care workers' knowledge and attitudes towards depression and its management in the MeHPric-P project, Lagos, Nigeria",2017,General Hospital Psychiatry,47,,,1,6,,6,10.1016/j.genhosppsych.2017.04.002,https://www.scopus.com/inward/record.uri?eid=2-s2.0-85018476403&doi=10.1016%2fj.genhosppsych.2017.04.002&partnerID=40&md5=08121a006fd632c7e26ecff649900184,"Department of Behavioural Medicine, Lagos State University College of Medicine, Ikeja, Lagos, Nigeria; Centre for Mental Health Research and Initiative (CEMHRI), Ikeja, Lagos, Nigeria; Department of Community Health and Primary Health Care, Lagos University College of Medicine, Idi-Araba, Lagos, Nigeria; Oceanic Health Management Ltd., Lagos, Nigeria; Lagos State Ministry of Health, Alausa, Ikeja, Lagos, Nigeria","Adewuya, A.O., Department of Behavioural Medicine, Lagos State University College of Medicine, Ikeja, Lagos, Nigeria, Centre for Mental Health Research and Initiative (CEMHRI), Ikeja, Lagos, Nigeria; Adewumi, T., Centre for Mental Health Research and Initiative (CEMHRI), Ikeja, Lagos, Nigeria; Ola, B., Department of Behavioural Medicine, Lagos State University College of Medicine, Ikeja, Lagos, Nigeria; Abosede, O., Department of Community Health and Primary Health Care, Lagos University College of Medicine, Idi-Araba, Lagos, Nigeria; Oyeneyin, A., Oceanic Health Management Ltd., Lagos, Nigeria; Fasawe, A., Lagos State Ministry of Health, Alausa, Ikeja, Lagos, Nigeria; Idris, O., Lagos State Ministry of Health, Alausa, Ikeja, Lagos, Nigeria","Objective This study aimed to evaluate the knowledge, perceived challenges and attitude of primary health care (PHC) workers in Lagos to depression and its management in the PHC. Methods Health workers (n 0.25 = 0.25 607) from 49 “flagship” PHCs in Lagos were evaluated for their level of knowledge, experience, competence, attitude and perceived challenges to managing depression in the primary care using a case vignette. Results More than half (56.2%) of the health workers correctly diagnosed depression. The most endorsed causative factors were “Psycho-social” (77.3%), but “spiritual factors” were endorsed by 36.2%. While only 39.4% agreed that the depressed patient is best managed in a PHC, 86.2% would support treating the patient in their PHC if their capacity is enhanced. Top identified challenges were “heavy work schedule” (68.5%) and “lack of competence of the PHC staff” (67.5%). Over 42% had poor attitude towards depressed patient. Having a mental health training was the major factor that predicted good knowledge (OR 4.52, 95%CI 2.96–7.00) and good attitude (OR 2.17, 95% CI 1.48–3.17). Conclusions For successful scale up of mental health services in LMICs, the design of mental health training curriculum for PHC workers should consider their knowledge, experience, competence level, perception and attitudes. © 2017 Elsevier Inc.","Depression; Health workers, stigma; Primary care","controlled study; curriculum; diagnosis; human; human experiment; mental health service; Nigeria; perception; primary health care; scale up; stigma; vignette; adult; attitude to health; depression; ethnology; female; health care personnel; health personnel attitude; male; middle aged; Nigeria; primary health care; statistics and numerical data; Adult; Attitude of Health Personnel; Depressive Disorder; Female; Health Knowledge, Attitudes, Practice; Health Personnel; Humans; Male; Middle Aged; Nigeria; Primary Health Care",,,,,,,,,,,,"Mathers, C.D., Loncar, D., Projection of global mortality and burden of diseases from 2002 to 2030 (2006) PLoS Med, 3; Lopez, A.D., Mathers, C.D., Ezzati, M., Jamison, D.T., CJL, M., Global burden of disease and risk factors (2006) Washington (DC): The International Bank for Reconstruction and Development/The World Bank, , Oxford University Press New York; Gureje, O., Psychological disorders and symptoms in primary care (2002) Soc Psychiatry Psychiatr Epidemiol, 37, pp. 220-224; Abiodun, O.A., A study of mental morbidity among primary health care patients in Nigeria (1993) Compr Psychiatry, 34, pp. 10-13; Moussavi, S., Chatterji, S., Verdes, E., Tandon, A., Patel, V., Ustun, B., Depression, chronic diseases, and decrements in health: results from the World Health Surveys (2007) Lancet, 370, pp. 851-858; Kohn, R., Saxena, S., Levav, I., Saraceno, B., The treatment gap in mental health care (2004) Bull World Health Organ, 82, pp. 858-866; Gureje, O., Uwakwe, R., Oladeji, B., Makanjuola, V.O., Esan, O., Depression in adult Nigerians: results from the Nigerian Survey of Mental Health and Well-being (2010) J Affect Disord, 120, pp. 158-164; Abas, M., Baingana, F., Broadhead, J., Iacoponi, E., Vanderpyl, J., Common mental disorders and primary health care: current practice in low-income countries (2003) Harvard Review of Psychiatry, 11, pp. 166-173; WHO, Mental health: new understanding, new hope. The World Health Report 2001 (2001), WHO Geneva; WHO: mhGAP: Scaling up care for mental, neurological and substance use disorders (2011) World Health Organization; Gureje, O., Abdulmalik, J., Kola, L., Musa, E., Yasamy, M.T., Adebayo, K., Integrating mental health into primary care in Nigeria: report of a demonstration project using the mental health gap action programme intervention guide (2015) BMC Health Serv Res, 21 (15), p. 242; Adewuya, A.O., Makanjuola, R.O., Lay beliefs regarding causes of mental illness in Nigeria: pattern and correlates (2008) Soc Psychiatry Psychiatr Epidemiol, 43, pp. 336-341; Bogardus, E.M., Measuring social distance (1925) J Appl Sociol, 9, pp. 299-308; Gureje, O., Lasebikan, V.O., Ephraim-Oluwanuga, O., Olley, B.O., Kola, L., Community study of knowledge of and attitude to mental illness in Nigeria (2005) Br J Psychiatry, 186, pp. 436-441; Adewuya, A.O., Makanjuola, R.O., Social distance towards people with mental illness in southwestern Nigeria (2008) Aust N Z J Psychiatry, 42, pp. 389-395; Adewuya, A.O., Makanjuola, R.O., Social distance towards people with mental illness amongst Nigerian university students (2005) Soc Psychiatry Psychiatr Epidemiol, 40, pp. 865-868; Adewuya, A.O., Oguntade, A.A., Doctors' attitude towards people with mental illness in western Nigeria (2007) Soc Psychiatry Psychiatr Epidemiol, 42, pp. 931-936; Abiodun, O.A., Knowledge and attitude concerning mental health of primary health care workers in Nigeria (1991) Int J Soc Psychiatry, 37, pp. 113-120; Kutcher, S., Wei, Y., Gilberds, H., Evaluating community health care providers knowledge and self-confidence in the identification, diagnosis and treatment of adolescent depression in Tanzania (2016) Arch Depress Anxiety, 2, pp. 26-30; James, B.O., Jenkins, R., Lawani, A.O., Omoaregba, J.O., Depression in primary care: the knowledge, attitudes and practice of general practitioners in Benin City, Nigeria (2012) S Afr Fam Pract, 54, pp. 55-60; Ola, B., Crabb, J., Adewuya, A., Olugbile, F., Abosede, O.A., The state of readiness of Lagos State Primary Health Care Physicians to embrace the care of depression in Nigeria (2014) Community Ment Health J, 50, pp. 239-244; Mbatia, J., Shah, A., Jenkins, R., Knowledge, attitudes and practice pertaining to depression among primary health care workers in Tanzania (2009) Int J Ment Heal Syst, 25, pp. 3(1)-3(15; Botega, N.J., Blizard, B., Mann, A., Wilkinson, G., General practitioners and depression — first use of the Depression Attitude Questionnaire (1992) Int J Methods Psychiatr Res, 2, pp. 169-180; Haddad, M., Walters, P., Tylee, A., District nursing staff and depression: a psychometric evaluation of Depression Attitude Questionnaire findings (2007) Int J Nurs Stud, 44, pp. 447-456; Ayonrinde, O., Gureje, O., Lawal, R., Psychiatric research in Nigeria: bridging tradition and modernization (2004) Br J Psychiatry, 184, pp. 536-538; Abera, M., Tesfaye, M., Belachew, T., Hanlon, C., Perceived challenges and opportunities arising from integration of mental health into primary care: a cross sectional survey of primary health care workers in southwest Ethiopia (2014) BMC Health Serv Res, 6 (14), p. 113","Adewuya, A.O.; Dept of Behavioural Medicine, 1-5, Oba Akinjobi Way, Ikeja, Nigeria; email: abiodun.adewuya@lasucom.edu.ng",,,Elsevier Inc.,,,,,1638343,,GHPSD,28807132,English,Gen. Hosp. Psychiatry,Article,Final,,Scopus,2-s2.0-85018476403 "Daibes M.A., Al-Btoush M.S., Marji T., Rasmussen J.A.",57189764341;57189764029;57189761222;57189764370;,Factors Influencing Nurses’ Attitudes towards Patients in Jordanian Addiction Rehabilitation Centres: a Qualitative Study,2017,International Journal of Mental Health and Addiction,15,3,,588,603,,3,10.1007/s11469-016-9682-2,https://www.scopus.com/inward/record.uri?eid=2-s2.0-84975149864&doi=10.1007%2fs11469-016-9682-2&partnerID=40&md5=57224478f0099ac6cce90ae3915ab1a5,"School of Nursing, Philadelphia University, Amman, Jordan; School of Nursing, Isra University, Amman, Jordan; Independent Research and Evaluation Consultant, Cardiff, United Kingdom","Daibes, M.A., School of Nursing, Philadelphia University, Amman, Jordan; Al-Btoush, M.S., School of Nursing, Isra University, Amman, Jordan; Marji, T., School of Nursing, Philadelphia University, Amman, Jordan; Rasmussen, J.A., Independent Research and Evaluation Consultant, Cardiff, United Kingdom","Attitudes of health professionals towards patients with addiction continues to be negative, which is increasingly recognized as a major barrier to the receipt of optimal clinical care by those patients. This study aims to describe nurses’ attitudes and the underlying factors influencing nurses’ attitudes towards patients in two addiction rehabilitation centers in Jordan. Employing a case study design, using ethnographic fieldwork, we collected data from a purposive sample of twenty-one clinical nurses, using semi-structured interviews, which were analyzed for themes derived from the literature. Negative nurses’ attitudes towards “addicted” patients ranged from stigmatization, marginalization, avoidance of patients, to class discrimination. Major socio-cultural factors (honor-gender-shame triad, socialization process, mass media, perceiving addiction as a “hopeless” condition), and other contributory factors played a role in constructing nurses’ negative attitudes. We recommend a nursing curriculum that includes education regarding addiction behavioral patterns, and a continuing education regarding patients’ rights, legal and ethical aspects of nursing care. © 2016, Springer Science+Business Media New York.",Addiction; Attitude; Jordan; Nurse; Stigma; Substance abuse,,,,,,,,,,,,,"Al-Qadire, M., Khalaileh, M., Jordanian nurses’ knowledge and attitude regarding pain management (2012) Pain Management Nursing, 15, pp. 220-228. , PID: 24602438; Au, G., ‘A review of attitude of medical professionals toward substance abuse’ (2006) International conference on tackling drug abuse: Changing drug abuse patterns and law enforcement strategies, Hong Kong, pp. 173-185; Baron, R.A., Byrne, D., (1977) Social psychology: Understanding human interaction, , Library of Congress Cataloging, United States; Bates, T.R., Gramsci and theory of hegemony (1975) Journal of the History of Ideas, 36 (2), pp. 351-366; Brunton, K., Stigma (1997) Journal of Advanced Nursing, 26 (5), pp. 891-898. , COI: 1:STN:280:DyaK1c%2FjvFKlsw%3D%3D, PID: 9372392; Carroll, J., The negative attitudes of some general nurses towards drug misusers (1995) Nursing Standard, 9 (34), pp. 36-38. , COI: 1:STN:280:DyaK2Mzjs1yquw%3D%3D, PID: 7612430; Cheemeh, P.E., Montoya, I.D., Essien, E.J., Ogungbade, G.O., HIV/AIDS in the Middle East: a guide to a proactive response (2006) Journal of the Royal Society for the Promotion of Health, 126 (4), pp. 165-171. , PID: 16875056; Chung, J.Y., Chan, J.T., Yeung, R.S., Wan, R.C., Ho, S.T., Nurses’ attitude toward alcoholic patients in accident and emergency Department in Hong Kong (2003) Hong Kong Journal of Emergency Medicine, 10 (2), pp. 104-112; (2003) Ethnography and case study: A comparative analysis’, Academic exchange quarterly, , http://www.accessmylibrary.com/coms2/summary_0286-19885358_ITM, Cohen, A., & Court, D. pp. [Accessed on 16–3-2009 ] Rapid Intellect Group, Inc; Corrigan, P.W., Kuwabara, S.A., O’Shaughnessy, J., The public stigma of mental illness and drug addiction: findings from a stratified random sample (2009) Journal of Social Work, 9 (2), pp. 139-147; Cowan, L., Deering, D., Crowe, M., Sellman, D., Futterman-Collier, A., Adamson, S., Alcohol and drug treatment for women: clinicians beliefs’ and practices (2003) International Journal of Mental Health Nursing, 12, pp. 48-55. , PID: 14685959; Crehan, K., (2002) Gramsci, culture, and anthropology, , University of California Press, Berkeley, Les Angeles; Daibes, M., (2011) ""A pain that ruins mountains"": A case study of factors influencing postoperative pain management in two Jordanian hospitals, , PhD Thesis.: University of Warwick; De Vargas, D., Villar Luis, M., Alcohol, alcoholism, and alcohol addicts: Conceptions and attitudes of nurses from district basic health centers (2008) Rev Latino-am Enfermagem, 16 (especial), pp. 543-550; Dua, T., Barbui, C., Clark, N., Fleischmann, A., Poznyak, V., Evidence-Based guidelines for Mental, Neurological and Substance Use Disorders in Low and Middle-Income Countries: Summary of WHO Recommendations (2011) PLoS Medicine, 8 (11). , PID: 22110406; (1991) Introduction: the nature of the case study, , Feagin, J. R., Orum, A. M., & Sjoberg, G. in Feagin, J.R., Orum, A.M. & Sjoberg, G. (eds.) A case for the case study. Chapel Hill: University of North Carolina Press, pp. 290; (1999) Four questions about human social behavior: the social cognitive approach to culture and psychology, , Feldman, J. M. in Kashima, Y. & Adamopoulos, J. (eds.) Social psychology and cultural context. Thousand Oaks: Sage Publications, pp. 43–62; Foucault, M., (1980) Power/Knowledge: Selected interviews and other writings, 1972–1977, p. 270. , Pantheon, New York; Foucault, M., The subject and power (1982) Critical Inquiry, 8 (4), pp. 777-795; Gerring, J., What is a case study and what is it good for? (2004) The American Political Science Review, 98 (2), pp. 341-354; Gramsci, A., (2000) The Antonio Gramsci reader: Selected writings 1916–1935, , New York University Press, New York; Hutchinson, S.A., Wilson, H.S., (2001) ‘grounded theory: the method’, in Munhall, P.L. & National League for Nursing (eds.) Nursing research: A qualitative perspective, p. 672. , Jones & Bartlett Publishers, USA; Jensen, C.D., Cushing, C.C., Aylward, B.S., Craig, J.T., Sorell, D.M., Steele, R.G., Effectiveness of motivational interviewing interventions for adolescent substance use behaviour change: a meta-analytic review (2011) Journal of Consulting and Clinical Psychology, 79 (4), pp. 433-440. , PID: 21728400; Kandela, P., Arab nations: attitudes to AIDS (1993) Lancet, 341 (8849), pp. 884-885. , COI: 1:STN:280:DyaK3s3hvVektQ%3D%3D, PID: 8096578; King, N., The qualitative research interview (1994) Qualitative methods in organizational research, , Cassell C, Symon G, (eds), Sage Publications Inc, London; Lovi, R., Barr, J., Stigma reported by nurses related to those experiencing drug and alcohol dependency: a phenomenological Giorgi study (2009) Contemporary Nurse, 33 (2), pp. 166-178. , PID: 19929161; Markey, B.T., Stone, J.B., An alcohol and drug education program for nurses (1997) AORN Journal, 66 (5), pp. 845-853. , COI: 1:STN:280:DyaK1c%2Fjt1Cqug%3D%3D, PID: 9365794; Mauseth, K.B., Skalisky, J., Clark, N., Kaffer, R., Substance use in Muslim culture: social and generational changes in acceptance and practice in Jordan (2015) Journal of Religion and Health, 54, pp. 1-14; Mays, N., Pope, C., Quality in qualitative health research (2006) Qualitative research in health care, , Oxford: Blackwell Publishing LTD; Miller, N., Sheppard, L., Colenda, C., Magen, J., Why physicians are unprepared to treat patients who have alcohol- and drug-related disorder (2001) Academic Medicine, 76, pp. 410-418. , COI: 1:STN:280:DC%2BD3M3ltVGjtg%3D%3D, PID: 11346513; Pope, C., Ziebland, S., Mays, N., Analyzing qualitative data. In: Pope, C. & Mays, N. (eds.), Qualitative search in health care. 3ed (2006) ed: Blackwell Synergy; Rassool, G.H., Rawaf, S., Educational intervention of undergraduate nursing students confidence skills with alcohol and drug misusers (2008) Nurse Education Today, 28 (3), pp. 284-292. , PID: 17643558; Rassool, G.H., Villar-Luis, M., Carraro, T.E., Lopes, G., Undergraduate nursing students’ perceptions of substance use and misuse: a Brazilian position (2006) Journal of Psychiatric and Mental Health Nursing, 13, pp. 85-89. , COI: 1:STN:280:DC%2BD28%2FlvFaksg%3D%3D, PID: 16441398; Rehm, J., Taylor, B., Room, R., Global burden of disease from alcohol, illicit drugs and tobacco (2006) Drug and Alcohol Review, 25, pp. 503-513. , PID: 17132570; Ritter, A., Cameron, J., A review of efficacy and effectiveness of harm reduction strategies for alcohol, tobacco and illegal drugs (2006) Drug and Alcohol Review, 25, pp. 611-624. , PID: 17132577; Room, R., Stigma, social inequality and alcohol and drug use (2005) Drug and Alcohol Review, 24, pp. 143-155. , PID: 16076584; Ross, S., Peselow, E., The neurobiology of addictive disorders (2009) Clinical Neuropharmacology, 32, pp. 269-276. , COI: 1:CAS:528:DC%2BD1MXhtF2qtbrL, PID: 19834992; Semple, S.J., Grant, I., Patterson, T.L., Utilization of drug treatment programs by meth-amphetamine users: the role of social stigma (2005) The American Journal of Addictions, 14, pp. 367-380; Sercu, C., Ayala, R.A., Bracke, P., How does stigma influence mental health nursing identities? An ethnographic study of the meaning of stigma for nursing role identities in two Belgian psychiatric hospitals (2015) International Journal of Nursing Studies, 52, pp. 307-316. , PID: 25192962; Skinner, N., Feather, N.T., Freeman, T., Roche, A., Stigma and discrimination in health-care provision to drug users: the role of values, affect and deservingness judgments (2007) Journal of Applied Social Psychology, 37 (1), pp. 163-186; Stake, R.E., (1995) The art of case study research, , SAGE Publications, Inc., Thousand Oaks, London, New Delhi; Stanbrook, M.B., Addiction is a disease: We must change our attitudes toward addicts (2012) CMAJ, 184 (2), p. 155. , PID: 22158399; Vaartio, H., Leino-Kilpi, H., Nursing advocacy – a review of the empirical research 1990–2003 (2005) International Journal of Nursing Studies, 42, pp. 705-714. , PID: 15982468; van Boekel, L., Brouwers, E., Weeghel, J., Garretsen, H., Stigma among health professionals towards patients with substance use disorders and its consequencies for health care delivery: systematic review (2013) Drug and Alcohol Dependence, 131 (1-2), pp. 23-35. , PID: 23490450; Yin, R., (2003) Case study research: Design and Methods, , SAGE Publications, Inc., California, London, New Delhi","Daibes, M.A.; School of Nursing, Jordan; email: mdaibes@philadelphia.edu.jo",,,Springer New York LLC,,,,,15571874,,,,English,Int. J. Ment. Health Addict.,Article,Final,,Scopus,2-s2.0-84975149864 "Beaulieu T., Patten S., Knaak S., Weinerman R., Campbell H., Lauria-Horner B.",57194397094;57201492915;8704136100;6602578210;57196812991;8773689900;,"Impact of Skill-Based Approaches in Reducing Stigma in Primary Care Physicians: Results from a Double-Blind, Parallel-Cluster, Randomized Controlled Trial",2017,Canadian Journal of Psychiatry,62,5,,327,335,,18,10.1177/0706743716686919,https://www.scopus.com/inward/record.uri?eid=2-s2.0-85019868873&doi=10.1177%2f0706743716686919&partnerID=40&md5=eabfbb5966a754196e60fafc0ffabbcc,"Department of Psychiatry, Dalhousie University, Halifax, NS, Canada; Department of Community Health Services, University of Calgary, Calgary, AB, Canada; Opening Minds Anti-Stigma Initiative, Mental Health Commission of Canada, Ottawa, ON, Canada; Vancouver Island Health Authority, 1723-68 Smithe Street, Vancouver, BC V6B 0P4, Canada; Faculty of Medicine, University of British Columbia, Victoria, BC, Canada","Beaulieu, T., Department of Psychiatry, Dalhousie University, Halifax, NS, Canada, Vancouver Island Health Authority, 1723-68 Smithe Street, Vancouver, BC V6B 0P4, Canada; Patten, S., Department of Community Health Services, University of Calgary, Calgary, AB, Canada; Knaak, S., Opening Minds Anti-Stigma Initiative, Mental Health Commission of Canada, Ottawa, ON, Canada; Weinerman, R., Vancouver Island Health Authority, 1723-68 Smithe Street, Vancouver, BC V6B 0P4, Canada, Faculty of Medicine, University of British Columbia, Victoria, BC, Canada; Campbell, H., Vancouver Island Health Authority, 1723-68 Smithe Street, Vancouver, BC V6B 0P4, Canada, Faculty of Medicine, University of British Columbia, Victoria, BC, Canada; Lauria-Horner, B., Department of Psychiatry, Dalhousie University, Halifax, NS, Canada","Objective: Most interventions to reduce stigma in health professionals emphasize education and social contact-based strategies. We sought to evaluate a novel skill-based approach: the British Columbia Adult Mental Health Practice Support Program. We sought to determine the program's impact on primary care providers' stigma and their perceived confidence and comfort in providing care for mentally ill patients. We hypothesized that enhanced skills and increased comfort and confidence on the part of practitioners would lead to diminished social distance and stigmatization. Subsequently, we explored the program's impact on clinical outcomes and health care costs. These outcomes are reported separately, with reference to this article. Methods: In a double-blind, cluster randomized controlled trial, 111 primary care physicians were assigned to intervention or control groups. A validated stigma assessment tool, the Opening Minds Scale for Health Care Providers (OMS-HC), was administered to both groups before and after training. Confidence and comfort were assessed using scales constructed from ad hoc items. Results: In the primary analysis, no significant differences in stigma were found. However, a subscale assessing social distance showed significant improvement in the intervention group after adjustment for a variable (practice size) that was unequally distributed in the randomization. Significant increases in confidence and comfort in managing mental illness were observed among intervention group physicians. A positive correlation was found between increased levels of confidence/comfort and improvements in overall stigma, especially in men. Conclusions: This study provides some preliminary evidence of a positive impact on health care professionals' stigma through a skill-building approach to management of mild to moderate depression and anxiety in primary care. The intervention can be used as a primary vehicle for enhancing comfort and skills in health care providers and, ultimately, reducing an important dimension of stigma: preference for social distance. © 2017 Canadian Psychiatric Association.",depression; mental disorder; primary care; skill-based training; stigma,"adult; aged; Article; female; general practitioner; human; male; middle aged; multicenter study (topic); randomized controlled trial (topic); skill; social distance; stigma; British Columbia; controlled study; double blind procedure; education; general practitioner; health personnel attitude; in service training; mental disease; procedures; professional competence; psychology; randomized controlled trial; self concept; social stigma; Adult; Aged; Attitude of Health Personnel; British Columbia; Double-Blind Method; Female; Humans; Inservice Training; Male; Mental Disorders; Middle Aged; Physicians, Primary Care; Professional Competence; Self Efficacy; Social Stigma",,,,,,,,,,,,"Mental Health Action Plan; 2013-2020 [Cited 5 Feb 2016], , http://apps.who.int/iris/bitstream/10665/89966/1/9789241506021_eng.pdf?ua=1, World Health Organization; The Global Economic Burden of Non-communicable Diseases; 2011 [Cited 5 Feb 2016], , http://www3.weforum.org/docs/WEF_Harvard_HE_GlobalEconomicBurdenNonCommunicableDiseases_2011.pdf, World Economic Forum, Harvard School of Public Health; Patel, V., Saxena, S., Transforming lives, enhancing communities - Innovations in global mental health (2014) N Engl J Med, 370 (6), pp. 498-501; Rothman, A.A., Wagner, E.H., Chronic illness management: What is the role of primary care? (2003) Ann Intern Med, 138, pp. 256-262; Knaak, S., Patten, S.P., A grounded theory model for reducing stigma in health professionals in Canada (2016) Acta Psychiatr Scand, 134, pp. 53-62; Opening Doors in Primary Health Care: Strengthening the Interface between Mental Health and Addiction Service Providers and Primary Care; 2010 [Cited 16 Dec 2016], , http://www.integrationresources.ca/wordpress/wp-content/uploads/2013/09/D38_Opening_Doors.pdf, Canadian Mental Health Association; Stuart, H., Arboleda-Flórez, J., Santorius, N., (2012) Paradigms Lost: Fighting Stigma and the Lessons Learned, , Oxford (UK): Oxford University Press; Ungar, T., Knaak, S., The hidden medical logic of mental health stigma (2013) Aust N Z J Psychiatry, 47 (7), pp. 611-612; Corrigan, P.W., Mittal, D., Reaves, C.M., Mental health stigma and primary health care decisions (2014) Psychiatry Res, 218, pp. 35-38; Hassan, T.M., Ahmed, S.O., White, A.C., A postal survey of doctors' attitudes to becoming mentally ill (2009) Clin Med, 9 (4), pp. 327-332; MacCarthy, D., Weinerman, R., Kallstrom, L., Mental health practice and attitudes of family physicians can be changed! (2013) Perm J, 17 (3), pp. 14-17; Knaak, S., Modgill, G., Patten, S., Key ingredients of anti-stigma programs for health care providers: A data synthesis of evaluative studies (2014) Can J Psychiatry, 59 (10), p. S19. , https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4213748/; Evans-Lacko, S., Brohan, E., Mojtabai, R., Association between public views of mental illness and self-stigma among individuals with mental illness in 14 European countries (2012) Psychol Med, 42, pp. 1741-1752; Schomerus, G., Angermeyer, M.C., Stigma and its impact on help-seeking for mental disorders: What do we know? (2008) Epidemiol Psichiatr Soc, 17 (1), pp. 31-37; Thornicroft, G., Stigma and discrimination limit access to mental health care (2008) Epidemiol Psichiatr Soc, 17, pp. 14-19; Weiss, M.G., Ramakrishna, J., Somma, D., Health-related stigma: Rethinking concepts and interventions (2006) Psychology, Health and Medicine, 11, p. 3; Corrigan, P., How stigma interferes with mental health care (2004) Am Psychol, 59, pp. 613-615; Kisely, S., Campbell, L., Wang, Y., Treatment of ischaemic heart disease and stroke in individuals with psychosis under universal healthcare (2009) Br J Psychiatry, 195, pp. 545-550; Henderson, C., Noblett, J., Parke, H., Mental health-related stigma in health care and mental health-care settings (2014) Lancet Psychiatry, 1 (6), pp. 467-482; Nassrallah, H.A., Meyer, J.M., Goff, D.C., Low rates of treatment for hypertension, dyslipidemia and diabetes in schizophrenia: Data from the CATIE schizophrenia trial sample at baseline (2006) Schizophr Res, 86, pp. 15-22; Graber, M.A., Bergus, G., Dawson, J., Effect of a patient's psychiatric history on physicians' estimation of probability of disease (2000) J Gen Intern Med, 15, pp. 204-206; Lawrence, D., Hancock, K., Kisely, S., The gap in life expectancy from preventable physician illness in psychiatric patients in Western Australia: Retrospective analysis of population based registers (2013) BMJ, 346, pp. 1-14; Wahlbeck, K., Westman, J., Nordentoft, M., Outcomes of Nordic mental health systems: Life expectancy of patients with mental disorders (2011) Br J Psychiatry, 199, pp. 453-458; Moll, S., Patten, S., Stuart, H., Beyond silence: Protocol for a randomized parallel-group trial comparing two approaches to workplace mental health education for healthcare employees (2015) BMC Med Educ, 15 (78), pp. 1-9; Ungar, T., Knaak, S., Szeto, A., Theoretical and practical considerations for combating mental illness stigma in health care (2016) Community Ment Health J, 52 (3), pp. 262-271; From Discrimination to Social Inclusion. A Review of the Literature on Anti Stigma Initiatives in Mental Health; 2009 [Cited 16 Dec 2016], , http://www.mhcc.org.au/media/5646/from-discrimination-to-social-inclusion-lit-review.pdf, The Queensland Alliance; Knaak, S., Patten, S., BC PSP Adult Mental Health Module: Key Findings. Mental Health Commission of Canada; 2013 [Cited 16 Dec 2016], , http://www.mentalhealthcommission.ca/sites/default/files/Stigma%252520-%252520BC%252520PSP%252520key%252520findings%252520Dec%2525202013_0.pdf; Nova Scotia Certified Peer Support Specialist Program; 2016 [Cited 16 Dec 2016], , http://www.healthyminds.ca/index.php?page_id=52, Healthy Minds Cooperative; Mental Health First Aid; 2016 [Cited 16 Dec 2016], , http://www.mentalhealthcommission.ca/English/focus-areas/mental-health-first-aid, Mental Health Commission of Canada; Modgill, G., Patten, S.B., Knaak, S., Opening minds stigma scale for healthcare providers (OMS-HC): Examination of psychometric properties and responsiveness (2014) BMC Psychiatry, 14 (1), p. 120; MacCarthy, D., Kallstrom, L., Kadlec, H., Improving primary care in British Columbia, Canada: Evaluation of a peer-to-peer continuing education program for family physicians (2013) BMC Med Educ, 12, p. 110; Attitudes Towards Mental Illness: Results from the Behavioral Risk Factor Surveillance System; 2012 [Cited 16 Dec 2016], , https://www.cdc.gov/hrqol/Mental_Health_Reports/pdf/BRFSS_Full%20Report.pdf, Centers for Disease Control and Prevention; Wang, J., Fick, G., Adair, C., Gender specific correlates of stigma towards depression in a Canadian general population sample (2007) J Affect Disord, 103, pp. 91-97; Li, J., Li, J., Thornicroft, G., Levels of stigma among community mental health staff in Guangzhou (2014) China. BMC Psychiatry, 14, p. 231; Martinez-Zambrano, F., Garcia-Morales, E., Garcia-Franco, M., Intervention for reducing stigma: Assessing the influence of gender and knowledge (2013) World J Psychiatry, 3 (2), pp. 18-24; Dossanjh, N., (2015) Men and the Stigma of Mental Illness. The Good Men Project, , httm://goodmentproject.com/featured-content/men-and-the-stigma-of-mental-illness-dg/, [Cited 12 Aug 2016] goodmenproject.com/featured-content/men-and-the-stigma-of-mental-illness-dg; Knaak, S., Hawke, L., Patten, S., (2013) That's Just Crazy Talk Evaluation Report. Calgary (AB): Mental Health Commission of Canada, , http://www.mentalhealthcommission.ca/sites/default/files/Stigma_OM_Thats_Just_Crazy_Talk_Evaluation_Report_ENG-0.pdf, Cited 16 Dec 2016; Streiner, D., Starting at the beginning: An introduction to coefficient alpha and internal consistency (2003) J Pers Assess, 80, pp. 99-103","Beaulieu, T.; Vancouver Island Health Authority, 1723-68 Smithe Street, Canada; email: tara.beaulieu@nshealth.ca",,,SAGE Publications Inc.,,,,,7067437,,CJPSD,28095259,English,Can. J. Psychiatry,Article,Final,"All Open Access, Bronze, Green",Scopus,2-s2.0-85019868873 "Werner S., Araten-Bergman T.",34870765500;9239402100;,Social Workers’ Stigmatic Perceptions of Individuals With Disabilities: A Focus on Three Disabilities,2017,Journal of Mental Health Research in Intellectual Disabilities,10,2,,93,107,,9,10.1080/19315864.2017.1284288,https://www.scopus.com/inward/record.uri?eid=2-s2.0-85013427530&doi=10.1080%2f19315864.2017.1284288&partnerID=40&md5=64934e74e0293840eda5fbcdca473cc9,"Center for Disability Studies, Paul Baerwald School of Social Work and Social Welfare, Hebrew University of Jerusalem, Jerusalem, Israel; School of Social Work, Faculty of Social Welfare & Health Sciences, University of Haifa, Haifa, Israel; Department of Community and Clinical Allied Health, School of Allied Health, La Trobe University, Melbourne, Australia","Werner, S., Center for Disability Studies, Paul Baerwald School of Social Work and Social Welfare, Hebrew University of Jerusalem, Jerusalem, Israel; Araten-Bergman, T., School of Social Work, Faculty of Social Welfare & Health Sciences, University of Haifa, Haifa, Israel, Department of Community and Clinical Allied Health, School of Allied Health, La Trobe University, Melbourne, Australia","Introduction: People with disabilities often identify professionals’ stigmatic views as significant barriers to accessing mainstream services. This study aimed to examine differences in stigmatic attitudes held by social workers toward individuals with intellectual disabilities (ID), mental illness (MI), or dual diagnosis (DD) of ID and MI. Methods: One hundred and fifty-eight social workers responded to three versions of a structured questionnaire. Participants were provided, in random order, with vignettes describing an individual with ID, MI, and DD, after which they completed the Attribution Questionnaire. Results: Results revealed a significant effect of disability type, so that individuals with MI were perceived to be more responsible for their condition than were individuals with ID or DD. Individuals with MI and DD were perceived as more dangerous than those with ID, and social workers endorsed more coercive and segregating behaviors toward individuals with MI and DD than toward those with ID. No differences were found in helping and avoidant behaviors in relation to disability type, and correlations between stigma constructs were found across all three disabilities. Conclusions: Findings are discussed in light of social workers’ obligation to assist individuals to realize their rights to full social and civil inclusion. Given these obligations, they are expected to set aside their personal views and provide help to all their clients regardless of their diagnosis. © 2017 Taylor & Francis.",Discrimination; prejudice; professional stigma; social workers,,,,,,,,,,,,,"Albrecht, G.L., Walker, V.G., Levy, J.A., Social distance from the stigmatized: A test of two theories (1982) Social Science and Medicine, 16, pp. 1319-1327; Ali, A., Scior, K., Ratti, V., Strydom, A., King, M., Hassiotis, A., Discrimination and other barriers to accessing health care: Perspectives of patients with mild and moderate intellectual disability and their carers (2013) PLoS One 8, p. 70855; Angermeyer, M.C., Dietrich, S., Public beliefs about and attitudes towards people with mental illness: A review of population studies (2006) Acta Psychiatrica Scandinavica, 113, pp. 163-179; Angermeyer, M.C., Matschinger, H., Labeling— stereotype—discrimination (2005) Social Psychiatry and Psychiatric Epidemiology, 40, pp. 391-395; Araten-Bergman, T., Werner, S., Social workers’ attributions towards individuals with dual diagnosis of intellectual disability and mental illness (2017) Journal of Intellectual Disability Research, pp. 155-167. , 61(2; Baker, J.A., Richards, D.A., Campbell, M., Nursing attitudes towards acute mental health care: Development of a measurement tool (2005) Journal of Advanced Nursing, 49, pp. 522-529; Canda, E.R., Furman, L.D., (2009) Spiritual diversity in social work practice: The heart of helping, , New York, NY: Oxford University Press; Corrigan, P.W., Lundin, R.K., (2001) Don’t Call Me Nuts! Coping with the stigma of mental illness, , Las Vegas, NV: Recovery Press; Corrigan, P.W., Lurie, B.D., Goldman, H.H., Slopen, N., Medasani, K., Phelan, S., How adolescents perceive the stigma of mental illness and alcohol abuse (2005) Psychiatric Services, 56, pp. 544-550; Corrigan, P.W., Markowitz, F.E., Watson, A., Rowan, D., Kubiak, M.A., An attribution model of public discrimination towards persons with mental illness (2003) Journal of Health and Social Behavior, 44, pp. 162-179; Corrigan, P.W., Watson, A.C., Understanding the impact of stigma on people with mental illness (2002) World Psychiatry, 1, pp. 16-20; Dabby, L., Tranulis, C., Kirmayer, L.J., Explicit and implicit attitudes of Canadian psychiatrists toward people with mental illness (2015) The Canadian Journal of Psychiatry, 60, pp. 451-459; DuBois, B.L., Miley, K.K., (2013) Social work: An empowering profession, , New York, NY: Pearson Higher Ed; Eack, S.M., Newhill, C.E., An investigation of the relations between student knowledge, personal contact, and attitudes toward individuals with schizophrenia (2008) Journal of Social Work Education, 44, pp. 77-96; Evans, J.S.B., (2015) How to be a researcher: A strategic guide for academic success, , London, UK: Routledge; Geller, J.L., Nicholson, J., Traverso, A., The victimization of women with mental illness by treaters: A historical perspective (1997) Sexual abuse in the lives of women diagnosed with serious mental illness, , Harris M., Landis C.L., (eds), Amsterdam, The Netherlands: Harwood Academic Publishers; Gentile, J.P., Manetta, C.T., Jackson, C.S., Mental illness and intellectual disability (2013) Modern community mental health: An interdisciplinary approach, , Yeager K.R., Cutler D.L., Svendsen D., Sills G.M., (eds), New York: NY, Oxford University Press; Goetzel, R.Z., Long, S.R., Ozminkowski, R.J., Hawkins, K., Wang, S., Lynch, W., Health, absence, disability, and presenteeism cost estimates of certain physical and mental health conditions affecting U.S. employers (2004) Journal of Occupational and Environmental Medicine, 46, pp. 398-412; Goffman, E., (1986) Stigma: Notes on the management of spoiled identity, , New York, NY: Simon & Schuster; Grue, J., Johannessen, L.E., Rasmussen, E.F., Prestige rankings of chronic diseases and disabilities. A survey among professionals in the disability field (2015) Social Science & Medicine, 124, pp. 180-186; Handler, J.F., (2014) The coercive social worker: British lessons for American social services, , Cambridge, MA: Academic Press; Henderson, C., Robinson, E., Evans-Lacko, S., Corker, E., Rebollo-Mesa, I., Rose, D., Thornicroft, G., Public knowledge, attitudes, social distance and reported contact regarding people with mental illness, 2009–2015 (2016) Acta Psychiatrica Scandinavica, 134, pp. 23-33; (2016) Society in Israel, , Jerusalem, Israel: Author.:; Jones, N., Corrigan, P.W., Understanding stigma (2014) The stigma of disease and disability: Understanding causes and overcoming injustices, , Corrigan P.W., (ed), Washington, DC: American Psychological Association; Katz, I., (2014) Stigma: A social psychological analysis, , Hove, UK: Psychology Press; Keyes, K., Hatzenbuehler, M., McLaughlin, K., Link, B., Olfson, M., Grant, B., Hasin, D., Stigma and treatment for alcohol disorders in the United States (2010) American Journal of Epidemiology, 172, pp. 1364-1372; Lauber, C., Nordt, C., Falcato, L., Rössler, W., Factors influencing social distance toward people with mental illness (2004) Community Mental Health Journal, 40, pp. 265-274; Link, B.G., Phelan, J., Social conditions as fundamental causes of disease (1995) Journal of Health and Social Behavior, 35, pp. 80-94; Mizock, L., The double stigma of obesity and serious mental illnesses: Promoting health and recovery (2012) Psychiatric Rehabilitation Journal, 35, pp. 466-469; Morisse, F., Vandemaele, E., Claes, C., Claes, L., Vandevelde, S., Quality of life in persons with intellectual disabilities and mental health problems: An explorative study (2013) The Scientific World Journal, 2013, pp. 1-8; O’Brien, A., Rose, J., Improving mental health services for people with intellectual disabilities: Service users’ views (2010) Advances in Mental Health and Intellectual Disabilities, 4, pp. 40-47; Oliver, M., Sapey, B., Thomas, P., (2012) Social work with disabled people, , London, UK: Palgrave Macmillan; Ouellette-Kuntz, H., Burge, P., Henry, D.B., Bradley, E.A., Leichner, P., Attitudes of senior psychiatry residents toward persons with intellectual disabilities (2003) Canadian Journal of Psychiatry, 48, pp. 538-545; Pace, J.E., Shin, M., Rasmussen, S.A., Understanding physicians’ attitudes toward people with Down syndrome (2011) American Journal of Medical Genetics Part A, 155, pp. 1258-1263; Payne, M., What is professional social work? (2013) Social Work: A Reader, p. 11. , Cree V.E., (ed), New York, NY: Routledge; Reamer, F.G., (2013) Social work values and ethics, , New York, NY: Columbia University Press; Ricciardi, J.N., Co-occurring psychiatric disorders in individuals with intellectual disability (2013) Handbook of Crisis Intervention and Developmental Disabilities, , Reed D.D., DiGennaro F., Luiselli J.K., (eds), New York, NY: Springer; Sartorius, N., Stigma and mental health (2007) The Lancet, 370, pp. 810-811; Scheyett, A., The mark of madness (2005) Social Work in Mental Health, 3, pp. 79-97; Segal, D., (2013) Endorsement of community participation of individuals with dual diagnosis and intellectual disability by professional care staff, , Jerusalem, Israel: Hebrew University; Thornicroft, G., Stigma and discrimination limit access to mental health care (2008) Epidemiologia E Psichiatria Sociale, 17, pp. 14-19; Thornicroft, G., Rose, D., Mehta, N., Discrimination against people with mental illness: What can psychiatrists do? (2010) Advances in Psychiatric Treatment, 16, pp. 53-59; Tringo, J.L., The hierarchy of preference toward disability groups (1970) The Journal of Special Education, 4, pp. 295-306; Vasey, M.W., Thayer, J.F., The continuing problem of false positives in repeated measures ANOVA in pschophysiology: A multivariate solution (1987) Psychophsiology, 24, pp. 479-486; Weiner, B., An attributional theory of achievement motivation and emotion (1985) Psychological Review, 92, pp. 548-573; Werner, S., Stigma in the area of intellectual disabilities: Examining a conceptual model of public stigma (2015) American Journal on Intellectual and Developmental Disabilities, 120, pp. 460-475; Werner, S., Hozmi, B., Social workers’ evaluation concerning the care of persons with dual diagnosis: Intellectual disabilities and psychiatric disorders (2015) Social Work and Welfare, 35, pp. 93-116; Werner, S., Stawski, M., Polakiewicz, Y., Levav, I., Psychiatrists’ knowledge, training and attitudes regarding the care of individuals with intellectual disability (2013) Journal of Intellectual Disability Research, 57, pp. 774-782; While, A.E., Clark, L.L., Overcoming ignorance and stigma relating to intellectual disability in healthcare: A potential solution (2010) Journal of Nursing Management, 18, pp. 166-172; Williams, V., Heslop, P., Mental health support needs of people with a learning difficulty: A medical or a social model? (2005) Disability & Society, 20, pp. 231-245","Werner, S.; Center for Disability Studies, Mount Scopus, Israel; email: shirli.werner@mail.huji.ac.il",,,Taylor and Francis Inc.,,,,,19315864,,,,English,J. Ment. Health Res. Intellectual Disabil.,Article,Final,,Scopus,2-s2.0-85013427530 "Nutt R., Gilchrist G., Marsa-Sambola F., Baldacchino A.",56103489200;56249879600;57126321000;6603786612;,Staff regard towards working with patients with co-morbid depression and substance misuse: An exploratory study,2017,Heroin Addiction and Related Clinical Problems,19,2,,5,16,,5,,https://www.scopus.com/inward/record.uri?eid=2-s2.0-85017305793&partnerID=40&md5=34e1e3aab9610f32350402084d74f915,"School of Medicine, University of St Andrews, North Haugh, St Andrews, United Kingdom; National Addiction Centre, Institute of Psychiatry, Psychology and Neuroscience, Kings College London, United Kingdom; Department of Children, Young People and Education, University Campus Suffolk, Ipswich, United Kingdom","Nutt, R., School of Medicine, University of St Andrews, North Haugh, St Andrews, United Kingdom; Gilchrist, G., National Addiction Centre, Institute of Psychiatry, Psychology and Neuroscience, Kings College London, United Kingdom; Marsa-Sambola, F., Department of Children, Young People and Education, University Campus Suffolk, Ipswich, United Kingdom; Baldacchino, A., School of Medicine, University of St Andrews, North Haugh, St Andrews, United Kingdom","Background. Patients having co-morbid mental health and substance misuse experience poorer treatment outcomes than those treated for either condition alone. Studies suggest health professionals regard towards these patients is a factor. Aims. To compare regard towards patients with co-morbid depression and substance misuse across different health professions and services, relative to independent conditions (depression, diabetes, alcohol and/or drug misuse). Methods. A cross-sectional comparative exploratory study of regard towards five patient groups conducted on multi-disciplinary staff (general practitioners, psychiatrists, psychologists, nurses and social workers. Total n=113) in three Scottish NHS board regions-NHS Fife, Tayside and Forth Valley. Services from three main treatment entry points were recruited in each region - 10 primary care services (43.5%), 7 mental health (70%) and 4 specialist addiction (100%). Descriptive statistics were calculated for regard towards each patient group. Multifactorial between subjects ANOVA examined influences on Medical Condition Regard Scale (MCRS) scores. Results. Regard towards patients with co-morbid depression and substance misuse was frequently lower than towards patients with independent conditions. Male professionals held lower regard towards these patients than female (p=0.03). Addiction services held the highest regard and general practice lowest (p >0.001). Over-45‘s held the lowest regard towards these patients (p=0.02). Health professional’s satisfaction with working with these patients was also low (mean 1.98, sd 1.22) compared to other conditions. Conclusions. Regard towards patients with co-morbid depression and substance misuse is lower than either condition independently, particularly among older, male professionals and those in general practice. © 2017, Pacini Editore S.p.A. All rights reserved.",Comorbidity; Depression; Dual diagnosis; Mental health; Substance misuse,adult; Article; comorbidity; controlled study; depression; female; general practice; general practitioner; health personnel attitude; human; job satisfaction; male; mental health service; nurse; primary medical care; psychiatrist; psychologist; social worker; substance abuse,,,,,"European Commission, EC: 2005322","Funding was received from the European Commission (contract number 2005322). The funding body was not involved in the development of the study, analysis or interpretation of results or in the decision to publish.",,,,,,"Ahmedani, B.K., Kubiak, S.P., Rios-Bedoya, C.F., Mickus, M., Anthony, J.C., Willingness to treat drug dependence and depression: Comparisons of future health professionals (2011) Subst Abuse Rehabil, 2, pp. 43-51; Avery, J., Zerbo, E., Ross, S., Improving Psychiatrists’ Attitudes Towards Individuals with Psychotic Disorders and Co-Occurring Substance Use Disorders (2016) Acad Psychiatry, 40 (3), pp. 520-522; Bahora, M., Hanafi, S., Chien, V.H., Compton, M.T., Preliminary evidence of effects of crisis intervention team training on self-efficacy and social distance (2008) Adm Policy Ment Health, 35 (3), pp. 159-167; Baldacchino, A., Gilchrist, G., Fleming, R., Bannister, J., Guilty until proven innocent: A qualitative study of the management of chronic non-cancer pain among patients with a history of substance abuse (2010) Addict Behav, 35 (3), pp. 270-272; 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Relat. Clin. Probl.,Article,Final,,Scopus,2-s2.0-85017305793 "Ebrahimi H., Jafarabadi M.A., Areshtanab H.N., Pourabbas M., Dehghan A., Vahidi M.",54984860000;25960660100;56303238300;55674006200;57216837169;56526941500;,Comparing mental illness stigma among nurses in psychiatric & non-psychiatric wards in Tabriz University of medical sciences,2017,Acta Facultatis Medicae Naissensis,34,1,,13,22,,3,10.1515/afmnai-2017-0002,https://www.scopus.com/inward/record.uri?eid=2-s2.0-85016962351&doi=10.1515%2fafmnai-2017-0002&partnerID=40&md5=390b211fa12e0ee7728c58e9d67a75b0,"Department of Psychiatric Nursing, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran; Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran; Nursing Practitioner in Psychiatric Ward, Tabriz University of Medical Science, Tabriz, Iran; Departmrnt of Teaching Nursing, Tabriz University of Medical Science, Tabriz, Iran","Ebrahimi, H., Department of Psychiatric Nursing, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran; Jafarabadi, M.A., Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran; Areshtanab, H.N., Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran; Pourabbas, M., Nursing Practitioner in Psychiatric Ward, Tabriz University of Medical Science, Tabriz, Iran; Dehghan, A., Departmrnt of Teaching Nursing, Tabriz University of Medical Science, Tabriz, Iran; Vahidi, M., Departmrnt of Teaching Nursing, Tabriz University of Medical Science, Tabriz, Iran","Stigma can complicate people's mental health problems by affecting different sides of personal life, increasing negative attitudes, causing discriminatory behavior towards them, and reducing the chances of recovery and returning to normal life. This research aims to compare the stigma of mental illness among nurses working in psychiatric and non-psychiatric wards in Tabriz University of Medical Sciences. A total of 240 nurses participated in this descriptive and analytic study. The data were collected using a demographic questionnaire and the Community Attitudes towards the Mentally Ill (CAMI) Scale, which is a 40-item self-report questionnaire. All data were analyzed using SPSS 13. The majority of nurses have a medium level of stigma toward people with mental illness, and there is no significant relation between the type of wards and mean stigma scores. After eliminating factors such as mental illness in nurses and their families, it seems that only working with people with mental illness in psychiatric wards is not enough to create a positive attitude toward them. Additionally, the less physical activity and taking advantage of legal benefits of work hardship for psychiatric nurses, low income, and stigma toward psychiatric nursing, probably may make a difference in inclining to work in psychiatry ward between the two groups in spite of relatively equal stigma scores.",Contact; Nurses' attitude; Psychiatric wards; Stigma,adult; Article; attitude assessment; attitude to mental illness; Community Attitudes towards the Mentally Ill Scale; community care; conscience; controlled study; family; female; gender; human; male; marriage; mental disease; nurse; physical activity; psychiatric department; questionnaire; randomized controlled trial; scoring system; shift worker; stigma; work environment; work experience,,,,,,,,,,,,"Link, B.G., Phelan, J.C., Conceptualizing stigma (2001) Annual Review of Sociology, 27, pp. 363-385. , https://doi.org/10.1146/annurev.soc.27.1.363; Younesi, S.J., Stigma and infertility in Iran-coping skills (2002) JRI, 3, pp. 74-76. , In persain; Byrne, P., Stigma of mental illness and ways of diminishing it (2000) Advances in Psychiatric Treatment, 6, pp. 65-72. , https://doi.org/10.1192/apt.6.1.65; Sartorius, N., Stigma and mental health (2007) The Lancet, 370, pp. 810-811. , https://doi.org/10.1016/S0140-6736(07)61245-8; Crisp, A., Changing minds: Every family in the land-An update on the College's campaign (2000) Schizophr Bull, 24, pp. 267-268. , https://doi.org/10.1192/pb.24.7.267; Crisp, A., Gelder, M., Goddard, E., Stigmatization of people with mental illnesses: A follow-up study within the changing, minds campaign of the royal college of psychiatrists (2005) World Psychiatry, 4, pp. 106-113; Wahl, O.F., Mental health consumers' experience of stigma (1999) Schizophr Bull, 25, p. 467. , https://doi.org/10.1093/oxfordjournals.schbul.a033394; Angermeyer, M.C., Matschinger, H., Social distance towards the mentally ill:Results of representative surveys in the federal republic of Germany (1997) Psychol Med, 27, pp. 131-141; Phelan, J.C., Link, B.G., Stueve, A., Pescosolido, B.A., Public conceptions of mental illness in 1950 and 1996: What is mental illness and is it to be feared? (2000) J Health Soc Behav, 41, pp. 188-207. , https://doi.org/10.2307/2676305; Socall, D.W., Holtgraves, T., Attitudes toward the mentally ill: The effects of label and beliefs (1992) Sociol Q, 33, pp. 435-445. , https://doi.org/10.1111/j.1533-8525.1992.tb00383.x; Kongable, G.L., Tarko, M., Psychosocial aspects of medically compromised persons (2006) Psychiatric Nursing for Canadian Practice, , Austin W, Boyd MA (eds). Lippincott Williams &Wilkins, Philadelphia press; Landino, R., Buckley, J.M., (2009) Stigma of Mental Illness Continues to Impede Early Diagnosis and Treatment of Affective Illness In, the United States; Ebrahimi, H., Namdar, H., Vahidi, M., Mental illness stigma among nurses in psychiatric wards of teaching hospitals in the north-west of Iran (2012) Iran J Nurs Midwifery Res, 17, pp. 534-538; Lauber, C., Anthony, M., Ajdacic-Gross, V., What about psychiatrists' attitudes to mentally ill people? (2004) Eur Psychiatry, 19, pp. 423-427; Song, L.Y., Chang, L.Y., Shih, C.Y., Community attitudes towards the mentally ill: The results of a national survey of the Taiwanese population (2005) Int J Soc Psychiatry, 51, pp. 162-176. , https://doi.org/10.1177/0020764005056765; Llerena, A., Cáceres, M.C., Pe-As-Lledó, E.M., Schizophrenia stigma among medical and nursing undergraduates (2002) Eu Psychiatry, 17, pp. 298-299. , https://doi.org/10.1016/S0924-9338(02)00672-7; Björkman, T., Angelman, T., Jonsson, M., Attitudes towards people with mental illness: A cross-sectional study among nursing staff in psychiatric and somatic care (2008) Scand J Caring Sci, 22, pp. 170-177. , https://doi.org/10.1111/j.1471-6712.2007.00509.x; Angermeyer, M.C., Dietrich, S., Public beliefs about and attitudes towards people with mental illness: A review of population studies (2006) Acta Psychiatria Scandinavica, 113, pp. 163-179. , https://doi.org/10.1111/j.1600-0447.2005.00699.x; Addison, S.J., Thorpe, S.J., Factors involved in the formation of attitudes towards those who are mentally ill (2004) Soc Psychiatry Psychiatr Epidemiol, 39, pp. 228-234. , https://doi.org/10.1007/s00127-004-0723-y; Nordt, C., Rössler, W., Lauber, C., Attitudes of mental health professionals toward people with schizophrenia and major, depression (2006) Schizophrenia Bulletin, 32, pp. 709-714. , https://doi.org/10.1093/schbul/sbj065; Foster, K., Usher, K., Baker, J.A., Gadai, S., Ali, S., Mental health workers' attitudes towards mental illness in Fiji (2008) Aust J Adv Nurs, 25, pp. 72-79; Callaghan, P., Shan, C.S., Yu, L.S., Attitudes towards mental illness: Testing the contact hypothesis among Chinese student nurses in Hong Kong (1997) J AdvNurs, 26, pp. 33-40. , https://doi.org/10.1046/j.1365-2648.1997.1997026033.x; Taylor, S.M., Dear, M.J., Saling community attitudes toward the mentally ill (1981) Schizophrenia Bulletin, 7, pp. 225-240. , https://doi.org/10.1093/schbul/7.2.225; Hugo, M., Mental health professionals' attitudes towards people who have experienced a mental health disorder (2001) J Psychiatr Ment Hlt, 8, pp. 419-425. , https://doi.org/10.1046/j.1351-0126.2001.00430.x; Chambers, M., Guise, V., Välimäki, M., Nurses' attitudes to mental illness: A comparison of a sample of nurses from five European countries (2010) Int J Nurs Stud, 47, pp. 350-362. , https://doi.org/10.1016/j.ijnurstu.2009.08.008; Barczyk, A.N., Relationship between the public's belief in recovery, level of mental illness stigma, and previous contact (2015) Community Ment Health J., 51, pp. 38-47. , https://doi.org/10.1007/s10597-014-9766-z; Surgenor, L.J., Dunn, J., Horn, J., Nursing student attitudes to psychiatric nursing and psychiatric disorders in New Zealand (2005) Int J Ment Health Nurs, 14, pp. 103-108. , https://doi.org/10.1111/j.1440-0979.2005.00366.x; West, K., Hewstone, M., Lolliot, S., Intergroup contact and prejudice against people with schizophrenia (2014) J Soc Psychol, 154, pp. 217-232. , https://doi.org/10.1080/00224545.2014.888327; Mårtensson, G., Jacobsson, J.W., Engström, M., Mental health nursing staff's attitudes towards mental illness: An analysis of related factors (2014) J PsychiatrMent Health Nurs, 21, pp. 782-788. , https://doi.org/10.1111/jpm.12145; Vahidi, M., Hosseinzadeh, M., Investigation of seclusion in one of the psychiatric wards in razi teaching hospital of tabriz (2014) J Caring Sci, 3, pp. 297-300; Ahmead, M.K., Rahhal, A.A., Baker, J.A., Baker, The attitudes of mental health professionals towards patients with mental illness in an inpatient setting in palestine (2010) Int J Ment Health Nurs, 19, pp. 356-362. , https://doi.org/10.1111/j.1447-0349.2010.00674.x; Li, J., Li, J., Thornicroft, G., Huang, Y., Levels of stigma among community mental health staff in Guangzhou, China (2014) BMC Psychiatry, 14, p. 231. , https://doi.org/10.1186/s12888-014-0231-x; Minas, H., Zamzam, R., Midin, M.A., Attitudes of Malaysian general hospital staff towards patientswith mental illness and diabetes (2011) BMC Public Health, 11, p. 317. , https://doi.org/10.1186/1471-2458-11-317; Thornicroft, G., Rose, D., Mehta, N., Discrimination against people with mental illness: What can psychiatrists do? (2010) Advances in Psychiatric Treatment, 16, pp. 53-59. , https://doi.org/10.1192/apt.bp.107.004481","Areshtanab, H.N.; Road Traffic Injury Research Center, Iran; email: namdarh@tbzmed.ac.ir",,,University of Nis,,,,,3516083,,,,English,Acta Fac. Med. Naissensis,Article,Final,"All Open Access, Gold",Scopus,2-s2.0-85016962351 "Araten-Bergman T., Werner S.",9239402100;34870765500;,Social workers' attributions towards individuals with dual diagnosis of intellectual disability and mental illness,2017,Journal of Intellectual Disability Research,61,2,,155,167,,11,10.1111/jir.12300,https://www.scopus.com/inward/record.uri?eid=2-s2.0-84992755468&doi=10.1111%2fjir.12300&partnerID=40&md5=ffd30aa527808e9a7a2a383f34cd85d8,"University of Haifa, School of Social Work, Haifa, Israel; Hebrew University of Jerusalem, Paul Baerwald School of Social Work and Social Welfare, Jerusalem, Israel","Araten-Bergman, T., University of Haifa, School of Social Work, Haifa, Israel; Werner, S., Hebrew University of Jerusalem, Paul Baerwald School of Social Work and Social Welfare, Jerusalem, Israel","Background: The present study aimed to explore the applicability of the attribution model to social workers' attributions towards clients with dual diagnosis of intellectual disability and psychiatric illness. Specifically, the study examined the relations between social workers' attribution of responsibility, causality, stereotypes of dangerousness, their emotional reactions and behavioural reactions towards clients with dual diagnosis. Method: Social workers (N = 279) completed questionnaires measuring attributions of responsibility, causation and dangerousness, and reported on their emotional and behavioural reactions to clients diagnosed with DD. Results: Most social workers reported high levels of helping behaviours. The strongest predictor of discriminatory behaviours was the stereotype of dangerousness. Social workers who reported feeling less anger and more pity towards clients with DD tended to report higher levels of helping behaviour. But contrary to attribution theory, fear and anger did not predict discriminatory behaviours. Conclusion: The results are discussed in relation to the core values of social work and to professional identity. © 2016 MENCAP and International Association of the Scientific Study of Intellectual and Developmental Disabilities and John Wiley & Sons Ltd",attribution theory; dual diagnosis; intellectual disability; social workers; stigma,adult; anger; Article; avoidance behavior; causal attribution; controlled study; cooperation; emotionality; fear; female; hazard; human; intellectual impairment; male; mental disease; prediction; questionnaire; social worker attitude; comorbidity; cooperation; health personnel attitude; intellectual impairment; mental disease; middle aged; psychology; social worker; stereotyping; Adult; Attitude of Health Personnel; Comorbidity; Female; Helping Behavior; Humans; Intellectual Disability; Male; Mental Disorders; Middle Aged; Social Workers; Stereotyping,,,,,,,,,,,,"Ahmedani, B.K., Mental health stigma: society, individuals, and the profession (2011) Journal of Social Work Values and Ethics, 8, pp. 4-5; Ali, A., Scior, K., Ratti, V., Strydom, A., King, M., Hassiotis, A., Discrimination and other barriers to accessing health care: perspectives of patients with mild and moderate intellectual disability and their carers (2013) PLoS ONE, 8; Amodeo, M., The therapeutic attitudes and behavior of social work clinicians with and without substance abuse training (2000) Substance Use and Misuse, 35, pp. 1507-1536; Angermeyer, M.C., Dietrich, S., Public beliefs about and attitudes towards people with mental illness: a review of population studies (2006) Acta Psychiatrica Scandinavica, 113, pp. 163-179; Angermeyer, M.C., Matschinger, H., Labeling—stereotype—discrimination (2005) Social Psychiatry and Psychiatric Epidemiology, 40, pp. 391-395; Angermeyer, M.C., Daubmann, A., Wegscheider, K., Mnich, E., Schomerus, G., Knesebeck, O., The relationship between biogenetic attributions and desire for social distance from persons with schizophrenia and major depression revisited (2015) Epidemiology and Psychiatric Sciences, 24, pp. 335-341; Asquith, S., Clark, C.L., Waterhouse, L., (2005) The Role of the Social Worker in the 21st Century: A Literature Review, , &, Scottish Executive Education Department, Edinburgh; Bailey, B.A., Hare, D.J., Hatton, C., Limb, K., The response to challenging behaviour by care staff: emotional responses, attributions of cause and observations of practice (2006) Journal of Intellectual Disability Research, 50, pp. 199-211; Baker, J.A., Richards, D.A., Campbell, M., Nursing attitudes towards acute mental health care: development of a measurement tool (2005) Journal of Advanced Nursing, 49, pp. 522-529; Bartlett, M.S., A note on the multiplying factors for various χ2 approximations (1954) Journal of the Royal Statistical Society: Series B Methodological, 16, pp. 296-298; Bouras, N., Holt, G., Mental health services for adults with learning disabilities (2004) The British Journal of Psychiatry, 184, pp. 291-292; Canda, E.R., Furman, L.D., (2009) Spiritual Diversity in Social Work Practice : The Heart of Helping: The Heart of Helping, , &, Oxford University Press, USA; Chambers, M., Guise, V., Välimäki, M., Botelho, M.A.R., Scott, A., Staniuliené, V., Nurses' attitudes to mental illness: A comparison of a sample of nurses from five European countries (2010) International Journal of Nursing Studies, 47, pp. 350-362; Charles, J.L.K., Bentley, K.J., Stigma as an organizing framework for understanding the early history of community mental health and psychiatric social work (2016) Social Work in Mental Health, 14, pp. 149-173; Corrigan, P.W., Lundin, R.K., (2001) Don't Call Me Nuts!: Coping With the Stigma of Mental Illness, , &, Recovery Press, Tinley Park, IL; Corrigan, P.W., Penn, D.L., Lessons from social psychology on discrediting psychiatric stigma (1999) American Psychologist, 54, pp. 765-776; Corrigan, P.W., River, L.P., Lundin, R.K., Penn, D.L., Uphoff-Wasowski, K., Campion, J., Three strategies for changing attributions about severe mental illness (2001) Schizophrenia Bulletin, 27, pp. 187-195; Corrigan, P.W., Markowitz, F.E., Watson, A., Rowan, D., Kubiak, M.A., An attribution model of public discrimination towards persons with mental illness (2003) Journal of Health and Social Behavior, 44, pp. 162-179; Dagnan, D., Trower, P., Smith, R., Care staff responses to people with learning disabilities and challenging behaviour: A cognitive—emotional analysis (1998) British Journal of Clinical Psychology, 37, pp. 59-68; DuBois, B.L., Miley, K.K., (2013) Social Work: An Empowering Profession, , &, Pearson Higher Ed, Portland, OR; Eack, S.M., Newhill, C.E., An investigation of the relations between student knowledge, personal contact, and attitudes toward individuals with schizophrenia (2008) Journal of Social Work Education, 44, pp. 77-96; Eagly, A.H., Chaiken, S., (1993) The Psychology of Attitudes, , &, Harcourt Brace Jovanovich College Publishers, Orlando FL, US; Ferguson, M., Jarrett, D., Terras, M., Inclusion and healthcare choices: the experiences of adults with learning disabilities (2011) British Journal of Learning Disabilities, 39, pp. 73-83; Geller, J.L., Nicholson, J., Traverso, A., The victimization of women with mental illness by treaters: A historical perspective (1997) Sexual Abuse in the Lives of Women Diagnosed with Serious Mental Illness, New Directions in Therapeutic Interventions, pp. 139-160. , &, In, (eds, M. Harris, &, C. L. Landis, Harwood Academic Publishers, Amsterdam, Netherlands; Gentile, J.P., Manetta, C.T., Jackson, C.S., (2013) Mental illness and Intellectual disability, , &, Modern Community Mental Health An Interdisciplinary Approach 415; Handler, J.F., (2014) The Coercive Social Worker: British Lessons for American Social Services, , Academic Press, New York, NY; Harrington, A., The fall of the schizophrenogenic mother (2012) The Lancet, 379, pp. 1292-1293; Hayes, S.C., Bissett, R., Roget, N., Padilla, M., Kohlenberg, B.S., Fisher, G., The impact of acceptance and commitment training and multicultural training on the stigmatizing attitudes and professional burnout of substance abuse counselors (2004) Behavior Therapy, 35, pp. 821-835; Hilton, J.L., von Hippel, W., Stereotypes (1996) Annual Review of Psychology, 47, pp. 237-271; (1994) Code of ethics of the social workers in Israel; (1998) Israeli Equal Rights for Persons with Disabilities Law; Jahoda, A., Wanless, L.K., Knowing you: the interpersonal perceptions of staff towards aggressive individuals with mild to moderate intellectual disabilities in situations of conflict (2005) Journal of Intellectual Disability Research, 49, pp. 544-551; Jahoda, A., Wilson, A., Stalker, K., Cairney, A., Living with stigma and the self-perceptions of people with mild intellectual disabilities (2010) Journal of Social Issues, 66, pp. 521-534; Jordan, B., Emancipatory social work? opportunity or oxymoron (2004) British Journal of Social Work, 34, pp. 5-19; Kaiser, H.F., An index of factorial simplicity (1974) Psychometrika, 39, pp. 31-36; Kanner, L., Problems of nosology and psychodynamics of early infantile autism (1949) American Journal of Orthopsychiatry, 19, pp. 416-426; Link, B.G., Yang, L.H., Phelan, J.C., Collins, P.Y., Measuring mental illness stigma (2004) Schizophrenia Bulletin, 30, pp. 511-541; McCaughey, T.J., Strohmer, D.C., Prototypes as an indirect measure of attitudes toward disability groups (2005) Rehabilitation Counseling Bulletin, 48, pp. 89-99; McGuinness, P., Dagnan, D., Cognitive emotional reactions of care staff to difficult child behaviour (2001) Behavioural and Cognitive Psychotherapy, 29, pp. 295-302; Miresco, M.J., Kirmayer, L.J., The persistence of mind-brain dualism in psychiatric reasoning about clinical scenarios (2006) The American Journal of Psychiatry, 163, pp. 913-918; Morin, D., Crocker, A.G., Beaulieu-Bergeron, R., Caron, J., Validation of the attitudes toward intellectual disability – ATTID questionnaire (2013) Journal of Intellectual Disability Research, 57, pp. 268-278; Morisse, F., Vandemaele, E., Claes, C., Claes, L., Vandevelde, S., Quality of life in persons with intellectual disabilities and mental health problems: an explorative study, quality of life in persons with intellectual disabilities and mental health problems: an explorative study (2013) The Scientific World Journal, 2013, pp. 1-14; Munro, S., Baker, J.A., Surveying the attitudes of acute mental health nurses (2007) Journal of Psychiatric and Mental Health Nursing, 14, pp. 196-202; (1996) Code of Ethics; O'Brien, A., Rose, J., Improving mental health services for people with intellectual disabilities: service users' views (2010) Advances in Mental Health and Intellectual Disabilities, 4, pp. 40-47; Ouellette-Kuntz, H., Burge, P., Henry, D.B., Bradley, E.A., Leichner, P., Attitudes of senior psychiatry residents toward persons with intellectual disabilities (2003) Canadian Journal of Psychiatry, 48, pp. 538-545; Payne, M., What is professional social work? (2013) Social Work: A Reader, p. 11. , In, (ed., V. E. Cree, Routledge, London, UK; Pescosolido, B.A., Martin, J.K., Long, J.S., Medina, T.R., Phelan, J.C., Link, B.G., A disease like Any other”? a decade of change in public reactions to schizophrenia, depression, and alcohol dependence (2010) American Journal of Psychology, 167, pp. 1321-1330; Proctor, E.K., Research to inform mental health practice: social work's contributions (2004) Social Work Research, 28, pp. 195-198; Radey, M., Figley, C.R., The social psychology of compassion (2007) Clinical Social Work Journal, 35, pp. 207-214; Ricciardi, J.N., Co-occurring Psychiatric Disorders in Individuals with Intellectual Disability (2013) Handbook of Crisis Intervention and Developmental Disabilities, pp. 213-243. , In, Springer, New York, NY; Sartorius, N., Stigma and mental health (2007) The Lancet, 370, pp. 810-811; Scheyett, A., The mark of madness (2005) Social Work in Mental Health, 3, pp. 79-97; Sharrock, R., Day, A., Qazi, F., Brewin, C.R., Explanations by professional care staff, optimism and helping behaviour: an application of attribution theory (1990) Psychological Medicine, 20, pp. 849-855; Stanley, B., Standen, P.J., Carers' attributions for challenging behaviour (2000) British Journal of Clinical Psychology, 39, pp. 157-168; (2007) Convention on the Rights of Persons with Disabilities : resolution / adopted by the General Assembly; Wanless, L.K., Jahoda, A., Responses of staff towards people with mild to moderate intellectual disability who behave aggressively: a cognitive emotional analysis (2002) Journal of Intellectual Disability Research, 46, pp. 507-516; Weiner, B., An attributional theory of achievement motivation and emotion (1985) Psychological Review, 92, pp. 548-573; Weiner, B., An attribution theory of motivation (2012) Handbook of theories of social psychology:, 1, pp. 135-155. , In, (ed., P. A. Van Lange, A. W. Kruglanski, &, E. T. Higgins, SAGE Publications Ltd, London; Werner, S., Stigma in the area of intellectual disabilities: examining a conceptual model of public stigma (2015) American Journal on Intellectual and Developmental Disabilities, 120, pp. 460-475; Werner, S., Corrigan, P., Ditchman, N., Sokol, K., Stigma and intellectual disability: A review of related measures and future directions (2012) Research in Developmental Disabilities, 33, pp. 748-765; Werner, S., Levav, I., Stawski, M., Polakiewicz, Y., Israeli psychiatrists report on their ability to care for individuals with intellectual disability and psychiatric disorders (2013) The Israel Journal of Psychiatry and Related Sciences, 50, pp. 202-209; Williams, V., Heslop, P., Mental health support needs of people with a learning difficulty: a medical or a social model? (2005) Disability & Society, 20, pp. 231-245","Araten-Bergman, T.; University of Haifa, Israel; email: talaraten@gmail.com",,,Blackwell Publishing Ltd,,,,,9642633,,JIDRE,27283246,English,J. Intellect. Disabil. Res.,Article,Final,,Scopus,2-s2.0-84992755468 "Ozer U., Varlik C., Ceri V., Ince B., Delice M.A.",45361464100;57194339501;56194851500;36165113000;50161319000;,Change starts with us: Stigmatizing attitudes towards mental illnesses and the use of stigmatizing language among mental health professionals,2017,Dusunen Adam,30,3,,224,232,,10,10.5350/DAJPN2017300306,https://www.scopus.com/inward/record.uri?eid=2-s2.0-85029820840&doi=10.5350%2fDAJPN2017300306&partnerID=40&md5=c5c6f6ca3ec2cca18a51509bcefa538c,"Acibadem University, Faculty of Medicine, Department of Psychiatry, Istanbul, Turkey; Bakirkoy Prof. Dr. Mazhar Osman Training and Research Hospital for Psychiatry, Neurologoy and Neurosurgery, Istanbul, Turkey; Marmara University Pendik Training and Research Hospital, Department of Child and Adolescent Psychiatry, Istanbul, Turkey","Ozer, U., Acibadem University, Faculty of Medicine, Department of Psychiatry, Istanbul, Turkey; Varlik, C., Bakirkoy Prof. Dr. Mazhar Osman Training and Research Hospital for Psychiatry, Neurologoy and Neurosurgery, Istanbul, Turkey; Ceri, V., Marmara University Pendik Training and Research Hospital, Department of Child and Adolescent Psychiatry, Istanbul, Turkey; Ince, B., Bakirkoy Prof. Dr. Mazhar Osman Training and Research Hospital for Psychiatry, Neurologoy and Neurosurgery, Istanbul, Turkey; Delice, M.A., Bakirkoy Prof. Dr. Mazhar Osman Training and Research Hospital for Psychiatry, Neurologoy and Neurosurgery, Istanbul, Turkey","Objective: Individuals with mental illnesses have been reported to face prejudices and stigmatization by the society. It has been suggested that language and expressions have a place in stigmatization and emphasized that mental health professionals have a great responsibility to fight against stigmatization. In this study, it was aimed to investigate the use of labeling and stigmatizing language for mental illnesses among mental health professionals as well as their beliefs regarding mental illnesses. Method: Participants were asked to complete a sociodemographic data form, a questionnaire about the use of stigmatizing language for mental illnesses and the beliefs toward Mental Illness Scale. Results: A total number of 103 forms were collected and 95 of them were included in evaluation. Psychiatrists had less stigmatizing beliefs than other mental health professionals. Sociodemographic features and a family history of psychiatric illness had no effect on stigmatizing attitudes, though participants who suffered from a psychiatric illness had less stigmatizing attitudes. ""Insane"" and ""mentally ill"" were identified as the most stigmatizing expression, whereas ""psychiatric disorder"" and ""mental health problems"" have been found as the least stigmatizing ones. The terms ""dotard"" and ""junkie"" have been found as the most humiliating/ insulting expressions by participants. There was no difference with regard to use of stigmatizing language between groups. Conclusion: Stigmatization is a significant factor affecting social engagement, interpersonal and occupational functioning, and treatment and care processes of individuals with mental illnesses. Stigmatization can be seen also among mental health professionals. Considering the importance of language and expressions in stigmatization, studies and interventions in this field might contribute to reduce stigmatization.",Attitude; Language; Mental health professional; Mental illness; Stigmatization,adult; Article; family history; female; health belief; health practitioner; human; major clinical study; male; mental disease; mental health care; psychiatric treatment; psychotherapy; social attitude; social interaction; social status; social stigma,,,,,,,,,,,,"Cam, M.O., Bilge, A., Engin, E., Akmese, Z.B., Turgut, E.O., Cakir, N., Investigating the effectiveness of education of the fight against stigma on mental illness to headmen (2014) Journal of Psychiatric Nursing, 5, pp. 129-136. , (Turkish); Arkan, B., Bademli, K., Duman, Z.C., Attitudes of health professionals towards mental disorders: studies in Turkey during the last decade (2011) Current Approaches in Psychiatry, 3, pp. 214-231. , (Turkish); Bilge, A., Cam, O., The fight against stigma toward mental illness (2010) TAF Preventive Medicine Bulletin, 9, pp. 71-78. , (Turkish); Ersoy, M.A., Varan, A., Reliability and Validity of the Turkish Version of the Internalized Stigma of Mental Illness Scale (2007) Turk Psikiyatri Derg, 18, pp. 163-171. , (Turkish); Bostanci, N., The Stigma Towards to Individual with Mentally ill Patients and Practices About Reducing this Situation (2005) Dusunen Adam: The Journal of Psychiatry and Neurological Sciences, 18, pp. 32-38. , (Turkish); Corrigan, P.W., River, L.P., Lundin, R.K., Wasowski, K.U., Campion, J., Mathisen, J., Goldstein, H., Kubiak, M.A., Stigmatizing attributions about mental illness (2000) J Community Psychol, 28, pp. 91-102; Corrigan, P.W., The impact of stigma on severe mental illness (1998) Cogn Behav Pract, 5, pp. 201-222; Angermeyer, M.C., Dietrich, S., Public beliefs about and attitudes towards people with mental illness: a review of population studies (2006) Acta Psychiatr Scand, 113, pp. 163-179; Rüsch, N., Angermeyer, M.G., Corrigan, P.W., Mental illness stigma: concepts, consequences, and initiatives to reduce stigma (2005) Eur Psychiatry, 20, pp. 529-539; Angermeyer, M.C., Schulze, B., Dietrich, S., Courtesy stigma-a focus group study of relatives of schizophrenia patients (2003) Soc Psychiatry Psychiatr Epidemiol, 38, pp. 593-602; Crisp, A.H., Gelder, M.G., Rix, S., Meltzer, H.I., Rowlands, O.J., Stigmatisation of people with mental illnesses (2000) Br J Psychiatry, 177, pp. 4-7; Cam, O., Bilge, A., The process of stigmatization and attitude, belief about mental illness and patient in Turkey: a systematic review (2013) Journal of Psychiatric Nursing, 4, pp. 91-101. , (Turkish); Livingston, J.D., Boyd, J.E., Correlates and consequences of internalized stigma for people living with mental illness: a systematic review and meta-analysis (2010) Soc Sci Med, 71, pp. 2150-2161; Shattell, M.M., Stigmatizing language with unintended meanings: ""persons with mental illness"" or ""mentally ill persons""? (2009) Issues Ment Health Nurs, 30, p. 199; Szeto, A.C., Luong, D., Dobson, K.S., Does labeling matter?. An examination of attitudes and perceptions of labels for mental disorders (2013) Soc Psychiatry Psychiatr Epidemiol, 48, pp. 659-671; Byrne, P., Stigma of mental illness and ways of diminishing it (2000) Advances in Psychiatric Treatment, 6, pp. 65-72; Ozmen, E., Taskin, E.O., Ozmen, D., Demet, M.M., Which psychiatric label is more stigmatizating?. ""ruhsal hastalik"" or ""akil hastaligi"" (2004) Turk Psikiyatri Derg, 15, pp. 47-55. , (Turkish); Bilge, A., Cam, O., Validity and reliability of Beliefs towards Mental Illness Scale (2008) Anatolian Journal of Psychiatry, 9, pp. 91-96. , (Turkish); Sartorius, N., Fighting stigma: theory and practice (2002) World Psychiatry, 1, pp. 26-27; Hannson, L., Jormfeldt, H., Svedberg, P., Svensson, B., Mental health professionals' attitudes towards people with mental illness: do they differ from attitudes held by people with mental illness? (2013) Int J Soc Psychiatry, 59, pp. 48-54; Hugo, M., Mental health professionals' attitudes towards people who have experienced a mental health disorder (2001) J Psychiatr Ment Health Nurs, 8, pp. 419-425; Jorm, A.F., Korten, A.E., Jacomb, P.A., Christensen, H., Henderson, S., Attitudes towards people with a mental disorder: a survey of the Australian public and health professionals (1999) Aust N Z J Psychiatry, 33, pp. 77-83; Rao, H., Mahadevappa, H., Pillay, P., Sessay, M., Abraham, A., Luty, J., A study of stigmatized attitudes towards people with mental health problems among health professionals (2009) J Psychiatr Ment Health Nurs, 16, pp. 279-284; Nordt, C., Rössler, W., Lauber, C., Attitudes of mental health professionals toward people with schizophrenia and major depression (2006) Schizophr Bull, 32, pp. 709-714; Ucok, A., Polat, A., Sartorius, N., Erkoc, S., Atakli, C., Attitudes of psychiatrists toward patients with schizophrenia (2004) Psychiatr Clin Neurosci, 58, pp. 89-91; Saillard, E.K., Psychiatrist views on stigmatization toward people with mental illness and recommendations (2010) Turk Psikiyatri Derg, 21, pp. 14-24. , (Turkish); Unal, S., Hisar, F., Celik, B., Ozguven, Z., Beliefs of university students on mental illness (2010) Dusunen Adam: The Journal of Psychiatry and Neurological Sciences, 23, pp. 145-150. , (Turkish); Kingdon, D., Sharma, T., Hart, D., What attitudes do psychiatrists hold towards people with mental illness (2004) BJPsych Bulletin, 28, pp. 401-406; Lauber, C., Anthony, M., Ajdacic-Gross, V., Rössler, W., What about psychiatrists' attitude to mentally ill people? (2004) Eur Psychiatry, 19, pp. 423-427; Arvaniti, A., Samakouri, M., Kalamara, E., Bochtsou, V., Bikos, C., Livaditis, M., Health service staff's attitudes towards patients with mental illness (2009) Soc Psychiatry Psychiatr Epidemiol, 44, pp. 658-665; Corrigan, P.W., Morris, S.B., Michaels, P.J., Rafacz, J.D., Rüsch, N., Challenging the public stigma of mental illness: a meta-analysis of outcome studies (2012) Psychiatr Serv, 63, pp. 963-973; Mann, C.E., Himelein, M.J., Factors associated with stigmatization of persons with mental illness (2004) Psychiatr Serv, 55, pp. 185-187; Corrigan, P.W., Lurie, B.D., Goldman, H.H., Slopen, N., Medasani, K., Phelan, S., How adolescents perceive the stigma of mental illness and alcohol abuse (2005) Psychiatr Serv, 56, pp. 544-550; Chaplin, R., Psychiatrists can cause stigma too (2000) Br J Psychiatry, 177, p. 467; Davidson, J., Contesting stigma and contested emotions: personal experience and public perception of specific phobias (2005) Soc Sci Med, 61, pp. 2155-2164; Thornicroft, G., Rose, D., Mehta, N., Discrimination against people with mental illness: what can psychiatrists do? (2010) Adv Psychiatr Treat, 16, pp. 53-59; Sartorius, N., Iatrogenic stigma of mental illness (2002) BMJ, 324, pp. 1470-1471; Walter, G., Rosen, A., Psychiatric stigma and the role of the psychiatrist (1997) Australas Psychiatry, 5, pp. 72-74","Ozer, U.; Acibadem University, Turkey; email: urunozer@gmail.com",,,Yerkure Tanitim ve Yayincilik,,,,,10188681,,,,English,Dusunen Adam,Article,Final,,Scopus,2-s2.0-85029820840 "Clemente A.S., dos Santos W.J., Nicolato R., Firmo J.O.A.",37118526600;55811980000;10141708100;6701548755;,"Stigma related to bipolar disorder in the perception of psychiatrists from Belo Horizonte, Minas Gerais State, Brazil [Estigma relacionado ao transtorno bipolar de acordo com psiquiatras em Belo Horizonte, Estado de Minas Gerais, Brasil] [Estigma relacionado con el trastorno bipolar según psiquiatras en Belo Horizonte, Estado de Minas Gerais, Brasil]",2017,Cadernos de Saude Publica,33,6,e00050016,,,,3,10.1590/0102-311X00050016,https://www.scopus.com/inward/record.uri?eid=2-s2.0-85024490388&doi=10.1590%2f0102-311X00050016&partnerID=40&md5=322c22ea9eb2164eb9f49c71c6b79128,"Centro de Pesquisas René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Brazil; Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil","Clemente, A.S., Centro de Pesquisas René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Brazil; dos Santos, W.J., Centro de Pesquisas René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Brazil; Nicolato, R., Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil; Firmo, J.O.A., Centro de Pesquisas René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Brazil","This research sought to understand meanings and implications of the stigma related to bipolar disorder in relation to social processes and local cultural value systems. Seven semidirected individual interviews were performed with psychiatrists (from Belo Horizonte city, Minas Gerais State, Brazil) and analyzed with referential from the Medical Anthropology. Some potential stigmatizing views about bipolar disorder patients were endorsed by respondents related to biomedical model of bipolar disorder. They claimed about the extreme trivialization of this diagnosis nowadays and observed that, in spite of the mitigation of stigma related to bipolar disorder over time, it remains an important issue, especially at labor fields and as a cause of refusal of treatment. © 2017, Fundacao Oswaldo Cruz. All rights reserved.",Bipolar disorder; Medical anthropology; Social stigma,bipolar disorder; Brazil; female; human; male; perception; psychiatry; psychology; qualitative research; social stigma; Bipolar Disorder; Brazil; Female; Humans; Male; Perception; Psychiatry; Qualitative Research; Social Stigma,,,,,"Coordenação de Aperfeiçoamento de Pessoal de Nível Superior, CAPES; Conselho Nacional de Desenvolvimento Científico e Tecnológico, CNPq: 302614/2011-7; Fundação de Amparo à Pesquisa do Estado de Minas Gerais, FAPEMIG: CDS-APQ-00512-1","This article was supported in part by grants from Brazilian Graduate Studies Coordinating Board (Capes), Brazilian National Research Council (CNPq; productivity scholarship 302614/2011-7) and Minas Gerais State Research Foundation (Fapemig; CDS-APQ-00512-1).",,,,,,"Crump, C., Sundquist, K., Winkleby, M.A., Sundquist, J., Comorbidities and mortality in bipolar disorder: A Swedish national cohort study (2013) JAMA Psychiatry, 70, pp. 931-939; Fagiolini, A., Forgione, R., Maccari, M., Cuomo, A., Morana, B., Dell’Osso, M.C., Prevalence, chronicity, burden and borders of bipolar disorder (2013) J Affect Disord, 148, pp. 161-169; Pompili, M., Gonda, X., Serafini, G., Innamorati, M., Sher, L., Amore, M., Epidemiology of suicide in bipolar disorders: A systematic review of the literature (2013) Bipolar Disord, 15, pp. 457-490; Akiskal, H.S., Bourgeois, M.L., Angst, J., Post, R., Möller, H., Hirschfeld, R., Re-evaluating the prevalence of and diagnostic composition within the broad clinical spectrum of bipolar disorders (2000) J Affect Disord, 59, pp. S5-S30; Leclerc, E., Mansur, R.B., Brietzke, E., Determinants of adherence to treatment in bipolar disorder: A comprehensive review (2013) J Affect Disord, 149, pp. 247-252; Clement, S., Schauman, O., Graham, T., Maggioni, F., Evans-Lacko, S., Bezborodovs, N., What is the impact of mental health-related on help-seeking? A systematic review of quantitative and qualitative studies (2015) Psychol Med, 45, pp. 11-27; Corrigan, P., How stigma interferes with mental health care (2004) Am Psychol, 59, pp. 614-625; Stuber, J., Meyer, I., Stigma, prejudice, discrimination and health (2008) Soc Sci Med, 67, pp. 351-357; Goffman, E., (1986) Stigma: Notes on the Management of Spoiled Identity, , New York: Touchstone; Link, B.G., Cullen, F.T., Frank, J., Wozniak, J.F., The social rejection of former mental patients: Understanding why labels matter (1987) Am J Sociol, 92, pp. 1461-1500; Link, B.G., Phelan, J.C., Stigma and its public health implications (2006) Lancet, 367, pp. 528-529; Saxena, S., Thornicroft, G., Knapp, M., Whit-Eford, H., Resources for mental health: Scarcity, inequity, and inefficiency (2007) Lancet, 370, pp. 878-889; Tsao, C.I.P., Tummala, A., Roberts, L.W., Stigma in mental health care (2008) Acad Psychiatry, 32, pp. 70-72; Murthy, R.S., Stigma is universal but experiences are local (2002) World Psychiatry, 1, p. 28; Kleinman, A., Wang, W.Z., Li, S.C., Cheng, X.M., Daí, X.Y., Li, K.T., The social course of epilepsy: Chronic illness as social experience in interior China (1995) Soc Sci Med, 40, pp. 1319-1330; Kleinman, A., Hall-Clifford, R., Stigma: A social, cultural and moral process (2009) J Epidemiol Community Health, 63, pp. 418-419; Yang, L.H., Chen, F.-P., Sia, K.J., Lam, J., Lam, K., Ngo, H., “What matters most”: A cultural mechanism moderating structural vulnerability and moral experience of mental illness stigma (2014) Soc Sci Med, 103, pp. 84-93; Bilderbeck, A.C., Saunders, K.E., Price, J., Goodwin, G.M., Psychiatric assessment of mood instability: Qualitative study of patient experience (2014) Br J Psychiatry, 204, pp. 234-239; Ellison, N., Mason, O., Scior, K., Bipolar disorder and stigma: A systematic review of the literature (2013) J Affect Disord, 151, pp. 805-820; Hawke, L.D., Parikh, S.V., Michalak, E.E., Stigma and bipolar disorder: A review of the literature (2013) J Affect Disord, 150, pp. 181-191; Kleinman, A., Benson, P., Anthropology in the clinic: The problem of cultural competency and how to fix it (2006) Plos Med, 3; Corin, E., Uchoa, E., Bibeau, G., Kourmare, B., Articulation et variations de systèmes de Signes, de Sens et d’Action (1992) Psychopatologie Africaine, 24, pp. 2183-2204; Fontanella, B.J.B., Ricas, J., Turato, E.R., Amostra-gem por saturação em pesquisas qualitativas em saúde: Contribuições teóricas (2008) Cad Saúde Pública, 24, pp. 17-27; Bibeau, G., Corin, E.E., From submission to the text to interpretative violence (1994) Beyond Textuality: Asceticism and Violence in Anthropological Interpretation, pp. 1-54. , Bibeau G, Corin EE, editors, Berlin: Mounton de Gruyter; Chan, D., Sireling, L., ‘I want to be bipolar’… a new phenomenon (2010) Psychiatrist, 34, pp. 103-106; Montanini, D., Banzato, C.E.M., Do estigma da psicose maníaco-depressiva ao incentivo ao tratamento do transtorno bipolar: A evolução da abordagem em dois veículos midiáticos nos últimos 40 anos (2012) J Bras Psiquiatr, 61, pp. 84-88; Lin, E.H.B., Carter, W.B., Kleinman, A.M., An exploration of somatization among Asian refugees and immigrants in primary care (1985) Am J Public Health, 75, pp. 1080-1085; Martin, E., (2007) Bipolar Expeditions: Mania and Depression in American Culture, , Princeton: Princeton University Press; Michalak, E.E., Yatham, L.N., Kolesar, S., Lam, R.W., Bipolar disorder and quality of life: A patient-centered perspective (2006) Qual Life Res, 15, pp. 25-37; Littlewood, R., Cultural variation in the stig-matization of mental illness (1998) Lancet, 352, pp. 1056-1057; Crocker, J., Major, B., Social stigma and self-steem: The self-protective properties of stigma (1989) Psychol Rev, 96, pp. 608-630; David, A.S., Insight and psychosis (1990) Br J Psychiatry, 156, pp. 798-808; Mishra, D.K., Alreja, S., Sengar, K.S., Singh, A.R., Insight and its relationship with stigma in psychiatric patients (2009) Ind Psychiatry J, 18, pp. 39-42; Good, B.J., (1994) Medicine, Rationality, and Experience: an Anthropological Perspective, , Cambridge: Cambridge University Press; Wahl, O., Mental health consumers’ experience of stigma (1999) Schizophr Bull, 25, pp. 467-478; Link, B.G., Castille, D., Stuber, J., Stigma and coercion in the context of outpatient treatment for people with mental illnesses (2008) Soc Sci Med, 67, pp. 409-419; Lauber, C., Nordt, C., Braunschweig, C., Rössler, W., Do mental health professionals stigmatize their patients? (2006) Acta Psychiatr Scand Suppl, 429, pp. 51-59; Sartorius, N., Iatrogenic stigma of mental illness (2002) BMJ, 324, pp. 1470-1471; Pattyn, E., Verhaeghe, M., Sercu, C., Medicalizing versus pscyhologizing mental illness: What are the implications for help seeking and stigma? A general population study (2013) Soc Psychiatry Psychiatr Epidemiol, 48, pp. 1637-1645; Angermeyer, M.C., Beck, M., Matschinger, H., Determinants of the public’s preference for social distance from people with schizophrenia (2003) Can J Psychiatry, 48, pp. 663-668; Lincoln, T.M., Arens, E., Berger, C., Rief, W., Can antistigma campaigns be improved? A test of the impact of biogenetic versus psychosocial causal explanations on implicit and explicit attitudes to schizophrenia (2008) Schizophr Bull, 34, pp. 984-994; Read, J., Haslam, N., Sayce, L., Davies, E., Prejudice and schizophrenia: A review of the “mental illness is an illness like any other” approach (2006) Acta Psychiatr Scand, 114, pp. 303-318; Nordt, C., Rössler, W., Lauber, C., Attitudes of mental health professionals toward people with schizophrenia and major depression (2006) Schizophr Bull, 32, pp. 709-714","Clemente, A.S.; Centro de Pesquisas René Rachou, Av. Augusto de Lima 1715, sala 611, Brazil; email: adautoclemente@yahoo.com.br",,,Fundacao Oswaldo Cruz,,,,,0102311X,,,28724024,English,Cad. Saude Publica,Article,Final,"All Open Access, Gold, Green",Scopus,2-s2.0-85024490388 "Gove D., Downs M., Vernooij-Dassen M., Small N.",23050126200;7007016862;7004246935;7006467176;,Stigma and GPS perceptions of dementia,2016,Aging and Mental Health,20,4,,391,400,,44,10.1080/13607863.2015.1015962,https://www.scopus.com/inward/record.uri?eid=2-s2.0-84959562587&doi=10.1080%2f13607863.2015.1015962&partnerID=40&md5=85a9e41cb10fcca31ec013235dd9b89c,"Alzheimer Europe, Luxembourg, Luxembourg; School of Dementia Studies, Faculty of Health Studies, University of Bradford, Bradford, United Kingdom; Scientific Institute for Quality of Healthcare (IQ Healthcare), Radboud University Nijmegen Medical Centre, Nijmegen, Netherlands; Faculty of Health Studies, University of Bradford, Bradford, United Kingdom","Gove, D., Alzheimer Europe, Luxembourg, Luxembourg; Downs, M., School of Dementia Studies, Faculty of Health Studies, University of Bradford, Bradford, United Kingdom; Vernooij-Dassen, M., Scientific Institute for Quality of Healthcare (IQ Healthcare), Radboud University Nijmegen Medical Centre, Nijmegen, Netherlands; Small, N., Faculty of Health Studies, University of Bradford, Bradford, United Kingdom","Objectives: General practitioners (GPs) are crucial to improving timely diagnosis, but little is reported about how they perceive dementia, and whether their perceptions display any elements of stigma. The aim of this study was to explore how GPs perceptions of dementia map onto current conceptualizations of stigma and whether GPs feel that stigma affects timely diagnosis.Methods: Twenty-three GPs from England were interviewed by telephone. Data were analyzed by means of content analysis. This involved open coding followed by the application of a coding framework derived from the literature to explore how and to what extent their perceptions relate to stigma as well as the unique nature of their perceptions.Results: Three themes emerged from the analysis: (1) making sense of dementia, (2) relating perceptions of dementia to oneself and (3) considering the consequences of dementia. GPs perceptions of dementia mapped onto current conceptualizations of stigma. Perceptions about dementia that were linked to their own existential anxiety and to a perceived similarity between people with dementia and themselves were particularly salient. GPs perceived dementia as a stigma which was gradually being overcome but that stigma still hindered timely diagnosis. They provided examples of structural discrimination within the health service, including lack of time for patients and shortcomings in training that were to the detriment of people with dementia.Conclusion: Measures to involve GPs in tackling stigma should include training and opportunities to explore how they perceive dementia, as well as support to address structural discrimination. © 2015 Taylor & Francis.",Dementia; General practitioners; Stigma; Timely diagnosis,adult; delayed diagnosis; dementia; England; female; general practitioner; health personnel attitude; human; male; middle aged; psychology; qualitative research; social stigma; Adult; Attitude of Health Personnel; Delayed Diagnosis; Dementia; England; Female; General Practitioners; Humans; Male; Middle Aged; Qualitative Research; Social Stigma,,,,,,,,,,,,"Europe, A., Dementia in Europe yearbook 2012: Diagnosis, treatment and research (2012) Luxembourg: Binsfeld; (2008) Dementia: Out of the Shadows, , London: Alzheimer's Society Alzheimer's Society; (2012) DSM-5: The Future of Psychiatric Diagnosis, , http://www.dsm5.org/Pages/Default.aspx, American Psychiatric Association. 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Hull (Eds. ), New York, NY: The Guilford Press; Uwakwe, R., Knowledge of religious organizations about dementia and their role in care (2000) International Journal of Geriatric Psychiatry, 15 (12), pp. 1152-1157; Van Brakel, W.H., Measuring health-related stigma-A literature review (2006) Psychology, Health and Medicine, 11, pp. 307-334; Van Hout, H., Vernooij-Dassen, M., Bakker, K., Blom, M., Grol, R., General practitioners on dementia: Tasks, practices and obstacles (2000) Patient Education and Counseling, 39 (2), pp. 219-225; Vernooij-Dassen, M.J., Moniz-Cook, E.D., Woods, R.T., De Lepeleire, J., Leuschner, A., Zanetti, O., Iliffe, S., Factors affecting timely recognition and diagnosis of dementia across Europe: From awareness to stigma (2005) International Journal of Geriatric Psychiatry, 20 (4), pp. 377-386; Weiner, B., Perry, R.P., Magnussen, J., An attributional analysis of reactions to stigmas (1988) Journal of Personality and Social Psychology, 55 (5), pp. 738-748; Weiss, M.G., Ramakrishna, J., Somma, D., Healthrelated stigma: Rethinking concepts and interventions (2006) Psychology, Health & Medicine, 11 (3), pp. 277-287; Werner, P., Social distance towards a person with Alzheimer's disease (2005) International Journal of Geriatric Psychiatry, 20, pp. 182-188; Werner, P., Goldstein, D., Buchbinder, E., Subjective experience of family stigma as reported by children of Alzheimer's disease patients (2010) Qualitative Health Research, 20 (2), pp. 159-169; Werner, P., Heinik, J., Stigma by association and Alzheimer's disease (2008) Aging and Mental Health, 12 (1), pp. 92-99; Yeo, L.J., Horan, M.A., Jones, M., Pendleton, N., Perceptions of risk and prevention of dementia in the healthy elderly (2007) Dementia and Geriatric Cognitive Disorders, 23 (6), pp. 368-371","Gove, D.; Alzheimer EuropeLuxembourg; email: dianne.gove@alzheimer-europe.org",,,Routledge,,,,,13607863,,AMHTF,25765096,English,Aging Ment. Health,Article,Final,"All Open Access, Green",Scopus,2-s2.0-84959562587 "Stefanovics E., He H., Ofori-Atta A., Cavalcanti M.T., Neto H.R., Makanjuola V., Ighodaro A., Leddy M., Rosenheck R.",10340827300;56207135000;26029196400;14718998800;56611573600;13408253000;55775346600;26667856200;35415442600;,Cross-National Analysis of Beliefs and Attitude Toward Mental Illness Among Medical Professionals From Five Countries,2016,Psychiatric Quarterly,87,1,,63,73,,29,10.1007/s11126-015-9363-5,https://www.scopus.com/inward/record.uri?eid=2-s2.0-84957429673&doi=10.1007%2fs11126-015-9363-5&partnerID=40&md5=eb1b0c774c6e620e39f8449f662bd050,"VA New England Mental Illness Research and Education Center, VA Connecticut Healthcare System (116A-4), 950 Campbell Ave., Building 36, West Haven, CT 06516, United States; Yale Medical School, New Haven, CT 06511, United States; Guangzhou Psychiatric Hospital, Guangzhou, China; University of Ghana, Accra, Ghana; Federal University, Rio de Janeiro, Rio de Janeiro, Brazil; University College Hospital, Ibadan, Nigeria","Stefanovics, E., VA New England Mental Illness Research and Education Center, VA Connecticut Healthcare System (116A-4), 950 Campbell Ave., Building 36, West Haven, CT 06516, United States, Yale Medical School, New Haven, CT 06511, United States; He, H., Guangzhou Psychiatric Hospital, Guangzhou, China; Ofori-Atta, A., University of Ghana, Accra, Ghana; Cavalcanti, M.T., Federal University, Rio de Janeiro, Rio de Janeiro, Brazil; Neto, H.R., Federal University, Rio de Janeiro, Rio de Janeiro, Brazil; Makanjuola, V., University College Hospital, Ibadan, Nigeria; Ighodaro, A., Yale Medical School, New Haven, CT 06511, United States; Leddy, M., VA New England Mental Illness Research and Education Center, VA Connecticut Healthcare System (116A-4), 950 Campbell Ave., Building 36, West Haven, CT 06516, United States; Rosenheck, R., VA New England Mental Illness Research and Education Center, VA Connecticut Healthcare System (116A-4), 950 Campbell Ave., Building 36, West Haven, CT 06516, United States, Yale Medical School, New Haven, CT 06511, United States","This quantitative study sought to compare beliefs about the manifestation, causes and treatment of mental illness and attitudes toward people with mental illness among health professionals from five countries: the United States, Brazil, Ghana, Nigeria, and China. A total of 902 health professionals from the five countries were surveyed using a questionnaire addressing attitudes towards people with mental illness and beliefs about the causes of mental illness. Chi-square and analysis of covariance (ANCOVA) were used to compare age and gender of the samples. Confirmatory factor analysis was employed to confirm the structure and fit of the hypothesized model based on data from a previous study that identified four factors: socializing with people with mental illness (socializing), belief that people with mental illness should have normal roles in society (normalizing), non-belief in supernatural causes (witchcraft or curses), and belief in bio-psycho-social causes of mental illness (bio-psycho-social). Analysis of Covariance was used to compare four factor scores across countries adjusting for differences in age and gender. Scores on all four factors were highest among U.S. professionals. The Chinese sample showed lowest score on socializing and normalizing while the Nigerian and Ghanaian samples were lowest on non-belief in supernatural causes of mental illness. Responses from Brazil fell between those of the U.S. and the other countries. Although based on convenience samples of health professional robust differences in attitudes among health professionals between these five countries appear to reflect underlying socio-cultural differences affecting attitudes of professionals with the greater evidence of stigmatized attitudes in developing countries. © 2015, Springer Science+Business Media New York.",Attitudes to mental illness; Cross-cultural research; International comparison; Mental health providers; Stigma,"adult; Article; attitude; Brazil; China; convenience sample; cultural factor; exploratory research; factorial analysis; female; Ghana; health belief; health practitioner; health survey; human; male; medical student; mental disease; Nigeria; normal human; quantitative study; questionnaire; scoring system; social aspect; stigma; United States; attitude to health; factor analysis; health personnel attitude; mental disease; psychology; young adult; Adult; Attitude of Health Personnel; Brazil; China; Factor Analysis, Statistical; Female; Ghana; Health Knowledge, Attitudes, Practice; Humans; Male; Mental Disorders; Nigeria; Surveys and Questionnaires; United States; Young Adult",,,,,,,,,,,,"Corrigan, P., How stigma interferes with mental health care (2004) American Psychologist, 59 (7), pp. 614-625. , PID: 15491256; Wells, J.E., Robins, L.N., Bushnell, J.A., Jarosz, D., Oakley-Browne, M.A., Perceived barriers to care in St. Louis (USA) and Christchurch (NZ): Reasons for not seeking professional help for psychological distress (1994) Social Psychiatry & Psychiatric Epidemiology, 29 (4), pp. 155-164. , COI: 1:STN:280:DyaK2M%2Fis1agtQ%3D%3D; Phillips, M., Pearon, V., Stigma and expressed emotion; a study of people with schizophrenia and their family members in China (2002) British Journal of Psychiatry, 181, pp. 488-493. , PID: 12456518; Link, B.G., Struening, E.L., Rahav, M., Phelan, J.C., Nuttbrock, L., On stigma and its consequences: Evidence from a longitudinal study of men with dual diagnoses of mental illness and substance abuse (1997) Journal of Health & Social Behavior, 38 (2), pp. 177-190. , COI: 1:STN:280:DyaK2szls1Sltw%3D%3D; Angermeyer, M.C., Beck, M., Dietrich, S., Holzinger, A., The stigma of mental illness: Patients’ anticipations and experiences (2004) International Journal of Social Psychiatry, 50 (2), pp. 153-162. , PID: 15293432; Corrigan, P.W., Best practices: Strategic stigma change (SSC): Five principles for social marketing campaigns to reduce stigma (2011) Psychiatric Services, 62 (8), pp. 824-826. , PID: 21807820; Tsang, H.W.H., Angell, B., Corrigan, P.W., Lee, Y.-T., Shi, K., A cross-cultural study of employers’ concerns about hiring people with psychotic disorder: Implications for recovery (2007) Social Psychiatry & Psychiatric Epidemiology, 42 (9), pp. 723-733; Dietrich, S., Beck, M., Bujantugs, B., Kenzine, D., Matschinger, H., Angermeyer, M.C., The relationship between public causal beliefs and social distance toward mentally ill people (2004) Australian and New Zealand Journal Psychiatry, 38 (5), pp. 348-354; Rusch, N., Angermeyer, M.C., Corrigan, P.W., Mental illness stigma: Concepts, consequences, and initiatives to reduce stigma (2005) European Psychiatry: The Journal of the Association of European Psychiatrists, 20 (8), pp. 529-539; Link, B.G., Mental patient status, work, and income: An examination of the effects of a psychiatric label (1982) American Sociological Review, 47, pp. 202-215. , COI: 1:STN:280:DyaL383ivFSmtw%3D%3D, PID: 7091929; Fink, P.J., Tasman, A., (1992) Stigma and Mental Illness, , (eds), American Psychiatric Press, Washington, DC; Baxter, H., Singh, S.P., Standen, P., Duggan, C., The attitudes of ‘tomorrow’s doctors’ towards mental illness and psychiatry: Changes during the final undergraduate year (2001) Medical Education, 35 (4), pp. 381-383. , COI: 1:STN:280:DC%2BD3MvhtVSruw%3D%3D, PID: 11319003; Fischel, T., Manna, H., Krivoy, A., Lewis, M., Weizman, A., Does a clerkship in psychiatry contribute to changing medical students’ attitudes towards psychiatry? 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An assessment of attitude towards people with mental illness among medical students and physicians in Ibadan, Nigeria (2014) Academic Psychiatry; Lambo, T.A., Neuropsychiatric observations in the western region of Nigeria (1956) British Medical Journal, 15 (2), pp. 1388-1394; Wolff, G., Pathare, S., Craig, T., Leff, J., Community knowledge of mental illness and reaction to mentally ill people (1996) British Journal of Psychiatry, 168 (2), pp. 191-198. , COI: 1:STN:280:DyaK28vjsFShsQ%3D%3D, PID: 8837909; Taylor, S.M., Dear, M.J., Scaling community attitudes toward the mentally ill (1981) Schizophrenia Bulletin, 7 (2), pp. 225-240. , COI: 1:STN:280:DyaL38%2Fhs12rtQ%3D%3D, PID: 7280561; World Psychiatric Association, (2000) The WPA Programme to Reduce Stigma and Discrimination Because of Schizophrenia, , WPA, Geneva; Little, R.J., Rubin, D.B., (2002) Statistcal Analysis with Missing Data, , Wiley Series in Probability and Statistics, Wiley, New York; Hooper, D., Coughlan, J., Mullen, M., Structural equation modeling: Guidelines for determining model fit (2008) Journal of Business Research Methods, 6, pp. 53-60; Chou, C.P., Estimates, B.P.M., Concept, Issues, and Applications. Thousand Oaks (1995) Sage Publications Inc., pp. 37-55; Mardia, K., Measure of multivariate skewness and kurtosis with applications (1970) Biometrika, 57, pp. 519-530; Lam, C.S., Chinese lay theory and mental illness stigma: Implications for research and practices (2010) Journal of Rehabilitation, 76, pp. 35-40; Mellor, D., Stigma toward mental illness: A cross-cultural comparison of Taiwanese, Chinese immigrants to Australia and Anglo-Australians (2012) Journal of Cross-Cultural Psychology, 44 (3), pp. 352-364; Yang, L.H., Culture and stigma: Adding moral experience to stigma theory (2007) Social Science & Medicine, 64 (7), pp. 1524-1535; Yang, L.H., Application of mental illness stigma theory to Chinese societies: Synthesis and new directions (2007) Singapore Medical Journal, 48 (11), pp. 977-985. , COI: 1:STN:280:DC%2BD2snltFertg%3D%3D, PID: 17975685; Islam, R., Hewstone, M., Dimensions of contact as predictors of intergroup anxiety, perceived out-group variability, and out-group attitude: An integrative model (1993) Personality and Social Psychology Bulletin, 19, pp. 700-710; Li, P.S., The Chinese Family (1983) Racial Minorities in Multicultural Canada, pp. 86-96. , Li PS, Singh B, (eds), Garamond Press, Toronto; Pearson, V., The Chinese equation in mental health policy and practice: Order plus equal stability (1996) International Journal of Law and Psychiatry, 19 (3-4), pp. 437-458. , COI: 1:STN:280:DyaK2s7itlGksQ%3D%3D, PID: 8968820; Cheung, F.K., Conceptualization of psychiatric illness and help-seeking behavious among Chinese (1987) Culture, Medicine and Psychiatry, 11, pp. 97-106. , COI: 1:STN:280:DyaL2s7mtVyntA%3D%3D, PID: 3829696; Adewuya, A., Oguntade, A., Doctors’ attitude towards people with mental illness in Western Nigeria (2007) Social Psychiatry and Psychiatric Epidemiology, 42, pp. 931-936. , PID: 17721670; Ae-Ngibise, K., Cooper, S., Adiibokah, E., Whether you like it or not people with mental problems are going to go to them: A qualitative exploration into the widespread use of traditional and faith healers in the provision of mental health care in Ghana (2010) International Review of Psychiatry, 22 (6), pp. 589-598; Akighir, A., Traditional and modern psychiatry: A survey of opinions and beliefs amongst people in plateau state Nigeria (1982) International Journal of Social Psychiatry, 28, pp. 203-209. , COI: 1:STN:280:DyaL3s%2Fgs1aktw%3D%3D, PID: 7118459; Ofori-Atta, A.M., Linden, W., The effect of social change on causal beliefs of mental disorders and treatment preferences in Ghana (1995) Social Science and Medicine, 40 (9), pp. 1231-1242; Deans, C., Meocivic, E., Attitudes of registered psychiatric nurses towards patients diagnosed with bordeline personality disorder (2006) Contemporary Nurse, 21, pp. 43-49. , PID: 16594881; Munro, S., Baker, J.A., Surveying the attitudes of acute mental health nurses (2007) Journal of Psychiatric and Mental Health Nursing, 14, pp. 196-202. , COI: 1:STN:280:DC%2BD2s7lt12jsQ%3D%3D, PID: 17352783; Angermeyer, M.C., Dietrich, S., Public belifes about and attitudes towards people with mental illness: A review of population studies (2006) Acta Psychiatria Scandinavica, 113, pp. 163-179. , COI: 1:STN:280:DC%2BD28%2FotVWqug%3D%3D; Aydin, N., Yigit, A., Inandi, T., Kirpinar, I., Attitudes of hospital staff towards mentally ill patients in a teaching hospital, Turkey (2003) International Journal of Social Psychiatry, 49 (1), pp. 17-26. , PID: 12793512","Stefanovics, E.; VA New England Mental Illness Research and Education Center, 950 Campbell Ave., Building 36, United States; email: elina.stefanovics@yale.edu",,,Springer New York LLC,,,,,332720,,PSQUA,25939823,English,Psychiatr. Q.,Article,Final,,Scopus,2-s2.0-84957429673 "Chiba R., Umeda M., Goto K., Miyamoto Y., Yamaguchi S., Kawakami N.",30867466300;55037970700;57114166500;36087654000;55650696900;35377339000;,Psychometric properties of the Japanese version of the Recovery Attitudes Questionnaire (RAQ) among mental health providers: A questionnaire survey,2016,BMC Psychiatry,16,1,32,,,,8,10.1186/s12888-016-0740-x,https://www.scopus.com/inward/record.uri?eid=2-s2.0-84958043338&doi=10.1186%2fs12888-016-0740-x&partnerID=40&md5=782f0371ec7cf43ec39d7f1218ccde50,"School of Nursing, Jichi Medical University, 3311-159, Yakushiji, Shimotsuke-shi, Tochigi, 329-0498, Japan; International University, Faculty of Community Health Nursing/ Public Health Nursing, St Luke's, 10-1, Tokyo, Akashi-cho, Chuo-ku, 104-0044, Japan; Tokyo Musashino Hospital, 4-11-11, Komone, Itabashi-ku, Tokyo, 173-0037, Japan; Graduate School of Medicine, The University of Tokyo, Department of Psychiatric Nursing, 7-3-1, Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan; Institute of Mental Health, National Center of Neurology and Psychiatry, Department of Psychiatric Rehabilitation, 4-1-1, Ogawahigashi-cho, Kodaira-shi, Tokyo, 187-8553, Japan; Graduate School of Medicine, The University of Tokyo, Department of Mental Health, 7-3-1, Tokyo, Hongo, Bunkyo-ku, 113-0033, Japan","Chiba, R., School of Nursing, Jichi Medical University, 3311-159, Yakushiji, Shimotsuke-shi, Tochigi, 329-0498, Japan; Umeda, M., International University, Faculty of Community Health Nursing/ Public Health Nursing, St Luke's, 10-1, Tokyo, Akashi-cho, Chuo-ku, 104-0044, Japan; Goto, K., Tokyo Musashino Hospital, 4-11-11, Komone, Itabashi-ku, Tokyo, 173-0037, Japan; Miyamoto, Y., Graduate School of Medicine, The University of Tokyo, Department of Psychiatric Nursing, 7-3-1, Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan; Yamaguchi, S., Institute of Mental Health, National Center of Neurology and Psychiatry, Department of Psychiatric Rehabilitation, 4-1-1, Ogawahigashi-cho, Kodaira-shi, Tokyo, 187-8553, Japan; Kawakami, N., Graduate School of Medicine, The University of Tokyo, Department of Mental Health, 7-3-1, Tokyo, Hongo, Bunkyo-ku, 113-0033, Japan","Background: ""Recovery"" is a central concept in mental health, particularly for mental health services and policy-makers. The present study examined the factorial and concurrent validity, internal consistency reliability, and test-retest reliability of the Japanese version of the 7-item Recovery Attitudes Questionnaire (RAQ) among mental health service providers in community and inpatient settings in Japan. Methods: We conducted a cross-sectional questionnaire with a number of eligible professional groups, including psychiatrists, registered/assistant nurses, public health nurses, clinical psychologists, pharmacists, occupational therapists, and social workers. Participants were drawn from two psychiatric hospitals and 56 psychiatric clinics or community service agencies. In total, 331 participants completed the questionnaire. After excluding those with missing RAQ values, 307 participants were included in the analysis; the participants' mean age was 40.2years and 29.6% were men. The questionnaire comprised the Japanese version of the 7-item RAQ developed by the present authors, the revised scale of the positive attitudes of staff toward persons with mental disorder (the positive attitudes scale), and the Japanese-language version of the Social Distance Scale (SDSJ). Confirmatory factor analyses were used to examine factorial validity of a two-factor structure reported in a previous study (Borkin et al., 2000) as well as a single-factor structure. Concurrent validity was determined by calculating correlations between RAQ and the other two scales. Internal consistency reliability was assessed with Cronbach's alpha coefficients and inter-item correlations. Test-retest reliability was assessed by the intraclass correlation coefficient (ICC), with a weighted kappa in a subsample of participants (n = 13). Results: The two-factor structure showed acceptable factorial validity. RAQ scores were significantly and positively correlated with the positive attitudes scale, and there was a significant inverse correlation with the SDSJ (p < 0.01). The RAQ had an overall Cronbach's alpha coefficient of 0.64. Four inter-item correlations were not significant. The ICC and weighted kappa values indicated unsatisfactory test-retest reliability. Conclusion: The Japanese RAQ showed acceptable factorial validity, reasonable concurrent validity, and unsatisfactory reliability in community and inpatient mental health settings in Japan. Further large-scale research is required to ensure robust verification. © 2016 Chiba et al.",,"adult; Article; clinical psychology; concurrent validity; controlled study; correlation coefficient; Cronbach alpha coefficient; cross-sectional study; female; health care personnel; health care policy; health service; health survey; human; internal consistency; Japan; Japanese (people); major clinical study; male; mental disease; mental health; mental health service; mental hospital; nurse; occupational therapist; pharmacist; psychiatrist; psychometry; questionnaire; registered nurse; scoring system; social welfare; social worker; test retest reliability; factor analysis; health care survey; health personnel attitude; Mental Disorders; procedures; publication; reproducibility; standards; Adult; Attitude of Health Personnel; Cross-Sectional Studies; Factor Analysis, Statistical; Female; Health Care Surveys; Humans; Japan; Male; Mental Disorders; Mental Health; Mental Health Services; Psychometrics; Reproducibility of Results; Surveys and Questionnaires; Translations",,,,,"Japan Society for the Promotion of Science, JSPS: 25862241; Ministry of Education, Culture, Sports, Science and Technology, Monbusho","This study was funded by the charitable trust of the Fumiko Yamaji Foundation for Nursing Education and Research, and Gushinkai Foundation, Japan. And it was partially supported by the Ministry of Education, Science, Sports and Culture, Grant-in-Aid for Scientific Research, 25862241.",,,,,,"Chiba, R., Kawakami, N., Miyamoto, Y., Quantitative relationship between recovery and benefit-finding among persons with chronic mental illness in Japan (2011) Nurs Health Sci, 13 (2), pp. 126-132; Kaewprom, C., Curtis, J., Deane, F.P., Factors involved in recovery from schizophrenia: a qualitative study of Thai mental health nurses (2011) Nurs Health Sci, 13 (3), pp. 323-327; Parker, J.S., Developing the philosophy of recovery in South African mental health services (2012) Afr J Psychiatry (Johannesbg), 15 (6), pp. 417-419; Tse, S., Davidson, L., Chung, K.F., Ng, K.L., Yu, C.H., Differences and similarities between functional and personal recovery in an Asian population: a cluster analytic approach (2014) Psychiatry, 77 (1), pp. 41-56; Anthony, W.A., Recovery from mental illness: the guiding vision of the mental health service system in the 1990s (1993) Psychosoc Rehabil J, 16 (4), pp. 11-23; Andresen, R., Oades, L., Caputi, P., The experience of recovery from schizophrenia: towards an empirically validated stage model (2003) Aust N Z J Psychiatry, 37 (5), pp. 586-594; Russinova, Z., Rogers, E.S., Ellison, M.L., Lyass, A., Recovery-promoting professional competencies: perspectives of mental health consumers, consumer-providers and providers (2011) Psychiatr Rehabil J, 34 (3), pp. 177-185; Salyers, M.P., Brennan, M., Kean, J., Provider Expectations for Recovery Scale: refining a measure of provider attitudes (2013) Psychiatr Rehabil J, 36 (3), pp. 153-159; Cleary, A., Dowling, M., Knowledge and attitudes of mental health professionals in Ireland to the concept of recovery in mental health: a questionnaire survey (2009) J Psychiatr Ment Health Nurs, 16 (6), pp. 539-545; Schrank, B., Slade, M., Recovery in psychiatry (2007) Psychiatr Bull, 31, pp. 321-325; Klockmo, C., Marnetoft, S.U., Nordenmark, M., Dalin, R., Knowledge and attitude regarding recovery among mental health practitioners in Sweden (2012) Int J Rehabil Res, 35 (1), pp. 62-68; Rapp, C.A., Goscha, R.J., (2006) The strengths model: case management with people with psychiatric disabilities, , Oxford: Oxford University Press;; Malinovsky, I., Lehrer, P., Silverstein, S.M., Shankman, S.A., O'Brien, W., Samuelson, T., Nostrand, G., An empirical evaluation of recovery transformation at a large community psychiatric rehabilitation organization (2013) Psychol Serv, 10 (4), pp. 428-441; Rao, H., Mahadevappa, H., Pillay, P., Sessay, M., Abraham, A., Luty, J., A study of stigmatized attitudes towards people with mental health problems among health professionals (2009) J Psychiatr Ment Health Nurs, 16 (3), pp. 279-284; Ross, C.A., Goldner, E.M., Stigma, negative attitudes and discrimination towards mental illness within the nursing profession: a review of the literature (2009) J Psychiatr Ment Health Nurs, 16 (6), pp. 558-567; Schulze, B., Stigma and mental health professionals: a review of the evidence on an intricate relationship (2007) Int Rev Psychiatry, 19 (2), pp. 137-155; Vendsborg, P., Bratbo, J., Dannevang, A., Hagedorn-Moller, J., Kistrup, K., Lindhardt, A., Nordentoft, M., Staff attitudes towards patients with schizophrenia (2013) Dan Med J, 60 (10), p. 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(2012) Psychiatr Q, 83 (2), pp. 209-220; Bullock, W.A., Ensing, D.S., Alloy, V.E., Weddle, C.C., Leadership education: evaluation of a program to promote recovery in persons with psychiatric disabilities (2000) Psychiatr Rehabil J, 24 (1), pp. 3-11; Dunn, E.C., Sally Rogers, E., Hutchinson, D.S., Lyass, A., MacDonald Wilson, K.L., Wallace, L.R., Furlong-Norman, K., Results of an innovative university-based recovery education program for adults with psychiatric disabilities (2008) Adm Policy Ment Health, 35 (5), pp. 357-369; Hutchinson, D.S., Anthony, W.A., Ashcraft, L., Johnson, E., Dunn, E.C., Lyass, A., Rogers, E.S., The personal and vocational impact of training and employing people with psychiatric disabilities as providers (2006) Psychiatr Rehabil J, 29 (3), pp. 205-213; Resnick, S.G., Rosenheck, R.A., Integrating peer-provided services: a quasi-experimental study of recovery orientation, confidence, and empowerment (2008) Psychiatr Serv, 59 (11), pp. 1307-1314; Resnick, S.G., Rosenheck, R.A., Who attends Vet-to-Vet? Predictors of attendance in mental health mutual support (2010) Psychiatr Rehabil J, 33 (4), pp. 262-268; Vreeland, B., Minsky, S., Yanos, P.T., Menza, M., Gara, M., Kim, E., Toto, A.M., Allen, L., Efficacy of the team solutions program for educating patients about illness management and treatment (2006) Psychiatr Serv, 57 (6), pp. 822-828; Aston, V., Coffey, M., Recovery: what mental health nurses and service users say about the concept of recovery (2012) J Psychiatr Ment Health Nurs, 19 (3), pp. 257-263","Chiba, R.; School of Nursing, 3311-159, Japan; email: crie-tky@umin.ac.jp",,,BioMed Central Ltd.,,,,,1471244X,,BPMSC,26883208,English,BMC Psychiatry,Article,Final,"All Open Access, Gold, Green",Scopus,2-s2.0-84958043338 "Stefanovics E.A., He H., Cavalcanti M., Neto H., Ofori-Atta A., Leddy M., Ighodaro A., Rosenheck R.",10340827300;56207135000;14718998800;56611573600;26029196400;26667856200;55775346600;35415442600;,Witchcraft and biopsychosocial causes of mental illness: Attitudes and beliefs about mental illness among health professionals in five countries,2016,Journal of Nervous and Mental Disease,204,3,,169,174,,10,10.1097/NMD.0000000000000422,https://www.scopus.com/inward/record.uri?eid=2-s2.0-84959902048&doi=10.1097%2fNMD.0000000000000422&partnerID=40&md5=ddbedd2a0664e35b083283838f855214,"VA New England Mental Illness Research and Education Center, VA Connecticut Healthcare System (116A-4), Building 36, 950 Campbell Ave, West Haven, CT 06516, United States; Yale Medical School, New Haven, CT, United States; Guangzhou Psychiatric Hospital, Guangzhou, China; Federal University, Rio de Janeiro, Rio de Janeiro, Brazil; University of Ghana, Accra, Ghana","Stefanovics, E.A., VA New England Mental Illness Research and Education Center, VA Connecticut Healthcare System (116A-4), Building 36, 950 Campbell Ave, West Haven, CT 06516, United States, Yale Medical School, New Haven, CT, United States; He, H., Guangzhou Psychiatric Hospital, Guangzhou, China; Cavalcanti, M., Federal University, Rio de Janeiro, Rio de Janeiro, Brazil; Neto, H., Federal University, Rio de Janeiro, Rio de Janeiro, Brazil; Ofori-Atta, A., University of Ghana, Accra, Ghana; Leddy, M., VA New England Mental Illness Research and Education Center, VA Connecticut Healthcare System (116A-4), Building 36, 950 Campbell Ave, West Haven, CT 06516, United States; Ighodaro, A., Yale Medical School, New Haven, CT, United States; Rosenheck, R., VA New England Mental Illness Research and Education Center, VA Connecticut Healthcare System (116A-4), Building 36, 950 Campbell Ave, West Haven, CT 06516, United States, Yale Medical School, New Haven, CT, United States","This study examines the intercorrelation of measures reflecting beliefs about and attitudes toward people with mental illness in a sample of health professionals (N = 902) from five countries: Brazil, China, Ghana, Nigeria, and the United States, and,more specifically, the association of beliefs in supernatural as contrasted with biopsychosocial causes of mental illness. Factor analysis of a 43-item questionnaire identified four factors favoring a) socializing with people with mental illness; b) normalizing their roles in society; c) belief in supernatural causes ofmental illness (e.g., witchcraft, curses); and d) belief in biopsychosocial causes of mental illness. Unexpectedly, a hypothesized negative association between belief in supernatural and biopsychosocial causation of mental illness was not found. Belief in the biopsychosocial causation was weakly associated with less stigmatized attitudes towards socializing and normalized roles. Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.",Attitudes and beliefs about causation of mental illness; Cross-cultural research; International comparison; Mental health providers,"adult; Article; attitude; conception; cultural factor; data analysis; factorial analysis; female; health belief; health practitioner; human; major clinical study; male; medical profession; social acceptance; social distance; social psychology; socialization; witchcraft; attitude to health; Brazil; China; ethnology; Ghana; health personnel attitude; mental disease; middle aged; Nigeria; psychology; United States; witchcraft; young adult; Adult; Attitude of Health Personnel; Brazil; China; Female; Ghana; Health Knowledge, Attitudes, Practice; Humans; Male; Mental Disorders; Middle Aged; Nigeria; United States; Witchcraft; Young Adult",,,,,,,,,,,,"Akighir, A., Traditional and modern psychiatry:A surveyof opinions and beliefs amongst people in plateau state, Nigeria (1982) Int J Soc Psychiatry., 28, pp. 203-209; Al-Adawi, S., Dorvlo, A.S., Al-Ismaily, S.S., Al-Ghafry, D.A., Al-Noobi, B.Z., Al-Salmi, A., Burke, D.T., Chand, S.P., Perception of and attitude towards mental illness in Oman (2002) Int J Soc Psychiatry., 48, pp. 305-317; Angermeyer, M.C., Dietrich, S., Public beliefs about and attitudes towards people with mental illness: A review of population studies (2006) Acta Psychiatr Scand., 113, pp. 163-179; Angermeyer, M.C., Holzinger, A., Carta, M.G., Schomerus, G., Biogenetic explanations and public acceptance of mental illness: Systematic review of population studies (2011) Br J Psychiatry., 199, pp. 367-372; Astuti, R., Solomon, G.E., Carey, S., Ingold, T., Miller, P.H., Constraints onconceptual development: A case study of the acquisition of folkbiological and folksociological knowledge in Madagascar (2004) Monogr Soc Res Child Dev., 69, pp. 1-135; Aydin, N., Yigit, A., Inandi, T., Kirpinar, I., Attitudes of hospital staff toward mentally ill patients in a teaching hospital, Turkey (2003) Int J Soc Psychiatry., 49, pp. 17-26; Barke, A., Nyarko, S., Klecha, D., The stigma of mental illness in Southern Ghana: Attitudes of the urban population and patients' views (2011) Soc Psychiatry Psychiatr Epidemiol., 46, pp. 1191-1202; Bascom, W.R., The forms offolklore: Prose narratives (1984) Sacred Narrative: Readings in the Theory of Myth, pp. 5-26. , Dundes A (Ed) Berkeley, CA: University of California Press; Brooke, J.H., (1991) Science and Religion: Some Historical Perspectives, , Cambridge, UK: Cambridge University Press; Corrigan, P., How stigma interferes with mental health care (2004) Am Psychol., 59, pp. 614-625; Corrigan, P.W., Watson, A.C., Understanding the impact of stigma on people with mental illness (2002) World Psychiatry., 1, pp. 16-20; Crocker, J., Major, B., Steele, C., Gilbert, D.T., Fiske, S.T., The handbook of social psychology (1998) The Handbook of Social Psychology, , Boston, MA: The McGRAW-HILL Companies, Inc. 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Appleton & Company; Wolff, G., Pathare, S., Craig, T., Leff, J., Community attitudes to mental illness (1996) Br J Psychiatry., 168, pp. 183-190; Worsley, P., Non-western medical systems (1982) Ann Rev Anthropol., 11, pp. 315-348","Stefanovics, E.A.; VA New England Mental Illness Research and Education Center, 950 Campbell Ave, United States; email: elina.stefanovics@yale.edu",,,Lippincott Williams and Wilkins,,,,,223018,,JNMDA,26745309,English,J. Nerv. Ment. Dis.,Article,Final,,Scopus,2-s2.0-84959902048 Morgan B.D.,15063171800;,“No Right Place to Die”: Nursing Attitudes and Needs in Caring for People With Serious Mental Illness at End-of-Life,2016,Journal of the American Psychiatric Nurses Association,22,1,,31,42,,14,10.1177/1078390316629960,https://www.scopus.com/inward/record.uri?eid=2-s2.0-84959327329&doi=10.1177%2f1078390316629960&partnerID=40&md5=34c35971b13487d8b2bffefdbb942d3e,"University of Massachusetts Lowell, Lowell, MI, United States","Morgan, B.D., University of Massachusetts Lowell, Lowell, MI, United States","BACKGROUND: Approximately 6% of the U.S. population suffer from a serious mental illness (SMI). People with SMI reportedly die 20 to 25 years earlier than the general population. OBJECTIVES: To explore both hospice/palliative care nurses’ and psychiatric/mental health nurses’ attitudes and needs toward people with SMI at the end-of-life. DESIGN: A qualitative study following a phenomenological approach was used to interview hospice/palliative care nurses and psychiatric nurses about the experience of caring for people with SMI at the end-of-life; a total of 20 nurses were interviewed. Interviews were analyzed and coded, and themes were identified. RESULTS: Six themes were identified: stigma of mental illness, effect of SMI symptoms on communication and trust, chaotic family systems, advocacy issues around pain and comfort, need for formal support, no right place to die. CONCLUSIONS: Participants discussed the need for better education and collaboration between psychiatric and palliative care nurses as well as the need for ongoing support. © 2016, © The Author(s) 2016.",end-of-life care; nursing attitudes; serious mental illness; stigma,female; health personnel attitude; human; interview; male; mental disease; nurse; nursing; palliative nursing; procedures; psychiatric nursing; psychology; qualitative research; statistics and numerical data; terminal care; Attitude of Health Personnel; Female; Hospice and Palliative Care Nursing; Humans; Interviews as Topic; Male; Mental Disorders; Nurses; Psychiatric Nursing; Qualitative Research; Terminal Care,,,,,,,,,,,,"Baker, A., Palliative and end-of-life care in the serious and persistently mentally ill population (2005) Journal of the American Psychiatric Nurses Association, 11, pp. 298-303; Barrere, C.C., Durkin, A., LaCoursiere, S., The influence of end-of-life education on attitudes of nursing students (2008) International Journal of Nursing Education Scholarship, 5, pp. 1-17; Black, C., Hanson, E., Cutcliffe, J., Goward, P., Palliative care nurses and mental health nurses: Sharing common ground? 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In (Eds.); Morgan, B., Nursing attitudes towards substance abusers in pain (2014) Pain Management Nursing, 15, pp. 165-175; (2014) Statistics: Any anxiety disorder among adults, , http://www.nimh.nih.gov/health/statistics/prevalence/any-anxiety-disorder-among-adults.shtml; Parks, J., Svendsen, D., Singer, P., Foti, M., (2006) Morbidity and mortality in people with serious mental illness, , http://www.nasmhpd.org/sites/default/files/Mortality%20and%20Morbidity%20Final%20Report%208.18.08.pdf, Alexandria, VA: National Association of State Mental Health Program Directors Medical Directors Council,,. 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In, (; Rao, S., Raney, L., Xiong, G.L., Reducing medical comorbidity and mortality in severe mental illness: Collaboration with primary and preventive care could improve outcomes (2015) Current Psychiatry, 14 (7), pp. 15-20; Ross, C.A., Goldner, E.M., Stigma, negative attitudes and discrimination towards mental illness within the nursing profession: A review of the literature (2009) Journal of Psychiatric and Mental Health Nursing, 16, pp. 558-567; Stein, K.F., The man in the red hoodie”: Thoughts on a provoking letter to the editor (2015) Journal of the American Psychiatric Nurses Association, 21, pp. 17-18; Steubert, S.H., Carpenter, D., (2007) Qualitative research in nursing: Advancing the humanistic imperative, , 4th ed., Philadelphia, PA: Liincott Williams & Wilkins; Stuber, J.P., Rocha, A., Christian, A., Link, B.G., Conceptions of mental illness: Attitudes of mental health professionals and the general public (2014) Psychiatric Services, 65, pp. 490-497; (2014) Results from the 2013 National Survey on Drug Use and Health: Summary of national findings, , Rockville, MD: Author,, (UH Series H-48, HHS Publication No. SMA 14-4863); Tait, G.R., Hodges, B.D., End-of-life care education for psychiatric residents: Attitudes, preparedness, and conceptualizations of dignity (2009) Academic Psychiatry, 33, pp. 451-456; Taylor, J., Swetenham, K., Myhill, K., Picot, S., Glaetzer, K., van Loon, A., IMhPaCT: An education strategy for cross-training palliative care and mental health clinicians (2012) International Journal of Palliative Nursing, 18, pp. 290-294; Valente, S., Saunders, J., Psychiatric nurses’ expertise, interest in end-of-life care, and requests for continuing education on end of life (2010) American Journal of Hospice & Palliative Medicine, 27, pp. 24-30; Warren, M.B., Lapid, M.I., McKean, A.J., Cha, S.S., Stevens, M.A., Brekke, F.M., ..Burton, M.C., Code status discussions in psychiatric and medical inpatients (2014) Journal of Clinical Psychiatry, 76, pp. 49-53; Weis, S.J., Haber, J., Horowitz, J.A., Stuart, G.W., Wolfe, B., The inextricable nature of mental and physical health: Implications for integrative care (2009) Journal of the American Psychiatric Nurses Association, 15, pp. 371-382; Woods, A., Willison, K., Kingston, C., Gavin, A., Palliative care for people with severe persistent mental illness: A review of the literature (2008) Canadian Journal of Psychiatry, 53, pp. 725-736; Zolnierek, C.C., Clingerman, E.M., A medical-surgical nurse’s perceptions of caring for a person with severe mental illness (2012) Journal of the American Psychiatric Nurses Association, 18, pp. 226-235","Morgan, B.D.; School of Nursing, 113 Wilder Street, United States; email: Betty_Morgan@uml.edu",,,SAGE Publications Inc.,,,,,10783903,,,26929230,English,J. Am. Psychiatr. Nurs. Assoc.,Article,Final,,Scopus,2-s2.0-84959327329 "Kopera M., Suszek H., Bonar E., Myszka M., Gmaj B., Ilgen M., Wojnar M.",8210242200;6602193027;35190067500;15749282300;49761264100;6603390907;6701757799;,Evaluating Explicit and Implicit Stigma of Mental Illness in Mental Health Professionals and Medical Students,2015,Community Mental Health Journal,51,5,,628,634,,75,10.1007/s10597-014-9796-6,https://www.scopus.com/inward/record.uri?eid=2-s2.0-84931577258&doi=10.1007%2fs10597-014-9796-6&partnerID=40&md5=b181ebc7874ceed8595e29ed45751d14,"Department of Psychiatry, Medical University of Warsaw, Nowowiejska 27, Warsaw, 00-665, Poland; University of Warsaw, Ul. Stawki 5/7, Warsaw, 00-183, Poland; Department of Psychiatry, Addiction Research Center, University of Michigan, Ann Arbor, MI, United States","Kopera, M., Department of Psychiatry, Medical University of Warsaw, Nowowiejska 27, Warsaw, 00-665, Poland; Suszek, H., University of Warsaw, Ul. Stawki 5/7, Warsaw, 00-183, Poland; Bonar, E., Department of Psychiatry, Addiction Research Center, University of Michigan, Ann Arbor, MI, United States; Myszka, M., Department of Psychiatry, Medical University of Warsaw, Nowowiejska 27, Warsaw, 00-665, Poland; Gmaj, B., Department of Psychiatry, Medical University of Warsaw, Nowowiejska 27, Warsaw, 00-665, Poland; Ilgen, M., Department of Psychiatry, Addiction Research Center, University of Michigan, Ann Arbor, MI, United States; Wojnar, M., Department of Psychiatry, Medical University of Warsaw, Nowowiejska 27, Warsaw, 00-665, Poland, Department of Psychiatry, Addiction Research Center, University of Michigan, Ann Arbor, MI, United States","The study investigated explicit and implicit attitudes towards people with mental illness among medical students (non-professionals) with no previous contact with mentally ill patients and psychiatrists and psychotherapists (professionals) who had at least 2 years of professional contact with mentally ill patients. Explicit attitudes where assessed by self-report. Implicit attitudes were measured with the Go/No-Go Association Task, a variant of the Implicit Association Test that does not require the use of a comparison category. Compared to non-professionals, mental health professionals reported significantly higher approach emotions than non-professionals towards people with mental illness, showed a lesser tendency to discriminate against them, and held less restrictive attitudes. Both groups reported negative implicit attitudes towards mentally ill. Results suggest that both non-professionals and professionals display ambivalent attitudes towards people with mental illness and that professional, long-term contact with people with mental illness does not necessarily modify negative implicit attitudes. © 2014, The Author(s).",Go/No-Go Association Task; Implicit attitudes; Mental illness; Stigma,"adult; comparative study; emotion; female; health care personnel; health personnel attitude; human; male; medical school; medical student; mental disease; middle aged; Poland; psychiatry; psychologic test; psychology; psychotherapy; social stigma; stereotyping; young adult; Adult; Attitude of Health Personnel; Emotions; Female; Health Personnel; Humans; Male; Mental Disorders; Middle Aged; Poland; Psychiatry; Psychological Tests; Psychotherapy; Schools, Medical; Social Stigma; Stereotyping; Students, Medical; Young Adult",,,,,"National Institute on Alcohol Abuse and Alcoholism, NIAAA: 007477, T32AA007477; Uniwersytet Warszawski, UW","This study was supported form the research fund BST 164643 given by University of Warsaw to Dr. Suszek. Dr. Bonar’s work on this manuscript was supported by an NIAAA T32 training Grant (#AA007477) awarded to the University of Michigan Addiction Research Center. The University of Michigan and NIAAA had no role in the study design, analyses, or preparation of this paper.",,,,,,"Aydin, N., Yigit, A., Inandi, T., Kirpinar, I., Attitudes of hospital staff toward mentally ill patients in a teaching hospital, Turkey (2003) International Journal of Social Psychiatry, 49, pp. 17-26. , PID: 12793512; Cohen, J.J., Struening, E.L., Opinions about mental illness in the personnel of two large mental hospitals (1962) Journal of Abnormal and Social Psychology, 64, pp. 349-360. , COI: 1:STN:280:DyaF38%2FitFGltA%3D%3D, PID: 13880267; Corrigan, P.W., Rowan, D., Green, A., Lundin, R., River, P., Challenging two mental illness stigmas: Personal responsibility and dangerousness (2002) Schizophrenia Bulletin, 28, pp. 293-309. , PID: 12693435; Corrigan, P.W., Watson, A.C., Barr, L., The self-stigma of mental illness: Implications for self-esteem and self-efficacy (2006) Journal of Social and Clinical Psychology, 25, pp. 875-884; Devos, T., Banaji, M.R., American = White? 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Fifty years after Allport, , Dovidio JF, Glick P, Rudman LA, (eds), Blackwell, Oxford; Rudman, L.A., Greenwald, A.G., Mellott, D.S., Schwartz, J.L.K., Measuring the automatic components of prejudice: Flexibility and generality of the Implicit Association Test (1999) Social Cognition, 17, pp. 437-465; Rüsch, N., Angermeyer, M.C., Corrigan, P.W., Mental illness stigma: Concepts, consequences, and initiatives to reduce stigma (2005) European Psychiatry, 20, pp. 529-539. , PID: 16171984; Rüsch, N., Corrigan, P.W., Todd, A.R., Bodenhausen, G.V., Implicit self-stigma in people with mental illness (2010) Journal of Nervous and Mental Disease, 198, pp. 150-153. , PID: 20145491; Schomerus, G., Schwahn, C., Holzinger, A., Corrigan, P.W., Grabe, H.J., Carta, M.G., Angermeyer, M.C., Evolution of public attitudes about mental illness: A systematic review and meta-analysis (2012) Acta Psychiatrica Scandinavica, 125, pp. 440-452. , COI: 1:STN:280:DC%2BC38vgtlCktg%3D%3D, PID: 22242976; Sirey, J.A., Bruce, M.L., Alexopoulos, G.S., Perlick, D.A., Raue, P., Friedman, S.J., Meyers, B.S., Perceived stigma as a predictor of treatment discontinuation in young and older outpatients with depression (2001) American Journal of Psychiatry, 158, pp. 479-481. , COI: 1:STN:280:DC%2BD3M7pslSrsw%3D%3D, PID: 11229992; Steffens, M.C., Implicit and explicit attitudes towards lesbians and gay men (2008) Journal of Homosexuality, 49, pp. 37-41; Teachman, B.A., Brownwell, K.D., Implicit anti-fat bias among health professionals: Is anyone immune? (2001) International Journal of Obesity, 25, pp. 1525-1531. , COI: 1:STN:280:DC%2BD3Mrms1Ghtg%3D%3D, PID: 11673776; Teachman, B.A., Wilson, J.G., Komarovskaya, I., Implicit and explicit stigma of mental illness in diagnosed and healthy samples (2006) Journal of Social and Clinical Psychology, 25, pp. 75-95; Vibha, P., Saddichha, S., Kumar, R., Attitudes of ward attendants towards mental illness: Comparisons and predictors (2008) The International Journal of Social Psychiatry, 54, pp. 469-478. , PID: 18786908; Wahl, O.F., (1995) Media madness: Public images of mental illness, , Rutgers University Press, New Brunswick, NJ; Wciórka, B., Wciórka, J., (2005) The attitudes of the Poles to mental diseases and mentally ill persons, , Public Opinion Research Center, Warsaw; Wciórka, B., Wciórka, J., (2008) Mentally ill people in the community, , Public Opinion Research Center, Warsaw; Weller, L., Grunes, S., Does contact with the mentally ill affect nurses’ attitudes to mental illness? (1988) British Journal of Medical Psychology, 61, pp. 277-284. , PID: 3179250","Kopera, M.; Department of Psychiatry, Nowowiejska 27, Poland",,,Kluwer Academic Publishers,,,,,103853,,CMHJA,25535045,English,Community Ment. Health J.,Article,Final,"All Open Access, Hybrid Gold, Green",Scopus,2-s2.0-84931577258 "Maier T., Moergeli H., Kohler M., Carraro G.E., Schnyder U.",25650263800;6507861421;57194024050;57190064117;35238916400;,Mental health professionals’ attitudes toward patients with PTSD and depression,2015,European Journal of Psychotraumatology,6,,,1,9,,4,10.3402/ejpt.v6.28693,https://www.scopus.com/inward/record.uri?eid=2-s2.0-84977147513&doi=10.3402%2fejpt.v6.28693&partnerID=40&md5=2fbeed3e0580de7645144d5f0620265f,"Psychiatric Services Canton St. Gallen-North, Wil, Switzerland; Department of Psychiatry and Psychotherapy, University Hospital Zurich, University of Zurich, Zurich, Switzerland; Psychiatric University Hospital, Ludwig-Maximilian-University Munich, Munich, Germany; Private Practice, Locarno, Switzerland","Maier, T., Psychiatric Services Canton St. Gallen-North, Wil, Switzerland; Moergeli, H., Department of Psychiatry and Psychotherapy, University Hospital Zurich, University of Zurich, Zurich, Switzerland; Kohler, M., Psychiatric University Hospital, Ludwig-Maximilian-University Munich, Munich, Germany; Carraro, G.E., Private Practice, Locarno, Switzerland; Schnyder, U., Department of Psychiatry and Psychotherapy, University Hospital Zurich, University of Zurich, Zurich, Switzerland","Background: To date, mental health professionals’ attitudes toward posttraumatic stress disorder (PTSD), compared to other psychiatric disorders such as schizophrenia or depression, have rarely been studied. Objective: We assessed mental health professionals’ attitudes toward patients with PTSD compared to patients suffering from depression. Method: Case vignettes of a patient with either PTSD or depression were presented to two samples of mental health professionals: attendees of a conference on posttraumatic stress (N = 226) or of a lecture for psychiatry residents (N = 112). Participants subsequently completed a questionnaire that assessed their attitude reactions to the presented case. Results: Participants showed similarly positive attitudes toward depression and PTSD. PTSD elicited a more favorable attitude with regard to prosocial reactions, estimated dependency, attributed responsibility, and interest in the case, particularly in mental health professionals specializing in psychotraumatology. Across diagnoses, higher age and longer professional experience were associated with more positive attitudes toward patients. Conclusions: Mental health professionals’ positive attitudes toward patients with depression and PTSD correlate with their specific knowledge about the disorder, their level of professional training, and their years of professional experience. Limitations: The instruments used, although based on established theoretical concepts in attitude research, were not validated in their present versions. © 2015 Thomas Maier et al.",Depression; Expert attitudes; Mental illness; PTSD; Stigma,,,,,,,,,,,,,"Alexander, L.B., Luborsky, L., The Penn helping alliances scales (1986) The psychotherapeutic process: A research handbook, pp. S.325-S.366. , L. S. Greenberg & W. M. Pinsof (Eds.), New York: Guilford; (2000) Diagnostic and statistical manual of mental disorders, , (4th ed., text rev.).Washington, DC: Author; Angermeyer, M.C., Buyantugs, L., Benzine, D.V., Matschinger, H., Effects of labelling on public attitudes towards people with schizophrenia: Are there cultural differences? (2004) Acta Psychiatrica Scandinavica, 109, pp. 420-425; Angermeyer, M.C., Dietrich, S., Review - Public beliefs about attitudes towards people with mental illness: A review of population studies (2006) Acta Psychiatrica Scandinavica, 113, pp. 163-179; Angermeyer, M.C., Matschinger, H., The stigma of mental illness. Effects of labelling on public attitudes towards people with mental disorder (2003) Acta Psychiatrica Scandinavica, 108, pp. 304-309; Angermeyer, M.C., Matschinger, H., Public attitudes to people with depression: Have there been any changes over the last decade? (2004) J Affective Disorders, 83, pp. 177-182; Angermeyer, M.C., Matschinger, H., Labeling - Stereotype - Discrimination. An investigation of the stigma process (2005) Social Psychiatry and Psychiatric Epidemiology, 40, pp. 391-395; Angermeyer, M.C., Matschinger, H., Schomerus, G., Attitudes towards psychiatric treatment and people with mental illness: Changes over two decades (2013) British Journal of Psychiatry, 203 (2), pp. 146-151; Angermeyer, M.C., Millier, A., Rémuzat, C., Refaï, T., Schomerus, G., Toumi, M., Continuum beliefs and attitudes towards people with mental illness: Results from a national survey in France (2014) International Journal of Social Psychiatry, 61 (3), pp. 297-303; Arbanas, G., Attitudes of medical school graduates toward schizophrenia, major depression and posttraumatic stress disorder (2005) Socijalna Psihijatrija, 33, pp. 41-46; Aydin, N., Yigit, A., Inandi, T., Kirpinar, I., Attitudes of hospital staff toward mentally ill patients in a teaching hospital, Turkey (2003) International Journal of Social Psychiatry, 49 (1), pp. 17-26; Bojanovsky, J., Stubbe, H., (1982) Der depressive Mensch. Individuelle und gesellschaftliche Aspekte der Depressionen [The depessive person. Individual and social aspects of major depression]., , Stuttgart: Ferdinand Enke Verlag; Breslau, N., Chilcoat, H., Kessler, R.C., Peterson, E.L., Lucia, V.C., Vulnerability to assaultive violence: Further specification of the sex-difference in post-traumatic stress disorder (1999) Psychological Medicine, 29, pp. 813-821; Brockington, I.F., Hall, P., Levings, J., Murphy, C., The community's tolerance of the mentally ill (1993) British Journal of Psychiatry, 162, pp. 93-99; Caldwell, T.M., Jorm, A.F., Mental health nurses' beliefs about likely outcomes for people with schizophrenia and depression: A comparison with the public and other healthcare professionals (2001) The Australian and New Zealand Journal of Mental Health Nursing, 10, pp. 42-54; Calvert, P.D., Gender differences in clinician predictions of working alliance with borderline personality disordered and posttraumatic stress disordered clients (1996) Dissertation Abstracts International, 57 (10 B), p. 6561; Chung, K.F., Chen, E.Y., Lam, L.C., Chen, R.Y., Chan, C.K., How are psychotic symptoms perceived? A comparison between patients, relatives and the general public (1997) Australian and New Zealand Journal of Psychiatry, 31 (5), pp. 756-761; Corrigan, P.W., Markowitz, F.E., Watson, A., Rowan, D., Kubiak, M.A., An attribution model of public discrimination towards persons with mental illness (2003) Journal of Health and Social Behavior, 44, pp. 162-179; Ćubela, V., Effects of PTSD label and presented symptom pattern on evaluation of target's responsibility and personality (1997) Review of Psychology, 4 (1-2), p. 49; De Vries, M.W., Trauma in Cultural Perspective (1996) Traumatic stress: The effects of overwhelming experience on mind, body and society, pp. S.398-S.413. , B. A. Van der Kolk, A. C. McFarlane, & L. Weisaeth (Eds.), New York: The Guilford Press; Dreißing, H., Vogues, B., The attidues of law students towards mentally ill people (2000) Recht & Psychiatrie, 18 (3), pp. 130-135; Hayes, J.A., Wall, T.N., What influences clinicians responsibility attributions? The role of problem type, theoretical orientation, and client attribution (1998) Journal of Social and Clinical Psychology, 17 (1), pp. 69-74; Jorm, A.F., Christensen, H., Griffiths, K.M., Public beliefs about causes and risk factors for mental disorders: Changes in Australia over 8 years (2005) Social Psychiatry and Psychiatric Epidemiology, 40 (9), pp. 764-767; Jorm, A.F., Korten, A.E., Jacomb, P.A., Rodgers, B., Pollitt, P., Christensen, H., Helpfulness of interventions for mental disorders: Beliefs of health professionals compared with the general public (1997) The British Journal of Psychiatry, 171, pp. 233-237; Kessler, R.C., Sonnega, A., Bromet, E., Hughes, M., Nelson, C.B., Posttraumatic stress disorder in the National Comorbidity Survey (1995) Archives of General Psychiatry, 52, pp. 1048-1060; Kopera, M., Suszek, H., Bonar, E., Myszka, M., Gmaj, B., Ilgen, M., Evaluating explicit and implicit stigma of mental illness in mental health professionals and medical students (2015) Community Mental Health Journal, 51 (5), pp. 628-634. , http://dx.doi.org/10.1007/s10597-014-9796-6; Lauber, C., Anthony, M., Ajdacic-Gross, V., Rössler, W., What about psychiatrists' attitude to mentally ill people? (2004) European Psychiatry, 19, pp. 423-427; Lauber, C., Nordt, C., Braunschweig, C., Rössler, W., Do mental health professionals stigmatize their patients? (2006) Acta Psychiatrica Scandinavica, 113, pp. 51-59; Lauber, C., Nordt, C., Sartorius, N., Falcato, L., Rössler, W., Public acceptance of restrictions on mentally ill people (2000) Acta Psychiatrica Scandinavica, 102, pp. 26-32; Link, B.G., Understanding labelling effects in the area of mental disorders: An assessment of the effects of expectations of rejection (1987) American Sociological Review, 52, pp. 96-112; Link, B.G., Phelan, J.C., Conceptualizing Stigma (2001) Annual Review of Sociology, 92 (6), pp. 1461-1500; Link, B.G., Phelan, J.C., Bresnahan, M., Stueve, A., Pescosolido, B.A., Public conceptions of mental illness: Labels, causes, dangerousness, and social distance (1999) American Journal of Public Health, 89, pp. 1328-1333; Link, B.G., Yang, L.A., Phelan, J.C., Collins, P.Y., Measuring mental illness stigma (2004) Schizophrenia Bulletin, 30 (3), pp. 511-541; Maier, T., Post-traumatic stress disorder revisited: Deconstructing the A-criterion (2006) Medical Hypotheses, 66, pp. 103-106; Nordt, C., Rössler, W., Lauber, C., Attitudes of mental health professionals toward people with schizophrenia and major depression (2006) Schizophrenia Bulletin, 32 (4), pp. 709-714; Peris, T.S., Teachman, B.A., Nosek, B.A., Implicit and explicit stigma of mental illness: Links to clinical care (2008) The Journal of Nervous and Mental Disease, 196 (10), pp. 752-760; Reavley, N.J., McKinnon, A.J., Morgan, A.J., Jorm, A.F., Stigmatising attitudes towards people with mental disorders: A comparison of Australian health professionals with the general community (2014) Australian and New Zealand Journal of Psychiatry, 48 (5), pp. 433-441; Rössler, W., Salize, H.J., Trunck, V., Vogues, B., The attitudes of medical students towards mentally ill people (1996) Nervenarzt, 67, pp. 757-764; Star, S., (1955) The public's ideas about mental illness., , (November 5). Paper presented at: Annual Meeting of the Association for Mental Health, Indianapolis, IN; Stöber, J., The Social Desirability Scale-17 (SDS-17): Development and first results on reliability and validity (1999) Diagnostica, 45 (4), pp. 173-177; Wang, J., Lai, D., The relationship between mental health literacy, personal contacts and personal stigma against depression (2008) Journal of Affective Disorders, 110 (1-2), pp. 191-196; Weiner, B., (1986) Review: An attributional theory of motivation and emotion., , New York: Springer; Weiner, B., Intrapersonal and interpersonal theories of motivation from an attributional perspective (2000) Educational Psychology Review, 12 (1), pp. 1-15; Weiner, B., Perry, R.P., Magnusson, J., Interpersonal relations and group processes. An attributional analysis of reactions to stigmas (1988) Journal of Personality and Social Psychology, 55 (5), pp. 738-748; Yap, M.B., McKinnon, A., Reavley, N., Jorm, A.F., The measurement properties of stigmatizing attitudes towards mental disorders: Results from two community surveys (2014) International Journal of Methods in Psychiatric Research, 23 (1), pp. 49-61","Maier, T.; Psychiatric Services of the Canton St. Gallen-North, Zurcherstrassse 30, Switzerland",,,Co-Action Publishing,,,,,20008066,,,,English,Eur. J. Psychotraumatology,Article,Final,"All Open Access, Gold, Green",Scopus,2-s2.0-84977147513 "Dabby L., Tranulis C., Kirmayer L.J.",36631815700;6506521635;7007140515;,Explicit and implicit attitudes of canadian psychiatrists toward people with mental illness,2015,Canadian Journal of Psychiatry,60,10,,451,459,,30,10.1177/070674371506001006,https://www.scopus.com/inward/record.uri?eid=2-s2.0-84944073097&doi=10.1177%2f070674371506001006&partnerID=40&md5=215ccdced31a7ab9c2848d71848acda3,"Sir Mortimer B Davis Jewish General Hospital, Montreal, QC, Canada; Department of Psychiatry, McGill University, Montreal, QC, Canada; Institut Universitaire en Santé Mentale de Montréal, Montreal, QC, Canada; Department of Psychiatry, Université de Montréal, Montreal, QC, Canada; Division of Social and Transcultural Psychiatry, McGill University, 4333 Côte-Ste-Catherine Road, Montreal, QC H3T 1E4, Canada; Culture and Mental Health Research Unit, Institute of Community and Family Psychiatry, Sir Mortimer B Davis Jewish General Hospital, Montreal, QC, Canada","Dabby, L., Sir Mortimer B Davis Jewish General Hospital, Montreal, QC, Canada, Department of Psychiatry, McGill University, Montreal, QC, Canada; Tranulis, C., Institut Universitaire en Santé Mentale de Montréal, Montreal, QC, Canada, Department of Psychiatry, Université de Montréal, Montreal, QC, Canada; Kirmayer, L.J., Division of Social and Transcultural Psychiatry, McGill University, 4333 Côte-Ste-Catherine Road, Montreal, QC H3T 1E4, Canada, Culture and Mental Health Research Unit, Institute of Community and Family Psychiatry, Sir Mortimer B Davis Jewish General Hospital, Montreal, QC, Canada","Objective: People with mental illness suffer stigma and discrimination across various contexts, including the health care setting, and clinicians' attitudes play an important role in perpetuating stigma. Effective stigma-reduction interventions for physicians require a better understanding of explicit (that is, conscious and controllable) and implicit (that is, subconscious and automatic) forms of bias, and of predictors and moderators of stigma. Methods: Members of a Canadian university psychiatry department and of the Canadian Psychiatric Association (CPA) were invited to participate in a web-based study consisting of 2 measures of explicit attitudes, the Social Distance Scale (SDS) and the Opening Minds Scale for Health Care Providers (OMS-HC), and 1 measure of implicit attitudes, the Implicit Association Test (IAT). Results: Thirty-five psychiatry residents and 68 psychiatrists completed the study (response rates of 12.1% for the university sample and 3.3% for the CPA sample). Participants desired greater social distance from the vignette patient with schizophrenia. Mean IAT scores, although negative, did not reach the threshold for a meaningful effect size. Patient contact positively predicted IAT scores, while age, sex, and level of training (resident, compared with psychiatrist) did not. Neither patient contact nor implicit attitudes predicted SDS or OMS-HC scores. Conclusion: Psychiatrists did not differ from psychiatry residents on any measures of explicit or implicit attitudes toward mental illness. Explicit attitudes toward people with mental illness were relatively negative; implicit attitudes were neither negative nor positive; and implicit and explicit attitudes were not correlated. Greater patient contact predicted more positive implicit attitudes, but did not predict explicit attitudes.",,"adult; Article; assessment of humans; Canadian; comparative study; employment status; female; groups by age; human; Implicit Association Test; male; medical education; middle aged; Opening Minds Scale for Health Care Provider; physical disease; physician attitude; psychiatrist; schizophrenia; sex difference; sex ratio; social distance; Social Distance Scale; social stigma; aged; Canada; health personnel attitude; medical society; mental disease; mental patient; psychiatry; questionnaire; social distance; university hospital; Academic Medical Centers; Adult; Aged; Attitude of Health Personnel; Canada; Female; Humans; Internship and Residency; Male; Mental Disorders; Mentally Ill Persons; Middle Aged; Psychiatry; Schizophrenia; Social Distance; Social Stigma; Societies, Medical; Surveys and Questionnaires",,,,,,,,,,,,"Wrigley, S., Jackson, H., Judd, F., Role of stigma and attitudes toward help-seeking from a general practitioner for mental health problems in a rural town (2005) Aust N Z J Psychiatry, 39 (6), pp. 514-521; Schomerus, G., Angermeyer, M.C., Stigma and its impact on helpseeking for mental disorders: What do we know? 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(2011) Adv Psychiatr Treat, 16 (1), pp. 53-59; Ucok, A., Polat, A., Sartorius, N., Attitudes of psychiatrists toward patients with schizophrenia (2004) Psychiatry Clin Neurosci, 58 (1), pp. 89-91; Lawrie, S.M., Martin, K., McNeill, G., General practitioners' attitudes to psychiatric and medical illness (1998) Psychol Med, 28 (6), pp. 1463-1467; Kua, J.H., Parker, G., Lee, C., Beliefs about outcomes for mental disorders: A comparative study of primary health practitioners and psychiatrists in Singapore (2000) Singapore Med J, 41 (11), pp. 542-547; Chin, S.H., Balon, R., Attitudes and perceptions toward depression and schizophrenia among residents in different medical specialties (2006) Acad Psychiatry, 30 (3), pp. 262-263; Hori, H., Richards, M., Kawamoto, Y., Attitudes toward schizophrenia in the general population, psychiatric staff, physicians, and psychiatrists: A web-based survey in Japan (2011) Psychiatry Res, 186 (2-3), pp. 183-189; Jorm, A.F., Korten, A.E., Jacomb, P.A., Attitudes towards people with a mental disorder: A survey of the Australian public and health professionals (1999) Aust N Z J Psychiatry, 33 (1), pp. 77-83; Lauber, C., Anthony, M., Ajdacic-Gross, V., What about psychiatrists' attitude to mentally ill people? (2004) Eur Psychiatry, 19 (7), pp. 423-427; Nordt, C., Rossler, W., Lauber, C., Attitudes of mental health professionals toward people with schizophrenia and major depression (2006) Schizophr Bull, 32 (4), pp. 709-714; Lauber, C., Nordt, C., Braunschweig, C., Do mental health professionals stigmatize their patients? (2006) Acta Psychiatr Scand Suppl, 429, pp. 51-59; Corrigan, P.W., Green, A., Lundin, R., Familiarity with and social distance from people who have serious mental illness (2001) Psychiatr Serv, 52 (7), pp. 953-958; Corrigan, P.W., River, L.P., Lundin, R.K., Three strategies for changing attributions about severe mental illness (2001) Schizophr Bull, 27 (2), pp. 187-195; Couture, S., Penn, D., Interpersonal contact and the stigma of mental illness: A review of the literature (2003) J Ment Health, 12 (3), pp. 291-305; Schulze, B., Stigma and mental health professionals: A review of the evidence on an intricate relationship (2007) Int Rev Psychiatry, 19 (2), pp. 137-155; Wahl, O., Aroesty-Cohen, E., Attitudes of mental health professionals about mental illness: A review of the recent literature (2011) J Community Psychol, 38 (1), pp. 49-62; Hugo, M., Mental health professionals' attitudes towards people who have experienced a mental health disorder (2001) J Psychiatr Ment Health Nurs, 8 (5), pp. 419-425; Björkman, T., Angelman, T., Jönsson, M., Attitudes towards people with mental illness: A cross-sectional study among nursing staff in psychiatric and somatic care (2008) Scand J Caring Sci, 22 (2), pp. 170-177; Kingdon, D., Sharma, T., Hart, D., What attitudes do psychiatrists hold towards people with mental illness? (2004) Psychiatr Bull, 28 (11), pp. 401-406; Vibha, P., Saddichha, S., Kumar, R., Attitudes of ward attendants towards mental illness: Comparisons and predictors (2008) Int J Soc Psychiatry, 54 (5), pp. 469-478; Link, B.G., Yang, L.H., Phelan, J.C., Measuring mental illness stigma (2004) Schizophr Bull, 30 (3), pp. 511-541; Teachman, B.A., Wilson, J.G., Komarovskaya, I., Implicit and explicit stigma of mental illness in diagnosed and healthy samples (2006) J Soc Clin Psychol, 25 (1), pp. 75-95; Peris, T.S., Teachman, B.A., Nosek, B.A., Implicit and explicit stigma of mental illness: Links to clinical care (2008) J Nerv Ment Dis, 196 (10), pp. 752-760; Rusch, N., Corrigan, P.W., Todd, A.R., Implicit self-stigma in people with mental illness (2011) J Nerv Ment Dis, 198 (2), pp. 150-153; Rusch, N., Todd, A.R., Bodenhausen, G.V., Biogenetic models of psychopathology, implicit guilt, and mental illness stigma (2011) Psychiatry Res, 179 (3), pp. 328-332; Rusch, N., Todd, A.R., Bodenhausen, G.V., Do people with mental illness deserve what they get? Links between meritocratic worldviews and implicit versus explicit stigma (2011) Eur Arch Psychiatry Clin Neurosci, 260 (8), pp. 617-625; Stier, A., Hinshaw, S.P., Explicit and implicit stigma against individuals with mental illness (2007) Aust Psychol, 42 (2), pp. 106-117; Link, B.G., Yang, L.H., Phelan, J.C., Measuring mental illness stigma (2004) Schizophr Bull, 30 (3), pp. 511-541; Greenwald, A., McGhee, D., Schwartz, J., Measuring individual differences in implicit cognition: The implicit association test (1998) J Pers Soc Psychol, 74, pp. 1464-1480; Nosek, B.A., Smyth, F.L., Hansen, J.J., Pervasiveness and correlates of implicit attitudes and stereotypes (2007) Eur Rev Soc Psychol, 18, pp. 36-88; Hofmann, W., Gawronski, B., Gschwendner, T., A meta-Analysis on the correlation between the implicit association test and explicit self-report measures (2005) Pers Soc Psychol Bull, 31 (10), pp. 1369-1385; Blair, I.V., Judd, C.M., Havranek, E.P., Using community data to test the discriminant validity of ethnic/racial group IATs (2011) Z Psychol, 218 (1), pp. 36-43; Teachman, B.A., Gapinski, K.D., Brownell, K.D., Demonstrations of implicit anti-fat bias: The impact of providing causal information and evoking empathy (2003) Health Psychol, 22 (1), pp. 68-78; Sabin, J.A., Marini, M., Nosek, B.A., Implicit and explicit anti-fat bias among a large sample of medical doctors by BMI, race/ethnicity and gender (2012) PLoS ONE, 7 (11), p. e48448; Green, A.R., Carney, D.R., Pallin, D.J., Implicit bias among physicians and its prediction of thrombolysis decisions for black and white patients (2007) J Gen Intern Med, 22 (9), pp. 1231-1238; Haider, A.H., Sexton, J., Sriram, N., Association of unconscious race and social class bias with vignette-based clinical assessments by medical students (2011) JAMA, 306 (9), pp. 942-951; Omori, A., Tateno, A., Ideno, T., Influence of contact with schizophrenia on implicit attitudes towards schizophrenia patients held by clinical residents (2012) BMC Psychiatry, 12 (1), p. 205; Lincoln, T.M., Arens, E., Berger, C., Can antistigma campaigns be improved? A test of the impact of biogenetic vs psychosocial causal explanations on implicit and explicit attitudes to schizophrenia (2008) Schizophr Bull, 34 (5), pp. 984-994; Pescosolido, B.A., Martin, J.K., Long, J.S., A disease like any other""? A decade of change in public reactions to schizophrenia, depression, and alcohol dependence (2011) Am J Psychiatry, 167 (11), pp. 1321-1330; Link, B.G., Phelan, J.C., Bresnahan, M., Public conceptions of mental illness: Labels, causes, dangerousness, and social distance (1999) Am J Public Health, 89 (9), pp. 1328-1333; Kassam, A., Papish, A., Modgill, G., The development and psychometric properties of a new scale to measure mental illness related stigma by health care providers: The Opening Minds Scale for Health Care Providers (OMS-HC (2012) BMC Psychiatry, 12 (1), p. 62; (2012), Inquisit. Inquisit 3.0.6.0 [software]. Seattle (WA): Millisecond Software LLC. Desktop edition; Stull, L.G., McGrew, J.H., Salyers, M.P., Implicit and explicit stigma of mental illness: Attitudes in an evidence-based practice (2013) J Nerv Ment Dis, 201 (12), pp. 1072-1079; Greenwald, A.G., Nosek, B.A., Banaji, M.R., Understanding and using the implicit association test I. An improved scoring algorithm (2003) J Pers Soc Psychol, 85 (2), pp. 197-216; (2011) Canadian Medical Association (CMA). Combating Stigma for Physicians and Other Health Professionals [Internet; Module], 15. , https://www.cma.ca/EN/Pages/combating-stigma.aspx, Cited 2013 Dec. Ottawa (ON): CMA; National Physician Survey, 2013: Results for Medical Specialists [Internet], , http://www.nationalphysiciansurvey.ca, National Physician Survey (NPS) . Mississauga (ON): NPS; 2013 [cited 2014 Jan 20] . The NPS is conducted by the College of Family Physicians of Canada, the Canadian Medical Association, and the Royal College of Physicians and Surgeons of Canada; Stone, J., Moskowitz, G.B., Non-conscious bias in medical decision making: What can be done to reduce it? (2011) Med Educ, 45 (8), pp. 768-776","Kirmayer, L.J.; Division of Social and Transcultural Psychiatry, 4333 Côte-Ste-Catherine Road, Canada; email: layla.dabby@mcgill.ca",,,Canadian Psychiatric Association,,,,,7067437,,CJPSD,26720192,English,Can. J. Psychiatry,Article,Final,"All Open Access, Bronze, Green",Scopus,2-s2.0-84944073097 "Kusalaruk P., Saipanish R., Hiranyatheb T.",56731091700;6506751165;55233703900;,Attitudes of psychiatrists toward obsessive–compulsive disorder patients,2015,Neuropsychiatric Disease and Treatment,11,,,1703,1711,,2,10.2147/NDT.S85540,https://www.scopus.com/inward/record.uri?eid=2-s2.0-84937576717&doi=10.2147%2fNDT.S85540&partnerID=40&md5=3a724007bdbc9181006731dcf236d6a4,"Department of Psychiatry, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand","Kusalaruk, P., Department of Psychiatry, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand; Saipanish, R., Department of Psychiatry, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand; Hiranyatheb, T., Department of Psychiatry, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand","Purpose: Negative attitudes from doctors and the resulting stigmatization have a strong impact on psychiatric patients’ poor access to treatment. There are various studies centering on doctors’ attitudes toward psychiatric patients, but rarely focusing on the attitudes to specific disorders, such as obsessive–compulsive disorder (OCD). This research aimed to focus on psychiatrists’ attitudes toward OCD patients. Patients and methods: The participants were actual psychiatrists who signed a form of consent. The main tool used in this study was a questionnaire developed from a focus group interview of ten psychiatrists about their attitudes toward OCD patients. Results: More than 80% of the participating psychiatrists reported a kindhearted attitude toward OCD patients in the form of pity, understanding, and empathy. Approximately one-third of the respondents thought that OCD patients talk too much, waste a lot of time, and need more patience when compared with other psychiatric disorder sufferers. More than half of the respondents thought that OCD patients had poor compliance with behavioral therapy. The number of psychiatrists who had confidence in treating OCD patients with medications (90.1%) was much higher than those expressing confidence in behavioral therapy (51.7%), and approximately 80% perceived that OCD patients were difficult to treat. Although 70% of the respondents chose medications combined with behavioral therapy as the most preferred mode of treatment, only 7.7% reported that they were proficient in exposure and response prevention. Conclusion: Even though most psychiatrists had a more positive than negative attitude toward OCD patients, they still thought OCD patients were difficult to treat and had poor compliance with behavioral therapy. Only a small number of the participating psychiatrists reported proficiency in exposure and response prevention. © 2015, Kusalaruk et al.",Attitude; Obsessive–compulsive disorder; Psychiatrist; Stigma; Thai,adult; Article; behavior therapy; empathy; female; human; male; medical practice; middle aged; obsessive compulsive disorder; patient compliance; physician attitude; professional competence; professional knowledge; psychiatrist; Thailand; work experience; workplace,,,,,,,,,,,,"Solomon, C.G., Grant, J.E., Obsessive-compulsive disorder (2014) N Engl J Med., 371 (7), pp. 646-653; Heyman, I., Mataix-Cols, D., Fineberg, N., Obsessive-compulsive disorder (2006) BMJ., 333 (7565), pp. 424-429; Rüsch, N., Evans-Lacko, S.E., Henderson, C., Flach, C., Thornicroft, G., Knowledge and attitudes as predictors of intentions to seek help for and disclose a mental illness (2011) Psychiatr Serv., 62 (6), pp. 675-678; Gateshill, G., Kucharska-Pietura, K., Wattis, J., Attitudes towards mental disorders and emotional empathy in mental health and other healthcare professionals (2011) Psychiatrist., 35 (3), pp. 101-105; Schomerus, G., Angermeyer, M.C., Stigma and its impact on help-seeking for mental disorders: What do we know? (2008) Epidemiol Psichiatr Soc., 17 (1), pp. 31-37; Zartaloudi, A., Madianos, M., Stigma related to help-seeking from a mental health professional (2010) Health Sci J., 4 (2), pp. 77-83; Thornicroft, G., Rose, D., Kassam, A., Discrimination in health care against people with mental illness (2007) Int Rev Psychiatry., 19 (2), pp. 113-122; Thornicroft, G., Rose, D., Mehta, N., Discrimination against people with mental illness: What can psychiatrists do? (2010) Adv Psychiatr Treat., 16 (1), pp. 53-59; Schulze, B., Stigma and mental health professionals: A review of the evidence on an intricate relationship (2007) Int Rev Psychiatry., 19 (2), pp. 137-155; Arvaniti, A., Samakouri, M., Kalamara, E., Bochtsou, V., Bikos, C., Livaditis, M., Health service staff's attitudes towards patients with mental illness (2009) Soc Psychiatry Psychiatr Epidemiol., 44 (8), pp. 658-665; Addison, S., Thorpe, S., Factors involved in the formation of attitudes towards those who are mentally ill (2004) Soc Psychiatry Psychiatr Epidemiol., 39 (3), pp. 228-234; Nordt, C., Rössler, W., Lauber, C., Attitudes of mental health professionals toward people with schizophrenia and major depression (2006) Schizophr Bull., 32 (4), pp. 709-714; Ucok, A., Polat, A., Sartorius, N., Erkoc, S., Atakli, C., Attitudes of psychiatrists toward patients with schizophrenia (2004) Psychiatry Clin Neurosci., 58 (1), pp. 89-91; Jorm, A.F., Korten, A.E., Jacomb, P.A., Christensen, H., Henderson, S., Attitudes towards people with a mental disorder: A survey of the Australian public and health professionals (1999) Aust N Z J Psychiatry., 33 (1), pp. 77-83; Simonds, L.M., Thorpe, S.J., Attitudes toward obsessive-compulsive disorders (2003) Soc Psychiatry Psychiatr Epidemiol., 38 (6), pp. 331-336; Reader, T.W., Gillespie, A., Patient neglect in healthcare institutions: A systematic review and conceptual model (2013) BMC Health Serv Res., 13 (1), p. 156; Simpson, H.B., Maher, M.J., Wang, Y., Bao, Y., Foa, E.B., Franklin, M., Patient adherence predicts outcome from cognitive behavioral therapy in obsessive-compulsive disorder (2011) J Consult Clin Psychol., 79 (2), p. 247; De Araujo, L., Ito, L., Marks, I., Early compliance and other factors predicting outcome of exposure for obsessive-compulsive disorder (1996) Br J Psychiatry., 169 (6), pp. 747-752; Abramowitz, J.S., Franklin, M.E., Zoellner, L.A., Dibernardo, C.L., Treatment compliance and outcome in obsessive-compulsive disorder (2002) Behav Modif., 26 (4), pp. 447-463","Kusalaruk, P.; Department of Psychiatry, Ramathibodi Hospital, Mahidol University, 270 Rama VI Road, Phayathai, Thailand",,,Dove Medical Press Ltd.,,,,,11766328,,,,English,Neuropsychiatr. Dis. Treat.,Article,Final,"All Open Access, Gold, Green",Scopus,2-s2.0-84937576717 "Van Boekel L.C., Brouwers E.P.M., Van Weeghel J., Garretsen H.F.L.",55086745000;7003375603;56066552500;7005064258;,"Comparing stigmatising attitudes towards people with substance use disorders between the general public, GPS, mental health and addiction specialists and clients",2015,International Journal of Social Psychiatry,61,6,,539,549,,51,10.1177/0020764014562051,https://www.scopus.com/inward/record.uri?eid=2-s2.0-84939191919&doi=10.1177%2f0020764014562051&partnerID=40&md5=aa75a850e0957da0364e69de013c3ff7,"Department Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, Warandelaan 2, Tilburg, 5000 LE, Netherlands; Phrenos Centre of Expertise, Utrecht, Netherlands; Parnassia Group, Dijk en Duin Mental Health Center, Castricum, Netherlands","Van Boekel, L.C., Department Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, Warandelaan 2, Tilburg, 5000 LE, Netherlands; Brouwers, E.P.M., Department Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, Warandelaan 2, Tilburg, 5000 LE, Netherlands; Van Weeghel, J., Department Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, Warandelaan 2, Tilburg, 5000 LE, Netherlands, Phrenos Centre of Expertise, Utrecht, Netherlands, Parnassia Group, Dijk en Duin Mental Health Center, Castricum, Netherlands; Garretsen, H.F.L., Department Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, Warandelaan 2, Tilburg, 5000 LE, Netherlands","Background: Substance use disorders (SUDs) are among the most severely stigmatised conditions; however, little is known about the nature of these stigmatising attitudes. Aims: To assess and compare stigmatising attitudes towards persons with SUDs among different stakeholders: general public, general practitioners (GPs), mental health and addiction specialists, and clients in treatment for substance abuse. Methods: Cross-sectional study (N=3,326) in which stereotypical beliefs, attribution beliefs (e.g. perceptions about controllability and responsibility for having an addiction), social distance and expectations about rehabilitation opportunities for individuals with substance use disorders were assessed and compared between stakeholders. Results: Individuals with substance use disorders elicited great social distance across all stakeholders. Stereotypical beliefs were not different between stakeholders, whereas attribution beliefs were more diverse. Considering social distance and expectations about rehabilitation opportunities, the general public was most pessimistic, followed by GPs, mental health and addiction specialists, and clients. Stereotypical and attribution beliefs, as well as age, gender and socially desirable answering, were not associated with social distance across all stakeholders. Conclusion: The general public and GPs expressed more social distance and were more negative in their expectations about rehabilitation opportunities, compared to mental health and addiction specialists and clients. Although stigmatising attitudes were prevalent across all groups, no striking differences were found between stakeholders. ©The Author(s) 2014.",attribution beliefs; social distance; social perception; Social stigma; stereotyping; substance-related disorders,addiction; adult; attitude to health; comparative study; female; general practitioner; health care personnel; health personnel attitude; human; male; mental health service; middle aged; psychology; questionnaire; social distance; statistics and numerical data; stereotyping; Adult; Attitude of Health Personnel; Attitude to Health; Female; General Practitioners; Health Personnel; Humans; Male; Mental Health Services; Middle Aged; Social Distance; Stereotyping; Substance-Related Disorders; Surveys and Questionnaires,,,,,,,,,,,,"Allport, G.W., (1954) The Nature of Prejudice, , Cambridge, UK: Addison-Wesley; Alonso, J., Buron, A., Rojas-Farreras, S., De Graaf, R., Haro, J.M., De Girolamo, G., Vilagut, G., Perceived stigma among individuals with common mental disorders (2009) Journal of Affective Disorders, 118, pp. 180-186; Angermeyer, M.C., The stigma of mental illness from the patient's view - An overview (2003) Psychiatrische Praxis, 30, pp. 358-366; Angermeyer, M.C., Matschinger, H., Social distance towards the mentally ill: Results of representative surveys in the Federal Republic of Germany (1997) Psychological Medicine, 27, pp. 131-141; Barclay, S., Todd, C., Finlay, I., Grande, G., Wyatt, P., Not another questionnaire! 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(2008) Acta Psychiatrica Scandinavica, 118, pp. 315-321; Jorm, A.F., Oh, E., Desire for social distance from people with mental disorders: A review (2009) Australian and New Zealand Journal of Psychiatry, 43, pp. 183-200; Koski-Jannes, A., Hirschovits-Gerz, T., Pennonen, M., Population, professional, and client support for different models of managing addictive behaviors (2012) Substance Use and Misuse, 47, pp. 296-308; Link, B.G., Phelan, J.C., Stigma and its public health implications (2006) Lancet, 367, pp. 528-529; Livingston, J.D., Milne, T., Fang, M.L., Amari, E., The effectiveness of interventions for reducing stigma related to substance use disorders: A systematic review (2011) Addiction, 107, pp. 39-50; Luoma, J.B., Twohig, M.P., Waltz, T., Hayes, S.C., Roget, N., Padilla, M., Fisher, G., An investigation of stigma in individuals receiving treatment for substance abuse (2007) Addictive Behaviors, 32, pp. 1331-1346; Nordt, C., Rossler, W., Lauber, C., Attitudes of mental health professionals toward people with schizophrenia and major depression (2006) Schizophrenia Bulletin, 32, pp. 709-714; Paternoster, R., Brame, R., Mazerolle, P., Piquero, A., Using the correct statistical test for the quality of regression coefficients (1998) Criminology, 36, pp. 859-866; Penn, D.L., Guynan, K., Daily, T., Spaulding, W.D., Garbin, C.P., Sullivan, M., Dispelling the stigma of schizophrenia - What sort of information is best (1994) Schizophrenia Bulletin, 20, pp. 567-578; Reavley, N.J., Mackinnon, A.J., Morgan, A.J., Jorm, A.F., Stigmatising attitudes towards people with mental disorders: A comparison of Australian health professionals with the general community (2014) Australian and New Zealand Journal of Psychiatry, 48, pp. 433-441; Reisenzein, R., A structural equation analysis of Weiner's attribution - Affect model of helping behavior (1986) Journal of Personality and Social Psychology, 50, pp. 1123-1133; Room, R., Rehm, J., Trotter, R.T., Paglia, A., Üstün, T.B., Üstün, T.B., Chatterji, S., Bickenbach, J.E., Cross-cultural views on stigma, valuation, parity and societal values towards disability (2001) Disability and Culture: Universalism and Diversity, pp. 247-291. , In (Eds.), Seattle, WA: Hogrefe & Huber; Schomerus, G., Lucht, M., Holzinger, A., Matschinger, H., Carta, M.G., Angermeyer, M.C., The stigma of alcohol dependence compared with other mental disorders: A review of population studies (2011) Alcohol and Alcoholism, 46, pp. 105-112; Thornicroft, G., Rose, D., Kassam, A., Discrimination in health care against people with mental illness (2007) International Review of Psychiatry, 19, pp. 113-122; Van Boekel, L.C., Brouwers, E.P.M., Van Weeghel, J., Garretsen, H.F.L., Public opinion on imposing restrictions to people with an alcohol- or drug addiction: A cross-sectional survey (2013) Social Psychiatry and Psychiatric Epidemiology, 48, pp. 2007-2016; Van Boekel, L.C., Brouwers, E.P.M., Van Weeghel, J., Garretsen, H.F.L., Stigma among health professionals towards patients with substance use disorders and its consequences for healthcare delivery: Systematic review (2013) Drug and Alcohol Dependence, 131, pp. 23-35; Van Boekel, L.C., Brouwers, E.P.M., Van Weeghel, J., Garretsen, H.F.L., Healthcare professionals' regard towards working with patients with substance use disorders: Comparison of primary care, general psychiatry and specialist addiction services (2014) Drug and Alcohol Dependence, 134, pp. 92-98; Van Dorn, R.A., Swanson, J.W., Elbogen, E.B., Swartz, M.S., A comparison of stigmatizing attitudes toward persons with schizophrenia in four stakeholder groups: Perceived likelihood of violence and desire for social distance (2005) Psychiatry: Interpersonal and Biological Processes, 68, pp. 152-163; Van't Veer, J.T., Kraan, H.F., Drosseart, S.H., Modde, J.M., Determinants that shape public attitudes towards the mentally ill: A Dutch public study (2006) Social Psychiatry and Psychiatric Epidemiology, 41, pp. 310-317; Volker, M.A., Reporting effect size estimates in school psychology research (2006) Psychology in the Schools, 43, pp. 653-672; Whatley, C.D., Social attitudes toward discharged mental patients (1959) Social Problems, 6, pp. 313-320","Van Boekel, L.C.; Department Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, Warandelaan 2, Netherlands",,,SAGE Publications Ltd,,,,,207640,,IJSPA,25500945,English,Int. J. Soc. Psychiatry,Article,Final,,Scopus,2-s2.0-84939191919 "Hsiao C.-Y., Lu H.-L., Tsai Y.-F.",56640562600;56640161000;7402627053;,Factors influencing mental health nurses' attitudes towards people with mental illness,2015,International Journal of Mental Health Nursing,24,3,,272,280,,26,10.1111/inm.12129,https://www.scopus.com/inward/record.uri?eid=2-s2.0-84929840634&doi=10.1111%2finm.12129&partnerID=40&md5=2dcc423c2ec0d222f5c0d537ed3e7d5c,"School of Nursing, College of Medicine, Chung Shan Medical University, Taichung, Taiwan; Department of Nursing, Chung Shan Medical University Hospital, Taichung, Taiwan; Jianan Psychiatric Centre, Ministry of Health and Welfare, Tainan, Taiwan; School of Nursing, College of Medicine, Chang Gung University, Tao-Yuan, Taiwan; Department of Nursing, Chang Gung Memorial Hospital, Keelung City, Taiwan","Hsiao, C.-Y., School of Nursing, College of Medicine, Chung Shan Medical University, Taichung, Taiwan, Department of Nursing, Chung Shan Medical University Hospital, Taichung, Taiwan; Lu, H.-L., Jianan Psychiatric Centre, Ministry of Health and Welfare, Tainan, Taiwan; Tsai, Y.-F., School of Nursing, College of Medicine, Chang Gung University, Tao-Yuan, Taiwan, Department of Nursing, Chang Gung Memorial Hospital, Keelung City, Taiwan","This study aimed to investigate the factors influencing mental health nurses' attitudes towards people with mental illness. A descriptive correlation design was used. A sample of 180 Taiwanese mental health nurses was recruited from mental health-care settings. Data were analyzed with descriptive statistics, Pearson's product-moment correlation, Student's t-test, one-way anova, and a hierarchical multiple regression analysis. Negative attitudes were found among mental health nurses, especially with respect to individuals with substance abuse compared with those with schizophrenia and major depression. Mental health nurses who were older, had more clinical experiences in mental health care, and demonstrated greater empathy expressed more positive attitudes towards people with mental illness. Mental health nurses working at acute psychiatric units demonstrated more negative attitudes towards mental illness compared with those working in psychiatric rehabilitation units and outpatient clinics or community psychiatric rehabilitation centres. Particularly, length of mental health nursing practice and empathy significantly accounted for mental health nurses' attitudes towards mental illness. Understanding nurses' attitudes and their correlates towards people with mental illness is critical to deliver effective mental health nursing care. © 2015 Australian College of Mental Health Nurses Inc.",Attitudes; Empathy; Mental health nurses; Mental illness; Nursing,"adult; cross-sectional study; drug dependence; empathy; female; health personnel attitude; human; job satisfaction; major depression; male; mental patient; middle aged; nurse patient relationship; nursing; psychiatric nursing; psychology; schizophrenia; statistics; Taiwan; Adult; Attitude of Health Personnel; Cross-Sectional Studies; Depressive Disorder, Major; Empathy; Female; Humans; Job Satisfaction; Male; Mentally Ill Persons; Middle Aged; Nurse-Patient Relations; Psychiatric Nursing; Schizophrenia; Schizophrenic Psychology; Statistics as Topic; Substance-Related Disorders; Taiwan",,,,,,,,,,,,"Abdullah, T., Brown, T.L., Mental illness stigma and ethnocultural beliefs, value, and norms (2011) Clinical Psychological Review, 31, pp. 934-948; Adewuya, A.O., Oguntade, A.A., Doctors' attitude towards people with mental illness in Western Nigeria (2006) Social Psychiatric and Psychiatric Epidemiology, 42, pp. 931-936; Ahmead, M.K., Rahhal, A.A., Baker, J.A., The attitudes of mental health professionals towards patients with mental illness in an inpatient setting in Palestine (2010) International Journal of Mental Health Nursing, 19, pp. 356-362; Angermeyer, M.C., Dietrich, S., Public beliefs about and attitudes toward people with mental illness: A review of population studies (2006) Acta Psychiatrica Scandinavica, 113, pp. 163-179; Björman, T., Angelman, T., Jönsson, M., Attitudes towards people with mental illness: A cross-sectional study among nursing staff in psychiatric and somatic care (2008) Scandinavian Journal of Caring Sciences, 22, pp. 170-177; Chambers, M., Guise, V., Välimäki, M., Nurses' attitudes to mental illness: A comparison of a sample of nurses from five European countries (2010) International Journal of Nursing Studies, 47, pp. 350-362; Chang, Y.P., Yang, M.S., Nurses' attitudes toward clients with substance use problem (2013) Perspectives in Psychiatric Care, 49, pp. 94-102; Cheng, J., Huang, X., Hsu, Y., Su, C., Influencing factors of community mental health nurses caring for people with schizophrenia in Taiwan (2012) Journal of Psychiatric and Mental Health Nursing, 19, pp. 319-326; Chien, W.T., Yeung, F.K.K., Chan, A.H.L., Perceived stigma of patients with severe mental illness in Hong Kong: Relationships with patients' psychosocial conditions and attitudes of family caregivers and health professionals (2014) Administration and Policy in Mental Health, 41, pp. 237-251; Cohen, J., (1988) Statistical Power Analysis for the Behavior Sciences, , Hillsdal, NJ: Lawrence Erlbaum Association; Crisp, A., Gelder, M., Goddard, E., Meltzer, H., Stigmatization of people with mental illness: A follow-up study within the Changing Minds campaign of the Royal College of Psychiatrists (2005) World Psychiatry, 4, pp. 106-113; Cunningham, J.A., Sobell, L.C., Chow, M.C., What's in a label? The effects of substance types and labels on treatment considerations and stigma (1993) Journal of Studies on Alcohol, 54, pp. 693-699; Delaney, K.R., Psychiatric mental health nurses: Stigma issues we fail to see (2012) Archives of Psychiatric Nursing, 26 (4), pp. 333-335; von Elm, E., Altman, D.G., Egger, M., Pocock, S.J., Gøtzsche, P.C., Vandenbroucke, J.P., The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: Guidelines for reporting observational studies (2014) International Journal of Surgery, 12, pp. 1495-1499; Galletly, C., Burton, C., Improving medical student attitudes towards people with schizophrenia (2011) Australian and New Zealand Journal of Psychiatry, 45, pp. 473-476; Gateshill, G., Kucharska-Pietura, K., Wattis, J., Attitudes towards mental disorders and emotional empathy in mental health and other healthcare professionals (2011) Psychiatric Bulletin, 35, pp. 101-105; Gilchrist, G., Mosklewicz, J., Slezakova, S., Staff regard towards working with substance users: A European multi-centre study (2011) Addiction, 10, pp. 1114-1125; Hamdan-Mansour, A.M., Wardam, L.A., Attitudes of Jordanian mental health nurses toward mental illness and patients with mental illness (2009) Issues in Mental Health Nursing, 30, pp. 705-711; Hansson, L., Jormfeldt, H., Svedberg, P., Svensson, B., Mental health professionals' attitudes towards people with mental illness: Do they differ from attitudes held people with mental illness? (2011) International Journal of Social Psychiatry, 59, pp. 48-54; Hojat, M., (2007) Empathy in Patient Care: Antecedents, Development, Measurement, and Outcomes, , New York: Springer; Hojat, M., Gonnella, J.S., Nasca, T.J., Mangione, S., Vergare, M., Magee, M., Physician empathy: Definition, components, measurement, and relationship to gender and specialty (2002) American Journal of Psychiatry, 159, pp. 1563-1569; Hojat, M., Fields, S.K., Gonnella, J.S., Empathy: An NP/MD comparison (2003) The Nurse Practitioner, 28 (4), pp. 45-47; Knifton, L., Gervais, M., Newbigging, K., Community conversation: Addressing mental health stigma with ethnic minority communities (2010) Social Psychiatry and Psychiatry Epidemiology, 45, pp. 497-504; Lam, C., Tsang, H.W.H., Corrigan, P.W., Chinese lay theory and mental illness stigma: Implications for research and practices (2010) Journal of Rehabilitation, 76, pp. 35-40; Lauber, C., Rössler, W., Stigma towards people with mental illness in developing countries in Asia (2007) International Review of Psychiatry, 19, pp. 157-178; Lauber, C., Nordt, C., Braunschweig, C., Rösler, W., Do mental health professionals stigmatize their patients? (2006) Acta Psychiatrica Scandinavica, 113, pp. 51-59; Linden, M., Kavanagh, R., Attitudes of qualified vs. student mental health nurses towards an individual diagnosed with schizophrenia (2012) Journal of Advanced Nursing, 68, pp. 1359-1368; Luty, J., Fekadu, D., Umoh, O., Gallagher, J., Validation of a short instrument to measure stigmatised attitudes towards mental illness (2006) Psychiatric Bulletin, 30, pp. 257-260; Luty, K., Umoh, O., Nuamah, F., Effect of brief motivational interviewing on stigmatised attitudes towards mental illness (2009) Psychiatric Bulletin, 33, pp. 212-214; Mellor, D., Carne, L., Shen, Y.C., McCabe, M., Wang, L., Stigma toward mental illness: A cross-cultural comparison of Taiwanese, Chinese immigrants to Australia and Anglo-Australians (2013) Journal of Cross-Cultural Psychology, 44, pp. 352-364; Munro, S., Baker, J.A., Surveying the attitudes of acute mental health nurses (2007) Journal of Psychiatric and Mental Health Nursing, 14, pp. 196-202; Nordt, C., Rössler, W., Lauber, C., Attitudes of mental health professionals toward people with schizophrenia and major depression (2006) Schizophrenia Bulletin, 32, pp. 709-714; Rao, H., Mahadevappa, H., Pillay, P., Sessay, M., Abraham, A., Luty, J., A study of stigmatized attitudes towards people with mental health problems among health professionals (2009) Journal of Psychiatric and Mental Health Nursing, 16, pp. 279-284; Ritsher, J.B., Otilingam, P.G., Grajales, M., Internalized stigma of mental illness: Psychometric properties of a new measure (2003) Psychiatry Research, 121, pp. 31-49; Schulz, B., Stigma and mental health professionals: A review of the evidence on an intricate relationship (2007) International Review of Psychiatry, 19, pp. 137-155; Song, L.Y., Chang, L.Y., Shih, C.Y., Lin, C.Y., Yang, M.J., Community attitudes towards the mentally ill: The results of a national survey of the Taiwanese population (2005) International Journal of Social Psychiatry, 51, pp. 174-188; Taylor, S.M., Dear, M.J., Scaling community attitudes toward the mentally ill (1981) Schizophrenia Bulletin, 7, pp. 225-240; Vibha, V., Saddichha, S., Kumar, R., Attitudes of ward attendants towards mental illness: Comparisons and predictors (2008) International Journal of Social Psychiatry, 54, pp. 469-478; Wild, D., Grove, A., Martin, M., Principles of good practice for the translation and cultural adaptation process for patient-reported outcomes (PRO) measures: Report of the ISPOR task force for translation and cultural adaptation (2005) Value in Health, 8, pp. 94-104; (2001) The WPA Global Programme to Reduce Stigma and Discrimination Because of Schizophrenia. An Interim Report, , Geneva: World Psychiatric Association","Tsai, Y.-F.; School of Nursing, College of Medicine, Chung Shan Medical University, 259 Wen-Hwa 1st Road, Taiwan",,,Blackwell Publishing,,,,,14458330,,,25963120,English,Int. J. Ment. Health Nurs.,Article,Final,,Scopus,2-s2.0-84929840634 "Ighodaro A., Stefanovics E., Makanjuola V., Rosenheck R.",55775346600;10340827300;13408253000;35415442600;,"An Assessment of Attitudes Towards People with Mental Illness Among Medical Students and Physicians in Ibadan, Nigeria",2015,Academic Psychiatry,39,3,,280,285,,22,10.1007/s40596-014-0169-9,https://www.scopus.com/inward/record.uri?eid=2-s2.0-84929082949&doi=10.1007%2fs40596-014-0169-9&partnerID=40&md5=c585840801306dc38865051100b7b723,"Yale University School of Medicine, New Haven, CT, United States; VA New England Mental Illness Research and Education Center, West Haven, CT, United States; University College Hospital, Ibadan, Oyo State, Nigeria","Ighodaro, A., Yale University School of Medicine, New Haven, CT, United States; Stefanovics, E., VA New England Mental Illness Research and Education Center, West Haven, CT, United States; Makanjuola, V., University College Hospital, Ibadan, Oyo State, Nigeria; Rosenheck, R., VA New England Mental Illness Research and Education Center, West Haven, CT, United States","Objective: The authors surveyed attitudes towards mental illness among Nigerian medical personnel at three different levels of training and experience: medical students who had not completed their psychiatry rotation, medical students who had competed their psychiatry rotation, and graduate physicians. Methods: Six questions addressed beliefs about the effectiveness of treatments for four specific mental illnesses (schizophrenia, bipolar disorder, depression, and anxiety) and two medical illnesses (diabetes and hypertension) among the three groups. A self-report questionnaire including 56 dichotomous items was used to compare beliefs about and attitudes towards people with mental illness. Factor analysis was used to identify key attitudes and analysis of covariance (ANCOVA) was used to compare the groups adjusting for age and personal experience with people with mental illness. Results: There were no significant trends in attitudes towards the effectiveness of medication. Exploratory factor analysis of the beliefs and attitudes items identified four factors: (1) comfort socializing with people with mental, illness; (2) non-superstitious beliefs about the causes of mental illness; (3) neighborly feelings towards people with mental illness; and (4) belief that stress and abuse are part of the etiology of mental illness. ANCOVA comparing attitudes among the three groups showed that on three (1, 2, and 4) of the four factors medical students who had completed a rotation in psychiatry had significantly higher scores than the medical students who had not completed a rotation in psychiatry. Graduate physicians showed a similar pattern scoring higher than the medical students who had not completed a rotation in psychiatry in two factors (1 and 4) but showed no differences from students who had completed their psychiatry rotation. Conclusion: While beliefs about medication effectiveness do not differ between medical trainees and graduate professionals, stigmatizing attitudes towards people with mental illness seem to be most strongly affected by clinical training. Psychiatric education and especially clinical experience result in more progressive attitudes towards people with mental illness. © 2014 Academic Psychiatry.",Education; Mental illness; Schools,"adult; attitude to health; education; ethnology; health personnel attitude; human; medical student; Mental Disorders; Nigeria; physician; psychiatry; psychology; Adult; Attitude of Health Personnel; Health Knowledge, Attitudes, Practice; Humans; Mental Disorders; Nigeria; Physicians; Psychiatry; Students, Medical",,,,,,,,,,,,"Sartorius, N., Schulze, H., Reducing the stigma of mental illness (2005) Global Programme of the World Psychiatric Association, , UK: Cambridge University Press; Thornicroft, G., (2006) Shunned: Discrimination Against People with Mental Illness, , UK: Oxford University Press; Gureje, O., Do beliefs about causation influence attitudes to mental illness? (2006) World Psychiatry, 5 (2), pp. 104-107. , 1525129 16946952; Kelly, L., McKenna, H., Victimization of people with enduring mental illness in the community (1997) J Psychiatr Ment Health Nurs, 3, pp. 185-191; Berzins, K.M., Petch, A., Atkinson, J.M., Prevalence and experience of harassment of people with mental health problems living in the community (2003) Br J Psychiatry, 183, pp. 526-533. , 14645024; Okenwa, L., (2001) Bill to Repeal Lunacy Act Coming, , http://www.thisdayonline.com/archive/2001/04/06/index.html, Apr. 6, available at; Westbrook, A.H., Mental health legislation and involuntary commitment in Nigeria: A call for reform (2011) Wash Univ Glob Stud Law Rev, 10 (2), p. 397; (2006) WHO-AIMS Report on Mental Health System in Nigeria, , WHO and Ministry of Health, Ibadan, Nigeria; Gureje, O., Lasebikan, V.O., Ephraim-Oluwanuga, O., Community study of knowledge of and attitude to mental illness in Nigeria (2005) Br J Psychiatry, 186, pp. 436-441. , 15863750; Keane, M., Contemporary beliefs about mental illness among medical students: Implications for education and practice (1990) Acad Psychiatry, 14, pp. 172-177; Nordt, C., Rössler, W., Lauber, C., Attitudes of mental health professionals toward people with schizophrenia and major depression (2006) Schizophr Bull, 32 (4), pp. 709-714. , 2632277 16510695; Schulze, B., Stigma and mental health professionals: A review of the evidence on an intricate relationship (2007) Int Rev Psychiatry, 19 (2), pp. 137-155. , 17464792; Ignacio, L., De Arango, M.V., Baltazar, J., Knowledge and attitudes of primary health care personnel concerning mental health problems in developing countries: A follow-up study (1989) Int J Epidemiol, 18, pp. 669-673. , 1:STN:280:DyaK3c%2FjsFOjug%3D%3D 2807672; Makanjuola, V.A., Doku, V., Jenkins, R., Impact of a one-week intensive 'training of trainers' workshop for community health workers in south-west Nigeria (2012) Ment Health Fam Med, 9, pp. 33-38. , 3487605 23277796; Jenkins, R., Kiima, D., Njenga, F., Integration of mental health into primary care in Kenya (2010) World Psychiatry, 9, pp. 118-120. , 2911092 20671901; Sadiq, S., Abdulrahman, S., Bradley, M., Integrating mental health into primary care in Iraq (2011) Ment Health Fam Med, 8, pp. 39-49; Mansouri, N., Gharaee, B., Shariat, S.V., The change in attitude and knowledge of health care personnel and general population following trainings provided during integration of mental health in primary health care in Iran: A systematic review (2009) Int J Ment Heal Syst, 3 (1), p. 15; Chinnayya, H., Chandrashekar, C., Moily, S., Training primary care health workers in mental health care: Evaluation of attitudes towards mental illness before and after training (1990) Int J Soc Psychiatry, 36, pp. 300-307. , 1:STN:280:DyaK3M7nslKltg%3D%3D 2079401; Naseem, A.Q., Van Der Molen, H.T., Schmidt, H.G., Effectiveness of a training programme for primary care physicians directed at the enhancement of their psychiatric knowledge in Saudi Arabia (2006) Educ Health, 19 (1), pp. 52-60; Arkar, H., Eker, D., Influence of a 3-week psychiatric training programme on attitudes toward mental illness in medical students (1997) Soc Psychiatry Psychiatry Epidemiol, 32 (3), pp. 171-176. , 1:STN:280:DyaK2s3nslCksw%3D%3D; Fischel, T., Does a clerkship in psychiatry contribute to changing medical students' attitudes towards psychiatry? (2008) Acad Psychiatry, 32 (2), pp. 147-150. , 18349336; Iheanacho, T., Marienfeld, C., Stefanovic, E., Rosenheck, R., Attitudes towards mental illness and changes associated with a brief educational intervention for medical and nursing students in Nigeria (2013) Academic Psychiatry, , In press accepted for publication in June; The WPA, (2000) Programme to Reduce Stigma and Discrimination because of Schizophrenia, , Geneva: World Psychiatric Association; Taylor, S.M., Dear, M.J., Scaling community attitudes toward the mentally ill (1981) Schizophr Bull, 7 (2), pp. 225-240. , 1:STN:280:DyaL38%2Fhs12rtQ%3D%3D 7280561; Wolff, G., Community knowledge of mental illness and reaction to mentally ill people (1996) Br J Psychiatry, 168 (2), pp. 191-198. , 1:STN:280:DyaK28vjsFShsQ%3D%3D 8837909; Adekson, M., (2003) The Yorùbá Traditional Healers of Nigeria, pp. 26-38. , Molefi Asante ed; James, B., Nigerian medical students' opinions about the undergraduate curriculum in psychiatry (2013) Acad Psychiatry, 37, pp. 202-206. , 23632934; Mukherjee, R., Fiahlo, A., Wijetunge, A., The stigmatization of psychiatric illness: The attitudes of medical students and doctors in a London teaching hospital (2002) Psychiatr Bull, 26, pp. 178-181; Assessment for Yoruba in Nigeria, , http://www.cidcm.umd.edu/mar/assessment.asp?groupId=47505","Ighodaro, A.; Yale University School of MedicineUnited States",,,Springer New York LLC,,,,,10429670,,ACPSF,24903130,English,Acad. Psychiatry,Article,Final,,Scopus,2-s2.0-84929082949 "Lebowitz M.S., Ahn W.-K.",55211666800;7005887449;,Effects of biological explanations for mental disorders on clinicians' empathy,2014,Proceedings of the National Academy of Sciences of the United States of America,111,50,,17786,17790,,95,10.1073/pnas.1414058111,https://www.scopus.com/inward/record.uri?eid=2-s2.0-84919360388&doi=10.1073%2fpnas.1414058111&partnerID=40&md5=b6de495f823c660641603ed582c2a849,"Department of Psychology, Yale University, New Haven, CT 06520, United States","Lebowitz, M.S., Department of Psychology, Yale University, New Haven, CT 06520, United States; Ahn, W.-K., Department of Psychology, Yale University, New Haven, CT 06520, United States","Mental disorders are increasingly understood in terms of biological mechanisms. We examined how such biological explanations of patients' symptoms would affect mental health clinicians' empathy-a crucial component of the relationship between treatment-providers and patients-as well as their clinical judgments and recommendations. In a series of studies, US clinicians read descriptions of potential patients whose symptoms were explained using either biological or psychosocial information. Biological explanations have been thought to make patients appear less accountable for their disorders, which could increase clinicians' empathy. To the contrary, biological explanations evoked significantly less empathy. These results are consistent with other research and theory that has suggested that biological accounts of psychopathology can exacerbate perceptions of patients as abnormal, distinct from the rest of the population, meriting social exclusion, and even less than fully human. Although the ongoing shift toward biomedical conceptualizations has many benefits, our results reveal unintended negative consequences.",Biological explanations; Dehumanization; Empathy; Essentialism; Mental disorders,Article; biological functions; clinical effectiveness; depression; empathy; health personnel attitude; human; human experiment; mental disease; mental patient; obsessive compulsive disorder; physician attitude; psychiatrist; psychologist; psychotherapy; schizophrenia; social exclusion; social phobia; social psychology; social worker; social worker attitude; adult; comprehension; counseling; health care personnel; perception; psychiatry; psychology; social work; United States; Adult; Attitude of Health Personnel; Comprehension; Counseling; Empathy; Health Personnel; Humans; Mental Disorders; Psychiatry; Psychology; Social Perception; Social Work; United States,,,,,"National Human Genome Research Institute, NHGRI: R01HG007653",,,,,,,"Whiteford, H.A., Global burden of disease attributable to mental and substance use disorders: Findings from the Global Burden of Disease Study 2010 (2013) Lancet, 382 (9904), pp. 1575-1586; Bloom, D.E., (2011) The Global Economic Burden of Noncommunicable Diseases, , World Economic Forum, Geneva; Deacon, B.J., The biomedical model of mental disorder: A critical analysis of its validity, utility, and effects on psychotherapy research (2013) Clin Psychol Rev, 33 (7), pp. 846-861; Insel, T., Research domain criteria (RDoC): Toward a new classification framework for research on mental disorders (2010) Am J Psychiatry, 167 (7), pp. 748-751; The NIH BRAIN Initiative, Insel, T.R., Landis, S.C., Collins, F.S., Research priorities (2013) Science, 340 (6133), pp. 687-688; Pescosolido, B.A., A disease like any other""? A decade of change in public reactions to schizophrenia, depression, and alcohol dependence (2010) Am J Psychiatry, 167 (11), pp. 1321-1330; Olfson, M., Marcus, S.C., National trends in outpatient psychotherapy (2010) Am J Psychiatry, 167 (12), pp. 1456-1463; Elliott, R., Bohart, A.C., Watson, J.C., Greenberg, L.S., Empathy (2011) Psychotherapy, 48 (1), pp. 43-49; Kvaale, E.P., Haslam, N., Gottdiener, W.H., The 'side effects' of medicalization: A meta-analytic review of how biogenetic explanations affect stigma (2013) Clin Psychol Rev, 33 (6), pp. 782-794; Aspinwall, L.G., Brown, T.R., Tabery, J., The double-edged sword: Does biomechanism increase or decrease judges' sentencing of psychopaths? (2012) Science, 337 (6096), pp. 846-849; Batson, C.D., (2011) Altruism in Humans, , Oxford Univ Press, New York; Read, J., Haslam, N., Sayce, L., Davies, E., Prejudice and schizophrenia: A review of the 'mental illness is an illness like any other' approach (2006) Acta Psychiatr Scand, 114 (5), pp. 303-318; Haslam, N., Genetic essentialism, neuroessentialism, and stigma: Commentary on Dar-Nimrod and Heine (2011) (2011) Psychol Bull, 137 (5), pp. 819-824; Kvaale, E.P., Gottdiener, W.H., Haslam, N., Biogenetic explanations and stigma: A meta-analytic review of associations among laypeople (2013) Soc Sci Med, 96, pp. 95-103; Angermeyer, M.C., Holzinger, A., Carta, M.G., Schomerus, G., Biogenetic explanations and public acceptance of mental illness: Systematic review of population studies (2011) Br J Psychiatry, 199 (5), pp. 367-372; Batson, C.D., Chang, J., Orr, R., Rowland, J., Empathy, attitudes and action: Can feeling for a member of a stigmatized group motivate one to help the group? (2002) Pers Soc Psychol Bull, 28 (12), pp. 1656-1666; Batson, C.D., Empathy and attitudes: Can feeling for a member of a stigmatized group improve feelings toward the group? (1997) J Pers Soc Psychol, 72 (1), pp. 105-118; Batson, C.D., Ahmad, N.Y., Using empathy to improve intergroup attitudes and relations (2009) Soc Issues Policy Rev, 3 (1), pp. 141-177; Dar-Nimrod, I., Heine, S.J., Genetic essentialism: On the deceptive determinism of DNA (2011) Psychol Bull, 137 (5), pp. 800-818; Haslam, N., Dehumanization: An integrative review (2006) Pers Soc Psychol Rev, 10 (3), pp. 252-264; Mehta, S., Farina, A., Is being ""sick"" really better? Effect of the disease view of mental disorder on stigma (1997) J Soc Clin Psychol, 16 (4), pp. 405-419; Read, J., Why promoting biological ideology increases prejudice against people labelled ""schizophrenic"" (2007) Aust Psychol, 42 (2), pp. 118-128; Lebowitz, M.S., Ahn, W.K., Nolen-Hoeksema, S., Fixable or fate? Perceptions of the biology of depression (2013) J Consult Clin Psychol, 81 (3), pp. 518-527; Dietrich, S., Matschinger, H., Angermeyer, M.C., The relationship between biogenetic causal explanations and social distance toward people with mental disorders: Results from a population survey in Germany (2006) Int J Soc Psychiatry, 52 (2), pp. 166-174; Speerforck, S., Schomerus, G., Pruess, S., Angermeyer, M.C., Different biogenetic causal explanations and attitudes towards persons with major depression, schizophrenia and alcohol dependence: Is the concept of a chemical imbalance beneficial? (2014) J Affect Disord, 168, pp. 224-228; Cikara, M., Bruneau, E.G., Saxe, R.R., Us and them: Intergroup failures of empathy (2011) Curr Dir Psychol Sci, 20 (3), pp. 149-153; Haque, O.S., Waytz, A., Dehumanization in medicine: Causes, solutions, and functions (2012) Perspect Psychol Sci, 7 (2), pp. 176-186; Batson, C.D., Fultz, J., Schoenrade, P.A., Distress and empathy: Two qualitatively distinct vicarious emotions with different motivational consequences (1987) J Pers, 55 (1), pp. 19-39; Rottman, B.M., Ahn, W.K., Sanislow, C.A., Kim, N.S., Can clinicians recognize DSM-IV personality disorders from five-factor model descriptions of patient cases? (2009) Am J Psychiatry, 166 (4), pp. 427-433; Rottman, B.M., Kim, N.S., Ahn, W.K., Sanislow, C.A., Can personality disorder experts recognize DSM-IV personality disorders from five-factor model descriptions of patient cases? (2011) J Clin Psychiatry, 72 (5), pp. 630-639; Ahn, W.K., Proctor, C.C., Flanagan, E.H., Mental health clinicians' beliefs about the biological, psychological, and environmental bases of mental disorders (2009) Cogn Sci, 33 (2), pp. 147-182; Schomerus, G., Matschinger, H., Angermeyer, M.C., Causal beliefs of the public and social acceptance of persons with mental illness: A comparative analysis of schizophrenia, depression and alcohol dependence (2014) Psychol Med, 44 (2), pp. 303-314; Meyer, B., Treatment expectancies, patient alliance, and outcome: Further analyses from the National Institute of Mental Health Treatment of Depression Collaborative Research Program (2002) J Consult Clin Psychol, 70 (4), pp. 1051-1055; Lebowitz, M.S., Biological conceptualizations of mental disorders among affected individuals: A review of correlates and consequences (2014) Clin Psychol Sci Pract, 21 (1), pp. 67-83; Kendler, K.S., The dappled nature of causes of psychiatric illness: Replacing the organic-functional/hardware-software dichotomy with empirically based pluralism (2012) Mol Psychiatry, 17 (4), pp. 377-388; Franz, V.H., Loftus, G.R., Standard errors and confidence intervals in within-subjects designs: Generalizing Loftus and Masson (1994) and avoiding the biases of alternative accounts (2012) Psychon Bull Rev, 19 (3), pp. 395-404; American Psychiatric Association, (2000) Diagnostic and Statistical Manual of Mental Disorders, , American Psychiatric Publishing, Arlington, VA, 4th Ed, Text Rev; American Psychiatric Association, (2013) Diagnostic and Statistical Manual of Mental Disorders, , American Psychiatric Publishing, Arlington, VA, 5th Ed","Lebowitz, M.S.; Department of Psychology, Yale UniversityUnited States",,,National Academy of Sciences,,,,,278424,,PNASA,25453068,English,Proc. Natl. Acad. Sci. U. S. A.,Article,Final,"All Open Access, Bronze, Green",Scopus,2-s2.0-84919360388 "Sun B., Fan N., Nie S., Zhang M., Huang X., He H., Rosenheck R.A.",56457094600;54398340400;56804398600;56804005900;56508538500;56207135000;35415442600;,"Attitudes towards people with mental illness among psychiatrists, psychiatric nurses, involved family members and the general population in a large city in Guangzhou, China",2014,International Journal of Mental Health Systems,8,1,26,,,,26,10.1186/1752-4458-8-26,https://www.scopus.com/inward/record.uri?eid=2-s2.0-84940287586&doi=10.1186%2f1752-4458-8-26&partnerID=40&md5=25e19a0b850a01caa1524293fe11b72e,"Neuropsychiatric Research Institute, Guangzhou Psychiatric Hospital, The Affiliated Hospital of Guangzhou Medical College, Guangzhou, China; Department of Nursing, Guangzhou Psychiatric Hospital, The Affiliated Hospital of Guangzhou Medical College, Guangzhou, China; Department of Psychiatry, Yale University School of Medicine, New Haven, United States","Sun, B., Neuropsychiatric Research Institute, Guangzhou Psychiatric Hospital, The Affiliated Hospital of Guangzhou Medical College, Guangzhou, China; Fan, N., Neuropsychiatric Research Institute, Guangzhou Psychiatric Hospital, The Affiliated Hospital of Guangzhou Medical College, Guangzhou, China; Nie, S., Department of Nursing, Guangzhou Psychiatric Hospital, The Affiliated Hospital of Guangzhou Medical College, Guangzhou, China; Zhang, M., Neuropsychiatric Research Institute, Guangzhou Psychiatric Hospital, The Affiliated Hospital of Guangzhou Medical College, Guangzhou, China; Huang, X., Neuropsychiatric Research Institute, Guangzhou Psychiatric Hospital, The Affiliated Hospital of Guangzhou Medical College, Guangzhou, China; He, H., Neuropsychiatric Research Institute, Guangzhou Psychiatric Hospital, The Affiliated Hospital of Guangzhou Medical College, Guangzhou, China; Rosenheck, R.A., Department of Psychiatry, Yale University School of Medicine, New Haven, United States","Purpose: Stigma towards people with mental illness is believed to be widespread in low and middle income countries.Methods: This study assessed the attitudes towards people with mental illness among psychiatrists, psychiatric nurses, involved family members of patients in a psychiatric facility and the general public using a standard 43-item survey (N = 535). Exploratory factor analysis identified four distinctive attitudes which were then compared using Analysis of Covariance (ANCOVA) among the four groups, all with ties to the largest psychiatric facility in Guangzhou, China, adjusting for sociodemographic differences.Results: Four uncorrelated factors expressed preferences for 1) community-based treatment, social integration and a biopsychosocial model of causation, 2) direct personal relationships with people with mental illness, 3) a lack of fear and positive views of personal interactions with people with mental illness, 4) disbelief in superstitious explanations of mental illness. Statistically significant differences favored community-based treatment and biopsychosocial causation (factor 1) among professional groups (psychiatrists and nurses) as compared with family members and the general public (p < 0.001); while family members, unexpectedly, showed far weaker personal preferences for direct personal relationships with people with mental illness than all three other groups (p < 0.001).Conclusion: Both psychiatrists and nurses showed greater support for social integration and biopsychosocial understandings of mental illness than the lay public, most likely because of their training and experience, while family members showed the least positive attitudes towards direct personal relationships with people with mental illness. These findings suggest support for a more extensive, formal system of care that gives family members some distance from the problems of their relatives and support in their care. © 2014 Sun et al.; licensee BioMed Central Ltd.",Attitude; Mental illness; Survey,adult; article; attitude to illness; China; community care; exploratory research; factorial analysis; family; female; human; integration; male; mental disease; normal human; nurse; population research; priority journal; psychiatric nurse; psychiatrist; social psychology,,,,,,"This study is part of the project “investigation of risk factors of re-hospitalization for patients with mental illness” supported from funding from Chinese National Key Clinical Program in Psychiatry to Guangzhou Psychiatric Hospital, Guangzhou, China. The project was approved by the Ethic Committee of Guangzhou Psychiatric Hospital. This part of survey with WPA questionnaires was waiv-ered of written informed consent.","This study was supported from funding from Chinese National Key Clinical Program in Psychiatry to Guangzhou Psychiatric Hospital, Guangzhou, China.",,,,,"Ogunsemi, O.O., Odusan, O., Olatawura, M.O., Stigmatising attitude of medical students towards a psychiatry label (2008) Ann Gen Psychiatry, 7, p. 15. , 10.1186/1744-859X-7-15, 2535585, 18724873; Wolff, G., Pathare, S., Craig, T., Leff, J., Community knowledge of mental illness and reaction to mentally ill people (1996) Br J Psychiatry, 168 (2), pp. 191-198. , 10.1192/bjp.168.2.191, 8837909; Coker, E.M., Selfhood and social distance: toward a cultural understanding of psychiatric stigma in Egypt (2005) Soc Sci Med, 61 (5), pp. 920-930. , 10.1016/j.socscimed.2005.01.009, 15955396; Corrigan, P.W., Watson, A.C., Understanding the impact of stigma on people with mental illness (2002) World Psychiatry, 1 (1), pp. 16-20. , 1489832, 16946807; Ng, C.H., The stigma of mental illness in Asian cultures (1997) Aust N Z J Psychiatry, 31 (3), pp. 382-390. , 10.3109/00048679709073848, 9226084; Phillips, M.R., Pearson, V., Li, F., Xu, M., Yang, L., Stigma and expressed emotion: a study of people with schizophrenia and their family members in China (2002) Br J Psychiatry, 181, pp. 488-493. , 10.1192/bjp.181.6.488, 12456518; Sevigny, R., Yang, W., Zhang, P., Marleau, J.D., Yang, Z., Su, L., Li, G., Wang, H., Attitudes toward the mentally ill in a sample of professionals working in a psychiatric hospital in Beijing (China) (1999) Int J Soc Psychiatry, 45 (1), pp. 41-55. , 10.1177/002076409904500106, 10443248; Blum, N., Fee, E., The first mental hospital in China (2008) Am J Public Health, 98 (9), p. 1593. , 10.2105/AJPH.2008.134577, 2509595, 18633073; Taylor, S.M., Dear, M.J., Scaling community attitudes toward the mentally ill (1981) Schizophr Bull, 7 (2), pp. 225-240. , 10.1093/schbul/7.2.225, 7280561; (2000) The WPA Programme to Reduce Stigma and Discrimination Because of Schizophrenia, , Geneva: World Psychiatirc Assosiation; Iheanacho, T., Marienfeld, C., Stefanovics, E., Rosenheck, R.A., Attitudes Toward Mental Illness and Changes Associated with a Brief Educational Intervention for Medical and Nursing Students in Nigeria (2014) Acad Psychiatry, 38 (3), pp. 320-323. , 10.1007/s40596-014-0073-3, 24643398; Iheanacho, T., Marienfeld, C., Stefanovics, E., Rosenheck, R.A., Medical and nursing students' attitude towards people with mental illness in Nigeria: A tale of two teaching hospitals (2014) International Psychiatry, 11 (2), p. 3; Wei, Z., Ye, Z., Xingwei, L., Shiyan, L., XiaoQian, M., The assertive community treatment model for severe mental disorders: A review (2014) Chin Ment Health J, 28 (8), pp. 89-97; Jorm, A.F., Oh, E., Desire for social distance from people with mental disorders (2009) Aust N Z J Psychiatry, 43 (3), pp. 183-200. , 10.1080/00048670802653349, 19221907; Stuart, H., Arboleda-Florez, J., Community attitudes toward people with schizophrenia (2001) Can J Psychiatry, 46 (3), pp. 245-252; Finkelstein, J., Lapshin, O., Reducing depression stigma using a web-based program (2007) Int J Med Inform, 76 (10), pp. 726-734. , 10.1016/j.ijmedinf.2006.07.004, 16996299; Perkins, D.V., Perkins, D.V., Raines, J.A., Tschopp, M.K., Warner, T.C., Gainful employment reduces stigma toward people recovering from schizophrenia (2009) Community Ment Health J, 45 (3), pp. 158-162. , 10.1007/s10597-008-9158-3, 18651218; Jorm, A.F., Griffiths, K.M., The public's stigmatizing attitudes towards people with mental disorders: how important are biomedical conceptualizations? (2008) Acta Psychiatr Scand, 118 (4), pp. 315-321. , 10.1111/j.1600-0447.2008.01251.x, 18759807; Martin, J.K., Pescosolido, B.A., Olafsdottir, S., McLeod, J.D., The construction of fear: Americans' preferences for social distance from children and adolescents with mental health problems (2007) J Health Soc Behav, 48 (1), pp. 50-67. , 10.1177/002214650704800104, 17476923; Adeosun, I.I., Correlates of Caregiver Burden among Family Members of Patients with Schizophrenia in Lagos (2013) Nigeria Schizophr Res Treatment, 2013, p. 353809; Kate, N., Grover, S., Kulhara, P., Nehra, R., Relationship of quality of life with coping and burden in primary caregivers of patients with schizophrenia (2014) Int J Soc Psychiatry, 60 (2), pp. 107-116. , 10.1177/0020764012467598, 23292614; Chien, W.T., Chan, S.W., Morrissey, J., The perceived burden among Chinese family caregivers of people with schizophrenia (2007) J Clin Nurs, 16 (6), pp. 1151-1161. , 10.1111/j.1365-2702.2007.01501.x, 17518890; Cheng, S.T., Lau, R.W., Mak, E.P., Ng, N.S., Lam, L.C., Fung, H.H., Lai, J.C., Lee, D.T., A benefit-finding intervention for family caregivers of persons with Alzheimer disease: study protocol of a randomized controlled trial (2012) Trials, 13, p. 98. , 10.1186/1745-6215-13-98, 3413525, 22747914; Wang, L.Q., Chien, W.T., Lee, I.Y., An experimental study on the effectiveness of a mutual support group for family caregivers of a relative with dementia in mainland China (2012) Contemp Nurse, 40 (2), pp. 210-224. , 10.5172/conu.2012.40.2.210, 22554214; Graham, A.L., Julian, J., Meadows, G., Improving responses to depression and related disorders: evaluation of a innovative, general, mental health care workers training program (2010) Int J Ment Health Syst, 4, p. 25. , 10.1186/1752-4458-4-25, 2944816, 20822546; Mojtabai, R., Mental illness stigma and willingness to seek mental health care in the European Union (2010) Soc Psychiatry Psychiatr Epidemiol, 45 (7), pp. 705-712. , 10.1007/s00127-009-0109-2, 19680588; Pande, V., Saini, R., Chaudhury, S., Attitude toward mental illness amongst urban nonpsychiatric health professionals (2011) Ind Psychiatry J, 20 (1), pp. 17-20. , 3425240, 22969175; Bertrand, M., Mullainathan, S., Do people mean what they say? Implications for subjective survey data (2001) Am Econ Rev, 91 (2), pp. 67-72","He, H.; Neuropsychiatric Research Institute, Guangzhou Psychiatric Hospital, The Affiliated Hospital of Guangzhou Medical College, Guangzhou, China; email: hongbo_he@yeah.net",,,BioMed Central Ltd.,,,,,17524458,,,,English,Int. J. Ment. Health Syst.,Article,Final,"All Open Access, Gold, Green",Scopus,2-s2.0-84940287586 "Modgill G., Patten S.B., Knaak S., Kassam A., Szeto A.C.H.",24765202000;57201492915;8704136100;55851193600;7006625081;,Opening Minds Stigma Scale for Health Care Providers (OMS-HC): Examination of psychometric properties and responsiveness,2014,BMC Psychiatry,14,1,120,,,,75,10.1186/1471-244X-14-120,https://www.scopus.com/inward/record.uri?eid=2-s2.0-84900847331&doi=10.1186%2f1471-244X-14-120&partnerID=40&md5=fd5215bf42dbf193a5055243d2a3d49c,"Opening Minds Anti-Stigma Initiative, Mental Health Commission of Canada, 110 Quarry Park Blvd, Suite 320, Calgary, AB T2C 3G3, Canada; Department of Community Health Sciences, University of Calgary, 3rd Floor TRW, 3280 Hospital Drive NW, Calgary, AB T2N 4Z6, Canada; Department of Psychiatry, University of Calgary, 3rd Floor TRW, 3280 Hospital Drive NW, Calgary, AB T2N 4Z6, Canada; Office of Postgraduate Medical Education, Faculty of Medicine, University of Calgary, 3330 Hospital Drive NW, Calgary, AB T2N 4N1, Canada; Department of Psychology, University of Calgary, 2500 University Drive NW, Calgary, AB T2N 1N4, Canada","Modgill, G., Opening Minds Anti-Stigma Initiative, Mental Health Commission of Canada, 110 Quarry Park Blvd, Suite 320, Calgary, AB T2C 3G3, Canada; Patten, S.B., Department of Community Health Sciences, University of Calgary, 3rd Floor TRW, 3280 Hospital Drive NW, Calgary, AB T2N 4Z6, Canada, Department of Psychiatry, University of Calgary, 3rd Floor TRW, 3280 Hospital Drive NW, Calgary, AB T2N 4Z6, Canada; Knaak, S., Opening Minds Anti-Stigma Initiative, Mental Health Commission of Canada, 110 Quarry Park Blvd, Suite 320, Calgary, AB T2C 3G3, Canada; Kassam, A., Office of Postgraduate Medical Education, Faculty of Medicine, University of Calgary, 3330 Hospital Drive NW, Calgary, AB T2N 4N1, Canada; Szeto, A.C.H., Opening Minds Anti-Stigma Initiative, Mental Health Commission of Canada, 110 Quarry Park Blvd, Suite 320, Calgary, AB T2C 3G3, Canada, Department of Psychology, University of Calgary, 2500 University Drive NW, Calgary, AB T2N 1N4, Canada","Background: Diminishing stigmatization for those with mental illnesses by health care providers (HCPs) is becoming a priority for programming and policy, as well as research. In order to be successful, we must accurately measure stigmatizing attitudes and behaviours among HCPs. The Opening Minds Stigma Scale for Health Care Providers (OMS-HC) was developed to measure stigma in HCP populations. In this study we revisit the factor structure and the responsiveness of the OMS-HC in a larger, more representative sample of HCPs that are more likely to be targets for anti-stigma interventions.Methods: Baseline data were collected from HCPs (n = 1,523) during 12 different anti-stigma interventions across Canada. The majority of HCPs were women (77.4%) and were either physicians (MDs) (41.5%), nurses (17.0%), medical students (13.4%), or students in allied health programs (14.0%). Exploratory factor analysis (EFA) was conducted using complete pre-test (n = 1,305) survey data and responsiveness to change analyses was examined with pre and post matched data (n = 803). The internal consistency of the OMS-HC scale and subscales was evaluated using the Cronbach's alpha coefficient. The scale's sensitivity to change was examined using paired t-tests, effect sizes (Cohen's d), and standardized response means (SRM).Results: The EFA favored a 3-factor structure which accounted for 45.3% of the variance using 15 of 20 items. The overall internal consistency for the 15-item scale (α = 0.79) and three subscales (α = 0.67 to 0.68) was acceptable. Subgroup analysis showed the internal consistency was satisfactory across HCP groups including physicians and nurses (α = 0.66 to 0.78). Evidence for the scale's responsiveness to change occurred across multiple samples, including student-targeted interventions and workshops for practicing HCPs. The Social Distance subscale had the weakest level of responsiveness (SRM ≤ 0.50) whereas the more attitudinal-based items comprising the Attitude (SRM ≤ 0.91) and Disclosure and Help-seeking (SRM ≤ 0.68) subscales had stronger responsiveness.Conclusions: The OMS-HC has shown to have acceptable internal consistency and has been successful in detecting positive changes in various anti-stigma interventions. Our results support the use of a 15-item scale, with the calculation of three sub scores for Attitude, Disclosure and Help-seeking, and Social Distance. © 2014 Modgill et al.; licensee BioMed Central Ltd.",Attitudes; Contact; Intervention; Measurement instruments; Mental-health-related stigma; Psychometrics; Scales; Stigma,"adult; allied health student; article; effect size; factorial analysis; female; health care personnel; human; internal consistency; male; medical student; mental disease; nurse; Opening Minds Stigma Scale for Health Care Providers; paramedical profession; physician; psychometry; scoring system; social distance; social worker; stigma; Student t test; adolescent; Canada; education; health personnel attitude; information processing; Mental Disorders; middle aged; psychology; psychometry; social stigma; stereotyping; young adult; Adolescent; Adult; Attitude of Health Personnel; Canada; Data Collection; Factor Analysis, Statistical; Female; Health Personnel; Humans; Male; Mental Disorders; Middle Aged; Psychometrics; Social Distance; Social Stigma; Stereotyping; Students, Medical; Young Adult",,,,,Health Canada,This project was made possible through funding from the Mental Health Commission of Canada. The work of the Mental Health Commission of Canada (MHCC) is supported by a grant from Health Canada. 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(2013) Perm J, 17, pp. 14-17; Knaak, S., Patten, S., (2013) CBIS Program: Final Evaluation Report, , http://www.mentalhealthcommission.ca/English/node/22351?terminitial=39, Calgary, Canada; Knaak, S., Potts, A., Patten, S., (2012) Lakeridge Health Opening Minds Evaluation Report, , http://www.mentalhealthcommission.ca/English/node/5184?terminitial=39, Calgary; Ottawa; Luong, D., Szeto, A., Burwash, S., Patten, S., (2012) U of A OT Client- Educator Program, , http://www.mentalhealthcommission.ca/English/node/5186?terminitial=39, Calgary; Ottawa; Barney, L., Griffiths, K., The Self Stigma of Depression Scale (SSDS): development and psychometric evaluation of a new instrument (2010) Int J Methods Psychiatr Res, 19 (August), pp. 243-254; Lauber, C., Anthony, M., Ajdacic-Gross, V., Rössler, W., What about psychiatrists' attitude to mentally ill people? 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A clustered, random sample of 311 patients and their family caregivers and 73 Chinese professionals participated. The patients reported a high level of withdrawal/secrecy and the professionals perceived a low to moderate level of stereotype/restriction to their patients. Families' expressed emotion and caregiving burden could increase patients' perceived stigma. Strategies in de-stigmatization of mental illness have been discussed, particularly from family-based approach. © 2012 Springer Science+Business Media New York.",Caregivers; Expressed emotion; Mental health professionals; Perceived stigma; Psychosocial correlates,adolescent; adult; aged; attitude to health; bipolar disorder; caregiver; depression; emotion; female; health personnel attitude; Hong Kong; human; male; mental disease; middle aged; psychiatric nursing; psychiatry; psychology; psychosis; schizophrenia; self concept; severity of illness index; social isolation; social stigma; stereotyping; young adult; Adolescent; Adult; Aged; Attitude of Health Personnel; Attitude to Health; Bipolar Disorder; Caregivers; Depressive Disorder; Expressed Emotion; Female; Hong Kong; Humans; Male; Mental Disorders; Middle Aged; Psychiatric Nursing; Psychiatry; Psychotic Disorders; Schizophrenia; Schizophrenic Psychology; Self Concept; Self Efficacy; Severity of Illness Index; Social Isolation; Social Stigma; Stereotyping; Young Adult,,,,,"Food and Health Bureau, FHB","Acknowledgments This research was supported by the Commissioned Research on Mental Health Policy and Services (SMH #34), Food and Health Bureau, The Government of Hong Kong S.A.R., P.R. China.",,,,,,"Alloy, L.B., Abramson, L.Y., Walshaw, P.D., Neeren, A.M., Cognitive vulnerability to unipolar and bipolar mood disorders (2006) Journal of Social and Clinical Psychology, 25 (7), pp. 726-754. , 10.1521/jscp 10.1521/jscp.2006.25.7.726; Alonso, J., Buron, A., Rojas-Farreras, S., De Graaf, R., Haro, J.M., De Girolamo, G., Perceived stigma among individuals with common mental disorders (2009) Journal of Affective Disorders, 118, pp. 180-186. , ESEMeD MHEDEA 2000 Investigators 10.1016/j.jad.2009.02.006 19285349 10.1016/j.jad.2009.02.006; (1994) Diagnostic and Statistical Manual of Mental Disorders: DSM-IV, , American Psychiatric Association 4 American Psychiatric Association Washington, DC; Bendel, R., Afifi, A., Comparison of stopping rules in forward stepwise regression (1977) Journal of the American Statistical Association, 72 (357), pp. 46-53. , 10.2307/2286904; Brohan, E., Elgie, R., Sartorius, N., Thornicroft, G., Self-stigma, empowerment and perceived discrimination among people with schizophrenia in 14 European countries: The GAMIAN-Europe study (2010) Schizophrenia Research, 122, pp. 232-238. , GAMIAN-Europe Study Grp 10.1016/j.schres.2010.02.1065 20347271 10.1016/j.schres.2010.02.1065; Brohan, E., Gauci, D., Sartorius, N., Thornicroft, G., Self-stigma, empowerment and perceived discrimination among people with bipolar disorder or depression in 13 European countries: The GAMIAN-Europe study (2011) Journal of Affective Disorders, 129, pp. 56-63. , GAMIAN-Europe Study Grp 10.1016/j.jad.2010.09.001 20888050 10.1016/j.jad.2010.09.001; Chang, K., Horrocks, S., Lived experiences of family caregivers of mentally ill relatives (2006) Journal of Advanced Nursing, 53, pp. 435-443. , 10.1111/j.1365-2648.2006.03732.x 16448486 10.1111/j.1365-2648.2006.03732. x; Cheng, J., Huang, X., Hsu, Y., Su, C., Influencing factors of community mental health nurses caring for people with schizophrenia in Taiwan (2012) Journal of Psychiatric and Mental Health Nursing, 19, pp. 319-326. , 10.1111/j.1365-2850.2011.01795.x 22070523 10.1111/j.1365-2850.2011.01795. x; Cheung, M.K.C., (2011) Eliminating Public's Discrimination Against Ex-mentally Ill Persons. 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Zhang, J.X., Schwarzer, R., Measuring optimistic self-beliefs - A Chinese adaptation of the general self-efficacy scale (1995) Psychologia, 38, pp. 174-181","Chien, W.-T.; School of Nursing, , Hunghom, Kowloon, Hong Kong; email: wai.tong.chien@polyu.edu.hk",,,,,,,,0894587X,,,23254907,English,Adm. Policy Ment. Health Ment. Health Serv. Res.,Article,Final,,Scopus,2-s2.0-84897605059 "Ola B., Crabb J., Adewuya A., Olugbile F., Abosede O.A.",12766682500;24343105300;9336864100;55806202400;7801576483;,The state of readiness of Lagos state primary health care physicians to embrace the care of depression in Nigeria,2014,Community Mental Health Journal,50,2,,239,244,,6,10.1007/s10597-013-9648-9,https://www.scopus.com/inward/record.uri?eid=2-s2.0-84894947698&doi=10.1007%2fs10597-013-9648-9&partnerID=40&md5=6b0968774d47a62c6d3c852fb9bd15e2,"Department of Behavioural Medicine, Lagos State University College of Medicine, Ikeja, Lagos, Nigeria; Falkirk Community Hospital, Major's Loan, Falkirk FK1 5QE, United Kingdom; Ministry of Health, Alausa-Ikeja Lagos State, Nigeria; Primary Health Care Board, Alausa-Ikeja Lagos State, Nigeria","Ola, B., Department of Behavioural Medicine, Lagos State University College of Medicine, Ikeja, Lagos, Nigeria; Crabb, J., Falkirk Community Hospital, Major's Loan, Falkirk FK1 5QE, United Kingdom; Adewuya, A., Department of Behavioural Medicine, Lagos State University College of Medicine, Ikeja, Lagos, Nigeria; Olugbile, F., Ministry of Health, Alausa-Ikeja Lagos State, Nigeria; Abosede, O.A., Primary Health Care Board, Alausa-Ikeja Lagos State, Nigeria","Globally there is a huge treatment gap for common mental disorders such as depression. Key to improving access to treatment will be the attitudes held towards depression by those physicians who work in Primary Care. This study aimed to explore Lagos State's Primary Care Physicians' attitudes towards depression and their views regarding their current working practices. A survey of 41 (82 %) Primary Care Physicians in Lagos State who, after written consent, completed the Depression Attitude Questionnaire which assessed their knowledge and attitude towards the causes, consequences and treatment of depression. The largest part of the sample (37.5 %) estimated that between 5 and 10 % of the patients they saw over a 3 months period would have depression while one in four perceived rates of depression seen to be between 31 and 40 %. Close to half (40 %) of them felt that fewer than 5 % of these depressed patients they saw would need antidepressants and a large part (82.9 %) of them agreed that becoming depressed is a way that people with poor stamina deal with life difficulties. About half (41.6 %) of them believed it was not rewarding to look after depressed patients. Our study suggests that the current knowledge, attitudes and practices of most Lagos State primary health care physicians may be a barrier to patients with depression accessing appropriate care. © 2013 Springer Science+Business Media New York.",Attitude; Depression; Knowledge; Physicians; Practice; Primary health care,antidepressant agent; adult; article; clinical competence; clinical practice; cross-sectional study; depression; developing country; education; female; health care delivery; health personnel attitude; human; male; Nigeria; primary health care; psychological aspect; Adult; Antidepressive Agents; Attitude of Health Personnel; Clinical Competence; Cross-Sectional Studies; Depressive Disorder; Developing Countries; Education; Female; Health Services Accessibility; Humans; Male; Nigeria; Physician's Practice Patterns; Primary Health Care,,,,,,,,,,,,"Adewuya, A.O., Makanjuola, R.O.A., Social distance towards people with mental illness in south-western Nigeria (2008) Australian and New Zealand Journal of Psychiatry, 42, pp. 389-395. , 18473257 10.1080/00048670801961115; 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(1991) The National Mental Health Programme and Action Plan, , Federal Ministry of Health Federal Ministry of Health Abuja, Nigeria; Giron, M., Sanchez Garcia, E., Fernandez-Yanez, A., Efficacy of a clinical interview training technique and psychodiagnostic ability of the physician (1998) Aten Primaria, 15-21 (2), pp. 115-116; Gureje, O., Chisholm, D., Kola, L., Lasebikan, V., Saxena, S., Cost-effectiveness of an essential mental health intervention package in Nigeria (2007) World Psychiatry, 6 (1), pp. 42-48. , 1805717 17342226; Gureje, O., Hollins, S., Botbol, M., Javed, A., Jorge, M., Okech, V., Riba, M., Jenkins, R., Report of the WPA task force on brain drain (2009) World Psychiatry, 8 (2), pp. 115-118. , 2694032 19516936; Gureje, O., Lasebikan, V.O., Ephraim-Oluwanuga, O., Olley, B.O., Kola, L., Community study of knowledge of and attitude to mental illness in Nigeria (2005) British J of Psychiatry, 186, pp. 436-441. , 10.1192/bjp.186.5.436; Gureje, O., Lasebikan, V.O., Lola, K., Makanjuola, V.A., Lifetime and 12-months prevalence of mental disorders in the Nigerian survey of mental health and well-being (2006) British Journal of Psychiatry, 188, pp. 465-471. , 16648534 10.1192/bjp.188.5.465; 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Lopez, D.A., Mathers, D.C., Ezzati, M., Jamison, T.D., Murray, J.L.C., (2006) Global Burden of Disease and Risk Factors, , Oxford University Press and The World Bank New York 10.1596/978-0-8213- 6262-4; Mathers, C.D., Loncar, D., Projections of global mortality and burden of disease from 2002 to 2030 (2006) PLoS Med, 3, p. 442. , 10.1371/journal.pmed.0030442 1664601 17132052 10.1371/journal.pmed. 0030442; Mbatia, J., Shah, A., Jenkins, R., Knowledge, attitudes and practice pertaining to depression among primary health care workers in Tanzania (2009) International Journal of Mental Health Systems, 3, p. 5. , 2652424 19243596 10.1186/1752-4458-3-5; McCall, L., Saeed, M., General practitioners knowledge and attitude towards anxiety and depression in Abu Dhabi (2006) MEJFM 2006, 4; Michaud, C.M., Murray, C.J., Bloom, B.R., Burden of disease - Implications for future research (2001) JAMA, 285 (5), pp. 535-539. , 1:STN:280:DC%2BD3M7kvFKjtw%3D%3D 11176854 10.1001/jama.285.5.535; Muga, F.A., Jenkins, R., Training, attitudes and practice of district health workers in Kenya (2008) Social Psychiatry and Psychiatric Epidemiology, 43 (6), pp. 477-482. , 18327522 10.1007/s00127-008-0327-z; 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(Research Report), , http://www.nami.org/Template.cfm?Section=CAAC&Template=/ ContentManagement/ContentDisplay.cfm&ContentID=120671, National Alliance on Mental Illness; Odejide, O., Morakinyo, J., Mental health and primary care in Nigeria (2003) World Psychiatry, 2 (3), pp. 164-165. , 1525107 16946929; Patel, V., Simon, G., Chowdhary, N., Kaaya, S., Araya, R., Packages of care for depression in low- and middle-income countries (2009) PLoS Med, 6 (10), p. 1000159. , 10.1371/journal.pmed.1000159 2747016 19806179 10.1371/journal.pmed. 1000159; Rait, G., Walters, K., Griffin, M., Buszewicz, M., Petersen, I., Nazareth, I., Recent trends in the incidence of recorded depression in primary care (2009) British Journal of Psychiatry, 195, pp. 520-524. , 19949202 10.1192/bjp.bp.108.058636; Richards, J.C., Ryan, P., McCabe, M.P., Barriers to the effective management of depression in general practice (2004) Australian and New Zealand Journal of Psychiatry, 38, pp. 795-803. , 15369538 10.1080/j.1440-1614.2004.01464.x; Rost, K., Smith, G.R., Matthews, D.B., Guise, B., The deliberate misdiagnosis of major depression in primary care (1994) Archives of Family Medicine, 3 (4), pp. 333-337. , 1:STN:280:DyaK2c3ot1emsA%3D%3D 8012621 10.1001/archfami.3.4.333; Saraceno, B., Van Ommeren, M., Batniji, R., Cohen, A., Gureje, O., Mahoney, J., Sridhar, D., Underhill, C., Global mental health 5: Barriers to improvement of mental health services in low-income and middle-income countries (2007) Lancet, 370, pp. 1164-1174. , 17804061 10.1016/S0140-6736(07)61263-X; Schwenk, T., Depression: Overcoming barriers to diagnosis (1994) Consultant, 34, pp. 1553-1559; Wang, P.S., Aguilar-Gaxiola, S., Alonso, J., Angermeyer, M.C., Borges, G., Bromet, E.J., Bruffaerts, R., Wells, J.E., Use of mental health services for anxiety, mood, and substance disorders in 17 countries in the WHO world mental health surveys (2007) Lancet, 370 (9590), pp. 841-850. , 2847360 17826169 10.1016/S0140-6736(07)61414-7; (2004) The Global Burden of Disease: 2004 Update, , WHO World Health Organisation Geneva; (2001) World Health Report 2001. Mental Health: New Understanding, New Hope, , World Health Organization World Health Organization Geneva","Ola, B.; Department of Behavioural Medicine, , Ikeja, Lagos, Nigeria; email: wobola@yahoo.com",,,,,,,,103853,,CMHJA,23912148,English,Community Ment. Health J.,Article,Final,,Scopus,2-s2.0-84894947698 "Egan S.J., Haley S., Rees C.S.",10143304600;56287825200;7103267071;,Attitudes of clinical psychologists towards clients with personality disorders,2014,Australian Journal of Psychology,66,3,,175,180,,4,10.1111/ajpy.12068,https://www.scopus.com/inward/record.uri?eid=2-s2.0-84904602057&doi=10.1111%2fajpy.12068&partnerID=40&md5=34038f2a744e565462ebc6fc747ffc43,"School of Psychology and Speech Pathology, Curtin University, Perth, WA, Australia","Egan, S.J., School of Psychology and Speech Pathology, Curtin University, Perth, WA, Australia; Haley, S., School of Psychology and Speech Pathology, Curtin University, Perth, WA, Australia; Rees, C.S., School of Psychology and Speech Pathology, Curtin University, Perth, WA, Australia","Previous studies have found that a variety of mental health professionals hold negative attitudes towards clients diagnosed with a personality disorder. These negative attitudes may lead to clients receiving a lower quality of service. Specialist training has been found to improve attitudes towards personality disorders but no empirical studies in Australia have examined this among clinical psychologists. In this study, the attitudes of 81 clinical psychologists towards clients with personality disorders were examined. We were specifically interested in investigating the relationship between recency of specialist training and clinician's attitudes as well as the influence of percentage of personality disorder clients on the clinician's caseload. Results demonstrated that both recency of specialist training and percentage of clients seen were associated with more positive attitudes; however, a higher caseload of clients with personality disorders was the most important predictor of positive attitudes. The implication is that recent participation in specialist training for personality disorders appears to be valuable in improving clinician's attitudes but that more positive attitudes are associated with seeing a greater number of individuals with personality disorders. © 2014 The Australian Psychological Society.",Attitudes; Clinical psychologists; Personality disorder; Training,,,,,,,,,,,,,"Ajzen, I., (2005) Attitudes, personality and behaviour, , New York: Open University Press; Bowers, L., (2002) Dangerous and severe personality disorder: Role and responsibilities of the psychiatric team, , London: Routledge; Bowers, L., Allen, T., The attitude to personality disorder questionnaire: Psychometric properties and results (2006) Journal of Personality Disorders, 20, pp. 281-293; Bowers, L., McFarlane, L., Kiyimba, F., Clark, N.C., Alexander, J., (2000) Factors underlying and maintaining nurses' attitudes to patients with severe personality disorder, , London, UK: City University. Final Report to National Forensic Mental Health; Bowers, L., Callaghan, P., Nijman, H., Paton, J., Carr-Walker, P., Allen, T., Simpson, A., (2003) The right people for the right job: Choosing staff that will adjust productively to working in the new personality disorder (PD) services, , London: City University. Report to the Home Office, Department of Mental Health and Learning Disability; Bowers, L., Carr-Walker, P., Paton, J., Nijman, H., Callaghan, P., Allen, T., Alexander, J., Changes in attitudes to personality disorder on DSPD unit (2005) Criminal Behaviour and Mental Health, 15, pp. 171-183; Brassington, J., Kravitz, R., Australasian dialectical behaviour therapy pilot outcome study: Effectiveness, utility and feasibility (2006) Australasian Psychiatry, 14, pp. 313-319; Cleary, M., Siegfried, N., Walter, G., Experience, knowledge and attitudes of mental health staff regarding clients with a borderline personality disorder (2002) International Journal of Mental Health Nursing, 11, pp. 186-191; Cohen, J., (1988) Statistical power analysis for the behavioral sciences, , 2nd ed.). Hillsdale, NJ: Lawrence Earlbaum Associates; Colson, D.B., Allen, J.G., Coyne, L., Dexter, N., Jehl, N., Mayer, C.A., Spohn, H., An anatomy of countertransference: Staff reactions to difficult psychiatric hospital patients (1986) Hospital and Community Psychiatry, 37, pp. 923-928; Costa Jr., P.T., McCrae, R.R., (1992) Revised NEO Personality Inventory (NEO-PI-R) and NEO five-factor inventory, , Odessa, FL: Psychological Assessment Resources, Professional Manual; Crawford, M.J., Adedeji, P., Price, K., Rutter, D., Job satisfaction and burnout among staff working in community-based personality disorder services (2010) The International Journal of Social Psychiatry, 56 (2), pp. 196-206; Deans, C., Meocevic, E., Attitudes of registered psychiatric nurses towards patients diagnosed with borderline personality disorder (2006) Contemporary Nurse, 21, pp. 43-49; Egan, S.J., Rees, C., (2003), Training for rural and remote mental health practitioners in evidence based treatment for personality disorders using videoconferencing. 11th Annual Rural and Remote Mental Health Conference, Margaret River, Western Australia; Fraser, K., Gallop, R., Nurses' confirming/disconfirming responses to patients diagnosed with borderline personality disorder (1993) Archives of Psychiatric Nursing, 7, pp. 336-341; Hazelton, M., Rossiter, R., Milner, J., Managing the 'unmanageable': Training staff in the use of dialectical behavioural therapy for borderline personality disorder (2006) Contemporary Nurse, 1, pp. 120-130; Hulbert, C., Thomas, R., Public sector group treatment for severe personality disorder: A 12 month follow-up study (2007) Australasian Psychiatry, 15, pp. 226-231; Krawitz, R., Borderline personality disorder: Attitudinal change following training (2004) The Australian and New Zealand Journal of Psychiatry, 38, pp. 554-559; Krawitz, R., Watson, C., (1999) Borderline personality disorder: Pathways to effective service delivery and clinical treatment options, , Wellington, New Zealand: Mental Health Commission Occasional Publications. No. 2; Linehan, M., (1993) Cognitive-behavioral treatment of borderline personality disorder, , New York: Guilford Publications, Inc; Mikton, C., Grounds, A., Cross-cultural clinical judgement bias in personality disorder diagnosis by forensic psychiatrists in the UK: A case-vignette study (2007) Journal of Personality Disorders, 21, pp. 400-417; Servais, L.M., Saunders, S.M., Clinical psychologists' perceptions of persons with mental illness (2007) Professional Psychology, Research and Practice, 38, pp. 214-219; Swartz, M., Blazer, D., George, L., Winfield, I., Estimating the prevalence of borderline personality disorder in the community (1990) Journal of Personality Disorders, 4, pp. 257-272; Webb, D., McMurran, M., Nursing staff attitudes towards patients with personality disorder (2007) Personality and Mental Health, 1, pp. 154-160","Egan, S.J.; School of Psychology and Speech Pathology, Curtin University, PO Box u1987, Perth,WA 6007, Australia; email: s.egan@curtin.edu.au",,,Wiley-Blackwell Publishing Ltd,,,,,49530,,,,English,Aust. J. Psychol.,Article,Final,,Scopus,2-s2.0-84904602057 "Reavley N.J., Mackinnon A.J., Morgan A.J., Jorm A.F.",6507792925;7101756037;14833037600;7102651196;,Stigmatising attitudes towards people with mental disorders: A comparison of Australian health professionals with the general community,2014,Australian and New Zealand Journal of Psychiatry,48,5,,433,441,,87,10.1177/0004867413500351,https://www.scopus.com/inward/record.uri?eid=2-s2.0-84899787738&doi=10.1177%2f0004867413500351&partnerID=40&md5=e402bbaf45eb355a05658242b9f299b7,"Orygen Youth Health Research Centre, Centre for Youth Mental Health, University of Melbourne, Melbourne, VIC 3010, Australia; Population Mental Health Group, Melbourne School of Population and Global Health, University of Melbourne, 207 Bouverie Street, Melbourne, VIC 3010, Australia","Reavley, N.J., Orygen Youth Health Research Centre, Centre for Youth Mental Health, University of Melbourne, Melbourne, VIC 3010, Australia, Population Mental Health Group, Melbourne School of Population and Global Health, University of Melbourne, 207 Bouverie Street, Melbourne, VIC 3010, Australia; Mackinnon, A.J., Orygen Youth Health Research Centre, Centre for Youth Mental Health, University of Melbourne, Melbourne, VIC 3010, Australia; Morgan, A.J., Orygen Youth Health Research Centre, Centre for Youth Mental Health, University of Melbourne, Melbourne, VIC 3010, Australia, Population Mental Health Group, Melbourne School of Population and Global Health, University of Melbourne, 207 Bouverie Street, Melbourne, VIC 3010, Australia; Jorm, A.F., Orygen Youth Health Research Centre, Centre for Youth Mental Health, University of Melbourne, Melbourne, VIC 3010, Australia, Population Mental Health Group, Melbourne School of Population and Global Health, University of Melbourne, 207 Bouverie Street, Melbourne, VIC 3010, Australia","Objective: The aim of this paper was to explore attitudes towards people with mental disorders among Australian health professionals (psychiatrists, psychologists and general practitioners (GPs)) and to compare their attitudes with members of the general community. Methods: The study involved a postal survey of 518 GPs, 506 psychiatrists and 498 clinical psychologists and a telephone survey of 6019 members of the general community. Participants were given a case vignette describing a person with either depression, depression with suicidal thoughts, early schizophrenia, chronic schizophrenia, post-traumatic stress disorder (PTSD) or social phobia and two questionnaires to assess stigmatising attitudes (the Depression Stigma Scale and the Social Distance Scale). Exploratory structural equation modelling was used to elucidate the structure of stigma as measured by the two scales, to establish dimensions of stigma and to compare patterns of association according to gender, age, vignette and professional grouping. Results: The measurement characteristics of stigmatising attitudes in health professionals were found to be comparable to those in members of the general community in social distance and also in personal and perceived attitude stigma, with each forming distinct dimensions and each comprising 'Weak-not-sick' and 'Dangerous/unpredictable' components. Among health professionals, female gender, age and being a GP were associated with higher scores on the personal stigma scales. Mental health professionals had lower scores on the personal 'Weak-not-sick' and 'Dangerous/unpredictable' scales than members of the general community, while there were no significant differences in the desire for social distance between health professionals and the general community. Conclusions: While mental health professionals have less stigmatising attitudes than the general public, the greater beliefs in dangerousness and personal weakness by GPs should be addressed. © The Royal Australian and New Zealand College of Psychiatrists 2013.",GPs; Mental disorders; psychiatrists; psychologist; stigma,adult; article; attitude to mental illness; community; comparative study; depression; DSM-IV; female; general practitioner; health care survey; health practitioner; human; male; normal human; posttraumatic stress disorder; psychiatrist; psychologist; schizophrenia; social distance; social phobia; stigma; suicidal ideation; telephone interview; vignette; Australia; demography; health personnel attitude; information processing; mental disease; middle aged; psychiatry; psychology; social stigma; stereotyping; Adult; Attitude of Health Personnel; Australia; Data Collection; Female; General Practitioners; Humans; Male; Mental Disorders; Middle Aged; Psychiatry; Psychology; Residence Characteristics; Social Distance; Social Stigma; Stereotyping,,,,,"National Health and Medical Research Council, NHMRC",The study was funded by the Commonwealth Government Department of Health and Ageing. The authors receive salary support from the National Health and Medical Research Council.,,,,,,"Adams, E.F., Lee, A.J., Pritchard, C.W., What stops us from healing the healers: A survey of help-seeking behaviour, stigmatisation and depression within the medical profession (2010) International Journal of Social Psychiatry, 56, pp. 359-370; Bjorkman, T., Angelman, T., Jonsson, M., Attitudes towards people with mental illness: A cross-sectional study among nursing staff in psychiatric and somatic care (2008) Scandinavian Journal of Caring Sciences, 22, pp. 170-177; Caldwell, T.M., Jorm, A.F., Mental health nurses' beliefs about interventions for schizophrenia and depression: A comparison with psychiatrists and the public (2000) Australian and New Zealand Journal of Psychiatry, 34, pp. 602-611; Caldwell, T.M., Jorm, A.F., Mental health nurses' beliefs about likely outcomes for people with schizophrenia or depression: A comparison with the public and other healthcare professionals (2001) Australian and New Zealand Journal of Mental Health Nursing, 10, pp. 42-54; Cook, J.V., Dickinson, H.O., Eccles, M.P., Response rates in postal surveys of healthcare professionals between 1996 and 2005: An observational study (2009) BMC Health Services Research, 9, p. 160; Corrigan, P., How stigma interferes with mental health care (2004) American Psychologist, 59, pp. 614-625; Corrigan, P.W., Morris, S.B., Michaels, P.J., Challenging the public stigma of mental illness: A meta-analysis of outcome studies (2012) Psychiatric Services, 63, pp. 963-973; Crisp, A., Changing minds: Every family in the land: An update on the College's campaign (2000) Psychiatric Bulletin, 24, pp. 267-268; (2009) Fourth National Mental Health Plan - An Agenda for Collaborative Government Action in Mental Health 2009-2014, , Canberra: Department of Health and Ageing;; Friedrich, B., Evans-Lacko, S., London, J., Anti-stigma training for medical students: The Education Not Discrimination project (2013) British Journal of Psychiatry. Supplement, 55, pp. 89-94; Gabbidon, J., Clement, S., Van Nieuwenhuizen, A., Mental illness: Clinicians' Attitudes (MICA) scale - Psychometric properties of a version for healthcare students and professionals (2013) Psychiatry Research, 206, pp. 81-87; Griffiths, K.M., Christensen, H., Jorm, A.F., Effect of web-based depression literacy and cognitive-behavioural therapy interventions on stigmatising attitudes to depression: Randomised controlled trial (2004) British Journal of Psychiatry, 185, pp. 342-349; Griffiths, K.M., Nakane, Y., Christensen, H., Stigma in response to mental disorders: A comparison of Australia and Japan (2006) BMC Psychiatry, 6, p. 21; Horsfall, J., Cleary, M., Hunt, G.E., Stigma in mental health: Clients and professionals (2010) Issues in Mental Health Nursing, 31, pp. 450-455; Jorm, A.F., Wright, A., Influences on young people's stigmatising attitudes towards peers with mental disorders: National survey of young Australians and their parents (2008) British Journal of Psychiatry, 192, pp. 144-149; Jorm, A.F., Oh, E., Desire for social distance from people with mental disorders (2009) Australian and New Zealand Journal of Psychiatry, 43, pp. 183-200; Jorm, A.F., Reavley, N.J., Depression and stigma: From attitudes to discrimination (2013) Lancet, 381, pp. 10-11; Jorm, A.F., Korten, A.E., Jacomb, P.A., Attitudes towards people with a mental disorder: A survey of the Australian public and health professionals (1999) Australian and New Zealand Journal of Psychiatry, 33, pp. 77-83; Jorm, A.F., Morgan, A.J., Wright, A., Interventions that are helpful for depression and anxiety in young people: A comparison of clinicians' beliefs with those of youth and their parents (2008) Journal of Affective Disorders, 111, pp. 227-234; Jorm, A.F., Nakane, Y., Christensen, H., Public beliefs about treatment and outcome of mental disorders: A comparison of Australia and Japan (2005) BMC Medicine, 3, p. 12; Jorm, A.F., Reavley, N.J., Ross, A.N., Belief in the dangerousness of people with mental disorders: A review (2012) Australian and New Zealand Journal of Psychiatry, 46, pp. 1029-1045; Link, B.G., Mirotznik, J., Cullen, F.T., The effectiveness of stigma coping orientations: Can negative consequences of mental illness labeling be avoided? (1991) Journal of Health and Social Behavior, 32, pp. 302-320; Link, B.G., Phelan, J.C., Bresnahan, M., Public conceptions of mental illness: Labels, causes, dangerousness, and social distance (1999) American Journal of Public Health, 89, pp. 1328-1333; Link, B.G., Struening, E.L., Neese-Todd, S., On describing and seeking to change the experience of stigma (2002) Psychiatric Rehabilitation Skills, 6, pp. 201-231; Link, B.G., Struening, E.L., Rahav, M., On stigma and its consequences: Evidence from a longitudinal study of men with dual diagnoses of mental illness and substance abuse (1997) Journal of Health and Social Behavior, 38, pp. 177-190; Magliano, L., De Rosa, C., Fiorillo, A., Beliefs of psychiatric nurses about schizophrenia: A comparison with patients' relatives and psychiatrists (2004) International Journal of Social Psychiatry, 50, pp. 319-330; Morgan, A.J., Jorm, A.F., Reavley, N.J., Beliefs of Australian health professionals about the helpfulness of interventions for mental disorders: Differences between professions and change over time (2013) Australian and New Zealand Journal of Psychiatry; Muthén, L.K., Muthén, B.O., (1998) Mplus User's Guide, , Los Angeles, CA: Muthén & Muthén;; Nordt, C., Rossler, W., Lauber, C., Attitudes of mental health professionals toward people with schizophrenia and major depression (2006) Schizophrenia Bulletin, 32, pp. 709-714; Rao, H., Mahadevappa, H., Pillay, P., A study of stigmatized attitudes towards people with mental health problems among health professionals (2009) Journal of Psychiatric and Mental Health Nursing, 16, pp. 279-284; Reavley, N.J., Jorm, A.F., Recognition of mental disorders and beliefs about treatment and outcome: Findings from an Australian National Survey of Mental Health Literacy and Stigma (2011) Australian and New Zealand Journal of Psychiatry, 45, pp. 947-956; Schulze, B., Stigma and mental health professionals: A review of the evidence on an intricate relationship (2007) International Review of Psychiatry, 19, pp. 137-155; Stansfield, S.A., Blackmore, E.R., Zagorski, B.M., Work characteristics and social phobia in a nationally representative employed sample (2008) Canadian Journal of Psychiatry, 53, pp. 371-376; Ucok, A., Soygur, H., Atakli, C., The impact of antistigma education on the attitudes of general practitioners regarding schizophrenia (2006) Psychiatry and Clinical Neurosciences, 60, pp. 439-443; Watson, A.C., Miller, F.E., Lyons, J.S., Adolescent attitudes toward serious mental illness (2005) Journal of Nervous and Mental Disease, 193, pp. 769-772; Wells, J.E., Robins, L.N., Bushnell, J.A., Perceived barriers to care in St. Louis (USA) and Christchurch (NZ): Reasons for not seeking professional help for psychological distress (1994) Social Psychiatry and Psychiatric Epidemiology, 29, pp. 155-164; White, A., Shiralkar, P., Hassan, T., Barriers to mental healthcare for psychiatrists (2006) Psychiatric Bulletin, 30, pp. 382-384; Yap, M.B.H., Mackinnon, A.J., Reavley, N.J., The measurement properties of stigmatising attitudes towards mental disorders: Results from two community surveys (2013) International Journal of Methods in Psychiatric Research","Reavley, N.J.; Population Mental Health Group, Melbourne School of Population and Global Health, University of Melbourne, 207 Bouverie Street, Melbourne, VIC 3010, Australia; email: nreavley@unimelb.edu.au",,,SAGE Publications Ltd,,,,,48674,,ANZPB,23943633,English,Aust. New Zealand J. Psychiatry,Article,Final,,Scopus,2-s2.0-84899787738 "Mohamed-Kaloo Z., Laher S.",56131526300;19337619000;,Perceptions of mental illness among muslim general practitioners in South Africa,2014,South African Medical Journal,104,5,,350,352,,12,10.7196/SAMJ.7863,https://www.scopus.com/inward/record.uri?eid=2-s2.0-84899454582&doi=10.7196%2fSAMJ.7863&partnerID=40&md5=3c8b097718b5ba9c3eab1d7da174764c,"Department of Psychology, School of Human and Community Development, University of the Witwatersrand, Johannesburg, South Africa","Mohamed-Kaloo, Z., Department of Psychology, School of Human and Community Development, University of the Witwatersrand, Johannesburg, South Africa; Laher, S., Department of Psychology, School of Human and Community Development, University of the Witwatersrand, Johannesburg, South Africa","Background. Mental health literacy on the part of medical practitioners is an important component of mental healthcare. General practitioners (GPs) are typically the first doctors consulted by a person who is ill. Exploration of their perceptions regarding mental illness, aetiological issues and treatment is important. Objective. To investigate perceptions of mental illness in a sample of 10 South African Muslim GPs (five male, five female) in the Lenasia area (Johannesburg, South Africa). Methods. Using a qualitative approach, semi-structured interviews were conducted with each GP. The questionnaire encompassed 37 questions relating to the context in which the GPs practised, perceptions of mental illness, understanding of religion and culture, and treatment of mental illness (including aspects of spiritual illness). Thematic content analysis was used to analyse the data. Results. Six dominant themes were identified, namely GPs' understanding of mental illness and its causation; stigma, secrecy and somatisation; the beneficial effects of religion in mental illnesses; perceptions of spiritual illnesses; collaboration with traditional healers; and collaboration with psychiatrists and psychologists. Conclusion. Greater awareness regarding the stigmatisation of mental illness is needed. Furthermore, it is important that healthcare professionals have an understanding of religious and cultural taxonomies of illness and the use of traditional healing as a mode of treatment. Participants identified a need for increased collaboration between healthcare professionals, including traditional healers.",,article; clinical article; content analysis; female; general practitioner; health care personnel; human; male; mental disease; perception; questionnaire; religious group; somatization; spiritual illness; stigma; thematic content analysis; traditional healer; Attitude of Health Personnel; Attitude to Health; Female; General Practice; General Practitioners; Humans; Islam; Male; Mental Disorders; South Africa,,,,,,,,,,,,"Williams, D.R., Herman, A., Stein, D.J., Twelve-month mental disorders in South Africa: Prevalence, service use and demographic correlates in the population-based South African Stress and Health Study (2008) Psychol Med, 38 (2), pp. 211-220. , http://dx.doi.org/10.1017/S0033291707001420; Sorsdahl, K., Stein, D.J., Grimsrud, A., Traditional healers in the treatment of common mental disorders in South Africa (2009) J Nerv Ment Dis, 197 (6), pp. 434-441. , http://dx.doi.org/10.1097/NMD.0b013e3181a61dbc; Hugo, C.J., Boshoff, D.E.L., Traut, A., Zungu-Dirwayi, N., Stein, D.J., Community attitudes toward and knowledge of mental illness in South Africa (2003) Soc Psychiatry Psychiatr Epidemiol, 38 (12), pp. 715-719. , http://dx.doi.org/10.1007/s00127-003-0695-3; Petersen, I., Lund, C., Mental health service delivery in South Africa from 2000 to 2010: One step forward, one step back (2011) S Afr Med J, 101 (10), pp. 751-757; Ally, Y., Laher, S., South African Muslim faith healers perceptions of mental illness: Understanding, aetiology and treatment (2008) J Relig Health, 47 (1), pp. 45-56. , http://dx.doi.org/10.1007/s10943-007-9133-2; Bulbulia, T., Laher, S., Perceptions of mental illness among South African Muslim psychiatrists (2013) South African Journal of Psychiatry, 19 (2), pp. 52-54; Ng, C., The stigma of mental illness in Asian cultures (1997) Aust N Z J Psychiatry, 31 (3), pp. 382-392. , http://dx.doi.org/10.3109/00048679709073848; Chiu, L., Ganesan, S., Clark, N., Morrow, M., Spirituality and treatment choices by South and East Asian women with serious mental illness (2005) Transcult Psychiatry, 42 (4), pp. 630-656. , http://dx.doi.org/10.1177/1363461505058920; Sorsdahl, K., Stein, D.J., Knowledge of and stigma associated with mental disorders in a South African community sample (2010) J Nerv Ment Dis, 198 (10), pp. 742-747. , http://dx.doi.org/10.1097/NMD.0b013e3181f4b2d7; Greenwood, N., Hussain, F., Burns, T., Raphael, F., Asian in-patient and carer views of mental health care: Asian views of mental health care (2000) J Ment Health, 9 (4), pp. 397-408. , http://dx.doi.org/10.1080/jmh.9.4.397.408; Braun, V., Clarke, V., Using thematic analysis in psychology (2006) Qual Res Psychol, 3 (2), pp. 77-101. , http://dx.doi.org/10.1191/1478088706qp063oa; Jacob, K.S., Bhugra, D., Lloyd, K.R., Hannah, A.H., Common mental disorders, explanatory models and consultation behaviour among Indian women living in the UK (1998) J R Soc Med, 91 (2), pp. 66-71; Mavundla, T.R., Toth, F., Mphelane, M.L., Caregiver experience in mental illness: A perspective from a rural community in South Africa (2009) Int J Ment Health Nurs, 18 (5), pp. 357-367. , http://dx.doi.org/10.1111/j.1447-0349.2009.00624.x; Carter, D.J., Rashidi A. Theoretical model of psychotherapy: Eastern Asian-Islamic women with mental illness (2003) Health Care Women Int, 24 (5), pp. 399-413. , http://dx.doi.org/10.1080/07399330390212180; Cinnirella, M., Loewenthal, K., Religious and ethnic group influences on beliefs about mental illness: A qualitative interview study (1999) Br J Med Psychol, 72 (4), pp. 505-524. , http://dx.doi.org/10.1348/000711299160202","Laher, S.; Department of Psychology, School of Human and Community Development, University of the Witwatersrand, Johannesburg, South Africa; email: sumaya.laher@wits.ac.za",,,South African Medical Association,,,,,2569574,,SAMJA,25212202,English,S. Afr. Med. J.,Article,Final,"All Open Access, Gold, Green",Scopus,2-s2.0-84899454582 "Shinan-Altman S., Werner P., Cohen M.",35068623200;7202511970;9844328100;,Social workers' and nurses' illness representations about alzheimer disease: An exploratory study,2014,Alzheimer Disease and Associated Disorders,28,1,,73,78,,12,10.1097/WAD.0000000000000001,https://www.scopus.com/inward/record.uri?eid=2-s2.0-84894442113&doi=10.1097%2fWAD.0000000000000001&partnerID=40&md5=fbe4131841d702cb5e802d53fe8de9b0,"School of Social Work, University of Haifa, Mt-Carmel, Haifa 31905, Israel; Department of Gerontology, University of Haifa, Haifa, Israel","Shinan-Altman, S., School of Social Work, University of Haifa, Mt-Carmel, Haifa 31905, Israel; Werner, P., Department of Gerontology, University of Haifa, Haifa, Israel; Cohen, M., Department of Gerontology, University of Haifa, Haifa, Israel","Professionals' perceptions of patients' diseases (illness representations) are a major factor influencing the quality of treatment they provide. The aim of the study was to examine and compare Alzheimer disease (AD) illness representations among 2 main professional groups involved in the care of Alzheimer patients. A total of 327 nurses and social workers in Israel were asked to report their cognitive representations (dimensions of identity, cause, timeline, consequences, control, coherence, timeline cycle) and emotional representations. Knowledge about AD, demographic, and occupational characteristics were also obtained. Participants perceived AD as a chronic disease associated with severe consequences. Statistically significant differences were found between the groups, as nurses attributed psychological reasons to AD more than the social workers. Nevertheless, social workers perceived AD as more chronic with severe consequences compared with the nurses. Despite some resemblance, there were differences between the social workers and nurses regarding AD illness representations. Therefore, continuing to distribute materials to professionals regarding AD is recommended, with attention to the unique characteristics of each professional group. Furthermore, the findings encourage the development of training and support programs that will not only deal with the organizational and instrumental levels of treating AD patients but also with the assessment and consequences of professionals' illness representations. © 2013 by Lippincott Williams and Wilkins.",illness representations; nurses; social workers,"Adult; Alzheimer Disease; Attitude of Health Personnel; Female; Health Knowledge, Attitudes, Practice; Humans; Israel; Male; Nurses; Perception; Social Work",,,,,,,,,,,,"Rafii, M.S., Aisen, P., Recent developments in Alzheimer's disease therapeutics (2009) BMC Med, 7, pp. 1-4; Lee, T.S., Krishnan, K.R., Alzheimer's disease - The inexorable epidemic (2010) Ann Acad Med, 39, pp. 505-506; Gauthier, S., Cummings, J., Ballard, C., Management of behavioral problems in Alzheimer's disease (2010) Int Psychogeriatr, 22, pp. 346-372; Cabin, W.D., The phantoms of home care: Home care nurses' care decisions for medicare home health Alzheimer's disease patients (2007) Home Health Care Manage Pract, 19, pp. 174-183; Kane, M.N., Hamlin, E.R., Hawkins, W.E., How adequate do social workers feel to work with elders with Alzheimer's disease? (2004) Soc Work Ment Health, 2, pp. 63-84; Kaasalainen, S., Brazil, K., Ploeg, J., Nurses' perceptions around providing palliative care for long-term care residents with dementia (2007) J Palliat Care, 23, pp. 173-180; Louise, N., Caring connections with older persons with dementia in an acute hospital setting - A hermeneutic interpretation of the staff nurse's experience (2006) Int J Older People Nurs, 1, pp. 208-215; Monnickendam, M., Manor, D., Whose job is it anyway? Performing hospital social workers' job elements by doctors and nurses (2005) Soc Welfare, 25, pp. 37-54. , [in Hebrew]; Laf, C., (2003) Social Work in the Health Field, , 2nd ed. New York: Haworth Social Work Practice Press; Jansen, A., Hout, H.P., Marwijk, H.W., Cost-effectiveness of case-management by district nurses among primary informal caregivers of older adults with dementia symptoms and the older adults who receive informal care: Design of a randomized controlled trial (2005) Public Health, 5, pp. 1-8; Poltroniere, S., Cecchetto, F.H., De Souza, E.N., Alzheimer diseases and care demands: What do nurses know? (2011) Rev gau'Cha Enferm, 32, pp. 231-270; Gardulf, A., Orton, M.L., Eriksson, L.E., Factors of importance for work satisfaction among nurses in a university hospital in Sweden (2008) Scand J Caring Sci, 22, pp. 151-160; Henderson, C.H., Orbell, S., Hagger, M.S., Does priming specific illness schema result in an attentional information-processing bias for specific illnesses? (2007) Health Psychol, 26, pp. 165-173; Hofstadt, C.J., Rodriguez, M.J., Quiles, M.J., Illness representation of arterial hypertension in a sample of health professionals and the general public (2003) Psycho Health Med, 8, pp. 81-87; Fishbein, M., Ajzen, I., (1975) Belief, Attitude, Intention and Behavior: An Introduction to Theory and Research, , Massachusetts: Addison-Wesley; Levenson, H., Multidimensional locus of control in psychiatric patients (1973) J Consult Clin Psychol, 41, pp. 379-404; Bandura, A., Self-efficacy: Toward a unifying theory of behavioural change (1977) Psycho Rev, 84, pp. 191-215; Cameron, L., Leventhal, H., (2003) The Self-regulation of Health and Illness, , New York: Routledge; Leventhal, H., Diefenbach, M., Leventhal, E.A., Illness cognition: Using common sense to understand treatment adherence and affect cognition treatment (1992) Cogn Ther Res, 16, pp. 143-163; Leventhal, H., Leventhal, E.A., Self-regulation Contrada RJ. Health, and behavior: A perceptual-cognitive approach (1998) Psychol Health, 13, pp. 717-733; Moss-Morris, R., Weinman, J., Petrie, K.J., The revised illness perception questionnaire (IPQ-R) (2002) Psychol Health, 17, pp. 1-16; Hagger, M.S., Orbell, S.A., A meta-analytic review of the common-sense model of illness representations (2003) Psychol Health, 18, pp. 141-184; Nicklas, L.B., Dunbar, M., Wild, M., Adherence to pharmacological treatment of non-malignant chronic pain: The role of illness perceptions and medication beliefs (2009) Psychol Health, 1, pp. 1-15; Orbell, S., O'Sullivan, I., Parker, R., Illness representations and coping following an abnormal colorectal cancer screening result (2008) Soc Sci Med, 67, pp. 1465-1474; Benyamini, Y., Medalion, B., Garfinkel, D., Patient and spouse perceptions of the patient's heart disease and their associations with received and provided social support and undermining (2007) Psychol Health, 22, pp. 765-785; Figueiras, M.J., Weinman, J., Do similar patient and spouse perceptions of myocardial infarction predict recovery? (2003) Psychol Health, 18, pp. 201-216; Hamilton-West, K.E., Milne, A.J., Chenery, A., Help - Seeking in relation to signs of dementia: A pilot study to evaluate the utility of the common-sense model of illness representations (2010) Psychol Health Med, 15, pp. 540-549; Sullivan, H.W., Ljf, R., Hesse, B.W., Lay representations of cancer prevention and early detection: Associations with prevention behaviors (2010) Prev Chronic Dis, 7, pp. 1-11; Heijmans, M., Foets, M., Rijken, M., Stress in chronic disease: Do the perceptions of patients and their general practitioners match? (2001) Br J Health Psychol, 6, pp. 229-242; Insel, K.C., Meek, P.M., Leventhal, H., Differences in illness representation among pulmonary patients and their providers (2005) J Health Psychol, 10, pp. 147-162; Weinman, J., Heijmans, M., Figueiras, M.J., Career perceptions of chronic illness (2003) The Self Regulation of Health and Illness Behavior, pp. 207-219. , Leventhal H, Cameron L, eds New York: Routledge; Roberts, J.S., Connell, C.M., Illness representations among firstdegree relatives of people with Alzheimer disease (2000) Alzheimer Dis Assoc Disord, 14, pp. 129-136; Figueiras, M.J., Alves, N.C., Lay perceptions of serious illnesses: An adapted version of the revised illness perceptions questionnaire (IPQ-R) for healthy people (2007) Psycho Health, 22, pp. 143-158; Benyamini, Y., Konichezky, A., Jacoby, R., Illness Perception Questionnaire Revised (IPQ-R) (2007) Translation to Hebrew, , http://www.uib.no/ipq/index.html, Accessed March, 19, 2011; Carpenter, B.D., Balsis, S., Otilingam, P.G., The Alzheimer's disease knowledge scale: Development and psychometric properties (2009) Gerontologist, 25, pp. 1-12; Arbuckle, J.L., (1997) AMOS Users' Guide Version 3.6, , Chicago: SPSS Inc; Arbuckle, J.L., (2005) AMOS 6 User's Guide, , Pennsylvania: AMOS Development Corporation; Cohen, M., Werner, P., Azaiza, F., Emotional reactions of Arab lay persons to a person with Alzheimer's disease (2009) Aging Ment Health, 13, pp. 31-37; Wadley, V.G., Haley, W.E., Diagnostic attribution versus labeling: Impact of Alzheimer's disease and major depression diagnoses on emotions, beliefs, and helping intentions of family members (2001) J Gerontol, 56, pp. 244-252; Werner, P., Davidson, M., Emotional reactions of lay persons to someone with Alzheimer's disease (2004) Int J Geriatr Psychiatry, 19, pp. 391-397; Link, B.G., Phelan, J.C., Conceptualizing stigma (2001) Ann Rev Soc., 27, pp. 363-385; Werner, P., Correlates of family caregivers' knowledge about Alzheimer's disease (2001) Int J Geriatr Psychiatry, 16, pp. 32-42; Cherry, K.E., Allen, P.D., Jackson, E.M., Knowledge of normal and pathological memory aging in college students, social workers, and health care professionals (2010) Educ Gerontol, 36, pp. 281-297; Schomerus, G., Matschinger, H., Angermeyer, M.C., Public beliefs about the causes of mental disorders revisited (2006) Psychiatry Res, 144, pp. 233-236","Shinan-Altman, S.; School of Social Work, , Mt-Carmel, Haifa 31905, Israel; email: gadia1@012.net.il",,,,,,,,8930341,,ADADE,24113562,English,Alzheimer Dis. Assoc. Disord.,Article,Final,,Scopus,2-s2.0-84894442113 "Van Boekel L.C., Brouwers E.P.M., van Weeghel J., Garretsen H.F.L.",55086745000;7003375603;56066552500;7005064258;,"Healthcare professionals' regard towards working with patients with substance use disorders: Comparison of primary care, general psychiatry and specialist addiction services",2014,Drug and Alcohol Dependence,134,1,,92,98,,86,10.1016/j.drugalcdep.2013.09.012,https://www.scopus.com/inward/record.uri?eid=2-s2.0-84890193023&doi=10.1016%2fj.drugalcdep.2013.09.012&partnerID=40&md5=fb71fbd4e2249aeff7ed48e2bde69a5e,"Department of Tranzo, Tilburg University, Tilburg School of Social and Behavioral Sciences, PO Box 90153, 5000 LE Tilburg, Netherlands; Phrenos Centre of Expertise, PO Box 1203, 3500 BE Utrecht, Netherlands; Parnassia Group, Dijk en Duin Mental Health Center, PO Box 305, 1900 AH Castricum, Netherlands","Van Boekel, L.C., Department of Tranzo, Tilburg University, Tilburg School of Social and Behavioral Sciences, PO Box 90153, 5000 LE Tilburg, Netherlands; Brouwers, E.P.M., Department of Tranzo, Tilburg University, Tilburg School of Social and Behavioral Sciences, PO Box 90153, 5000 LE Tilburg, Netherlands; van Weeghel, J., Department of Tranzo, Tilburg University, Tilburg School of Social and Behavioral Sciences, PO Box 90153, 5000 LE Tilburg, Netherlands, Phrenos Centre of Expertise, PO Box 1203, 3500 BE Utrecht, Netherlands, Parnassia Group, Dijk en Duin Mental Health Center, PO Box 305, 1900 AH Castricum, Netherlands; Garretsen, H.F.L., Department of Tranzo, Tilburg University, Tilburg School of Social and Behavioral Sciences, PO Box 90153, 5000 LE Tilburg, Netherlands","Background: Healthcare professionals are crucial in access to treatment for patients with substance use disorders. However, healthcare professionals often have negative attitudes towards this patient group. Healthcare professionals' regard for working with patients with substance use disorders was examined and three sectors in which professionals are working were compared. Methods: General practitioners (GPs; N= 180), healthcare professionals of general psychiatry (N= 89) and specialists in addiction services (N= 78) filled out a questionnaire in which regard for working with patients with substance use disorders was assessed. ANOVAs were used to compare the sectors and multiple linear regression analysis tested the association of regard with attribution beliefs, emotional reactions and other characteristics of healthcare professionals. Results: Regard for working with patients with substance use disorders was different between the three sectors (GPs M=42.00; general psychiatry M=48.18; addiction specialists M=55.41; p=0.00, ω2=0.40). Attribution of personal responsibility and feeling of anger and fear were associated with lower regard scores. More familiarity with substance use problems, higher frequency of working with this patients group and more confidence in substance abuse treatment were positively associated with regard. Social desirability bias was present and was positively related to healthcare professionals' regard. Conclusions: Health care professionals of specialist addiction services showed higher regard for working with patients with substance use disorders compared to professionals of general psychiatry services and GPs. Improvement of education and shared care models in which healthcare professionals are supported by professionals specializing in addiction might address low regard. © 2013 Elsevier Ireland Ltd.",Attitude of health personnel; Cross-sectional study; Medical condition regard scale; Stigma; Substance-related disorders,"adult; anger; article; controlled study; doctor patient relation; emotion; fear; female; general practitioner; health belief; health personnel attitude; human; male; medical specialist; middle aged; Netherlands; nurse; physician; primary medical care; priority journal; psychologist; questionnaire; social desirability; social worker; substance abuse; Attitude of health personnel; Cross-sectional study; Medical condition regard scale; Stigma; Substance-related disorders; Adult; Attitude of Health Personnel; Behavior, Addictive; Cross-Sectional Studies; Female; Health Personnel; Humans; Male; Middle Aged; Primary Health Care; Psychiatry; Substance-Related Disorders",,,,,,,,,,,,"Abed, R.T., Neira-Munoz, E., A survey of general practitioners' opinion and attitude to drug addicts and addiction (1990) Br. J. Addict., 85, pp. 131-136; Angermeyer, M.C., Holzinger, A., Matschinger, H., Emotional reactions to people with mental illness (2010) Epidemiol. Psichiatr. Soc., 19, pp. 26-32; Angermeyer, M.C., Matschinger, H., Public beliefs about schizophrenia and depression: similarities and differences (2003) Soc. Psychiatry Psychiatr. Epidemiol., 38, pp. 526-534; Ball, S.A., Carroll, K.M., Canning-Ball, M., Rounsaville, B.J., Reasons for dropout from drug abuse treatment: symptoms, personality, and motivation (2006) Addict. Behav., 31, pp. 320-330; Barclay, S., Todd, C., Finlay, I., Grande, G., Wyatt, P., Not another questionnaire! Maximizing the response rate, predicting non-response and assessing non-response bias in postal questionnaire studies of GPs (2002) Fam. Pract., 19, pp. 105-111; Barney, L.J., Griffiths, K.M., Jorm, A.F., Christensen, H., Stigma about depression and its impact on help-seeking intentions (2006) Aust. N. Z. J. Psychiatry, 40, pp. 51-54; Beck, M., Dietrich, S., Matschinger, H., Angermeyer, M.C., Alcoholism: low standing with the public? Attitudes towards spending financial resources on medical care and research on alcoholism (2003) Alcohol Alcohol., 38, pp. 602-605; Brener, L., von Hippel, W., Kippax, S., Prejudice among health care workers toward injecting drug users with hepatitis C: does greater contact lead to less prejudice? (2007) Int. J. Drug Policy, 18, pp. 381-387; Christison, G.W., Haviland, M.G., Riggs, M.L., The medical condition regard scale: measuring reactions to diagnoses (2002) Acad. Med., 77, pp. 257-262; Corrigan, P., Markowitz, F.E., Watson, A., Rowan, D., Kubiak, M.A., An attribution model of public discrimination towards persons with mental illness (2003) J. Health Soc. Behav., 44, pp. 162-179; Corrigan, P.W., Mental health stigma as social attribution: implications for research methods and attitude change (2000) Clin. Psychol-Sci. Pr., 7, pp. 48-67; Corrigan, P.W., Rowan, D., Green, A., Lundin, R., River, P., Uphoff-Wasowski, K., White, K., Kubiak, M.A., Challenging two mental illness stigmas: personal responsibility and dangerousness (2002) Schizophr. Bull., 28, pp. 293-309; Crawford, J., Heather, N., Public attitudes to the disease concept of alcoholism (1987) Int. J. Addict., 22, pp. 1129-1138; Crothers, C.E., Dorrian, J., Determinants of nurses attitudes toward the care of patients with alcohol problems (2011) ISRN Nurs., , (Epub ahead of print); Crowne, D.P., Marlowe, D., A new scale of social desirability independent of psychopathology (1960) J. Consult. Psychol., 24, pp. 349-354; De Graaf, R., Ten Have, M., Van Dorsselaer, S., (2010) De psychische gezondheid van de Nederlandse bevolking NEMESIS-2: Opzet en eerste resultaten, , Netherlands Institute of Mental Health and Addiction, Trimbos, Utrecht; Deans, C., Soar, R., Caring for clients with dual diagnosis in rural communities in Australia: the experience of mental health professionals (2005) J. Psychiatr. Ment. Health Nurs., 12, pp. 268-274; DiClemente, C.C., Motivation for change: implications for substance abuse treatment (1999) Psychol. Sci., 10, pp. 209-213; Ding, L., Landon, B.E., Wilson, I.B., Wong, M.D., Shapiro, M.F., Cleary, P.D., Predictors and consequences of negative physician attitudes toward HIV-infected injection drug users (2005) Arch. Intern. Med., 165, pp. 618-623; Drake, R.E., Essock, S.M., Shaner, A., Carey, R.B., Minkoff, K., Kola, L., Lynde, D., Rickards, L., Implementing dual diagnosis services for clients with severe mental illness (2001) Psychiatr. 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Houten.; (2012), http://www.who.int/substance_abuse/research_tools/translation/en/, World Health Organization, Process of translation and adaptation of instruments Retrieved November 26th 2012, from","Van Boekel, L.C.Warandelaan 2, PO Box 90153, 5000 LE Tilburg, Netherlands; email: L.vanBoekel@tilburguniversity.edu",,,,,,,,3768716,,DADED,24099970,English,Drug Alcohol Depend.,Article,Final,,Scopus,2-s2.0-84890193023 "Avery J., Dixon L., Adler D., Oslin D., Hackman A., First M., Goldman B., Koh S., Nossel I., Siris S.",35267790600;35372257700;35277296300;7005150966;6603844320;7102648764;7202465447;37008574800;30567490500;7004967312;,Psychiatrists attitudes toward individuals with substance use disorders and serious mental illness,2013,Journal of Dual Diagnosis,9,4,,322,326,,15,10.1080/15504263.2013.835165,https://www.scopus.com/inward/record.uri?eid=2-s2.0-84887847724&doi=10.1080%2f15504263.2013.835165&partnerID=40&md5=fff53795def76b195c79c5526af698c1,"Weill Cornell Medical College, Department of Psychiatry, 525 E. 68th St., New York, NY 10065, United States; New York State Psychiatric Institute, New York, NY, United States; Department of Psychiatry and Medicine, Tufts Medical Center, Tufts University School of Medicine, Boston, MA, United States; Veterans Integrated Service Network 4, MIRECC, Philadelphia, PA, United States; Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, United States; Medical Consultant, Blue Cross Blue Shield of Michigan, Detroit, MI, United States; Department of Psychiatry, University of California at San Diego, San Diego, CA, United States; Department of Psychiatry, Albert Einstein College of Medicine, New York, NY, United States","Avery, J., Weill Cornell Medical College, Department of Psychiatry, 525 E. 68th St., New York, NY 10065, United States; Dixon, L., New York State Psychiatric Institute, New York, NY, United States; Adler, D., Department of Psychiatry and Medicine, Tufts Medical Center, Tufts University School of Medicine, Boston, MA, United States; Oslin, D., Veterans Integrated Service Network 4, MIRECC, Philadelphia, PA, United States; Hackman, A., Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, United States; First, M., New York State Psychiatric Institute, New York, NY, United States; Goldman, B., Medical Consultant, Blue Cross Blue Shield of Michigan, Detroit, MI, United States; Koh, S., Department of Psychiatry, University of California at San Diego, San Diego, CA, United States; Nossel, I., New York State Psychiatric Institute, New York, NY, United States; Siris, S., Department of Psychiatry, Albert Einstein College of Medicine, New York, NY, United States","Objective: The attitudes of psychiatrists toward individuals with highly stigmatized conditions such as substance use disorders and serious mental illness may influence treatment effectiveness. These attitudes may be influenced by factors including previous specialty training and current practice patterns. This study examined the attitudes of addiction and community psychiatrists toward individuals with diagnosed schizophrenia, polysubstance dependence, comorbid schizophrenia and polysubstance dependence, and depression. Methods: A web-based survey link was sent to the electronic mailing lists of addiction and community psychiatry associations. Results: A total of 84 respondents identified themselves as either addiction (n = 54) or community (n = 30) psychiatrists. The majority were male (70% of addiction and 57% of community psychiatrists) with an average age of 56.0 (SD = 11.86) and 52.7 (SD = 11.8), respectively. Addiction psychiatrists had less stigmatizing attitudes than community psychiatrists for individuals with polysubstance dependence (p <.0001), while community psychiatrists had less stigmatizing attitudes than addiction psychiatrists for those with schizophrenia (p <.0001). Attitudes toward individuals with dual diagnosis did not vary significantly by psychiatrist group, but both addiction and community psychiatrists had more stigmatizing attitudes for individuals with dual diagnosis (p <.0001). Conclusions: These findings suggest that even psychiatrists working with highly stigmatized groups of individuals may continue to hold stigmatizing attitudes toward people with other diseases. Future work is needed to further assess stigmatizing attitudes among psychiatrists and the impact of these attitudes on quality of care, as well as interventions such as specialized education and training to reduce such stigma among psychiatrists. © 2013 Copyright Taylor and Francis Group, LLC.",addiction; serious mental illness; stigma,adult; article; community care; controlled study; depression; drug dependence; female; health education; human; male; medical education; mental patient; physician attitude; psychiatrist; questionnaire; schizophrenia; social psychiatry; social stigma; substance abuse,,,,,"National Institutes of Health, NIH","The authors report no financial relationships with commercial interests with regard to this article. Dr. Oslin receives compensation as a consultant for the Hazelden Foundation, an addiction treatment provider. He also receives grant support from NIH, the Department of Veteran Affairs, and the Commonwealth of Pennsylvania.",,,,,,"Abdullah, T., Brown, T.L., Mental illness and ethnocultural beliefs, values, and norms: An integrative review (2011) Clinical Psychology Review, 31, pp. 934-948. , doi:10.1016/j.cpr.2011.05.003; Adams, M.W., Comorbidity of mental health and substance misuse problems: A review of workers reported attitudes and perceptions (2008) Journal of Psychiatric and Mental Health Nursing, 15, pp. 101-108. , doi:10.1111/j.1365-2850.2007.01210.x; Bland, E., Oppenheimer, L., Brisson-Carroll, G., Morel, C., Holmes, P., Gruslin, A., Influence of an educational program on medical students attitudes to substance use disorders in pregnancy (2001) The American Journal of Drug and Alcohol Abuse, 27, pp. 483-490. , doi:10.1081/ADA-100104513; Braithwaite, D., Emery, J., De Lusignan, S., Sutton, S., Using the Internet to conduct surveys of health professionals: A valid alternative (2003) Family Practice, 20 (5), pp. 545-551. , doi:10.1093/fampra/cmg509; Christison, G.W., Haviland, M.G., Riggs, M.L., The medical condition regard scale: Measuring reactions to diagnoses (2002) Academic Medicine, 77 (3), pp. 257-262. , doi:10.1097/00001888-200203000-00017; Cook, C., Heath, F., Thompson, R.L., A meta-analysis of response rates in web-or Internet-based surveys (2000) Educational and Psychological Measurement, 60 (6), pp. 821-836. , doi:10.1177/00131640021970934; Ford, R., Bammer, G., Becker, N., Improving nurses therapeutic attitude to patients who use illicit drugs: Workplace drug and alcohol educations is not enough (2009) International Journal of Nursing Practice, 15, pp. 112-118. , doi:10.1111/j.1440-172X.2009.01732.x; Gilchrist, G., Moskalewicz, J., Slezakova, S., Okruhlica, L., Torrens, M., Vajd, R., Baldacchino, A., Staff regard towards working with substance users: A European multi-centre study (2011) Addiction, 106, pp. 1114-1125. , doi:10.1111/j.1360-0443.2011.03407.x; Howard, V., Holmshaw, J., Inpatient staff perceptions in providing care to individuals with co-occuring mental health problems and illicit substance use (2010) Journal of Psychiatric and Mental Health Nursing, 17, pp. 862-872. , doi:10.1111/j.1365-2850.2010.01620.x; Karam-Hage, M., Nerenberg, L., Brower, K.J., Modifying residents professional attitudes about substance abuse treatment and training (2001) The American Journal on Addictions, 10 (40-47). , doi:10.1080/105504901750160466; Kreek, M.J., Extreme marginalization: Addiction and other mental health disorders, stigma, and imprisonment (2011) Annals of the New York Academy of Sciences, 1231 (1), pp. 65-72. , doi:10.1111/j.1749-6632. 2011.06152.x; Livingston, J.D., Milne, T., Fang, M.L., Amari, E., The effectiveness of interventions for reducing stigma related to substance use disorders: A systematic review (2012) Addiction, 107 (1), pp. 39-50. , doi:10.1111/j.1360-0443.2011.03601.x; Meza, E., Cunningham, J., El-Guebaly, N., Couper, L., Alcoholism: Beliefs and attitudes among Canadian alcoholism treatment practitioners (2001) Canadian Journal of Psychiatry, 46, pp. 167-172; Munro, A., Watson, H.E., McFadyen, A., Assessing the impact of training on mental health nurses therapeutic attitudes and knowledge about co-morbidity: A randomised controlled trial (2007) International Journal of Nursing Studies, 44, pp. 1430-1438. , doi:10.1016/j.ijnurstu.2006.07. 024; Nordt, C., Rossler, W., Lauber, C., Attitudes of mental health professionals toward people with schizophrenia and major depression (2006) Schizophrenia Bulletin, 32 (4), pp. 709-714. , doi:10.1093/schbul/sbj065; Rao, H., Mahadevappa, H., Pillay, P., Sessay, M., Abraham, A., Luty, J., A study of stigmatized attitudes towards people with mental health problems among health professionals (2009) Journal of Psychiatric and Mental Health Nursing, 16, pp. 279-284. , doi:10.1111/j.1365-2850.2008.01369.x; Schulze, B., Stigma and mental health professionals: A review of the evidence on an intricate relationship (2007) International Review of Psychiatry, 19 (2), pp. 137-155. , doi:10.1080/09540260701278929","Avery, J.; Weill Cornell Medical College, 525 E. 68th St., New York, NY 10065, United States; email: jonathan.avery@nyumc.org",,,,,,,,15504263,,,,English,J. Dual Diagn.,Article,Final,,Scopus,2-s2.0-84887847724 "Chen C., Ou J.-J., Zhou J.-S., Zhang Y.-D., Cai W.-X., Wang X.-P.",57196285989;39161730000;24337135000;55894835800;12240447800;55089285800;,"The comparison of disposal attitudes towards forensic psychiatric patients among police officers, psychiatrists and community members in China",2013,Journal of Forensic and Legal Medicine,20,8,,986,990,,3,10.1016/j.jflm.2013.08.015,https://www.scopus.com/inward/record.uri?eid=2-s2.0-84886070185&doi=10.1016%2fj.jflm.2013.08.015&partnerID=40&md5=a93344e0c36eb058bf4b19ad4e3cea23,"Institute of Mental Health, Second Xiangya Hospital, Central South University, 139# Renmin Middle Road, Changsha 410011, Hunan, China; Institute of Forensic Science, Ministry of Justice, PRC, 1347# West Guangfu Road, Shanghai 200063, China","Chen, C., Institute of Mental Health, Second Xiangya Hospital, Central South University, 139# Renmin Middle Road, Changsha 410011, Hunan, China; Ou, J.-J., Institute of Mental Health, Second Xiangya Hospital, Central South University, 139# Renmin Middle Road, Changsha 410011, Hunan, China; Zhou, J.-S., Institute of Mental Health, Second Xiangya Hospital, Central South University, 139# Renmin Middle Road, Changsha 410011, Hunan, China; Zhang, Y.-D., Institute of Mental Health, Second Xiangya Hospital, Central South University, 139# Renmin Middle Road, Changsha 410011, Hunan, China; Cai, W.-X., Institute of Forensic Science, Ministry of Justice, PRC, 1347# West Guangfu Road, Shanghai 200063, China; Wang, X.-P., Institute of Mental Health, Second Xiangya Hospital, Central South University, 139# Renmin Middle Road, Changsha 410011, Hunan, China","Objective To understand disposal attitudes towards forensic psychiatric patients among police officers, psychiatrists and community members in China. Method 118 community members, 121 psychiatrists and 105 police officers completed a questionnaire regarding disposal attitudes towards forensic psychiatric patients. Result Surveyed respondents (87.4%) believed patients with mental disorders experienced discrimination, and 97.4% were in favor of providing livelihood security for them. Police officers (89.5%) agreed that patients with mental illness were more violent than the general population, which was significantly higher than 74.4% of psychiatrists (X2 = 14.29, P = 0.000). Among three groups, the most preferred disposal option for those found not guilty by reason of insanity (NGRI) was to treat them in the custody of a forensic psychiatric hospital, such as an Ankang Hospital (86.9%). The respondents agreed (96.8%) that an independent review board should be established for disposing decisions for forensic psychiatric patients. The percentage who agreed that police officers, prosecutors, and judges should be included in the review board was significantly higher among police officers than among community members (x2 = 6.60, P = 0.01; x2 = 9.74, P = 0.002; x2 = 7.38, P = 0.007). When asked, ""who has the legal right to determine whether offenders with mental disorders should bear criminal responsibility"", forensic psychiatrists and judges were the top two responders (79.5% and 63.4%, respectively). Conclusion This study suggested that the majority of those surveyed, especially police officers, held that patients with mental illness were violent and should receive violence risk assessments. Although psychiatrists paid more attention to the rights of patients, they also lacked legal knowledge, similar to community members and police officers. Therefore, it is necessary to inform the public regarding mental health, and to provide legal knowledge. © 2013 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.",Attitude; Community members; Disposition; Forensic psychiatric patient; Police officers; Psychiatrists; Questionnaire,adult; article; China; controlled study; female; forensic psychiatry; human; male; marriage; medical decision making; mental disease; mental hospital; mental patient; offender; physician attitude; police; psychiatrist; questionnaire; risk assessment; self report; violence; Attitude; Community members; Disposition; Forensic psychiatric patient; Police officers; Psychiatrists; Questionnaire; Adult; Attitude; China; Commitment of Mentally Ill; Female; Forensic Psychiatry; Humans; Logistic Models; Male; Mentally Ill Persons; Police; Policy Making; Prejudice; Psychiatry; Public Opinion; Questionnaires; Violence,,,,,"National Natural Science Foundation of China, NSFC: 81371500; National Science and Technology Program during the Twelfth Five-year Plan Period: BAK16B00","Supported by Key Projects in the National Science & Technology Pillar Program during the Twelfth Five-Year Plan Period (No:2012BAK16B00 and the National Natural Science Foundation of China (NSFC, 81371500).",,,,,,"Plan for china's mental health work (2002-2010) (2003) Shanghai Arch Psychiatry, 15, pp. 125-128. , Chinese Government Document; Fazel, S., Grann, M., The population impact of severe mental illness on violent crime (2006) American Journal of Psychiatry, 163 (8), pp. 1397-1403. , DOI 10.1176/appi.ajp.163.8.1397; Pan, Z.D., Xie, B., Zhen, Z.P., A survey on psychiatric hospital admission and relative factors in China(chinese) (2003) J Clin Psycho Med, 13 (5), pp. 270-272; Fang, X.L., Qi, Y.H., Feng, Z.Q., Follow-up of disposal of 90 psychiatric cases with irresponsibility after forensic assessment(chinese) (2006) Shanghai Arch Psychiatry, 18 (5), pp. 273-275; Hu, Z.Q., Liu, X.H., Survey of disposition after forensic psychiatric assessment(Chinese) (1998) J Law Med, 5 (2), pp. 61-63; Wang, X., Livingston, J.D., Brink, J., Murphy, E., Persons found 'Not Criminally Responsible on Account of Mental Disorder': A comparison of British Columbia, Canada and Hunan, China (2006) Forensic Science International, 164 (2-3), pp. 93-97. , DOI 10.1016/j.forsciint.2005.12.001, PII S037907380500633X; Livingston, J.D., Wilson, D., Tien, G., Bond, L., A follow-up study of persons found not criminally responsible on account of mental disorder in British Columbia (2003) Canadian Journal of Psychiatry, 48 (6), pp. 408-415; Mehta, N., Kassam, A., Leese, M., Butler, G., Thornicroft, G., Public attitudes towards people with mental illness in England and Scotland, 1994-2003 (2009) Br J Psychiatry J Ment Sci, 194 (3), pp. 278-284; Angermeyer, M.C., Dietrich, S., Public beliefs about and attitudes towards people with mental illness: A review of population studies (2006) Acta Psychiatrica Scandinavica, 113 (3), pp. 163-179. , DOI 10.1111/j.1600-0447.2005.00699.x; Angermeyer, M.C., Matschinger, H., Public attitudes to people with depression: Have there been any changes over the last decade? (2004) Journal of Affective Disorders, 83 (2-3), pp. 177-182. , DOI 10.1016/j.jad.2004.08.001, PII S0165032704002484; Evans-Lacko, S., Brohan, E., Mojtabai, R., Thornicroft, G., Association between public views of mental illness and self-stigma among individuals with mental illness in 14 European countries (2012) Psychol Med, 42 (8), pp. 1741-1752; Corrigan, P.W., Morris, S.B., Michaels, P.J., Rafacz, J.D., Rusch, N., Challenging the public stigma of mental illness: A meta-analysis of outcome studies (2012) Psychiat Serv, 63 (10), pp. 963-973; Angermeyer, M.C., Beck, M., Matschinger, H., Determinants of the Public's Preference for Social Distance from People with Schizophrenia (2003) Canadian Journal of Psychiatry, 48 (10), pp. 663-668; Gureje, O., Lasebikan, V.O., Ephraim-Oluwanuga, O., Olley, B.O., Kola, L., Community study of knowledge of and attitude to mental illness in Nigeria (2005) British Journal of Psychiatry, 186 (MAY), pp. 436-441. , DOI 10.1192/bjp.186.5.436; Psarra, V., Sestrini, M., Santa, Z., Petsas, D., Gerontas, A., Garnetas, C., Greek police officers' attitudes towards the mentally ill (2008) Int J Law Psychiatry, 31 (1), pp. 77-85; Pinfold, V., Huxley, P., Thornicroft, G., Farmer, P., Toulmin, H., Graham, T., Reducing psychiatric stigma and discrimination - Evaluating an educational intervention with the police force in England (2003) Social Psychiatry and Psychiatric Epidemiology, 38 (6), pp. 337-344; Watson, A.C., Corrigan, P.W., Ottati, V., Police Officers' Attitudes Toward and Decisions about Persons with Mental Illness (2004) Psychiatric Services, 55 (1), pp. 49-53. , DOI 10.1176/appi.ps.55.1.49; Fazel, S., Langstrom, N., Hjern, A., Grann, M., Lichtenstein, P., Schizophrenia, substance abuse, and violent crime (2009) JAMA: J Am Med Assoc, 301 (19), pp. 2016-2023; Elbogen, E.B., Johnson, S.C., The intricate link between violence and mental disorder (2009) Arch Gen Psychiatry, 66 (2), pp. 152-161; Topiwala, A., Wang, X.P., Fazel, S., Chinese forensic psychiatry and its wider implications (2012) J Forensic Psychi Ps, 23 (1), pp. 1-6; Gu, Y., Hu, Z.Q., An overview of the Chinese forensic psychiatry actual status (2007) J Law Med (Chinese), 14 (3), pp. 3-S7; Eaves, D., Lamb, D., Tien, G., Forensic psychiatric services in British Columbia (2000) Int J Law Psychiatry, 23 (56), pp. 615-631","Wang, X.-P.; Institute of Mental Health, 139# Renmin Middle Road, Changsha 410011, Hunan, China; email: wangxiaopingxy@163.com",,,,,,,,1752928X,,,24237805,English,J. Forensic Leg. Med.,Article,Final,,Scopus,2-s2.0-84886070185 "Lampe L., Fritz K., Boyce P., Starcevic V., Brakoulias V., Walter G., Shadbolt N., Harris A., Malhi G.",25225644900;55602666700;7103152342;7005374306;14519139900;7201500639;7006231090;7404039543;35461730100;,"Psychiatrists and GPs: Diagnostic decision making, personality profiles and attitudes toward depression and anxiety",2013,Australasian Psychiatry,21,3,,231,237,,1,10.1177/1039856213486210,https://www.scopus.com/inward/record.uri?eid=2-s2.0-84880755783&doi=10.1177%2f1039856213486210&partnerID=40&md5=d89dc551dee3f312a004a023bec30c20,"Discipline of Psychiatry, Sydney Medical School, University of Sydney, Sydney, NSW, Australia; Discipline of Psychiatry, University of Sydney, Royal North Shore Hospital, Building 36 Level 5, St. Leonards, NSW 2065, Australia","Lampe, L., Discipline of Psychiatry, Sydney Medical School, University of Sydney, Sydney, NSW, Australia, Discipline of Psychiatry, University of Sydney, Royal North Shore Hospital, Building 36 Level 5, St. Leonards, NSW 2065, Australia; Fritz, K., Discipline of Psychiatry, Sydney Medical School, University of Sydney, Sydney, NSW, Australia; Boyce, P., Discipline of Psychiatry, Sydney Medical School, University of Sydney, Sydney, NSW, Australia; Starcevic, V., Discipline of Psychiatry, Sydney Medical School, University of Sydney, Sydney, NSW, Australia; Brakoulias, V., Discipline of Psychiatry, Sydney Medical School, University of Sydney, Sydney, NSW, Australia; Walter, G., Discipline of Psychiatry, Sydney Medical School, University of Sydney, Sydney, NSW, Australia; Shadbolt, N., Discipline of Psychiatry, Sydney Medical School, University of Sydney, Sydney, NSW, Australia; Harris, A., Discipline of Psychiatry, Sydney Medical School, University of Sydney, Sydney, NSW, Australia; Malhi, G., Discipline of Psychiatry, Sydney Medical School, University of Sydney, Sydney, NSW, Australia","Objectives: The objective of this article is to explore diagnostic decision making around psychological symptoms presenting to general practitioners (GPs) and psychiatrists, identify attitudinal and personality factors of possible relevance in these decisions, and compare GPs and psychiatrists to help identify potential educational targets. Methods: GPs and psychiatrists attended separate peer-facilitated workshops in which two case presentations were discussed. Decision making was explored by structured questions embedded in the workshop, with responses recorded by electronic keypad technology. Participants completed demographic questionnaires and measures of personality and attitudes to depression. Results: GPs and psychiatrists accorded emphasis to different elements of the history, and assigned different diagnoses based on the same set of symptoms. Both groups relied on non-pharmacological management for milder psychological symptoms; GPs were less likely to make a diagnosis of bipolar disorder. Traits of Extraversion and Agreeableness were associated with greater ease in treating depression. Conclusions: Differences in diagnostic decision making likely reflect the different contexts of specialist and generalist practice. Educational targets may include information about key symptoms to assist in diagnostic precision, but further information is needed to determine the best match between diagnostic processes, context and outcome. An awareness of the role of personality factors may help when designing education and support programs. © The Royal Australian and New Zealand College of Psychiatrists 2013.",Anxiety; Bipolar disorder; Depression; Diagnosis,mood stabilizer; anxiety disorder; article; bipolar disorder; depression; extraversion; general practitioner; human; medical decision making; mixed anxiety and depression; monotherapy; neurosis; patient counseling; personality; physician attitude; psychiatric diagnosis; psychiatrist; psychopharmacotherapy; sex difference; anxiety; bipolar disorder; depression; diagnosis; Adult; Anxiety; Attitude of Health Personnel; Bipolar Disorder; Decision Making; Depression; Diagnostic and Statistical Manual of Mental Disorders; Female; General Practitioners; Humans; Male; Middle Aged; Personality; Psychiatry; Questionnaires,,,,,"University of Sydney, Usyd","This work was supported by the McGeorge Bequest, Department of Psychiatry, University of Sydney. Following independent planning of the project and development of the workshops by the authors, ethics approval was obtained for pharmaceutical company sponsorship in implementing the workshops. Lundbeck Australia provided assistance in recruiting participants, finding venues and paying for refreshments for the participants. Lundbeck Australia had no involvement in the study design, data collection, analysis, or interpretation. Lundbeck Australia had no involvement in the preparation of this manuscript or the decision to submit it for publication.",,,,,,"Freeling, P., Rao, B.M., Paykel, E.S., Unrecognised depression in general practice (1985) Br Med J (Clin Res Ed), 290, pp. 1880-1883; Henderson, S., Andrews, G., Hall, W., Australia's mental health: An overview of the general population survey (2000) Aust N Z J Psychiatry, 34, pp. 197-205; Lotrakul, M., Saipanish, R., How do general practitioners in Thailand diagnose and treat patients presenting with anxiety and depression? (2009) Psychiatry Clin Neurosci, 63, pp. 37-42; Bhugra, D., Easter, A., Mallaris, Y., Clinical decision making in psychiatry by psychiatrists (2011) Acta Psychiatr Scand, 124, pp. 403-411; Armstrong, D., Earnshaw, G., What constructs do GPs use when diagnosing psychological problems? (2004) Br J Gen Pract, 54, pp. 580-583; Backenstrass, M., Joest, K., Rosemann, T., The care of patients with subthreshold depression in primary care: Is it all that bad? A qualitative study on the views of general practitioners and patients (2007) BMC Health Serv Res, 7, p. 190; Bushnell, J., McLeod, D., Dowell, A., Do patients want to disclose psychological problems to GPs? (2005) Fam Pract, 22, pp. 631-637; Carney, P.A.P., Rhodes, L.A.P., Msms, E., Variations in approaching the diagnosis of depression: A guided focus group study (1998) J Fam Pract, 46, pp. 73-82; Coyne, J.C., Schwenk, T.L., Fechner-Bates, S., Nondetection of depression by primary care physicians reconsidered (1995) Gen Hosp Psychiatry, 17, pp. 3-12; Goldberg, D.P., Bridges, K., Somatic presentations of psychiatric illness in primary care setting (1988) J Psychosom Res, 32, pp. 137-144; Hjortdahl, P., The influence of general practitioners' knowledge about their patients on the clinical decision-making process (1992) Scand J Prim Health Care, 10, pp. 290-294; Kroenke, K., Spitzer, R.L., Williams, J.B.W., Anxiety disorders in primary care: Prevalence, impairment, comorbidity, and detection (2007) Ann Intern Med, 146, pp. 317-325; Lampe, L.A., Shadbolt, N., Starcevic, V., Diagnostic processes in mental health: GPs and psychiatrists, reading from the same book but on a different page (2012) Australas Psychiatry, 20, pp. 374-378; Van Rijswijk, E., Van Hout, H., Van De Lisdonk, E., Barriers in recognising, diagnosing and managing depressive and anxiety disorders as experienced by Family Physicians; a focus group study (2009) BMC Fam Prac, 10, pp. 1-7; Gilbody, S., House, A.O., Sheldon, T.A., Routinely administered questionnaires for depression and anxiety: Systematic review (2001) BMJ, 322, pp. 406-409; McCrae, R.R., Costa Jr., P.T., Validation of the five-factor model of personality across instruments and observers (1987) J Pers Soc Psychol, 52, pp. 81-90; Costa Jr., P.T., McCrae, R.R., (1985) The NEO Personality Inventory Manual, , Odessa FL: Psychological Assessment Resources Inc; Costa Jr., P.T., McCrae, R.R., Dye, D.A., Facet scales for agreeableness and conscientiousness: A revision of the NEO personality inventory (1991) Pers Ind Diff, 12, pp. 887-898; Hojat, M., Nasca, T.J., Magee, M., A comparison of the personality profiles of internal medicine residents, physician role models, and the general population (1999) Acad Med, 74, pp. 1327-1333; Duberstein, P., Meldrum, S., Fiscella, K., How good is your doctor? Patients' ratings are influenced by physician demographics and physician personality (2007) Patient Educ Couns, 65, pp. 270-274; Botega, N., Mann, A., Blizard, R., General practitioners and depression - first use of the depression attitude questionnaire (1992) Int J Methods Psychiatr Res, 2, pp. 169-180; Haddad, M., Menchetti, M., Walters, P., Clinicians' attitudes to depression in Europe: A pooled analysis of Depression Attitude Questionnaire findings (2012) Fam Pract, 29, pp. 121-130; Kerr, M., Blizard, R., Mann, A., General practitioners and psychiatrists: Comparison of attitudes to depression using the depression attitude questionnaire (1995) Br J Gen Pract, 45, pp. 89-92; Fahy, T.J., Depression in hospital and general practice: A direct clinical comparison (1974) Br J Psychiatry, 124, pp. 240-242; Sireling, L.I., Paykel, E.S., Freeling, P., Depression in general practice: Case thresholds and diagnosis (1985) Br J Psychiatry, 147, pp. 119-126; Botega, N.J., Silveira, G.M., General practitioners attitudes towards depression: A study in primary care setting in Brazil (1996) Int J Soc Psychiatry, 42, pp. 230-237; Von Korff, M., Shapiro, S., Burke, J.D., Anxiety and depression in a primary care clinic: Comparison of diagnostic interview schedule, General Health Questionnaire, and practitioner assessments (1987) Arch Gen Psychiatry, 44, pp. 152-156; Armstrong, D., Earnshaw, G., What constructs do GPs use when diagnosing psychological problems? (2004) Br J Gen Pract, 54, pp. 580-583; Schmidt, H.G., Rmjp, R., How expertise develops in medicine: Knowledge encapsulation and illness script formation (2007) Med Educ, 41, pp. 1133-1139; Eva, K.W., What every teacher needs to know about clinical reasoning (2005) Med Educ, 39, pp. 98-106; Malhi, G.S., Adams, D., Lampe, L., Clinical practice recommendations for bipolar disorder (2009) Acta Psychiatr Scand Suppl, pp. 27-46; Durning, S.J., Artino, A.R., Boulet, J.R., The impact of selected contextual factors on experts' clinical reasoning performance (does context impact clinical reasoning performance in experts?) (2012) Adv Health Sci Educ Theory Pract, 17, pp. 65-79; Malhi, G.S., Coulston, C.M., Parker, G.B., Who picks psychiatry? Perceptions, preferences and personality of medical students (2011) Aust N Z J Psychiatry, 45, pp. 861-870; Cutler, J.L., Alspector, S.L., Harding, K.J., Medical students' perceptions of psychiatry as a career choice (2006) Acad Psychiatry, 30, pp. 144-149; Malhi, G.S., Parker, G.B., Parker, K., Attitudes toward psychiatry among students entering medical school (2003) Acta Psychiatr Scand, 107, pp. 424-429; Borges, N.J., Savickas, M.L., Personality and medical specialty choice: A literature review and integration (2002) J Career Assess, 10, pp. 362-380","Lampe, L.; Discipline of Psychiatry, Building 36 Level 5, St. Leonards, NSW 2065, Australia; email: lisa.lampe@sydney.edu.au",,,,,,,,10398562,,AUPSF,23625933,English,Australas. Psychiatry,Article,Final,,Scopus,2-s2.0-84880755783 "Brener L., Rose G., Von Hippel C., Wilson H.",21233723000;7403282468;8683928200;37063925000;,"Implicit attitudes, emotions, and helping intentions of mental health workers toward their clients",2013,Journal of Nervous and Mental Disease,201,6,,460,463,,12,10.1097/NMD.0b013e318294744a,https://www.scopus.com/inward/record.uri?eid=2-s2.0-84879887397&doi=10.1097%2fNMD.0b013e318294744a&partnerID=40&md5=e487a0d94d790956d95d9022780f551b,"National Centre in HIV Social Research, Robert Webster Bldg, University of New South Wales, Sydney, NSW, 2052, Australia; Aftercare, Rozelle Hospital, Lilyfield, Australia; School of Psychology, University of Queensland, St Lucia, Australia","Brener, L., National Centre in HIV Social Research, Robert Webster Bldg, University of New South Wales, Sydney, NSW, 2052, Australia; Rose, G., Aftercare, Rozelle Hospital, Lilyfield, Australia; Von Hippel, C., School of Psychology, University of Queensland, St Lucia, Australia; Wilson, H., National Centre in HIV Social Research, Robert Webster Bldg, University of New South Wales, Sydney, NSW, 2052, Australia","The attitudes of mental health care workers toward their clients may influence the quality of care they provide. There is growing recognition of the role of implicit attitudes in behavior toward people with stigmatized illnesses, such as mental illness, and of the need to measure these separately from explicit attitudes. Seventy-four mental health workers completed implicit and explicit measure of attitudes toward people with mental illness. The participants were also asked about their intention to help people with mental illness and their emotional reactions toward people with a mental illness. The findings show that the implicit attitudes of the health workers toward clients with a mental illness are somewhat negative despite the fact that their explicit attitudes are somewhat positive. Although both implicit and explicit attitudes predicted negative emotions, only implicit attitudes were related to helping intentions. This study highlights the association between implicit attitudes and behavioral intentions and confirms the importance of addressing implicit attitudes in mental health research. Copyright © 2013 by Lippincott Williams & Wilkins.",Emotions; Helping intentions; Implicit attitudes; Mental health,adult; article; attitude; attitude to health; attitude to mental illness; behavior; controlled study; cooperation; emotion; human; mental disease; mental health care; mental health care personnel; mental health research; mental health service; normal human; psychosocial care; stigma; Adolescent; Adult; Attitude of Health Personnel; Emotions; Female; Helping Behavior; Humans; Intention; Male; Mental Disorders; Mental Health; Professional-Patient Relations; Psychological Tests; Young Adult,,,,,,,,,,,,"Angermeyer, M.C., Dietrich, S., Public beliefs about and attitudes towards people with mental illness: A review of population studies (2006) Acta Psychiatr Scand, 113, pp. 163-179; Baker, J.A., Richards, D.A., Campbell, M., Nursing attitudes towards acute mental health care: Development of a measurement tool (2005) J Adv Nurs, 49, pp. 522-529; Beasley, R.K., Joslyn, M.R., Cognitive dissonance and post-decision attitude change in 6 presidential elections (2001) Polit Psychol, 22, pp. 521-540; Bensing, J., Doctor-patient communication and the quality of care (1991) Soc Sci Med, 32, pp. 1301-1310; Boudenhausen, G.V., Richeson, J.A., Prejudice, stereotyping, and discrimination (2010) Advanced Social Psychology, pp. 341-384. , Baumeister RF, Finkel EJ (Eds), New York: Oxford University Press; Chambers, M., Guise, V., Valimaki, M., Botelho, M.A., Scott, A., Staniuliene, V., Zanotti, R., Nurses' attitudes to mental illness A comparison of a sample of nurses from five European countries (2010) Int J Nurs Stud, 47, pp. 350-362; Cooper, A.E., Corrigan, P.W., Watson, A.C., Mental illness stigma and care seeking (2003) J Nerv Ment Dis, 191, pp. 339-341; Corrigan, P., How stigma interferes with mental health care (2004) Am Psychol, 59, pp. 614-625; Corrigan, P.W., Mental health stigma as social attribution: Implications for research methods and attitude change (2000) Clin Psychol Sci Pract, 7, pp. 48-67; Corrigan, P.W., Rowan, D., Green, A., Lundin, R., River, P., Uphoff-Wasowski, K., White, K., Kubiak, M.A., Challenging mental illness stigmas: Personal responsibility and dangerousness (2002) Schizophr Bull, 28, pp. 293-309; Corrigan, P.W., Wassel, A., Understanding and influencing the stigma of mental illness (2008) J Psychosoc Nurs, 46, pp. 42-48; Crane, J., Crane, F.G., Optimal nonverbal communications strategies physicians should engage in to promote positive clinical outcomes (2010) Health Mark Q., 27, pp. 262-274; Dunton, B.C., Fazio, R.H., An individual difference measure of motivation to control prejudiced reactions (1997) Pers Soc Psychol Bull, 23, pp. 316-326; Greenwald, A.D., McGhee, D.E., Schwartz, G.L., Measuring individual difference in implicit cognition: The Implicit Association Test (1998) J Pers Soc Psychol, 74, pp. 1464-1480; Greenwald, A.G., Nosek, B.A., Banaji, M.R., Understanding and using the Implicit Association Test: I. An improved scoring algorithm (2003) J Pers Soc Psychol, 85, pp. 197-216; Greenwald, A.G., Poehlman, T.A., Uhlmann, E., Banaji, M.R., Understanding and using the Implicit Association Test: III. Meta-analysis of predictive validity (2009) J Pers Soc Psychol, 97, pp. 17-41; Grosenick, J.K., Hatmaker, C.M., Perceptions of staff attributes in substance abuse treatment (2000) J Subst Abuse Treat, 19, pp. 273-284; Hannawa, A.F., Shedding light on the dark side of doctor-patient interactions: Verbal and nonverbal messages physicians communicate during error disclosures (2011) Patient Educ Couns, 84, pp. 344-351; Hindshaw, P.H., (2007) The Mark of Shame: Stigma of Mental Illness and An Agenda for Change, , New York: Oxford University Press; Hindshaw, P.H., Stier, A., Stigma as related to mental disorders (2008) Annu Rev Clin Psychol, 4, pp. 367-393; Karpinski, A., Steinman, R.B., The Single Category Implicit Association Test as a measure of implicit social cognition (2006) J Pers Soc Psychol, 91, pp. 16-32; Lauber, C., Nordt, C., Braunschweig, C., Rossler, W., Do mental health professionals stigmatize their patients? (2006) Acta Psychiatr Scand, 429, pp. 51-59; Link, B.F., Struening, E.L., Rahav, M., Phelan, J.C., Nuttbrock, L., On stigma and its consequences: Evidence from a longitudinal study of men with duel diagnosis of mental illness and substance abuse (1997) J Health Soc Behav, 38, pp. 177-190; Munro, S., Baker, J.A., Surveying the attitudes of acute mental health nurses (2007) J Psychiatr Ment Health Nurs, 14, pp. 196-202; Nordt, C., Rossler, W., Lauber, C., Attitudes of mental health professionals toward people with schizophrenia and major depression (2006) Schizophr Bull, 32, pp. 709-714; Nosek, B.A., Greenwald, A.G., (Part of) the case for a pragmatic approach to validity: Comment on de Houwer, Teige-Mocigemba, Spruyt, and Moors (2009) (2009) Psychol Bull, 135, pp. 373-376; Ong, L.M.L., De Haes, J.C.J.M., Hoos, A.M., Lammes, F.B., Doctor patient communication: A review of the literature (1995) Soc Sci Med, 40, pp. 903-918; Payne, K.B., Burkley, M.A., Stokes, M.B., Why do implicit and explicit tests diverge? the role of structural fit? (2008) J Pers Soc Psychol, 94, pp. 16-31; Peris, T.S., Teachman, B.A., Nosek, B.A., Implicit and explicit stigma of mental illness: Links to clinical care (2008) J Nerv Ment Dis, 196, pp. 752-760; Roter, D., The expression of emotion through nonverbal behavior in medical visits: Mechanisms and outcomes (2006) J Gen Intern Med, 21, pp. 28-34; Rusch, N., Corrigan, P.W., Todd, A., Bodenhausen, G.V., Automatic stereotyping against people with schizophrenia, schizoaffective and affective disorders (2011) Psychiatry Res, 18, pp. 34-39; Rusch, N., Todd, A.R., Bodenhausen, G.V., Corrigan, P., Biogenetic models of psychopathology, implicit guilt, and mental illness stigma (2010) Psychiatry Res, 179, pp. 328-332; Sartorius, N., Iatrogenic stigma of mental illness (2002) BMJ, 324, pp. 1470-1471; Servais, L.M., Saunders, S.M., Clinical psychologists' perceptions of persons with a mental illness (2007) Prof Psychol, 38, pp. 214-219; Sharrock, R., Day, A., Qazi, F., Brewin, C.R., Explanations by professional care staff, optimism and helping behaviour: An application of attribution theory (1990) Psychol Med, 20, pp. 849-855; Stier, A., Hinshaw, S.P., Explicit and implicit stigma against individuals with mental illness (2007) Aust Psychol, 42, pp. 106-117; Teachman, B.A., Wilson, J.G., Komarovskaya, I., Implicit and explicit stigma of mental illness in diagnosed and health samples (2006) J Soc Clin Psychol, 25, pp. 75-95; Van Dorn, R.A., Swanson, J.W., Elbogen, E.B., Swartz, M.S., A comparison of stigmatizing attitudes toward persons with schizophrenia in four stakeholder groups: Perceived likelihood of violence and desire for social distance (2005) Psychiatry, 68, pp. 152-163; Von Hippel, W., Brener, L., Von Hippel, C., Implicit prejudice toward injecting drug users predicts intentions to change jobs among drug and alcohol nurses (2008) Psychol Sci, 19, pp. 7-11; Weiner, B., An attributional theory of achievement motivation and emotion (1985) Psychol Rev, 92, pp. 548-573","Brener, L.; National Centre in HIV Social Research, , Sydney, NSW, 2052, Australia; email: l.brener@unsw.edu.au",,,,,,,,223018,,JNMDA,23689194,English,J. Nerv. Ment. Dis.,Article,Final,,Scopus,2-s2.0-84879887397 "Chang Y.-P., Yang M.-S.",35068989600;7404925725;,Nurses' attitudes toward clients with substance use problems,2013,Perspectives in Psychiatric Care,49,2,,94,102,,9,10.1111/ppc.12000,https://www.scopus.com/inward/record.uri?eid=2-s2.0-84875964085&doi=10.1111%2fppc.12000&partnerID=40&md5=a7bbe55ed25019370a908ecd7fa9f586,"School of Nursing, The State University of New York, University at Buffalo, Buffalo, NY, United States; College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan","Chang, Y.-P., School of Nursing, The State University of New York, University at Buffalo, Buffalo, NY, United States; Yang, M.-S., College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan","Purpose: This study aimed to examine factors associated with nurses' attitudes toward clients with substance use problems. Design and Methods: A cross-sectional design was used, and 489 nurses working in two medical centers in Taiwan participated in this study. Findings: Age, total nursing experience, work unit, personal experience, experience of taking care of clients with substance use problems, substance use education in school, and continuing education were significantly associated with nurses' attitudes. Hierarchical regression revealed that continuing education predicted nurses' overall attitudes. However, the model explained a low variance. Practice Implications: Education-focused training alone may not be adequate. Nursing workforce development needs to incorporate multiple strategies, including clinical supervision, when designing substance use education for clinical nurses in order to generate better improvements on attitudes. © 2012 Wiley Periodicals, Inc.",Attitude; Nurse; Substance use education; Substance use problem,addiction; adult; article; cross-sectional study; ethnology; female; health personnel attitude; human; male; middle aged; nursing; nursing staff; psychological aspect; standard; Taiwan; young adult; Adult; Attitude of Health Personnel; Cross-Sectional Studies; Female; Humans; Male; Middle Aged; Nursing Staff; Substance-Related Disorders; Taiwan; Young Adult,,,,,,,,,,,,"Allen, K., Attitudes of registered nurses toward alcoholic patients in a general hospital population (1993) International Journal of the Addictions, 28 (9), pp. 923-930. , doi: 10.3109/10826089309039664; Ford, R., Bammer, G., Becker, N., The determinants of nurses' therapeutic attitude to patients who use illicit drugs and implications for workforce development (2008) Journal of Clinical Nursing, 17 (18), pp. 2452-2462. , doi: 10.1111/j.1365-2702.2007.02266.x; Ford, R., Bammer, G., Becker, N., Improving nurses' therapeutic attitude to patients who use illicit drugs: Workplace drug and alcohol education is not enough (2009) International Journal of Nursing Practice, 15, pp. 112-118. , doi: 10.1111/j.1440-172X.2009.01732.x; Gerace, L.M., Hughes, T.L., Spunt, J., Improving nurses' responses toward substance-misusing patients: A clinical evaluation project (1995) Archives of Psychiatric Nursing, 9 (5), pp. 286-294. , doi: 10.1016/S0883-9417(95)80048-4; Gilchrist, G., Moskalewicz, J., Slezakova, S., Okruhlica, L., Torrens, M., Vajd, R., Baldacchino, A., Staff regard towards working with substance users: A European multi-centre study (2011) Addiction, 106 (6), pp. 1114-1125. , doi: 10.1111/j.1360-0443.2011.03407.x; Happell, B., Carta, B., Pinikahana, J., Nurses' knowledge, attitudes and beliefs regarding substance use: A questionnaire survey (2002) Nursing & Health Sciences, 4 (4), pp. 193-200. , doi: 10.1046/j.1442-2018.2002.00126.x; Happell, B., Taylor, C., Negative attitudes towards clients with drug and alcohol related problems: Finding the elusive solution (2001) Australian and New Zealand Journal of Mental Health Nursing, 10, pp. 87-96. , doi: 10.1046/j.1440-0979.2001.00198.x; Hoffman, A.L., Heinemann, M.E., Substance abuse education in school of nursing: A national survey (1987) Journal of Nursing Education, 26, pp. 282-287; Howard, M.O., Chung, S.S., Nurses' attitudes toward substance misusers. I. Surveys (2000) Substance Use & Misuse, 35 (3), pp. 347-365. , doi: 10.3109/10826080009147701; Howard, V., Holmshaw, J., Inpatient staff perceptions in providing care to individuals with co-occurring mental health problems and illicit substance use (2010) Journal of Psychiatric & Mental Health Nursing, 17, pp. 862-872; Hughes, T.L., Models and perspectives of addiction: Implication for treatment (1989) Nursing Clinic of North America, 24, pp. 1-11; Hyman, Z., Historical interpretations of alcohol use and misuse: Implications for nursing curricula (2004) Journal of Psychosocial Nursing and Mental Health Services, 42 (11), pp. 46-55; Indig, D., Copeland, J., Conigrave, K.M., Rotenko, I., Attitudes and beliefs of emergency department staff regarding alcohol-related presentations (2009) International Emergency Nursing, 17 (1), pp. 23-30. , doi: 10.1016/j.ienj.2008.08.002; Kelleher, S., Cotter, P., A descriptive study on emergency department doctors' and nurses' knowledge and attitudes concerning substance use and substance users (2009) International Emergency Nursing, 17 (1), pp. 3-14. , doi: 10.1016/j.ienj.2008.08.003; Li, Y.M., Tsai, S.Y., Hu, S.C., Wang, C.T., Alcohol-related injuries at an emergency department in Eastern Taiwan (2006) Journal of the Formosan Medical Association, 105 (6), pp. 481-488; Marcus, M.T., Look, D.S., Oswald, L.M., Nursing care of clients with substance abuse in the hospital (1995) Nursing care of clients with substance abuse, pp. 135-190. , E. J. Sullivan (Ed.). St. Louis, MO: Mosby; Marcus, M.T., Richman, K.A., Sobhan, T., Substance abuse education liaisons: A collaborative continuing education program for nurses in acute setting (1999) Journal of Continuing Education in Nursing, 30, pp. 229-234; Marcus, M.T., Stafford, L., A model for preparing nurses for the challenge of substance use disorder (2002) Drug and Alcohol Professional, 2 (3), pp. 23-30. , doi: 10.1108/17459265200200023; Mokdad, A.H., Marks, J.S., Stroup, D.F., Gerberding, J.L., Actual causes of death in the United States, 2000 (2004) Journal of the American Medical Association, 291, pp. 1238-1245. , doi: 10.1001/jama.291.10.1238; Moore, M., Bone, L.R., Geller, G., Mamon, J.A., Stokes, E.J., Levin, D.M., Prevalence, detection, and treatment of alcoholism in hospitalized patients (1989) Journal of the American Medical Association, 261 (3), pp. 403-407. , doi: 10.1001/jama.1989.03420030077033; Munro, A., Watson, H.E., McFadyen, A., Assessing the impact of training on mental health nurses' therapeutic attitudes and knowledge about co-morbidity: A randomized controlled trial (2007) International Journal of Nursing Studies, 44 (8), pp. 1430-1438. , doi: 10.1016/j.ijnurstu.2006.07.024; Naegle, M.A., The nurse and the alcoholic: Redefining a historically ambivalent relationship (1983) Journal of Psychosocial Nursing and Mental Health Services, 21 (6), pp. 17-24; Raeside, L., Attitudes of staff towards mothers affected by substance abuse (2003) British Journal of Nursing (Mark Allen Publishing), 12 (5), pp. 302-310; Rassool, G.H., Nursing and substance misuse: Responding to the challenge (1993) Journal of Advanced Nursing, 18 (9), pp. 1401-1407. , doi: 10.1046/j.1365-2648.1993.18091401.x; Rassool, G.H., Villar-Luis, M., Carraro, T.E., Lopes, G., Undergraduate nursing students' perceptions of substance use and misuse: A Brazilian position (2006) Journal of Psychiatric and Mental Health Nursing, 13 (1), pp. 85-89. , doi: 10.1111/j.1365-2850.2006.00917.x; Reisman, B.L., Shrader, R.W., Effect of nurses' attitudes toward alcoholics on their referral rate for treatment (1984) Occupational Health Nursing, 32 (5), pp. 273-275; Sarna, L., Bialous, S.A., Rice, V.H., Wewers, M.E., Promoting tobacco dependence treatment in nursing education (2009) Drug and Alcohol Review, 28 (5), pp. 507-516. , doi: 10.1111/j.1465-3362.2009.00107.x; Smothers, B.A., Yahr, H.T., Ruhl, C.E., Detection of alcohol use disorders in general hospital admissions in the United States (2004) Archives of Internal Medicine, 164, pp. 749-756. , doi: 10.1001/archinte.164.7.749; Sullivan, E.J., Hale, R.E., Nurses' beliefs about the etiology and treatment of alcohol abuse (1987) Journal of Studies on Alcohol, 48, pp. 456-460; Tran, D., Stone, A., Fernandez, R., Griffiths, R., Johnson, M., Changes in general nurses' knowledge of alcohol and substance use and misuse after education (2009) Perspectives in Psychiatric Care, 45 (2), pp. 128-139. , doi: 10.1111/j.1744-6163.2009.00213.x; Wu, S.I., Liu, S.I., Fang, C.K., Hsu, C.C., Sun, Y.W., Prevalence and detection of alcohol use disorders among general hospital inpatients in eastern Taiwan (2006) General Hospital Psychiatry, 28, pp. 48-54. , doi: 10.1016/j.genhosppsych.2005.08.002; Yu, W.Y., Cheng, M.C., Lin, C.W., Yang, K.H., The comparisons among psychiatric nurses' attitudes toward psychoses, alcoholics, and drug abusers (1994) Public Health, 21 (1), pp. 23-30","Yang, M.-S.; College of Nursing, , Kaohsiung, Taiwan; email: msyang@kmu.edu.tw",,,,,,,,315990,,PEPYA,23557452,English,Perspect. Psychiatr. Care,Article,Final,,Scopus,2-s2.0-84875964085 "Loch A.A., Guarniero F.B., Lawson F.L., Hengartner M.P., Rössler W., Gattaz W.F., Wang Y.-P.",55883215800;36959658600;54380352900;50161568100;7004584290;34569066200;8576812100;,Stigma toward schizophrenia: Do all psychiatrists behave the same? Latent profile analysis of a national sample of psychiatrists in Brazil,2013,BMC Psychiatry,13,,92,,,,25,10.1186/1471-244X-13-92,https://www.scopus.com/inward/record.uri?eid=2-s2.0-84875208598&doi=10.1186%2f1471-244X-13-92&partnerID=40&md5=4121080c102f6e9c8cff919190095e76,"Laboratory of Neuroscience (LIM 27), Department and Institute of Psychiatry, Faculty of Medicine, University of São Paulo, R. Dr. Ovidio Pires de Campos,785,3 andar,ala norte,sala 1, São Paulo CEP 05403-000, Brazil; Department of General and Social Psychiatry, Psychiatric University Hospital, University of Zurich, Militärstrasse 8, Zurich, 8004, Switzerland; Collegium Helveticum, A Joint Research Inst. between the Univ. of Zurich and the Swiss Federal Inst. of Technology, Schmelzbergstrasse 25, Zurich CH-8092, Switzerland","Loch, A.A., Laboratory of Neuroscience (LIM 27), Department and Institute of Psychiatry, Faculty of Medicine, University of São Paulo, R. Dr. Ovidio Pires de Campos,785,3 andar,ala norte,sala 1, São Paulo CEP 05403-000, Brazil; Guarniero, F.B., Laboratory of Neuroscience (LIM 27), Department and Institute of Psychiatry, Faculty of Medicine, University of São Paulo, R. Dr. Ovidio Pires de Campos,785,3 andar,ala norte,sala 1, São Paulo CEP 05403-000, Brazil; Lawson, F.L., Laboratory of Neuroscience (LIM 27), Department and Institute of Psychiatry, Faculty of Medicine, University of São Paulo, R. Dr. Ovidio Pires de Campos,785,3 andar,ala norte,sala 1, São Paulo CEP 05403-000, Brazil; Hengartner, M.P., Department of General and Social Psychiatry, Psychiatric University Hospital, University of Zurich, Militärstrasse 8, Zurich, 8004, Switzerland; Rössler, W., Department of General and Social Psychiatry, Psychiatric University Hospital, University of Zurich, Militärstrasse 8, Zurich, 8004, Switzerland, Collegium Helveticum, A Joint Research Inst. between the Univ. of Zurich and the Swiss Federal Inst. of Technology, Schmelzbergstrasse 25, Zurich CH-8092, Switzerland; Gattaz, W.F., Laboratory of Neuroscience (LIM 27), Department and Institute of Psychiatry, Faculty of Medicine, University of São Paulo, R. Dr. Ovidio Pires de Campos,785,3 andar,ala norte,sala 1, São Paulo CEP 05403-000, Brazil; Wang, Y.-P., Laboratory of Neuroscience (LIM 27), Department and Institute of Psychiatry, Faculty of Medicine, University of São Paulo, R. Dr. Ovidio Pires de Campos,785,3 andar,ala norte,sala 1, São Paulo CEP 05403-000, Brazil","Background: An important issue concerning the worldwide fight against stigma is the evaluation of psychiatrists' beliefs and attitudes toward schizophrenia and mental illness in general. However, there is as yet no consensus on this matter in the literature, and results vary according to the stigma dimension assessed and to the cultural background of the sample. The aim of this investigation was to search for profiles of stigmatizing beliefs related to schizophrenia in a national sample of psychiatrists in Brazil.Methods: A sample of 1414 psychiatrists were recruited from among those attending the 2009 Brazilian Congress of Psychiatry. A questionnaire was applied in face-to-face interviews. The questionnaire addressed four stigma dimensions, all in reference to individuals with schizophrenia: stereotypes, restrictions, perceived prejudice and social distance. Stigma item scores were included in latent profile analyses; the resulting profiles were entered into multinomial logistic regression models with sociodemographics, in order to identify significant correlates.Results: Three profiles were identified. The "" no stigma"" subjects (n = 337) characterized individuals with schizophrenia in a positive light, disagreed with restrictions, and displayed a low level of social distance. The "" unobtrusive stigma"" subjects (n = 471) were significantly younger and displayed the lowest level of social distance, although most of them agreed with involuntary admission and demonstrated a high level of perceived prejudice. The "" great stigma"" subjects (n = 606) negatively stereotyped individuals with schizophrenia, agreed with restrictions and scored the highest on the perceived prejudice and social distance dimensions. In comparison with the first two profiles, this last profile comprised a significantly larger number of individuals who were in frequent contact with a family member suffering from a psychiatric disorder, as well as comprising more individuals who had no such family member.Conclusions: Our study not only provides additional data related to an under-researched area but also reveals that psychiatrists are a heterogeneous group regarding stigma toward schizophrenia. The presence of different stigma profiles should be evaluated in further studies; this could enable anti-stigma initiatives to be specifically designed to effectively target the stigmatizing group. © 2013 Loch et al.; licensee BioMed Central Ltd.",Mental health professionals; Prejudice; Psychosis; Social distance; Stereotype,adult; article; Brazil; female; human; interview; male; psychiatrist; questionnaire; schizophrenia; social distance; social psychology; stereotypy; stigma; Adult; Attitude of Health Personnel; Brazil; Female; Humans; Interviews as Topic; Male; Middle Aged; Prejudice; Psychiatry; Questionnaires; Schizophrenia; Stereotyping,,,,,,,,,,,,"Goffman, E., (1963) Stigma: notes on the management of spoiled identity, , Englewood Cliffs, NJ: Prentice-Hall; Pilgrim, D., Rogers, A.E., Psychiatrists as social engineers: a study of an anti-stigma campaign (2005) Soc Sci Med, 61, pp. 2546-2556. , 10.1016/j.socscimed.2005.04.042, 15953670; Lauber, C., Anthony, M., Ajdacic-Gross, V., Rössler, W., What about psychiatrists' attitude to mentally ill people? (2004) European Psychiatry, 19, pp. 423-427. , 10.1016/j.eurpsy.2004.06.019, 15504649; Schulze, B., Stigma and mental health professionals: a review of the evidence on an intricate relationship (2007) Inter Rev Psychiatry, 19 (2), pp. 137-155; Lauber, C., Nordt, C., Braunschweig, C., Rössler, W., Do mental health professionals stigmatize their patients? (2006) Acta Psychiatrica Scandinavica Suppl, 429, pp. 51-59; Nordt, C., Rössler, W., Lauber, C., Attitudes of mental health professionals toward people with schizophrenia and major depression (2006) Schizophr Bull, 32 (4), pp. 709-714. , 2632277, 16510695; Magliano, L., Fiorillo, A., De Rosa, C., Malangone, C., Maj, M., Beliefs about schizophrenia in Italy: a comparative nationwide survey of the general public, mental health professionals, and patients' relatives (2004) Canadian J Psychiatry, 49 (5), pp. 322-330; Arvaniti, A., Samakouri, M., Kalamara, E., Bochtsou, V., Bikos, C., Livaditis, M., Health service staff's attitudes towards patients with mental illness (2009) Soc Psychiatry Psychiatric Epidemiol, 44 (8), pp. 658-665; Jorm, A.F., Korten, A.E., Jacomb, P.A., Christensen, H., Henderson, S., Attitudes towards people with a mental disorder: a survey of the Australian public and health professionals (1999) Australian New Zealand J Psychiatry, 33 (1), pp. 77-83; Lepping, P., Steinert, T., Gebhardt, R.P., Röttgers, H.R., Attitudes of mental health professionals and lay-people towards involuntary admission and treatment in England and Germany - a questionnaire analysis (2004) European Psychiatry, 19 (2), pp. 91-95. , 10.1016/j.eurpsy.2003.11.001, 15051108; Hori, H., Richards, M., Kawamoto, Y., Kunugi, H., Attitudes towards schizophrenia in the general population, psychiatric staff, physicians, and psychiatists: A web-based survey in Japan (2011) Psychiatry Res, 186 (2-3), pp. 183-189; Hengartner, M.P., Loch, A.A., Lawson, F.L., Guarniero, F.B., Wang, Y.P., Rössler, W., Gattaz, W.G., Attitudes of mental health professionals towards persons with schizophrenia: a transcultural comparison between Switzerland and Brazil (2012) Revista de Psiquiatria Clin, 39 (4), pp. 115-121; Crisp, A., Cowan, L., Hart, D., The College's anti-stigma campaign, 1998-2003. A shortened version of the concluding report (2004) Psychiatr Bull, 28, pp. 133-136; Warner, R., Implementing local projects to reduce stigma of mental illness (2008) Epidemiologia e Psichiatria Sociale, 17 (1), pp. 20-25; Lyons, C., Hopley, P., Horrocks, J., A decade of stigma and discrimination in mental health: plus ça change, plus c'est la meme chose (the more things change, the more they stay the same) (2009) J Psychiatr Ment Heal Nurs, 16 (6), pp. 501-507; Kadri, N., Sartorius, N., The global fight against the stigma of schizophrenia (2005) PLoS Med, 2 (7), pp. e136. , 10.1371/journal.pmed.0020136, 1181868, 16033301; Rose, D., Thornicroft, G., Service user perspectives on the impact of a mental illness diagnosis (2010) Epidemiologia e Psichiatria Sociale, 19 (2), pp. 140-147; Schulze, B., Angermeyer, M.C., Subjective experiences of stigma. 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(1991) J Heal Soc Behav, 32 (3), pp. 302-320; Link, B.G., Cullen, F.T., Frank, J., Wozniak, J.F., The social rejection of former mental patients: understanding why labels matter (1987) Am J Sociol, 92, pp. 1461-1500; Muthen, B., Muthen, L.K., Integrating person-centered and variable-centered analyses: growth mixture modeling with latent trajectory classes (2000) Alcohol Clin Exp Res, 24 (6), pp. 882-891. , 10.1111/j.1530-0277.2000.tb02070.x, 10888079; Lazarfeld, P.F., Henry, N.W., (1968) Latent structure analysis, , Boston, Massachusetts: Houghton Mifflin Co; Baillie, D., McCabe, R., Priebe, S., Aetiology of depression and schizophrenia: current views of British psychiatrists (2009) Psychiatr Bull, 33, pp. 374-377; Loch, A.A., Hengartner, M.P., Guarniero, F.B., Lawson, F.L., Wang, Y.P., Gattaz, W.F., Rössler, W.F., Psychiatrists' stigma towards individuals with schizophrenia (2011) Revista de Psiquiatria Clin, 38 (5), pp. 173-177; Corrigan, P.W., Penn, D.L., Lessons from social psychology on discrediting psychiatric stigma (1999) Am Psychol, 54 (9), pp. 765-776; Lewis, G., Crof-Jeffreys, C., David, A., Are British psychiatrists racist? (1990) Br J Psychiatry, 157, pp. 410-415. , 10.1192/bjp.157.3.410, 2245273; Dietz, P.E., Why the experts disagree: variations in the psychiatric evaluation of criminal insanity (1985) Annals Am Acad Political Soc Sci, 477, pp. 84-95; Ghaemi, S.N., McHugh, P.R., (2007) The concepts of psychiatry: a pluralistic approach to the mind and mental illness, , Baltimore, USA: The Johns Hopkins University Press; Read, J., Haslam, N., Sayce, L., Davies, E., Prejudice and schizophrenia: a review of the 'mental illness is an illness like any other' approach (2006) Acta Psychiatr Scand, 114, pp. 303-318. , 10.1111/j.1600-0447.2006.00824.x, 17022790; Harland, R., Antonova, E., Owen, G.S., Broome, M., Landau, S., Deeley, Q., Murray, R., A study of psychiatrists' concepts of mental illness (2009) Psychol Med, 39, pp. 967-976. , 10.1017/S0033291708004881, 2830075, 19091161; Bennet, L., Thrilaway, K., Murray, A.J., The stigmatizing implications of presenting schizophrenia as a genetic disease (2008) J Genet Couns, 17, pp. 550-559. , 10.1007/s10897-008-9178-8, 18773286; Magliano, L., Read, J., Rega, S., Oliviero, N., Sagliocchi, A., Patalano, M., D'Ambrosio, A., The influence of causal explanations and diagnostic labeling on medical students' views of schizophrenia (2011) Acad Med, 86, pp. 1155-1162. , 10.1097/ACM.0b013e318226708e, 21785312; Aromaa, E., Tovanen, A., Tuulari, J., Wahlbeck, K., Attitudes towards people with mental disorders: the psychometric characteristics of a finnish questionnaire (2010) Soc Psychiatry Psychiatric Epidemiol, 45, pp. 265-273; Fisher, R.J., Social desirability bias and the validity of indirect questioning (1993) J Consum Res, 20 (2), pp. 303-315; Griffiths, K.M., Nakane, Y., Christensen, H., Yoshioka, K., Jorm, A.F., Nakane, H., Stigma in response to mental disorders: a comparison of Australia and Japan (2006) BMC Psychiatry, 23, pp. 6-21; Sakind, N.J., (2010) Encyclopedia of research design, , California, USA: SAGE Publications; Kahneman, D., Sovic, P., Tversky, A., (1982) Judgment under uncertainty: heuristics and biases, , Cambridge: Cambridge University Press; Zafar, S.N., Syed, R., Tehseen, S., Gowani, S.A., Zubair, A., Yousaf, W., Zubairi, A.J., Naqvi, H., Perceptions about the cause of schizophrenia and the subsequent help seeking behavior in Pakistani population - results of a cross-sectional survey (2008) BMC Psychiatry, 8, p. 56. , 10.1186/1471-244X-8-56, 2483701, 18637176; Arboleda-Florez, J., Stuart, H., From Sin to science: fighting the stigmatization of mental illnesses (2012) Canadian J Psychiatry, 57 (8), pp. 457-463; Corrigan, P.W., Shapiro, J.R., Measuring the impact of programs that challenge the public stigma of mental illness (2010) Clin Psychol Rev, 30 (8), pp. 907-922. , 10.1016/j.cpr.2010.06.004, 2952670, 20674114; Stuart, H., Arboleda-Flôrez, J., Community attitudes toward people with schizophrenia (2001) Canadian J Psychiatry, 46, pp. 245-252; Thompson, A.H., Stuart, H., Bland, R.C., Arboleda-Florez, J., Warner, R., Dickson, R.A., Sartorius, N., Wig, N.N., Attitudes about schizophrenia from the pilot site of the WPA worldwide campaign against the stigma of schizophrenia (2002) Soc Psychiatry Psychiatric Epidemiol, 37, pp. 475-482. , World Psychiatric Association; Santos Junior, A., Silva, L.F.A.L., Banzato, C.E.M., Costa Pereira, M.C., A qualitative analysis on what Brazilian psychiatrists expect from current diagnostic classifications (2009) European Psychiatry, 24 (S1), pp. S733; Durand-Zaleski, I., Scott, J., Rouillon, F., Leboyer, M., A first national survey of knowledge, attitudes and behaviours towards schizophrenia, bipolar disorders and autism in France (2012) BMC Psychiatry, 12, p. 128. , 10.1186/1471-244X-12-128, 3532222, 22928716; Crisp, A., Gelder, M., Goddard, E., Meltzer, H., Stigmatization of people with mental illnesses: a follow-up study within the changing minds campaign of the royal college of psychiatrists (2005) World Psychiatry, 4 (2), pp. 106-113. , 1414750, 16633526; Chaplin, R., Psychiatrists can cause stigma too (2000) Br J Psychiatry, 177, p. 467. , 10.1192/bjp.177.5.467, 11060004","Loch, A.A.; Laboratory of Neuroscience (LIM 27), R. Dr. Ovidio Pires de Campos,785,3 andar,ala norte,sala 1, São Paulo CEP 05403-000, Brazil; email: alexandre.loch@usp.br",,,,,,,,1471244X,,BPMSC,23517184,English,BMC Psychiatry,Article,Final,"All Open Access, Gold, Green",Scopus,2-s2.0-84875208598 "Lam T.P., Lam K.F., Lam E.W.W., Ku Y.S.",55232643600;8948421200;54782903200;35768010600;,Attitudes of primary care physicians towards patients with mental illness in Hong Kong,2013,Asia-Pacific Psychiatry,5,1,,E19,E28,,28,10.1111/j.1758-5872.2012.00208.x,https://www.scopus.com/inward/record.uri?eid=2-s2.0-84874316173&doi=10.1111%2fj.1758-5872.2012.00208.x&partnerID=40&md5=5f5636932e5718bbe83ab5f6a1a6ca82,"Department of Family Medicine and Primary Care, The University of Hong Kong, Hong Kong; Department of Statistics and Actuarial Science, The University of Hong Kong, Hong Kong; Department of Psychiatry, The University of Hong Kong, Hong Kong","Lam, T.P., Department of Family Medicine and Primary Care, The University of Hong Kong, Hong Kong; Lam, K.F., Department of Statistics and Actuarial Science, The University of Hong Kong, Hong Kong; Lam, E.W.W., Department of Family Medicine and Primary Care, The University of Hong Kong, Hong Kong, Department of Psychiatry, The University of Hong Kong, Hong Kong; Ku, Y.S., Department of Family Medicine and Primary Care, The University of Hong Kong, Hong Kong","Introduction: This study aims to describe the attitudes of primary care physicians towards mental health patients in Hong Kong, especially to examine the doctors' views on schizophrenia and depression, and the influence of their demographic variables. Methods: A questionnaire developed by the research team was sent to members of Hong Kong College of Family Physicians. Potential respondents were allocated on equal basis to one of the two sets of questionnaire, set 1 for clinical vignette of schizophrenia and set 2 for depression. Results: A response rate of 37% (500 of 1,360) was achieved. There were 255 and 245 returned questionnaires for set 1 and set 2, respectively. Comparing the two clinical vignettes, there were large differences in their willingness to have the patient on practice list for mental issues (40.0% for schizophrenia versus 71.5% for depression) and to deal with the patient's needs (37.0% versus 60.9%). Multiple ordinal logistic regression analysis showed that doctors with the following demographic factors tended to have more worries or stigma on mental health patients: ""having longer years of practice,"" ""being female,"" ""working in hospital,"" ""employed in public sector,"" and ""not having a relative/friend with mental health problems."" Discussion: Our study shows that two-thirds of primary care doctors are prepared to look after patients with depression, which is substantially higher than that for schizophrenia. In contrast with the Australian findings, the experienced doctors in Hong Kong have more negative attitudes towards mental health patients than the younger ones. © 2012 Blackwell Publishing Asia Pty Ltd.",Attitude; Depression; Family physician; Primary care; Schizophrenia,"article; clinical assessment; depression; female; general practitioner; health care personnel; Hong Kong; hospital physician; human; Likert scale; male; mental disease; mental health; physician attitude; priority journal; schizophrenia; structured questionnaire; attitude; depression; family physician; primary care; schizophrenia; Attitude of Health Personnel; Clinical Competence; Demography; Depressive Disorder; Female; Hong Kong; Humans; Logistic Models; Male; Mental Disorders; Physician-Patient Relations; Physicians, Family; Primary Health Care; Questionnaires; Random Allocation; Schizophrenia; Sex Factors; Stereotyping; Workplace",,,,,,,,,,,,"Angermeyer, M.C., Matschinger, H., Public beliefs about schizophrenia and depression: similarities and differences (2003) Soc Psychiatry Psychiatr Epidemiol, 38, pp. 526-534; Arkar, H., Eker, D., Influence of having a hospitalized mentally ill member in the family on attitudes toward mental patients in Turkey (1992) Soc Psychiatry Psychiatr Epidemiol, 27, pp. 151-155; Baker, J.A., Richards, D.A., Campbell, M., Nursing attitudes towards acute mental health care: development of a measurement tool (2005) J Adv Nurs, 49, pp. 522-529; Bijl, R.V., de Graaf, R., Hiripi, E., The prevalence of treated and untreated mental disorders in five countries (2003) Health Aff (Millwood), 22, pp. 122-133; Chow, L.Y., Kam, W.K., Leung, C.M., Attitudes of healthcare professionals towards psychiatric patients in a general hospital in Hong Kong (2007) Hong Kong J Psychiatry, 17, pp. 3-9; Crisp, A.H., Gelder, M.G., Rix, S., Stigmatisation of people with mental illnesses (2000) Br J Psychiatry, 177, pp. 4-7; Farrell, M., Lewis, G., Discrimination on the grounds of diagnosis (1990) Br J Addict, 85, pp. 883-890; Finch, J., The vignette technique in survey research (1987) Sociology, 21, pp. 105-114; Goldberg, D.P., Lecrubier, Y., Form and frequency of mental disorders across centres (1995) Mental Illness in General Health Care: An International Study, pp. 323-334. , Üstün B., Sartorius N., eds. WHO, John Wiley, Chichester; (2006), http://www.hkma.org/english/newsroom/newsroom.htm, Hong Kong Medical Association. Hong Kong Medical Association: Doctors' Fee Survey Report, Hong Kong Medical Association, Press Release. [Cited 18 Sep 2011.] Available from URL:; Hori, H., Richards, M., Kawamoto, Y., Kunugi, H., Attitudes toward schizophrenia in the general population, psychiatric staff, physicians, and psychiatrists: a web-based survey in Japan (2011) Psychiatry Res, 186, pp. 183-189; Hutton, C., Gunn, J., Do longer consultations improve the management of psychological problems in general practice? A systematic literature review (2007) BMC Health Serv Res, 7, p. 71; Issakidis, C., Andrews, G., Who treats whom? An application of the Pathways to Care model in Australia (2006) Aust NZ J Psychiatry, 40, pp. 74-86; Jorm, A.F., Korten, A.E., Jacomb, P.A., Attitudes towards people with a mental disorder: a survey of the Australian public and health professionals (1999) Aust NZ J Psychiatry, 33, pp. 77-83; Lam, T.P., Goldberg, D., Tse, E.Y.Y., What do primary care doctors get out of a year-long postgraduate course in community psychological medicine? (2011) Int J Psychiatry Med, 42, pp. 133-149; Lauber, C., Rössler, W., Stigma towards people with mental illness in developing countries in Asia (2007) Int Rev Psychiatry, 19, pp. 157-178; Lawrie, S.M., Martin, K., McNeill, G., General practitioners' attitudes to psychiatric and medical illness (1998) Psychol Med, 28, pp. 1463-1467; Leiderman, E.A., Vazquez, G., Berizzo, C., Public knowledge, beliefs and attitudes towards patients with schizophrenia: Buenos Aires (2011) Soc Psychiatry Psychiatr Epidemiol, 46, pp. 281-290; Leung, G.M., Ho, L.M., Chan, M.F., The effects of cash and lottery incentives on mailed surveys to physicians: a randomized trial (2002) J Clin Epidemiol, 55, pp. 801-807; Mann, C.E., Himelein, M.J., Factors associated with stigmatization of persons with mental illness (2004) Psychiatr Serv, 55, pp. 185-187; Munro, S., Baker, J.A., Surveying the attitudes of acute mental health nurses (2007) J Psychiatr Ment Health Nurs, 14, pp. 196-202; Parker, G., Lee, C., Chen, H., Mental health literacy study of general practitioners: a comparative study in Singapore and Australia (2001) Australas Psychiatry, 9, pp. 55-59; Patel, M.X., Attitudes to psychosis: health professionals (2004) Epidemiol Psichiatr Soc, 13, pp. 213-218; Priest, R.G., Vize, C., Roberts, A., Roberts, M., Tylee, A., Lay people's attitudes to treatment of depression: results of opinion poll for Defeat Depression Campaign just before its launch (1996) BMJ, 313, pp. 858-859; Sartorius, N., Iatrogenic stigma of mental illness (2002) BMJ, 324, pp. 1470-1471; Sartorius, N., Gaebel, W., Cleveland, H.R., WPA guidance on how to combat stigmatization of psychiatry and psychiatrists (2010) World Psychiatry, 9, pp. 131-144; Sévigny, R., Yang, W., Zhang, P., Attitudes toward the mentally ill in a sample of professionals working in a psychiatric hospital in Beijing (China) (1999) Int J Soc Psychiatry, 45, pp. 41-55; Telford, R., Hutchinson, A., Jones, R., Obstacles to effective treatment of depression: a general practice perspective (2002) Fam Pract, 19, pp. 45-52; (1998), The Harvard Team Hong Kong Private Practice Survey, Special Report #4, Harvard Report; Üçok, A., Polat, A., Sartorius, N., Attitudes of psychiatrists toward patients with schizophrenia (2004) Psychiatry Clin Neurosci, 58, pp. 89-91; Volmer, D., Maesalu, M., Bell, J.S., Pharmacy students' attitudes toward and professional interactions with people with mental disorders (2008) Int J Soc Psychiatry, 54, pp. 402-413; Wang, J., Fick, G., Adair, C., Lai, D., Gender specific correlates of stigma toward depression in a Canadian general population sample (2007) J Affect Disord, 103, pp. 91-97","Lam, T.P.; Department of Family Medicine and Primary Care, 3/F, Ap Lei Chau Clinic, 161 Main Street, Ap Lei Chau, Hong Kong; email: tplam@hku.hk",,,,,,,,17585864,,,23857792,English,Asia-Pacific Psychiatry,Article,Final,"All Open Access, Bronze",Scopus,2-s2.0-84874316173 "Loch A.A., Hengartner M.P., Guarniero F.B., Lawson F.L., Wang Y.-P., Gattaz W.F., Rössler W.",55883215800;50161568100;36959658600;54380352900;8576812100;34569066200;7004584290;,"The more information, the more negative stigma towards schizophrenia: Brazilian general population and psychiatrists compared",2013,Psychiatry Research,205,3,,185,191,,27,10.1016/j.psychres.2012.11.023,https://www.scopus.com/inward/record.uri?eid=2-s2.0-84873522152&doi=10.1016%2fj.psychres.2012.11.023&partnerID=40&md5=075c06a9e62099caa14d8533e54ed9b8,"Department and Institute of Psychiatry, School of Medicine, University of São Paulo, Brazil; Psychiatric University Hospital Zurich, Department of General and Social Psychiatry, Zurich, Switzerland; Collegium Helveticum, A Joint Research Inst. between the Univ. of Zurich and the Swiss Federal Inst. of Technology, Zurich, Switzerland","Loch, A.A., Department and Institute of Psychiatry, School of Medicine, University of São Paulo, Brazil; Hengartner, M.P., Psychiatric University Hospital Zurich, Department of General and Social Psychiatry, Zurich, Switzerland; Guarniero, F.B., Department and Institute of Psychiatry, School of Medicine, University of São Paulo, Brazil; Lawson, F.L., Department and Institute of Psychiatry, School of Medicine, University of São Paulo, Brazil; Wang, Y.-P., Department and Institute of Psychiatry, School of Medicine, University of São Paulo, Brazil; Gattaz, W.F., Department and Institute of Psychiatry, School of Medicine, University of São Paulo, Brazil; Rössler, W., Psychiatric University Hospital Zurich, Department of General and Social Psychiatry, Zurich, Switzerland, Collegium Helveticum, A Joint Research Inst. between the Univ. of Zurich and the Swiss Federal Inst. of Technology, Zurich, Switzerland","Findings on stigmatizing attitudes toward individuals with schizophrenia have been inconsistent in comparisons between mental health professionals and members of the general public. In this regard, it is important to obtain data from understudied sociocultural settings, and to examine how attitudes toward mental illness vary in such settings. Nationwide samples of 1015 general population individuals and 1414 psychiatrists from Brazil were recruited between 2009 and 2010. Respondents from the general population were asked to identify an unlabeled schizophrenia case vignette. Psychiatrists were instructed to consider ""someone with stabilized schizophrenia"". Stereotypes, perceived prejudice and social distance were assessed. For the general population, stigma determinants replicated findings from the literature. The level of the vignette's identification constituted an important correlate. For psychiatrists, determinants correlated in the opposite direction. When both samples were compared, psychiatrists showed the highest scores in stereotypes and perceived prejudice; for the general population, the better they recognized the vignette, the higher they scored in those dimensions. Psychiatrists reported the lowest social distance scores compared with members of the general population. Knowledge about schizophrenia thus constituted an important determinant of stigma; consequently, factors influencing stigma should be further investigated in the general population and in psychiatrists as well. © 2012 Elsevier Ireland Ltd.",Mental health professionals; Prejudice; Psychosis; Social distance; Stereotype,adult; age distribution; article; Brazil; controlled study; demography; female; health care policy; health education; human; male; medical information system; mental health care; population research; priority journal; psychiatry; schizophrenia; sex difference; social distance; social psychology; stereotypy; stigma; vignette; Adult; Attitude of Health Personnel; Attitude to Health; Brazil; Female; Humans; Male; Middle Aged; Prejudice; Psychiatry; Questionnaires; Schizophrenia; Social Distance; Stereotyping,,,,,,,,,,,,"Alexander, L.A., Link, B.G., The impact of contact on stigmatizing attitudes toward people with mental illness (2003) Journal of Mental Health, 12 (3), pp. 271-289; Angermeyer, M.C., Beck, M., Matschinger, H., Determinants of the public's preference for social distance from people with schizophrenia (2003) Canadian Journal of Psychiatry, 48, pp. 663-668; Angermeyer, M.C., Matschinger, H., The stereotype of schizophrenia and its impact on discrimination against people with schizophrenia: results from a representative survey in Germany (2004) Schizophrenia Bulletin, 30 (4), pp. 1049-1061; Angermeyer, M.C., Matschinger, H., Labeling - stereotype - discrimination. An investigation of the stigma process (2005) Social Psychiatry and Psychiatric Epidemiology, 40, pp. 391-395; Angermeyer, M.C., Dietrich, S., Public beliefs about and attitudes towards people with mental illness: a review of population studies (2006) Acta Psychiatrica Scandinavica, 113, pp. 163-179; Arvaniti, A., Samakouri, M., Kalamara, E., Bochtsou, V., Bikos, C., Livaditis, M., Health service staff's atitudes towards patients with mental illness (2009) Social Psychiatry and Psychiatric Epidemiology, 44, pp. 658-665; Ay, P., Save, D., Fidanoglu, O., Does stigma concerning mental disorder differ through medical education? (2006) Social Psychiatry and Psychiatric Epidemiology, 41, pp. 63-67; Corrigan, P.W., Penn, D.L., Lessons from social psychology on discrediting psychiatric stigma (1999) The American Psychologist, 54 (9), pp. 765-776; Corrigan, P.W., Green, A., Lundin, R., Kubiak, M.A., Penn, D.L., Familiarity with and social distance from people who have serious mental illness (2001) Psychiatric Services, 52 (7), pp. 953-958; Corrigan, P.W., Watson, A.C., Understanding the impact of stigma on people with mental illness (2002) World Psychiatry, 1 (1), pp. 16-20; Des Courtis, N., Lauber, C., Costa, C.T., Cattapan-Ludewig, K., Beliefs about the mentally ill: a comparative study between healthcare professionals in Brazil and in Switzerland (2008) International Review of Psychiatry, 20 (6), pp. 503-509; Farina, A., Fisher, J.D., Fisher, E.H., Societal factors in the problems faced by deinstitutionalized psychiatric patients (1992) Stigma and Mental Illness, pp. 167-185. , American Psychiatric Press, Washington, DC, P.J. Fink, A. Tasman (Eds.); Farina, A., Are women nicer people than men? Sex and the stigma of mental disorders (1981) Clinical Psychology Review, 1 (2), pp. 223-243; Fazel, S., Gulati, G., Linsell, L., Gueddes, J.R., Grann, M., Schizophrenia and violence: systematic review and meta-analysis (2009) PLoS Medicine, 6 (8), pp. e1000120; Fisher, R.J., Social desirability bias and the validity of indirect questioning (1993) Journal of Consumer Research, 20 (2), pp. 303-315; Gentil, V., Principles that should guide mental health policies in low-and middle-income countries (LMICs): lessons from the Brazilian experiment (2011) Revista Brasileira de Psiquiatria, 33 (1), pp. 2-3; Goldman, H.H., Progress in the elimination of the stigma of mental illness (2010) American Journal of Psychiatry, 167 (11), pp. 1289-1290; Griffiths, K.M., Nakane, Y., Christensen, H., Yoshioka, K., Jorm, A.F., Nakane, H., Stigma in response to mental disorders: a comparison of Australia and Japan (2006) BMC Psychiatry, 23, pp. 6-21; Haraguchi, K., Maeda, M., Mei, Y.X., Uchimura, N., Stigma associated with schizophrenia: cultural comparison of social distance in Japan and China (2009) Psychiatry and Clinical Neuroscience, 63, pp. 153-160; Henderson, C., Thornicroft, G., Stigma and discrimination in mental illness: time to change (2009) The Lancet, 373 (9679), pp. 1928-1930; Hengartner, M.P., Loch, A.A., Lawson, F.L., Guarniero, F.B., Wang, Y.P., Rössler, W., Gattaz, W.F., Public stigmatization of different mental disorders: a comprehensive attitude survey (2012) Epidemiology and Psychiatric Sciences, , http://dx.doi.org/10.1017/S2045796012000376, electronic publication 26 July;; Hinshaw, S.P., Stier, A., Stigma as related to mental disorders (2008) Annual Review on Clinical Psychology, 4, pp. 367-393; Hori, H., Richards, M., Kawamoto, Y., Kunugi, H., Attitudes towards schizophrenia in the general population, psychiatric staff, physicians, and psychiatists: a web-based survey in Japan (2011) Psychiatry Research, 186 (2-3), pp. 183-189; http://www.ibge.gov.br/home/estatistica/populacao/censo2000/tabelabrasil111.shtm, Instituto Brasileiro de Geografia e Estatística, 2000. Censo demográfico 2000-Resultados do Universo; Jorm, A.F., Korten, A.E., Jacomb, P.A., Christensen, H., Henderson, S., Attitudes towards people with a mental disorder: a survey of the Australian public and health professionals (1999) The Australian and New Zealand Journal of Psychiatry, 33, pp. 77-83; Jorm, A.F., Mental health literacy. Public knowledge and beliefs about mental disorders (2000) British Journal of Psychiatry, 177, pp. 396-401; Lauber, C., Anthony, M., Ajdacic-Gross, V., Rössler, W., What about psychiatrists' attitude to mentally ill people? (2004) European Psychiatry, 19, pp. 423-427; Lauber, C., Nordt, C., Braunschweig, C., Rossler, W., Do mental health professionals stigmatize their patients? (2006) Acta Psychiatrica Scandinavica, Supplement 429, pp. 51-59; Lepping, P., Steinert, T., Gebhardt, R.P., Rottgers, H.R., Attitudes of mental health professionals and lay-people towards involuntary admission and treatment in England and Germany-a questionnaire analysis (2004) European Psychiatry, 19, pp. 91-95; Lewis, G., Crof-Jeffreys, C., David, A., Are British psychiatrists racist? (1990) British Journal of Psychiatry, 157 (410-415); Link, B.G., Cullen, F.T., Frank, J., Wozniak, J., The social rejection of former mental patients: understanding why labels matter (1987) American Journal of Sociology, 92, pp. 1461-1500; Link, B.G., Moritznik, J., Cullen, F.T., The effectiveness of stigma coping orientations: can negative consequences of mental illness labelling be avoided? (1991) Journal of Health Social Behavior, 32, pp. 302-320; Link, B.G., Phelan, J.C., Bresnahan, M., Stueve, A., Pescosolido, A., Public conceptions of mental illness: labels, causes, dangerousness, and social distance (1999) American Journal of Public Health, 89 (9), pp. 1328-1333; Link, B.G., Phelan, J.C., Stigma and its public health implications (2006) Lancet, 367, pp. 528-529; Loch, A.A., Hengartner, M.P., Guarniero, F.B., Lawson, F.L., Wang, Y.-P., Gattaz, W.F., Rössler, W., Psychiatrists' stigma towards individuals with schizophrenia (2011) Revista de Psiquiatria Clinica, 38 (5), pp. 173-177; Loch, A.A., Stigma and higher rates of psychiatric re-hospitalization: São Paulo's public mental health system (2012) Revista Brasileira de Psiquiatria, 34 (2), pp. 185-192; Lysaker, P.H., Davis, L.W., Warman, D.M., Strasburger, A., Beattie, N., Stigma, social function and symptoms in schizophrenia and schizoaffective disorder: associations across 6 months (2007) Psychiatry Research, 149 (1-3), pp. 89-95; Major, B., O'Brien, L.T., The social psychology of stigma (2005) Annual Review of Psychology, 56, pp. 393-421; Magliano, L., Fiorillo, A., De Rosa, C., Malangone, C., Maj, M., Beliefs about schizophrenia in Italy: a comparative nationwide survey of the general public, mental health professional and patient's relatives (2004) Canadian Journal of Psychiatry, 49 (5), pp. 322-330; Mehta, N., Kassam, A., Leese, M., Butler, G., Thornicroft, G., Public attitudes towards people with mental illness in England and Scotland, 1994-2003 (2009) British Journal of Psychiatry, 194, pp. 278-284; Paim, J., Travassos, C., Almeida, C., Bahia, L., Macinko, J., The Brazilian health system: history, advances, and challenges (2011) The Lancet, 377 (9779), pp. 1778-1797; Park, S.-H., Ku, J., Kim, J.-J., Jan, H.J., Kim, S.Y., Kim, S.H., Kim, C.-H., Kim, S.I., Increased personal space of patients with schizophrenia in a virtual social environment (2009) Psychiatry Research, 169 (3), pp. 197-202; Rüsch, N., Todd, A.R., Bodenhausen, G.V., Corrigan, P.W., Biogenetic models of psychopathology, implicit guilt, and mental illness stigma (2010) Psychiatry Research, 179 (3), pp. 328-332; Sadigursky, D., Tavares, J.L., Some considerations about the deinstitutionalization process (1998) Revista Latino-Americana de Enfermagem, 6, p. 2; Santos Junior, A., Silva, L.F.A.L., Banzato, C.E.M., Pereira, M.E.C., P02-43A qualitative analysis on what Brazilian psychiatrists expect from current diagnostic classifications (2009) European Psychiatry, 24 (S1), pp. S733; Scherl, D.J., Macht, L.B., Deinstitutionalization in the absence of consensus (1979) Hospital & Community Psychiatry, 30 (9), pp. 599-604; Schulze, B., Angermeyer, M., Subjective experiences of stigma. A focus group study of schizophrenic patients, their relatives and mental health professionals (2003) Social Science & Medicine, 56, pp. 299-312; Schulze, B., Stigma and mental health professionals: a review of the evidence of an intricate relationship (2007) International Review of Psychiatry, 19 (2). , 137-15; Stuart, H., Stigma and the daily news: evaluation of a newspaper intervention (2003) Canadian Journal of Psychiatry, 48, pp. 651-656; Van Os, J., Kapur, S., Schizophrenia (2009) The Lancet, 374 (9690), pp. 635-645; Wang, J.L., Fick, G., Adair, C., Lai, D., Gender specific correlates of stigma toward depression in a Canadian general population sample (2007) Journal of Affective Disorders, 103 (1), pp. 91-97; Wright, E.R., Gronfein, W.P., Owens, T.J., Deinstitutionalization, social rejection, and the self-esteem of former mental patients (2000) Journal of Health and Social Behavior, 41 (1), pp. 68-90","Loch, A.A.; Laboratório de Investigação Médica 27 (LIM-27), 785 - 3o andar, ala norte, sala 1; São Paulo, SP, CEP 054030-000, Brazil; email: alexandre.loch@usp.br",,,,,,,,1651781,,PSRSD,23266022,English,Psychiatry Res.,Article,Final,,Scopus,2-s2.0-84873522152 "Vendsborg P., Bratbo J., Dannevang A., Hagedorn-Møller J., Kistrup K., Lindhardt A., Nordentoft M.",7003955967;55873228700;55874440700;55905986700;6602825213;7004926110;7006191523;,Staff attitudes towards patients with schizophrenia,2013,Danish Medical Journal,60,10,A4710,,,,8,,https://www.scopus.com/inward/record.uri?eid=2-s2.0-84885033729&partnerID=40&md5=f48fd493a121a8ba90bdee7f6dcd01cd,"Danish Mental Health Fund, Copenhagen, Denmark; ONE OF US, Copenhagen, Denmark; Psychiatric Centre, Copenhagen, Denmark; Psychiatric Centre, Frederiksberg, Denmark","Vendsborg, P., Danish Mental Health Fund, Copenhagen, Denmark; Bratbo, J., ONE OF US, Copenhagen, Denmark; Dannevang, A., ONE OF US, Copenhagen, Denmark; Hagedorn-Møller, J., ONE OF US, Copenhagen, Denmark; Kistrup, K., Psychiatric Centre, Frederiksberg, Denmark; Lindhardt, A., Psychiatric Centre, Copenhagen, Denmark; Nordentoft, M., Psychiatric Centre, Copenhagen, Denmark","Introduction: Stigmatizing attitudes have been reported in international studies among staff in psychiatry. The authors wanted to investigate if this was the case in Denmark. Material and methods: A survey of attitudes among staff at two psychiatric units in Copenhagen was performed using the Mental Illness: Clinicians' Attitudes scales. The scales have 16 questions to which another four questions were added by the authors. Results: A total of 548 staff members answered the questions (61 doctors and 487 other professionals). The majority of the respondents believed in the possibility of recovery for patients and only a minority associated a high degree of dangerousness with schizophrenia. The cause of the illness was mainly regarded as being biological, but all agreed to a bio-psycho-social aetiological approach. The majority of the respondents believed that the illness was chronic and agreed on the need for staff to also be aware of patients' somatic illness. The doctors did not question their role as ""real doctors"" or the scientific basis for psychiatry. The majority would not mind working with a colleague with schizophrenia, but about half would hesitate to disclose if they themselves were diagnosed with the illness. Being a women working in community psychiatry with long experience and participation in a recovery educational programme were associated with less stigmatizing attitudes. Conclusion: The survey showed a relatively low level of stigmatizing attitudes. This runs counter to the results from international investigation. This trend could be interpreted both as a result of a shift towards a more recovery-oriented approach to treatment as well as a reflection of political correctness.",,article; attitude to illness; female; health care personnel; health care survey; health personnel attitude; human; male; psychiatry; public health problem; questionnaire; schizophrenia; scoring system; social psychology,,,,,,,,,,,,"Arboleda-Flórez, J., The rights of a powerless legion (2008) Understanding the stigma of mental illness, pp. 1-17+67. , In: Arbolede-Flóres J, Sartorius N, eds, Chichester: Wiley; Thornicroft, G., (2007) Shunned: Discrimination against people with mental illness, , Oxford: Oxford University Press; Thornicroft, G., Rose, D., Kassam, A., Stigma: Ignorance, prejudice or discrimination? (2007) Br J Psychiat, 190, pp. 192-193; Vendsborg, P., Nordentoft, M., Lindhardt, A., Stigmatising of persons with a mental illness (2011) Ugeskr Læger, 173, pp. 1194-1198; Vendsborg, P., Blinkenberg, S., Kistrup, K., (2011) Dømt på forhånd-om stigmatisering af mennesker med psykisk sygdom, , eds, Copenhagen: PsykiatriFondens Forlag; Lauber, C., Anthony, M., Ajdacic-Gross, V., What about psychiatrists' attitude to mentally ill people (2004) Eur Psychiatry, 19, pp. 423-427; Lauber, C., Nordt, C., Braunschweig, C., Do mental health professionals stigmatize their patients? (2006) Acta Psychiatr Scand, 113, pp. 51-59; Lauber, C., Nordt, C., Falcato, L., Factors influencing social distance toward people with mental illness (2004) Commun Ment Health J, 40, pp. 265-274; Rao, H., Mahadevappa, H., Pillay, P., A study of stigmatized attitudes towards people with mental health problems among health professionals (2009) J Psychiatric Ment Health Nursing, 16, pp. 279-284; Ross, C.A., Goldner, E.M., Stigma, negative attitudes and discrimination towards mental illness within the nursing profession: A review of the literature (2009) J Psychiatric Ment Health Nursing, 16, pp. 558-567; Schulze, B., Stigma and mental health professionals (2007) Int Rev Psychiatry, 19, pp. 137-155; Vaughan, G., Hansen, C., Like minds, like mine: A New Zealand project to counter the stigma and discrimination associated with mental illness (2004) Aust Psychiatry, 12, pp. 113-117; Kassam, A., Glozier, N., Leese, M., Development and responsiveness of a scale to measure clinicians' attitudes to people with mental illness (medical student version) (2010) Acta Psychiatr Scand, 122, pp. 153-161; (2010) Stigma og psykiske lidelser-som det opleves og opfattes af mennesker med psykiske lidelser og borgere i Danmark, , Copenhagen: Dansk Sundhedsinstitut DSI og Det Nationale Forskningsinstitut for Velfærd SFI; Crisp, A., Gelder, M.G., Rix, S., Stigmatization of people with mental illness (2000) Br J Psychiat, 177, pp. 4-7; Fazel, S., Gulati, G., Linsell, L., Schizophrenia and violence (2009) PLoS Med, 6 (8), pp. e1000120; Phelan, J.C., Link, B.G., The growing belief that people with mental illnesses are violent: The role of the dangerousness criterion for civil commitment (1998) Soc Psychiatry Psychiatr Epidemiol, 33 (SUPPL. 1), pp. 7-12; Hugo, M., Mental health professionals' attitudes towards people who have experienced a mental health disorder (2001) J Psych Ment health nurs, 8, pp. 419-425; Wahlbeck, K., Westman, J., Nordentoft, M., Outcomes of Nordic mental health systems: Life expectancy of patients with mental disorders (2011) Br J Psychiat, 199, pp. 453-458","Vendsborg, P.; Psykiatrifonden - Innovation, Hejrevej 43, 2400 Copenhagen NV, Denmark; email: pbv@psyknet.dk",,,Danish Medical Association,,,,,22451919,,,24083525,English,Dan. Med. J.,Article,Final,,Scopus,2-s2.0-84885033729 "Bulbulia T., Laher S.",55790993500;19337619000;,Exploring the role of Islam in perceptions of mental illness in a sample of Muslim psychiatrists based in Johannesburg,2013,South African Journal of Psychiatry,19,2,,52,54,,11,10.7196/SAJP.396,https://www.scopus.com/inward/record.uri?eid=2-s2.0-84880076107&doi=10.7196%2fSAJP.396&partnerID=40&md5=3f8163fe52b3d5cec374ef94ea9a594b,"Department of Psychology, University of the Witwatersrand, Johannesburg, South Africa","Bulbulia, T., Department of Psychology, University of the Witwatersrand, Johannesburg, South Africa; Laher, S., Department of Psychology, University of the Witwatersrand, Johannesburg, South Africa","Background. Western definitions of, and approaches to mental illness have been critiqued for their lack of incorporation of cultural and spiritual elements. Objective. To explore perceptions of mental illness, particularly in terms of the role of Islam in the understanding of mental illness among South African Muslim psychiatrists practising in Johannesburg. Methods. Using a qualitative design, semi-structured interviews were conducted with a convenience sample of 7 Muslim psychiatrists in the Johannesburg area. Thematic content analysis was used to analyse the transcribed data. Results. Psychiatrists subscribe to a more biomedical model of illness. The findings of this study also suggest that psychiatrists attempt to remain objective and to refrain from imposing their religious and cultural beliefs on their patients. However, their conceptualisation of mental illness is influenced by their religion and culture. Furthermore, all participating psychiatrists indicated that they always draw on Islamic values when treating their patients. Issues of cultural competence were also highlighted. Psychiatrists indicated that they were open to collaboration with traditional healers and psychologists but that this was quite challenging. Conclusion. The necessity for formal bodies to develop routes for collaboration between healthcare professionals and traditional healers was brought to the fore. So, too, was the need to incorporate indigenous theory and knowledge into mainstream definitions and approaches to mental illness.",,article; attitude to health; clinical practice; cultural competence; cultural factor; ethnicity; health belief; herbal medicine; human; mental disease; moslem; perception; psychiatrist; religion; residency education; semi structured interview; traditional healer,,,,,,,,,,,,"(2004) Diagnostic and Statistical Manual of Mental Disorders, , American Psychiatric Association, 4th ed. Washington, DC: American Psychiatric Association; (2011) The International Classification of Diseaseas (ICD-10) Classification of Mental and Behavioural Disorders, , http://www.who.int/classifications/icd/en/GRNBOOK.pdf, World Health Organization, (accessed 15 October); Ally, Y., Laher, S., South African Muslim faith healers perceptions of mental illness: Understanding, aetiology and treatment (2008) J Relig Health, 47 (1), pp. 45-46. , http://dx.doi.org/10.1007/s10943-007-9133-2; Wan Hazmy, C.H., Zainur, R.Z., Hussaini, R., (2003) Islamic Medicine & Code of Medical Ethics, , Malaysia: Islamic Medical Association of Malaysia N. Sembilan; Okasha, A., Egyptian contributions to the concept of mental health (2001) East Mediterr Health J, 7 (3), pp. 377-380; Al-Issa, I., (2000) Mental Illness in the Islamic World, , Conneticut: International Universities Press; Laher, S., Khan, S., Exploring the influence of Islam on the perceptions of mental illness of volunteers in a Johannesburg community-based organisation (2011) Psychology Developing Societies, 23 (1), pp. 63-84. , http://dx.doi.org/10.1177/097133361002300103; Asefzadeh, S., Sameefar, F., Traditional healers in the Qazvin region of the Islamic Republic of Iran: A qualitative study (2001) East Mediterr Health J, 7 (3), pp. 544-550; Haarmans, M., (2004) A Review of Clinical Cultural Competence: Definitions, Key Components, Standards and Selected Trainings, , Toronto: Centre for Addiction and Mental Health; Wohl, J., Integration of cultural awareness into psychotherapy (1989) Am J Psychother, 43 (3), pp. 343-355; Padayachee, P., Laher, S., South African Hindu psychologists' perceptions of mental illness (2012) J Relig Health, , http://dx.doi.org/10.1007/s10943-012-9646-1, (in press); Braun, V., Clarke, V., Using thematic analysis in psychology (2006) Qual Res Psychol, 3 (2), pp. 77-101. , http://dx.doi.org/10.1191/1478088706qp063oa; Koenig, H.G., Larson, D.B., Religion and mental health: Evidence for an association (2001) Int Rev Psychiatr, 13 (2), pp. 67-78. , http://dx.doi.org/10.1080/09540260124661; Hall, R.E., Livingston, J.N., Mental health practice with Arab families: The implications of spirituality vis-a-vis Islam (2006) Am J Fam Ther, 34 (2), pp. 39-150. , http://dx.doi.org/10.1080/01926180500357883; Dell, M.D., Ethnic, cultural, and religious issues (2010) Dulcan's Textbook of Child and Adolescent Psychiatry, , In: Dulcan MK, ed, Arlington, USA: American Psychiatric Publishing; Haque, A., Psychology from Islamic perspectives: Contributions of early Muslim scholars and challenges to contemporary Muslim psychologists (2004) J Relig Health, 43 (4), pp. 357-377; McLeod, J., (2009) An Introduction to Counselling, , New York: Open University Press","Laher, S.; Department of Psychology, , Johannesburg, South Africa; email: sumaya.laher@wits.ac.za",,,AOSIS (pty) Ltd,,,,,16089685,,SSAJH,,English,S. Afr. J. Psychiatry,Article,Final,"All Open Access, Gold",Scopus,2-s2.0-84880076107 "Jones W.R., Saeidi S., Morgan J.F.",36523140500;54893997900;7404508926;,Knowledge and attitudes of psychiatrists towards eating disorders,2013,European Eating Disorders Review,21,1,,84,88,,37,10.1002/erv.2155,https://www.scopus.com/inward/record.uri?eid=2-s2.0-84870917235&doi=10.1002%2ferv.2155&partnerID=40&md5=ea8174ed44ac4f6a6ec7a698bf02f257,"Yorkshire Centre for Eating Disorders, Leeds Partnerships NHS Foundation Trust, Leeds, United Kingdom; Craven Centre, Bradford District Care Trust, Skipton, United Kingdom; Division of Mental Health, St. George's University London, London, United Kingdom","Jones, W.R., Yorkshire Centre for Eating Disorders, Leeds Partnerships NHS Foundation Trust, Leeds, United Kingdom, Craven Centre, Bradford District Care Trust, Skipton, United Kingdom; Saeidi, S., Yorkshire Centre for Eating Disorders, Leeds Partnerships NHS Foundation Trust, Leeds, United Kingdom; Morgan, J.F., Yorkshire Centre for Eating Disorders, Leeds Partnerships NHS Foundation Trust, Leeds, United Kingdom, Division of Mental Health, St. George's University London, London, United Kingdom","Objective This study examined the eating disorder mental health literacy of psychiatrists. Method A sample of psychiatrists completed a questionnaire measuring knowledge of and attitudes towards eating disorders. Knowledge questions were based on the academic literature, standard diagnostic criteria and national guidelines on the management of eating disorders. Attitude items covered beliefs about the aetiology and treatment of eating disorders, confidence levels in diagnosis and management and the use of compulsory measures in anorexia nervosa. Results Psychiatrists' knowledge of eating disorders was variable with specific gaps in both diagnosis and management. Psychiatrists felt more confident in diagnosing eating disorders than managing these conditions. Attitudes towards eating disorders were less stigmatizing than those seen in other health professionals. Discussion There is a clear need for greater education of psychiatrists regarding the diagnosis and management of eating disorders. Implementing training programmes and making information readily available could contribute to addressing these issues. © 2012 John Wiley & Sons, Ltd and Eating Disorders Association.",anorexia nervosa; bulimia nervosa; mental health literacy; psychiatrists,article; attitude; cognitive therapy; eating disorder; female; health practitioner; human; knowledge; male; medical education; mental health service; practice guideline; psychiatrist; psychodynamics; Anorexia Nervosa; Attitude of Health Personnel; Bulimia Nervosa; Clinical Competence; Eating Disorders; Female; Humans; Male; Psychiatry,,,,,,,,,,,,"Album, D., Westin, S., Do diseases have a prestige hierarchy? A survey among physicians and medical students (2008) Social Science & Medicine, 66, pp. 182-188; (2000) Diagnostic and Statistical Manual of Mental Disorders-text Revision (DSM-IV-TR), , American Psychiatric Association. (4th edn) Washington, DC: American Psychiatric Association; Bass, C., Peveler, R., House, A., Somatoform disorders: Severe psychiatric illnesses neglected by psychiatrists (2001) The British Journal of Psychiatry, 179, pp. 11-14; Burge, P., Ouellette-Kuntz, H., McCreary, B., Bradley, E., Leichner, P., Senior residents in psychiatry: Views on training in developmental disabilities (2002) Canadian Journal of Psychiatry, 47, pp. 568-571; Cook, C., Heath, F., Thompson, R.L., A meta-analysis of response rates in web- or internet-based surveys (2000) Educational and Psychological Measurement, 60, pp. 821-826; Crisp, A.H., Gelder, M.G., Rix, S., Meltzer, H.I., Rowlands, O.J., Stigmatisation of people with mental illnesses (2000) The British Journal of Psychiatry, 177, pp. 4-7; Currin, L., Waller, G., Schmidt, U., Primary care physicians' knowledge of and attitudes toward the eating disorders: Do they affect clinical actions? (2009) International Journal of Eating Disorders, 42, pp. 453-458; De La Rie, S., Noordenbos, G., Donker, M., Van Furth, E., Evaluating the treatment of eating disorders from the patient's perspective (2006) International Journal of Eating Disorders, 39, pp. 667-676; Escobar-Koch, T., Banker, J.D., Crow, S., Cullis, J., Ringwood, S., Smith, G., Service users' views of eating disorder services: An international comparison (2010) International Journal of Eating Disorders, 43, pp. 549-559; Ferguson, C., Crossan, P., Kaye, W., La Via, M., Are serotonin selective reuptake inhibitors effective in underweight anorexia nervosa? (1999) International Journal of Eating Disorders, 25, pp. 11-17; Fleming, J., Szmukler, G.I., Attitudes of medical professionals towards patients with eating disorders (1992) The Australian and New Zealand Journal of Psychiatry, 26, pp. 436-443; Hay, P.J., De Angelis, C., Millar, H., Mond, J.M., Bulimia nervosa mental health literacy of general practitioners (2005) Primary Care and Community Psychiatry, 10, pp. 103-108; Hebebrand, J., Casper, R., Treasure, J., Schweiger, U., The need to revise the diagnostic criteria for anorexia nervosa (2004) Journal of Neural Transmission, 111, pp. 827-840; Jones, W.R., Schelhase, M., Morgan, J.F., Eating disorders: Clinical features and the role of the general psychiatrist (2012) Advances in Psychiatric Treatment, 18, pp. 0-0; Jorm, A.F., Mental health literacy. Public knowledge and beliefs about mental disorders (2000) The British Journal of Psychiatry, 177, pp. 396-401; Jorm, A.F., Kortean, A.E., Jacomb, P.A., Christensen, H., Rodgers, B., Pollitt, P., 'Mental health literacy': A survey of the public's ability to recognise mental disorders and their beliefs about the effectiveness of treatment (1997) Medical Journal of Australia, 166, pp. 182-186; Jurgens, J.D., Survey of Scottish psychiatrists' views on neuropsychology training (2009) The Psychiatrist, 33, pp. 454-457; Martinez, C., Rietbrock, S., Wise, L., Ashby, D., Chick, J., Moseley, J., Antidepressant treatment and the risk of fatal and non-fatal self harm in first episode depression: Nested case-control study (2005) British Medical Journal, 330, pp. 389-395; McCrindle, D., Wildgoose, J., Tillett, R., Survey of psychotherapy training for psychiatric trainees in South-West England (2001) Psychiatric Bulletin, 25, pp. 140-143; McGorry, P., Early intervention in psychotic disorders: Beyond debate to solving problems (2005) The British Journal of Psychiatry, 187, pp. s108-s110; Morgan, J.F., Eating disorders and gynecology: Knowledge and attitudes among clinicians (1999) Acta Obstetrica et Gynecologica Scandinavica, 78, pp. 233-239; (2004) Eating Disorders: Core Interventions in the Treatment and Management of Anorexia Nervosa, Bulimia Nervosa and Related Eating Disorders, , National Institute for Health and Clinical Excellence. Leicester: British Psychological Society; Newton, T., Robinson, P., Hartley, P., Treatment for eating disorders in the United Kingdom. Part II. Experiences of treatment: A survey of members of the Eating Disorders Association (1993) Eating Disorders Review, 1, pp. 10-21; Nicholls, D., Arcelus, J., Making eating disorders classification work in ICD 11 (2010) European Eating Disorders Review, 18, pp. 247-250; O'Gara, C., Keaney, F., Best, D., Harris, J., Boys, A., Leonard, F., Substance misuse training among medical students, nursing students and NHS professionals in a south London teaching hospital (2005) Drugs: Education, Prevention & Policy, 12, pp. 327-336; Reed, E., Vance, A., Luk, E., Nunn, K., Single and combined psychotropic medication use in a child and adolescent mental health service (2004) The Australian and New Zealand Journal of Psychiatry, 38, pp. 204-211; Reiss, D., Famoroti, O.J., Experience of prison psychiatry: A gap in psychiatrists' basic professional training (2004) Psychiatric Bulletin, 28, pp. 21-22; Rosenvinge, J.H., Klusmeier, A.K., Treatment for eating disorders from a patient satisfaction perspective: A Norwegian replication of a British study (2000) European Eating Disorders Review, 8, pp. 293-300; Rosenvinge, J.H., Skãrderud, F., Thune-Larsen, K., Can educational programmes raise clinical competence in treating eating disorders? Results from a Norwegian trial (2003) European Eating Disorders Review, 11, pp. 329-343; (1992) Report to the College Section of General Psychiatry by the Eating Disorders Working Group, , Royal College of Psychiatrists. London: Royal College of Psychiatrists; (2000) Eating Disorders in the UK: Policies for Service Development and Training, , Royal College of Psychiatrists. Council Report CR87. London: Royal College of Psychiatrists; (2010) MARSIPAN: Management of Really Sick Patients with Anorexia Nervosa, , Royal College of Psychiatrists. Council Report CR162. London: Royal College of Psychiatrists; Södersten, P., Bergh, C., Antidepressants' use in anorexic girls (2004) Science, 305, p. 1401; Stewart, M.-C., Keel, P.K., Schiavo, R.S., Stigmatization of anorexia nervosa (2006) International Journal of Eating Disorders, 39, pp. 320-325; http://www.surveymonkey.com, SurveyMonkey (n.d.). Retrieved July 14, 2011; Tan, J.O.A., Doll, H., Fitzpatrick, R., Stewart, A., Hope, T., Psychiatrists' attitudes towards autonomy, best interests and compulsory treatment in anorexia nervosa: A questionnaire survey (2008) Child and Adolescent Psychiatry and Mental Health, 2, p. 40; Treasure, J., Russell, G., The case for early intervention in anorexia nervosa: Theoretical exploration of maintaining factors (2011) The British Journal of Psychiatry, 199, pp. 5-7; Williams, M., Leichner, P., More training needed in eating disorders: A time cohort comparison study of Canadian psychiatry residents (2006) Eating Disorders, 14, pp. 323-334; Wright, A., Harris, M.G., Wiggers, J.H., Jorm, A.F., Cotton, S.M., Harrigan, S., Recognition of depression and psychosis by young Australians and their beliefs about treatment (2005) Medical Journal of Australia, 183, pp. 18-23","Jones, W.R.; ST5 in Psychiatry, York Road, Leeds LS14 6WB, United Kingdom; email: wrjones@doctors.org.uk",,,,,,,,10724133,,EEDRE,23350077,English,Eur. Eating Disord. Rev.,Article,Final,,Scopus,2-s2.0-84870917235 "Artzi-Medvedik R., Chertok I.R.A., Romem Y.",54400019600;7003314323;6701741792;,Nurses' attitudes towards breastfeeding among women with schizophrenia in southern Israel,2012,Journal of Psychiatric and Mental Health Nursing,19,8,,702,708,,1,10.1111/j.1365-2850.2011.01846.x,https://www.scopus.com/inward/record.uri?eid=2-s2.0-84865603951&doi=10.1111%2fj.1365-2850.2011.01846.x&partnerID=40&md5=e19d81fb63560be6dd6ace1b465d819b,"Nursing Department, Faculty of Health Sciences, Ben-Gurion University of the Negev (BGU), Beersheva, Israel; Department of Health Promotion, School of Nursing, West Virginia University, Morgantown, WV, United States; Faculty of Health Sciences, Ben-Gurion University of the Negev (BGU), Beersheva, Israel","Artzi-Medvedik, R., Nursing Department, Faculty of Health Sciences, Ben-Gurion University of the Negev (BGU), Beersheva, Israel; Chertok, I.R.A., Department of Health Promotion, School of Nursing, West Virginia University, Morgantown, WV, United States; Romem, Y., Faculty of Health Sciences, Ben-Gurion University of the Negev (BGU), Beersheva, Israel","Breastfeeding is the best source of nutrition for infants. Approximately half of women with schizophrenia become mothers, yet the issue of breastfeeding is often overlooked by the health professional community. The aim of this study was to survey attitudes among registered nurses regarding breastfeeding by schizophrenic women. Cross-sectional descriptive design was used involving a sample of nurses (40 midwives, 37 psychiatric and 33 postpartum) in two medical centres in southern Israel. The validated semistructured questionnaire included sociodemographic and professional questions, personal and professional breastfeeding experience, attitudes and knowledge concerning schizophrenia and attitudes towards breastfeeding by schizophrenic women. The study results indicate that 70% of the respondents held positive attitudes towards breastfeeding in women with schizophrenia, although no significant differences were found between the different types of nurses. Multivariate analysis reveals that academic education was the only variable associated with positive attitudes, while negative feelings towards women with schizophrenia, and extensive knowledge regarding schizophrenia were negatively associated. This study can serve as a foundation for future research to further examine nurses' role in providing postpartum education and care for women with schizophrenia. © 2011 Blackwell Publishing.",Breastfeeding; Nurses' attitudes; Schizophrenia,"adult; article; attitude to health; breast feeding; female; health personnel attitude; human; Israel; methodology; nurse attitude; nurse patient relationship; psychiatric nursing; psychological aspect; questionnaire; schizophrenia; socioeconomics; Adult; Attitude of Health Personnel; Breast Feeding; Female; Health Knowledge, Attitudes, Practice; Humans; Israel; Nurse's Role; Nurse-Patient Relations; Psychiatric Nursing; Questionnaires; Schizophrenia; Socioeconomic Factors",,,,,,,,,,,,"Ajzen, I., Nature and operation of attitudes (2001) Annual Reviews in Psychology, 52, pp. 27-58; Breastfeeding and the use of human milk (2005) Pediatrics, 115, pp. 496-506. , American Academy of Pediatrics () ; Use of psychiatric medications during pregnancy and lactation. ACOG Practice Bulletin. Clinical Management Guidelines for Obstetrician-Gynecologists (2008) Obstetrics and Gynecology, 111, pp. 1001-1020. , American College of Obstetricians and Gynecologists (ACOG) () ; Amore, M., Balista, C., Di Fazio, C., Obstetric complication and breast feeding in schizophrenia (2002) Journal of Nervous and Mental Disease, 190, pp. 705-707; Amore, M., Balista, C., McCreadi, R.G., Can breastfeeding protect against schizophrenia? (2003) Biology of the Neonate, 83, pp. 97-101; Aydin, N., Yigit, A., Inandi, T., Attitudes of hospital staff toward mentally ill patients in a teaching hospital, Turkey (2003) International Journal of Social Psychiatry, 49, pp. 17-26; Buist, A.E., Dennerstein, L., Burrows, G.D., Review of a mother-baby unit in a psychiatric hospital (1990) Australian and New Zealand Journal of Psychiatry, 30, pp. 709-714; (2006), http://www.cbs.gov.il, Central Bureau of Statistics () Demographic profile of the population in Israel [Hebrew]. Available at: (accessed 31 May 2008); Corrigan, P.W., Rowan, D., Green, A., Challenging two mental illness stigmas: personal responsibility and dangerousness (2002) Schizophrenia Bulletin, 29, pp. 293-310; Corrigan, P.W., Markowitz, F.E., Watson, A., An attribution model of public discrimination towards persons with mental illness (2003) Journal of Health and Social Behavior, 44, pp. 162-179; Craig, M., Abel, K., Prescribing for psychiatric disorders in pregnancy and lactation (2001) Best Practice and Research Clinical Obstetrics and Gynecology, 15, pp. 1013-1030; Daniels, M.C., Adair, L.S., Breastfeeding influences cognitive development in Filipino children (2005) Journal of Nutrition, 135, pp. 2589-2595; Fortinguerra, F., Clavenna, A., Bonati, M., Psychotropic drug use during breastfeeding: a review of the evidence (2009) Pediatrics, 124, pp. e547-e556; Freed, G.L., Clark, S.J., Cefalo, R.C., Breast-feeding education of obstetrics-gynecology residents and practitioners (1995) American Journal of Obstetrics and Gynecology, 173, pp. 1607-1613; Gardiner, S.J., Kristensen, J.H., Begg, E.J., Transfer of Olanzapine into breast milk, calculation of infant drug dose, and effect on breast-fed infants (2003) American Journal of Psychiatry, 160, pp. 1428-1431; Gentile, S., Clinical utilization of atypical antipsychotics in pregnancy and lactation (2004) Annals of Pharmacotherapy, 38, pp. 1265-1271; Hale, T.W., (2008) Medications & Mother's Milk, , 13th edn. Hale Publishing, Amarillo, TX; Hearle, J., McGrath, J., Motherhood and schizophrenia (2000) Women and Schizophrenia, pp. 79-94. , (eds Castle, D., McGrath, J. & Kulkarni, J.) University Press, Cambridge; Jain, A.E., Lacy, T., Psychotropic drugs in pregnancy and lactation (2005) Journal of Psychiatric Practice, 11, pp. 177-191; Khedr, E.M.H., Farghaly, W.M.A., El-Din Amry, S., Neural maturation of breastfed and formula-fed infants (2004) Acta Pediatrica, 93, pp. 734-738; Klaus, M., Mother and infant: early emotional ties (1998) Pediatrics, 102, pp. 1244-1246; Kramer, M., Aboud, F., Mironova, E., Breastfeeding and child cognitive development. New evidence from a large randomized trial (2008) Archives of General Psychiatry, 65, pp. 578-584; Kumar, R., Marks, M., Platz, C., Clinical survey of a psychiatric mother and baby unit: characteristics of 100 consecutive admissions (1995) Journal of Affective Disorders, 33, pp. 11-22; Maizel, S., Kandel-Katzenelson, S., Fainstein, V., The Jerusalem psychiatric mother-baby unit (2005) Archives of Women's Mental Health, 8, pp. 200-202; Malone, K., Papagni, K., Ramini, S., Antidepressants, antipsychotics, benzodiazepines and the breastfeeding dyad (2004) Perspectives in Psychiatric Care, 40, pp. 73-75; McCreadie, R.G., The Nithsdale Schizophrenia Survey 16. Breast-feeding and schizophrenia: preliminary results and hypotheses (1997) British Journal of Psychiatry, 170, pp. 334-337; Michaelsen, K.F., Lauritzen, L., Mortensen, E.L., Effects of breastfeeding on cognitive function (2009) Advances in Experimental Medicine and Biology, 639, pp. 199-215; Romem, P., Anson, O., Mymon, Y., Reshaping students' attitudes towards individuals with mental illness through a clinical nursing clerkship (2008) Journal of Nursing Education, 47, pp. 396-402; Sadock, B.J., Sadock, V.A., Schizophrenia (2007) Kaplan & Sadock's Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry, pp. 467-497. , 10th edn (eds Sadock, B.J. & Sadock, V.A.) Lippincott, Williams, amp; Wilkins, Philadelphia, PA; Sasaki, T., Okazaki, Y., Akaho, R., Type of feeding during pregnancy and later development of schizophrenia (2000) Schizophrenia Research, 42, pp. 79-82; Schaefer, C., Psychotropic drugs (2007) Drugs during Pregnancy and Lactation. Treatment Options and Risk Assessment, pp. 720-726. , 2nd edn (eds Shaefer, C., Petters, P. & Miller, R.K.) Academic Press, Elsevier BV, Oxford; Sorensen, H.J., Mortensen, E.L., Reinich, J.M., Breastfeeding and risk of schizophrenia in the Copenhagen Perinatal Cohort (2005) Acta Psychiatrica Scandinavica, 112, pp. 26-29; Usher, K., Foster, K., The use of psychotropic medications with breastfeeding women: applying the available evidence (2006) Contemporary Nurse, 21, pp. 94-102","Artzi-Medvedik, R.; Nursing Department, P.O. Box 653, Beersheva 84105, Israel; email: artzir@bgu.ac.il",,,,,,,,13510126,,JPMNE,22106954,English,J. Psychiatr. Ment. Health. Nurs.,Article,Final,,Scopus,2-s2.0-84865603951 "James B.O., Omoaregba J.O., Okogbenin E.O.",34879849500;34880547900;55331553900;,Stigmatising attitudes towards persons with mental illness: A survey of medical students and interns from Southern Nigeria,2012,Mental Illness,4,1,,32,34,,21,10.4081/mi.2012.e8,https://www.scopus.com/inward/record.uri?eid=2-s2.0-84864828818&doi=10.4081%2fmi.2012.e8&partnerID=40&md5=3b20f73b06091036b6cb10e881700480,"Department of Clinical Services, Federal Psychiatric Hospital, Benin City, Nigeria; Department of Psychiatry, Faculty of Clinical Sciences, Ambrose Alli University, Ekpoma, Nigeria","James, B.O., Department of Clinical Services, Federal Psychiatric Hospital, Benin City, Nigeria; Omoaregba, J.O., Department of Clinical Services, Federal Psychiatric Hospital, Benin City, Nigeria; Okogbenin, E.O., Department of Psychiatry, Faculty of Clinical Sciences, Ambrose Alli University, Ekpoma, Nigeria","Stigmatising attitudes towards persons with mental illness are commonly reported among health professionals. Familiarity with mental illness has been reported to improve these attitudes. Very few studies have compared future medical doctors' attitudes toward types of mental illness, substance use disorders and physical illness. A cross-sectional survey of 5th and 6th year medical students as well as recently graduated medical doctors was conducted in April 2011. The 12-item level of contact report and the Attitude towards Mental Illness Questionnaire were administered. Partici -pants endorsed stigmatising attitudes towards mental illness; with attitudes more adverse for schizophrenia compared to depression. Stigmatising attitudes were similarly endorsed for substance use disorders. Paradoxically, attitudes towards HIV/AIDS were positive and similar to diabetes mellitus. Increasing familiarity with mental illness was weakly associated with better attitudes towards depression and schizophrenia. Stigmatising attitudes towards depression and schizophrenia are common among future doctors. Efforts to combat stigma are urgently needed and should be promoted among medical students and recent medical graduates. © B.O. James et al.",Doctors; Medical students; Mental illness; Stigma,acquired immune deficiency syndrome; adult; article; cross-sectional study; depression; diabetes mellitus; female; human; Human immunodeficiency virus infection; male; medical student; mental disease; Nigeria; questionnaire; resident; schizophrenia; stigma; student attitude,,,,,,,,,,,,"Conner, K.O., Copeland, V.C., Grote, N.K., Mental health treatment seeking among older adults with depression: the impact of stigma and race (2010) Am J Geriatr Psychiatry, 18, pp. 531-543; Sartorius, N., Gaebel, W., Cleveland, H.R., WPA guidance on how to combat stigmatization of psychiatry and psychiatrists (2010) World Psychiatry, 9, pp. 131-144; Aghukwa, N.C., Health professionals' familiarity and attributions to mental illness (2009) Mental Illness, 2, pp. e1; Aghukwa, N.C., Attitude of health workers to the care of psychiatric patients (2009) Annals Gen Psychiatr, 8, p. 19; Adewuya, A.O., Oguntade, A.A., Doctors' attitude toward people with mental illness in Western Nigeria (2007) Soc Psychiatry Psychiatr Epidemiol, 42, pp. 931-936; Foster, K., Usher, K., Baker, J.A., Mental health workers' attitudes toward mental illness in Fiji (2009) Austr J Adv Nurs, 25, pp. 72-79; Totic, S., Stojiljkovic, D., Pavlovic, Z., Stigmatization of psychiatric label by medical and non-medical students (2011) Int J Soc Psychiatr, , Jun 30. [Epub ahead of print]; Sartorius, N., Lessons from a 10-year global programme against stigma and discrimination because of an illness (2006) Psychol Health Med, 11, pp. 383-388; Naeem, F., Ayub, M., Javed, Z., Stigma and psychiatric illness. a survey of attitude of medical students and doctors in Lahore (2006) Pakistan. J Ayub Med Coll Abbottabad, 18, pp. 46-49; Arvaniti, A., Samakouri, M., Kalamara, E., Health service staff's attitudes towards patients with mental illness (2009) Soc Psychiatry Psychiatr Epidemiol, 44, pp. 658-665; Holmes, E.P., Corrigan, P.W., Williams, P., (1999) Changing attitudes about schizophrenia. Schizophr Bull, 25, pp. 447-456; Luty, J., Fekadu, D., Umoh, O., Gallagher, J., Validation of a short instrument to measure stigmatised attitudes towards mental illness (2006) Psychiatric Bull, 30, pp. 257-260; Neauport, A., Rodgers, R.F., Simon, N.M., Effects of a psychiatric label on medical residents'attitudes (2011) Int J Soc Psychiatr, , Jun [Epub ahead of print]; Luty, J., Rao, H., Arokiadass, S.M.R., The repentant sinner: methods to reduce stigmatised attitudes towards mental illness (2008) Psychiatr Bull, 32, pp. 327-332; Luty, J., Okon, U., Sessay, M., Sarkhel, A., Effectiveness of changing minds campaign factsheets in reducing stigmatised attitudes towards mental illness (2007) Psychiatr Bull, 31, pp. 377-381; Yamauchi, T., Semba, T., Sudo, A., Effects of psychiatric training on nursing students' attitudes towards people with mental illness in Japan (2011) Int J Soc Psychiatr, 57, pp. 574-579; Oshodi, O.J., Ikeji, O.C., Olotu, S.O., A retrospective study of cannabis use-associated psychopathology in a southern nigeria treatment facility (2009) Afr J Drug Alco Stud, 8, pp. 45-52; Angermeyer, M.C., Dietrich, S., Public beliefs about and attitudes towards people with mental illness: a review of population studies (2006) Acta Psychiatr Scand, 113, pp. 163-179; Varughese, S.J., Luty, J., Stigmatised attitudes towards intellectual; disability: a randomised crossover trial (2010) Psychiatrist, 34, p. 22; Economou, M., Peppou, L.E., Louki E (2012) Stefanis CN. Medical students' beliefs and attitudes towards schizophrenia before and after undergraduate psychiatric training in Greece. Psychiatr Clin Neurosc, 66, pp. 17-25; Mino, Y., Yasuda, N., Kanazawa, S., Inoue, S., Effects of medical education on attitudes towards mental illness among medical students: a five year follow-up study (2000) Acta Med Okayama, 54, pp. 127-132; Corrigan, P.W., Green, A., Lundin, R., Familiarity with and social distance from people who have serious mental illness (2001) Psychiatr Serv, 52, pp. 953-958","James, B.O.; Department of Clinical Services, P.M.B 1108, Benin City, Edo State, Nigeria; email: bawojames@yahoo.com",,,,,,,,20367457,,,,English,Ment. Illn.,Article,Final,"All Open Access, Gold, Green",Scopus,2-s2.0-84864828818 "Blundell J., Wittkowski A., Wieck A., Hare D.J.",55203502300;6506576673;7007079913;7102709078;,Using the Repertory Grid Technique to Examine Nursing Staff's Construal of Mothers with Mental Health Problems,2012,Clinical Psychology and Psychotherapy,19,3,,260,269,,11,10.1002/cpp.747,https://www.scopus.com/inward/record.uri?eid=2-s2.0-84860434140&doi=10.1002%2fcpp.747&partnerID=40&md5=a0bd55fe8a53807b91ad577fe21d2a4f,"Royal Manchester Children's Hospital, Central Manchester and Manchester Children's NHS Trust, Manchester, United Kingdom; Division of Clinical Psychology, School of Psychological Sciences, University of Manchester, Manchester, United Kingdom; Department of Psychiatry, Manchester Mental Health and Social Care Trust, Manchester, United Kingdom","Blundell, J., Royal Manchester Children's Hospital, Central Manchester and Manchester Children's NHS Trust, Manchester, United Kingdom; Wittkowski, A., Division of Clinical Psychology, School of Psychological Sciences, University of Manchester, Manchester, United Kingdom; Wieck, A., Department of Psychiatry, Manchester Mental Health and Social Care Trust, Manchester, United Kingdom; Hare, D.J., Division of Clinical Psychology, School of Psychological Sciences, University of Manchester, Manchester, United Kingdom","Background: This study explored the attitudes of psychiatric nursing staff towards mothers with mental health difficulties. Working with mothers experiencing mental health problems can evoke negative reactions in staff that activate value-laden beliefs regarding the capacity of these women to care for their infants, which could diminish the provision of optimal care and treatment for patients. Method: Ten psychiatric nursing staff working in a specialist mother and baby unit in the North of England were interviewed about their views of various types of client by using the repertory grid technique. Findings: A total of 86 constructs that clustered under 21 headings were elicited. All staff made critical judgements about some clients. Staff often described the context in which these perceptions were reached such as the behaviour of clients and the quality of the nurse-client relationship. Conclusions: Clients with a personality disorder and those who were thought to be 'bad' mothers were construed as being furthest from the self and more negatively than clients with depression or psychosis. Further training is indicated for staff working with mothers displaying challenging interactional styles; however, training packages must consider the individuality of perception and experience present within staff groups. © 2011 John Wiley & Sons, Ltd.",Mental health; Mother and baby unit; Mothers; Repertory grid; Staff attitudes,adult; article; decision making; female; health personnel attitude; human; mental disease; middle aged; mother; nurse patient relationship; nursing staff; psychiatric nursing; psychological aspect; questionnaire; United Kingdom; Adult; Attitude of Health Personnel; England; Female; Humans; Judgment; Mental Disorders; Middle Aged; Mothers; Nurse-Patient Relations; Nursing Staff; Psychiatric Nursing; Questionnaires,,,,,,,,,,,,"Apfel, R., Handel, M., (1993) Madness and loss of motherhood: Sexuality, reproduction and long-term mental illness, , Washington, DC: American Psychiatric Press, Inc; Björklund, L., The repertory grid technique: Making tacit knowledge explicit (2008) Researching technology education: Methods and techniques, , H. Middleton (Ed.), Rotterdam: Sense Publishers; Bowers, L., Carr-Walker, P., Allan, T., Callaghan, P., Nijman, H., Paton, J., Attitudes to personality disorder in prison officers working in a dangerous and severe personal disorder unit (2006) International Journal of Law and Psychiatry, 29, pp. 33-342; Caputi, P., Reddy, P., A comparison of triadic and dyadic methods of personal construct elicitation (1999) Journal of Constructivist Perspective, 12, pp. 253-264; Deans, C., Meocevic, E., Attitudes of registered psychiatric nurses towards patients diagnosed with borderline personality disorder (2006) Contemporary Nursing, 21 (1), pp. 43-49; (2004) The ten essential shared capabilities: A framework for the whole mental health workforce, , DoH. London: Department of Health Publication; Eastwood, J., Spielvogel, A., Wile, J., Counter transference risks when women treat women (1990) Clinical Social Work Journal, 18 (3), pp. 273-280; Fagan, L., Carson, J., Leary, J., De Villiers, N., Bartlett, H., O'Malley, P., West, M., Brown, D., Stress, coping and burnout in mental health nurses: Findings from three research studies (1996) International Journal of Psychiatry, 42, pp. 102-111; Fransella, F., Bell, R., Bannister, D., (2004) A manual for repertory grid technique, , Chichester: Wiley; Gaines, B., Shaw, M., (2005) Rep Grid IV: Research version 1.12, , University of Calgary, Canada: Centre for Person-Computer Studies; Jankowicz, D., (2004) The easy guide to repertory grids, , Chichester: Wiley; Kelly, G.A., (1955) The psychology of personal constructs, , New York: Norton; Leach, C., Freshwater, A., Aldridge, J., Sunderland, J., Analysis of repertory grids in clinical practice (2001) The British Journal of Clinical Psychology, 40, pp. 225-248; Lewis, G., Appleby, L., Personality disorder: The patients psychiatrists dislike (1988) The British Journal of Psychiatry, 153, pp. 44-49; McConachie, S., Whitford, H., Mental health attitudes towards severe perinatal mental illness (2009) Journal of Advanced Nursing, 65 (4), pp. 867-876; (2003) Mental Health (Care and Treatment) Act, , Mental Health Division. Edinburgh: Mental Health Division; (2007) Antenatal and postnatal mental health: Clinical management and service guidance, , NICE. London: National Institute of Clinical Excellence; Ogden, T.H., The dialectically constituted/decentred subject of psychoanalysis II. The contributions of Klein and Winnicott (1992) International Journal of Health Care, 73, pp. 613-626; Oluwatayo, O., Friedman, T., A survey of specialist perinatal mental health services in England (2005) Psychiatric Bulletin, 29, pp. 177-179; Pollock, L., An introduction to the use of repertory grid technique as a research method and clinical tool for psychiatric nurses (1986) Journal of Advanced Nursing, 11, pp. 439-445; Ralley, C., Allott, R., Hare, D.J., Wittkowski, A., The use of the repertory grid technique to examine staff beliefs about clients with dual diagnosis (2009) Clinical Psychology and Psychotherapy, 16, pp. 148-158; Read, J., Harre, N., The role of biological and genetic causal beliefs in the stigmatisation of mental health patients (2001) Journal of Mental Health, 10, pp. 223-235; Read, J., Law, A., The relationship of causal beliefs and contact with users of mental health services to attitudes in the mentally ill (1999) The International Journal of Social Psychiatry, 45, pp. 216-229; Sarbin, T.R., Mancuso, J.E., (1980) Schizophrenia: Medical diagnosis or moral verdict?, , New York: Pegamon; Shaw, M.L.G., (1980) On becoming a personal scientist: Interactive computer elicitation of personal models of the world, , London: Academic Press; Smith, M.E., Hart, G., Nurses' responses to patient anger: From disconnecting to connecting (1994) Journal of Advanced Nursing, 20, pp. 643-651; Soldz, S., Negativity in psychotherapists evaluations of clients and personal acquaintances (1992) Journal of Constructivist Psychology, 5 (4), pp. 393-411; Sullivan, P., Occupational stress in psychiatric nursing (1993) Journal of Advanced Nursing, 18, pp. 591-601; Videbeck, S., (2007) Psychiatric mental health nursing, , 4th ed.). London: Lippincott, Williams and Wilkins; Wilkinson, D., The effects of brief psychiatric training on the attitudes of general nursing students to psychiatric patients (1982) Journal of Advanced Nursing, 7, pp. 239-253; Winter, D., Baker, M., Goggins, S., Into the unknown: Transitions in psychiatric services as construed by clients and staff (1992) Journal of Constructivist Psychology, 5 (3), pp. 323-340","Wittkowski, A.; Division of Clinical Psychology, 2nd Floor Zochonis Building, Brunswik Street, Manchester M13 9PL, United Kingdom; email: anja.wittkowski@manchester.ac.uk",,,,,,,,10633995,,CPPSE,21370318,English,Clin. Psychol. Psychother.,Article,Final,,Scopus,2-s2.0-84860434140 "Ngako K.J., Van Rensburg E.S., Mataboge S.M.",56123803000;57212328181;56426568200;,Psychiatric nurse practitioners' experiences of working with mental health care users presenting with acute symptoms,2012,Curationis,35,1,,44,,,7,10.4102/curationis.v35i1.44,https://www.scopus.com/inward/record.uri?eid=2-s2.0-84962638034&doi=10.4102%2fcurationis.v35i1.44&partnerID=40&md5=4d33146cacc14700ae05472fa0c6890f,"Department of Nursing, University of Pretoria, South Africa. Kgalabi.Ngako@mrc.ac.za, South Africa","Ngako, K.J., Department of Nursing, University of Pretoria, South Africa. Kgalabi.Ngako@mrc.ac.za, South Africa; Van Rensburg, E.S., Department of Nursing, University of Pretoria, South Africa. Kgalabi.Ngako@mrc.ac.za, South Africa; Mataboge, S.M., Department of Nursing, University of Pretoria, South Africa. Kgalabi.Ngako@mrc.ac.za, South Africa","Psychiatric nurse practitioners (PNPs) working with mental health care users presenting with acute symptoms work in a complex environment. This environment is characterised by mental health care users who may present with a history of violence, sexual assault and substance misuse. The objectives of this study were twofold: firstly, to explore and describe the experiences of PNPs working with mental health care users (MHCUs) presenting with acute symptoms; and secondly, to make recommendations for the advanced PNPs to facilitate promotion of the mental health of PNPs with reference to nursing practice, research and education. A qualitative, explorative, descriptive and contextual design was used. The target population was PNPs working with MHCUs presenting with acute symptoms in a public mental health care institution in Gauteng. Data were collected by means of four focus group interviews involving 21 PNPs. The researcher made use of drawings, naïve sketches and field notes for the purpose of data triangulation. Data were analysed in accordance with Tesch's method of open coding. The three themes that emerged were: PNPs experienced working with these MHCUs as entering an unsafe world where care became a burden; they experienced negative emotional reactions and attitudes towards these MHCUs that compromised quality nursing care; and they made a plea for a nurturing environment that would enhance quality nursing care. The PNPs suggest skills and competency development, organisational support, and a need for external resources. Creation of a positive environment and mobilisation of resources as well as the identification and bridging of obstacles are essential in the promotion of the overall wellbeing and mental health of PNPs.",,health personnel attitude; human; information processing; mental health; nurse practitioner; qualitative research; South Africa; work; Attitude of Health Personnel; Focus Groups; Humans; Mental Health; Nurse Practitioners; Qualitative Research; South Africa; Work,,,,,,,,,,,,,,,,,,,,,22236279,,,23327763,English,Curationis,Article,Final,"All Open Access, Gold, Green",Scopus,2-s2.0-84962638034 "Linden M., Kavanagh R.",9746527000;52563604400;,Attitudes of qualified vs. student mental health nurses towards an individual diagnosed with schizophrenia,2012,Journal of Advanced Nursing,68,6,,1359,1368,,50,10.1111/j.1365-2648.2011.05848.x,https://www.scopus.com/inward/record.uri?eid=2-s2.0-84860341289&doi=10.1111%2fj.1365-2648.2011.05848.x&partnerID=40&md5=508943dfd525c22376de83f0479d68fa,"School of Nursing and Midwifery, Queen's University of Belfast, United Kingdom; Donegal Mental Health Service, Letterkenny, Ireland","Linden, M., School of Nursing and Midwifery, Queen's University of Belfast, United Kingdom; Kavanagh, R., Donegal Mental Health Service, Letterkenny, Ireland","Aim. This paper is the report of a study which sought to compare the attitudes held by student and qualified mental health nurses towards individuals with schizophrenia in the Republic of Ireland. Background. Media portrayals of individuals with schizophrenia often include images of aggression and violence. With global initiatives aimed at reducing the stigma and exclusion associated with mental illness, the attitudes of those who care for people with schizophrenia are of particular interest. Methods. A survey was administered to 66 student mental health nurses, and 121 qualified mental health nurses. Participants completed the community attitudes to mental illness scale and the social interaction scale in 2009. Multivariate analysis of variance was used to test for the effects of qualification, work setting, years of experience and education on the measures. Results. Nurses employed in a community setting held more positive attitudes, when compared with colleagues who worked in an inpatient setting, as measured by the community mental health ideology subscale, indicating their desire to promote community care for individuals with schizophrenia. Nurses working in an inpatient setting held more socially restrictive attitudes indicating that they felt individuals with schizophrenia were dangerous and should be avoided. These findings were statistically significant at the P<0·05 level. Conclusions. Mental health nurses must be alerted to the fact that holding negative attitudes may adversely affect the therapeutic relationship and ultimately lead to stigmatization and its negative consequences. © 2011 The Authors Journal of Advanced Nursing © 2011 Blackwell Publishing Ltd.",Mental illness; Nurse attitudes; Schizophrenia; Social interaction,,,,,,,,,,,,,"Angermeyer, M.C., Schulze, B., Reinforcing stereotypes: how the focus on forensic cases in news reporting may influence public attitudes towards the mentally ill (2001) International Journal of Law and Psychiatry, 24, pp. 469-486; Arnetz, J.E., Arnetz, B.B., Violence towards health care staff and possible effects on the quality of patient care (2001) Social Science and Medicine, 52, pp. 417-427; Bilgin, H.H., Buzlu, S., A study of psychiatric nurses' beliefs and attitudes about work safety and assaults in turkey (2006) Issues in Mental Health Nursing, 27, pp. 75-90; Björkman, T., Angelman, T., Jönsson, M., Attitudes towards people with mental illness: a cross-sectional study among nursing staff in psychiatric and somatic care (2008) Scandinavian Journal of Caring Sciences, 22 (2), pp. 170-177; Bornstein, R.F., D'Agostino, P.R., Stimulus recognition and the mere exposure effect (1992) Journal of Personality and Social Psychology, 63, pp. 545-552; Breeze, J.A., Repper, J., Struggling for control: the care experiences of 'difficult' patients in mental health services (1998) Journal of Advanced Nursing, 28, pp. 1301-1311; Caldwell, T.M., Jorm, A.F., Mental health nurses' beliefs about likely outcomes for people with schizophrenia or depression: a comparison with the public and other healthcare professionals (2001) Australian and New Zealand Journal of Mental Health Nursing, 10, pp. 42-54; Carveth, J.A., Perceived patient deviance and avoidance by nurses (1995) Nursing Research, 44, pp. 173-178; Chambers, M., Guise, V., Valimaki, M., Antonia, M., Botelho, R., Scott, A., Staniuliene, V., Zanotti, R., Nurses' attitudes to mental illness: a comparison of a sample of nurses from five European countries (2009) International Journal of Nursing Studies, 47 (3), pp. 350-362; Crisp, A., Cowan, L., Hart, D., The College's anti stigma campaign, 1998-2003; a shortened version of the concluding report (2004) Psychiatric Bulletin, 28, pp. 133-136; Crocker, J., Major, B., Steele, C., Social stigma (1998) Handbook of Social Psychology, 2, pp. 504-553. , (Fiske S., Gilbert D. & Lindzey G., eds), McGraw-Hill, Boston, MA; Cumming, E., Cumming, J., (1957) Closed Ranks: An Experiment in Mental Health, , Harvard University Press, Cambridge; Duxbury, J., Whittington, R., Causes and management of patient aggression and violence: staff and patient perspectives (2005) Journal of Advanced Nursing, 50 (5), pp. 469-478; Ferns, T., Meerabeau, L., Verbal abuse experienced by nursing students (2008) Journal of Advanced Nursing, 61 (4), pp. 436-444; Finlay, L., Good patients and bad patients: how occupational therapists view their patients/clients (1997) British Journal of Occupational Therapy, 60, pp. 440-446; Goffman, E., (1963) Stigma: Notes on the Management of Spoiled Identity, , Prentice-Hall, Englewood Cliffs, NJ, USA; Graydon, J., Kasta, W., Khan, P., Verbal and physical abuse of nurses (1994) Canadian Journal of Nursing Administration, 7, pp. 70-89; Högberg, T., Magnusson, A., Lützén, K., To be a nurse or a neighbour? A moral concern for psychiatric nurses living next door to individuals with a mental illness (2005) Nursing Ethics, 12 (5), pp. 468-478; Jones, E.E., Farina, A., Hastorf, A.H., Markus, H., Miller, D.T., Scott, R.A., (1984) Social Stigma: The Psychology of Marked Relationships, , Freeman, New York; Kelly, J.A., St Lawerence, J.S., Smith, S., Hood, H., Cook, D.J., Medical student's attitudes towards AIDS and homosexual patients (1987) Journal of Medical Education, 62, pp. 549-556; Kingdon, D., Kinoshita, Y., Naeem, F., Schizophrenia can and should be renamed (2007) British Medical Journal, 334, pp. 221-222; Kingdon, D., Vincent, S., Vincent, S., Kinoshita, Y., Turkington, D., Destigmatising schizophrenia: does changing terminology reduce negative attitudes (2008) Psychiatric Bulletin, 32, pp. 419-422; Kukulu, K., Ergun, G., Stigmatization by nurses against schizophrenia in Turkey: a questionnaire survey (2007) Journal of Psychiatric and Mental Health Nursing, 14, pp. 302-309; Lauber, C., Anthony, M., Ajdacio-Gross, V., Rossler, W., What about psychiatrists' attitude to mentally ill people? (2004) European Psychiatry, 19 (7), pp. 423-427; Linden, M.A., Redpath, S.J., A comparative study of nursing attitudes towards young male survivors of brain injury: a questionnaire survey (2011) International Journal of Nursing Studies, 48, pp. 62-69; Maguire, J., Ryan, D., Aggression and violence in mental health services: categorizing the experiences of Irish nurses (2007) Journal of Psychiatric and Mental Health Nursing, 14, pp. 120-127; Major, B., O'Brien, L.T., The social psychology of stigma (2005) Annual Review of Psychology, 56, pp. 393-421; Mezey, G., Shepherd, J., Effects of assault on healthcare professionals (1994) Violence in Healthcare. A Practical Guide to Coping With Violence and Caring for Victims, pp. 1-11. , (Shepherd J., ed), Oxford Medical Publications, Oxford; Munro, S., Baker, J.A., Surveying the attitudes of acute mental health nurses (2007) Journal of Psychiatric and Mental Health Nursing, 14, pp. 196-202; Nordt, C., Rossler, W., Lauber, C., Attitudes of mental health professionals toward people with schizophrenia and major depression (2006) Schizophrenia Bulletin, 32, pp. 709-714; Park, J.H., Faulkner, J., Schaller, M., Evolved disease-avoidance processes and contemporary anti-social behavior: prejudicial attitudes and avoidance of people with physical disabilities (2003) Journal of Nonverbal Behavior, 27, pp. 65-87; Schulze, B., Angermeyer, M.C., Subjective experiences of stigma. A focus group study of schizophrenic patients, their relatives and mental health professionals (2003) Social Science & Medicine, 56, pp. 299-312; Sévigny, R., Wenying, Y., Peiyan, Z., Marleau, J.D., Zhouyun, Y., Lin, S., Guowang, L., Haijun, W., Attitudes toward the mentally ill in a sample of professionals working in a psychiatric hospital in Beijing (China) (1999) International Journal of Social Psychiatry, 45 (1), pp. 41-55; Steadman, H.J., Cocozzoa, J.J., Selective reporting and the public's local resistance to community based care facilities (1978) Journal of Offender Counselling, Services and Rehabilitation, 6 (4), pp. 29-42; Tait, L., Lester, H., Encouraging user involvement in mental health services (2005) Advances in Psychiatric Treatment, 11, pp. 168-175; Tait, L., Shah, S., Partnership working: a policy with promise for mental healthcare (2007) Advances in Psychiatric Treatment, 13, pp. 261-277; Tay, S.E., Pariyasami, Y., Ravindran, K., Ali, M.I., Rowsudeen, M.T., Nurses' attitudes toward people with mental illnesses in a psychiatric hospital in Singapore (2004) Journal of Psychosocial Nursing and Mental Health Services, 42, pp. 40-47; Taylor, S.M., Dear, M., Scaling community attitudes toward the mentally ill (1981) Schizophrenia Bulletin, 7, pp. 225-240; Vibha, V., Saddichha, S., Kumar, R., Attitudes of ward attendants towards mental illness: comparisons and predictors (2008) International Journal of Social Psychiatry, 54 (5), pp. 469-478; (2007) Implicit Measures of Attitudes, , Wittenbrink B. & Schwarz N. (eds.) Guilford Press, New York; (2001) The WPA Global Programme to Reduce Stigma and Discrimination Because of Schizophrenia, , World Psychiatric Association An Interim Report. World Psychiatric Association, Geneva; Wykes, T., Whittington, R., Reactions to assault (1994) Violence and Health Care Professionals, pp. 105-126. , (Wykes T., ed), Chapman & Hall, London","Linden, M.; School of Nursing and Midwifery, United Kingdom; email: m.linden@qub.ac.uk",,,Blackwell Publishing Ltd,,,,,3092402,,JANUD,,English,J. Adv. Nurs.,Article,Final,,Scopus,2-s2.0-84860341289 "Kapungwe A., Cooper S., Mayeya J., Mwanza J., Mwape L., Sikwese A., Lund C., Flisher A.J., Agossou T., Drew N., Faydi E., Funk M., Bhana A., Doku V., Green A., Omar M., Kigozi F., Knapp M., Mulutsi E.N., Ndyanabangi S.Z., Ofori-Atta A., Osei A., Petersen I.",6506937742;57184876900;6506002642;36610512300;36610540300;36610916500;7102278216;56240383100;24400764300;12647114900;24779504900;8568685900;6603555864;6602404946;26643161500;7102131257;16199521800;7202388606;55061160500;6507509765;26029196400;26637773100;7102215276;,Attitudes of primary health care providers towards people with mental illness: Evidence from two districts in Zambia,2011,African Journal of Psychiatry (South Africa),14,4,,290,297,,33,10.4314/ajpsy.v14i4.6,https://www.scopus.com/inward/record.uri?eid=2-s2.0-84857855766&doi=10.4314%2fajpsy.v14i4.6&partnerID=40&md5=53e02f1a2c0a7272dc0b177b1860c5d6,"Department of Social Development Studies, Demography Division, University of Zambia, Lusaka, Zambia; Department of Psychiatry and Mental Health, University of Cape Town, South Africa; Ministry of Health, Zambia; Department of Psychiatry, Chainama College of Health Sciences, University of Zambia, Lusaka, Zambia; University of Cape Town, South Africa; World Health Organization, South Africa; Human Sciences Research Council, South Africa; Kintampo Health Research Centre, Ghana; University of Leeds, United Kingdom; Butabika Hospital, Uganda; University of London, United Kingdom; Ministry of Health, Zambia; Department of Health, South Africa; Ministry of Health, Uganda; University of Ghana, Ghana; Ghana Health Service, Ghana; University of KwaZulu-Natal, South Africa","Kapungwe, A., Department of Social Development Studies, Demography Division, University of Zambia, Lusaka, Zambia; Cooper, S., Department of Psychiatry and Mental Health, University of Cape Town, South Africa; Mayeya, J., Ministry of Health, Zambia, Ministry of Health, Zambia; Mwanza, J., Department of Social Development Studies, Demography Division, University of Zambia, Lusaka, Zambia; Mwape, L., Department of Psychiatry, Chainama College of Health Sciences, University of Zambia, Lusaka, Zambia; Sikwese, A., Department of Psychiatry, Chainama College of Health Sciences, University of Zambia, Lusaka, Zambia; Lund, C., Department of Psychiatry and Mental Health, University of Cape Town, South Africa; Flisher, A.J., University of Cape Town, South Africa; Agossou, T., World Health Organization, South Africa; Drew, N., World Health Organization, South Africa; Faydi, E., World Health Organization, South Africa; Funk, M., World Health Organization, South Africa; Bhana, A., Human Sciences Research Council, South Africa; Doku, V., Kintampo Health Research Centre, Ghana; Green, A., University of Leeds, United Kingdom; Omar, M., University of Leeds, United Kingdom; Kigozi, F., Butabika Hospital, Uganda; Knapp, M., University of London, United Kingdom; Mulutsi, E.N., Department of Health, South Africa; Ndyanabangi, S.Z., Ministry of Health, Uganda; Ofori-Atta, A., University of Ghana, Ghana; Osei, A., Ghana Health Service, Ghana; Petersen, I., University of KwaZulu-Natal, South Africa","Objective: The aim of this study was to explore health care providers' attitudes towards people with mental illness within two districts in Zambia. It sought to document types of attitudes of primary health care providers towards people suffering from mental illness and possible predictors of such attitudes. This study offers insights into how health care providers regard people with mental illness that may be helpful in designing appropriate training or re-training programs in Zambia and other low-income African countries. Method: Using a pilot tested structured questionnaire, data were collected from a total of 111 respondents from health facilities in the two purposively selected districts in Zambia that the Ministry of Health has earmarked as pilot districts for integrating mental health into primary health care. Results: There are widespread stigmatizing and discriminatory attitudes among primary health care providers toward mental illness and those who suffer from it. These findings confirm and add weight to the results from the few other studies which have been conducted in Africa that have challenged the notion that stigma and discrimination of mental illness is less severe in African countries. Conclusion: There is an urgent need to start developing more effective awareness-raising, training and education programmes amongst health care providers. This will only be possible if there is increased consensus, commitment and political will within government to place mental health on the national agenda and secure funding for the sector. These steps are essential if the country is improve the recognition, diagnosis and treatment of mental disorders, and realize the ideals enshrined in the progressive health reforms undertaken over the last decade.",Discrimination; Mental health; Primary health care givers; Stigma,adult; aged; article; attitude to illness; controlled study; female; health personnel attitude; human; integrated health care system; lowest income group; male; mental disease; mental health; mental health service; pilot study; primary health care; social discrimination; social stigma; structured questionnaire; Zambia; Adult; Age Distribution; Aged; Attitude of Health Personnel; Female; Health Personnel; Humans; Male; Mental Disorders; Middle Aged; Prejudice; Primary Health Care; Questionnaires; Rural Population; Stereotyping; Urban Population; Young Adult; Zambia,,,,,,,,,,,,"Kleinman, A., Culture and illness: A question of models (1977) Cult Med Psychiatry, 1, pp. 229-231; Kleinman, A., Depression, somatization and the "" new cross-cultural Psychiatry"" (1977) Social Science and Medicine, 11, pp. 3-10; Ng, C.H., The stigma of mental illness in Asian cultures (1997) Aus N Z J Psychiatry, 31, pp. 382-390; Lauber, C., Rossler, W., Stigma towards people with mental illness in developing countries in Asia (2007) International Review of Psychiatry, 19 (2), pp. 157-178; Raguran, R., Ragu, T.M., Vounatsou, P., Weiss, M.G., Schizophrenia and the cultural epidemiology of stigma in Bangare (2004) India. J Nerv Ment Dis, 192, pp. 734-744; Corrigan, P.W., Don't call me nuts: An international perspective on stigma and mental illness (2004) Acta Psychiatr Scand, 109, pp. 403-404; Lauder, C., Anthony, M., Ajdacis-Gross, V., Rossler, W., What about Psychiatrists' attitude toward mentally ill people (2004) European Psychiatry W, 19 (7), pp. 423-427; Lauder, C., Nordt, C., Haker, H., Rossler, W., Community Psychiatry: Results of a public opinion survey (2006) Internal Journal of Psychiatry W, 52, pp. 234-242; Lauder, C., Nordt, C., Falcato, L., Rossler, W., Volunteering in Psychiatry: Determining factors of attitude and actual commitment (2006) Psychiatry Prax, 27, p. 347350; Brockington, I.F., Hall, P., Levings, J., The community tolerance of the mentally ill (1993) British Journal of Psychiatry, 162, pp. 93-99; Byrne, P., Stigma of mental illness and ways of diminishing it (2000) Advances in Psychiatric Treatment, 6, pp. 66-72; Crisp, A.H., Gelder, G.M., Rix, S., Stigmatization of people with mental illnesses (2000) British Journal of Psychiatry, 177, pp. 4-7; Huxley, P., Location and stigma: A survey of community attitudes to mental illness (1993) Journal of Mental Health, 2, pp. 73-80; Taylor, S.M., Dear, M.J., Scaling community attitudes toward the mentally ill (1980) Schizophrenia Bulletin, 7, pp. 225-240; Lauder, C., Nordt, C., Falcato, L., Rossler, W., Volunteering in Psychiatry: Determining factors of attitudes and actual commitment (2006) Psychiatry Prax, 27, pp. 347-350; Lauder, C., Nordt, C., Falcato, L., Rossler, W., Lay recommendations on how to treat mental disorders (2001) Social Psychiatry and Psychiatric Epidemiology, 36, pp. 553-556; Lauder, C., Nordt, C., Rossler, W., Recommendations of mental health professionals and the general population on how to treat mental disorders (2005) Social Psychiatry and Psychiatric Epidemiology, 40, pp. 835-843; Lauder, C., Nordt, C., Falcato, L., Rossler, W., Lay recommendations on how to treat mental disorder (2001) Social Psychiatry and Psychiatric Epidemiology, 36, pp. 535-536; Lauder, C., Falcato, L., Rossler, W., Can a seizure help? The public attitude toward electroconvulsive therapy (2005) Psychiatry Res, 134 (2), pp. 205-209; Lauder, C., Nordt, C., Rossler, W., Patients' attitudes toward antidepressants (2003) Psychiatr Serv, 54, pp. 746-747; Adewuya, A.O., Maknjuola, R.O.A., Social distance towards people with mental illness amongst Nigerian university students (2005) Social Psychiatry, 40, pp. 865-868; Fabrega, H., Psychiatric stigma in non-western societies (1991) Comparative Psychiatry, 32, pp. 534-551; Gureje, O., Lasebikan, O., Community study of knowledge of and attitude to mental illness in Nigeria (2005) British Journal of Psychiatry, 186, pp. 436-441; Awarietefe, A., Ebies, J.C., Complementary attitudes to mental illness in Nigeria (1975) The African Journal of Psychiatry, 1, pp. 37-43; Shibre, T., Negash, A., Kullgren, G., Perceptions of stigma among the family members of individuals with schizophrenia and major affective disorders in rural Ethiopia (2001) Social Psychiatry and Psychiatric Epidemiology, 36, pp. 299-303; Hugo, C.J., Boshoff, D.E.L., Traut, A., Zungu-Dirwayi, N., Stein, D.J., Community attitudes toward and knowledge of mental illness in South Africa (2003) Social Psychiatry and Psychiatric Epidemiology, 38, pp. 715-719; Corrigan, P.W., Watson, A.C., Paradox of self-stigma and mental illness (2002) Clinical Psychology: Science and Practice, 9 (1), pp. 35-53; Sartorius, N., Iatrogenic stigma of mental illness (2002) British Medical Journal, 324, pp. 1470-1471; Mavundla, T.R., Professional nurses' perception of nursing mentally ill people in a general hospital setting (2000) Journal of Advanced Nursing, 32 (6), pp. 1569-1578; Schulze, B., Stigma and mental health professionals: A review of the evidence on an intricate relationship (2007) International Review of Psychiatry, April, 19 (2), pp. 137-155; Thorncroft, G., Rose, D., Kassam, A., Discrimination in health care against people with mental illness (2007) International Review of Psychiatry, 19 (2), pp. 113-122; Mayeya, J., Chazulwa, R., Mayeya, P., Mbewe, E., Mwape-Magolo, L., Kasisis, F., Zambia mental health country profile (2004) International Review of Psychiatry, 16 (1-2), pp. 63-72; Mwanza, J., Sikwese, A., Banda, M., Mayeya, J., Lund, C., Bird, P., (2008) Mental Health Policy Development and Implementation in Zambia: A situation analysis, , Phase 1 country report. Lusaka. Mental Health and Poverty Project; Kapungwe, A., Cooper, S., Mwanza, J., Mwape, L., Sikwese, A., Kakuma, R., Crick, L., Flisher A, the MHaPP Research Consortium. Mental illness -stigma and discrimination in Zambia (2010) African Journal of Psychiatry, 13, pp. 192-203; Flisher, A.J., Lund, C., Funk, M., Banda, M., Doku, V., Mental health policy development and implementation in four African countries (2007) Journal of Health Psychology, 12, pp. 505-516; Gask, L., Overt and covert barriers to the integration of primary and specialist mental health care (2005) Social Science and Medicine, 61, pp. 1785-1794; Botha, U.A., Koen, L., Niehaus, D.J., Perceptions of a South African schizophrenia population with regards to community attitudes towards their illness (2006) Social Psychiatry and Psychiatric Epidemiology, 4 (8), pp. 619-623; Estroff, S.E., Penn, D.L., Toporek, J.R., From stigma to discrimination: An analysis of community efforts to reduce the negative consequences of having a psychiatric disorder and label (2004) Schizophrenia Bulletin, 30 (3), pp. 493-509; Leff, J.P., Warner, R., (2006) Social inclusion of people with Mental illness, , London University Press","Kapungwe, A.; University of Zambia, P.O. Box 32379, Lusaka, Zambia; email: kapungweaugustus@yahoo.com",,,,,,,,19948220,,,22038427,English,Afr. J. Psychiatry (South Africa),Article,Final,"All Open Access, Bronze, Green",Scopus,2-s2.0-84857855766 "Bodner E., Cohen-Fridel S., Iancu I.",35561317600;29667549600;7005225217;,Staff attitudes toward patients with borderline personality disorder,2011,Comprehensive Psychiatry,52,5,,548,555,,55,10.1016/j.comppsych.2010.10.004,https://www.scopus.com/inward/record.uri?eid=2-s2.0-80051914069&doi=10.1016%2fj.comppsych.2010.10.004&partnerID=40&md5=b2906ed125152ccf5e3f71bf84f48593,"Interdisciplinary Department of Social Sciences, Bar-Ilan University, Ramat-Gan, 52900, Israel; School of Education, Bar-Ilan University, Ramat-Gan, 52900, Israel; Beer Yaakov Hospital, POB 1, Beer Yaakov, 70350, Israel; Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel","Bodner, E., Interdisciplinary Department of Social Sciences, Bar-Ilan University, Ramat-Gan, 52900, Israel; Cohen-Fridel, S., Interdisciplinary Department of Social Sciences, Bar-Ilan University, Ramat-Gan, 52900, Israel, School of Education, Bar-Ilan University, Ramat-Gan, 52900, Israel; Iancu, I., Beer Yaakov Hospital, POB 1, Beer Yaakov, 70350, Israel, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel","Objective: Our aims were (1) to develop 2 inventories for the measurement of cognitive and emotional attitudes toward borderline personality disorder (BPD) patients and their treatment and (2) to use these tools to understand and compare attitudes of psychiatrists, psychologists, and nurses toward BPD patients. Method: Two lists of items referring to cognitive (47 items) and emotional attitudes (20 items) toward BPD patients were formulated. Fifty-seven clinicians (25 nurses, 13 psychologists, and 19 psychiatrists), who had been working in public psychiatric institutions for more than 1 year, rated their level of agreement with each item. The list of cognitive attitudes yielded 3 factors (required treatment, suicidal tendencies, and antagonistic judgment). The list of emotional attitudes yielded 3 other factors (negative emotions, experienced difficulties in treatment, and empathy). Results: Psychologists scored lower than psychiatrists and nurses on antagonistic judgments, whereas nurses scored lower than psychiatrists and psychologists on empathy. Regression stepwise analyses conducted on the 3 emotional attitudes separately showed that suicidal tendencies of BPD patients mainly explained the negative emotions and the difficulties in treating these patients. All groups were interested in learning more about the treatment of these patients. Conclusions: Suicidal tendencies of BPD patients provoke antagonistic judgments among the 3 professions. Nevertheless, psychiatrists, psychologists, and nurses hold distinctive cognitive and emotional attitudes toward these patients. Mapping these differences can improve the education and training in the management of BPD patients. © 2011 Elsevier Inc.",,"adult; aged; article; Borderline Patients Emotional Attitudes Inventory; borderline state; BPD Cognitive Attitudes and Treatment Inventory; cognition; decision making; doctor patient relation; emotional stress; emotionality; empathy; female; Functional Assessment Inventory; health care personnel management; health personnel attitude; human; human experiment; major clinical study; male; mental health care personnel; mental patient; normal human; nurse; nurse patient relationship; professional practice; psychiatrist; psychologist; regression analysis; suicidal behavior; Adult; Aged; Attitude of Health Personnel; Behavior Therapy; Borderline Personality Disorder; Cognition; Emotions; Female; Humans; Male; Middle Aged; Nurse-Patient Relations; Physician-Patient Relations; Professional-Patient Relations; Psychiatric Department, Hospital; Psychological Tests; Regression Analysis",,,,,,,,,,,,"Swartz, M., Blazer, D., George, L., Winfield, I., Estimating the prevalence of borderline personality disorder in the community (1990) Journal of Personality Disorders, 4 (3), pp. 257-272; Cleary, M., Siegfried, N., Walter, G., Experience, knowledge and attitudes of mental health staff regarding clients with a borderline personality disorder (2002) Int J Ment Health Nurs, 11, pp. 186-191; Gallop, R., Lancee, W.J., Garfinkel, P., How nursing staff respond to the label 'borderline personality disorder' (1989) Hospital and Community Psychiatry, 40 (8), pp. 815-819; Horsfall, J., Towards understanding some complex borderline behaviors (1999) J Psychiatr Ment Health Nurs, 6, pp. 425-432; Piccinino, S., The nursing care challenge: Borderline patients (1999) J Psychosoc Nurs Ment Health Serv, 28, pp. 22-27; Paris, J., Recent advances in the treatment of borderline personality disorder (2005) Canadian Journal of Psychiatry, 50 (8), pp. 435-441. , http://www.cpa-apc.org/Publications/Archives/CJP/2005/july/ cjp-july-05-paris-IR.pdf; Rosen, B., Nirel, N., Gross, R., The Israeli mental health insurance reform-perspectives (2008) J Ment Health Policy Econ, 11, pp. 201-208; Fraser, K., Gallop, R., Nurses' confirming/disconfirming responses to patients diagnosed with borderline personality disorder (1993) Arch Psychiat Nurs, 7, pp. 336-341; Krawitz, R., Watson, C., (2003) Borderline Personality Disorder. A Practical Guide to Treatment, , Oxford University Press Oxford; Nehls, N., Group therapy for people with borderline personality disorder: Interventions associated with positive outcomes (1992) Issues Ment Health Nurs, 13, pp. 255-269; Nehls, N., Brief hospital treatment plans for persons with borderline personality disorder: Perspectives of inpatient psychiatric nurses and community mental health center clinicians (1994) Arch Psychiatr Nurs, 8, pp. 303-311; Markham, D., Trower, P., The effects of the psychiatric label 'borderline personality disorder' on nursing staff's perceptions and causal attributions for challenging behaviours (2003) British Journal of Clinical Psychology, 42 (3), pp. 243-256. , DOI 10.1348/01446650360703366; James, P.D., Cowman, S., Psychiatric nurses' knowledge, experience and attitudes towards clients with borderline personality disorder (2007) J Psychiatr Ment Nurs, 14, pp. 670-678; Markham, D., Attitudes towards patients with a diagnosis of 'borderline personality disorder': Social rejection and dangerousness (2003) Journal of Mental Health, 12 (6), pp. 595-612. , DOI 10.1080/09638230310001627955; Breckler, S.J., Empirical validation of affect, behavior, and cognition as distinct components of attitude (1984) J Person Soc Psychol, 47, pp. 1191-1205; Pettey, R.E., Wegener, D.T., Fabrigar, L.R., Attitudes and attitudes change (1997) Annu Rev Psychol, 48, pp. 609-647; Lancee, W.J., Gallop, R., McCay, E., Toner, B., The relationship between nurses' limit-setting styles and anger in psychiatric inpatients (1995) Psychiatr Serv, 46, pp. 609-613; Oldham, J.M., Borderline personality disorder and suicidality (2006) American Journal of Psychiatry, 163 (1), pp. 20-26. , DOI 10.1176/appi.ajp.163.1.20; Ross, C.A., Goldner, E.M., Stigma, negative attitudes and discrimination towards mental illness within the nursing profession: A review of the literature (2009) J Psychiatr Ment Health Nurs, 16, pp. 558-567; Woollaston, K., Hixenbaugh, P., Destructive whirlwind: Nurses' perceptions of patients diagnosed with borderline personality disorder (2008) J Psychiatr Ment Health Nurs, 15, pp. 703-709; McIntyre, S.M., Schwartz, R.C., Therapists' differential countertransference reactions toward clients with major depression or borderline personality disorder (1998) Journal of Clinical Psychology, 54 (7), pp. 923-931. , DOI 10.1002/(SICI)1097-4679(199811)54:7<923::AID-JCLP6>3.0.CO;2-F; Carkhuff, R.R., Berenson, B.G., (1967) Beyond Counseling and Therapy, p. 27. , Holt Rinehart & Winston New York; Downey, G., Feldman, S., Ayduk, O., Rejection sensitivity and male violence in romantic relationships (2000) Personal Relation, 7, pp. 54-61; Schweinle, W.E., Ickes, W., Bernstein, I.H., Empathic inaccuracy in husband to wife aggression: The overattribution bias (2002) Personal Relationships, 9 (2), pp. 141-158; Trusty, J., Ng, K.-M., Watts, R.E., Model of effects of adult attachment on emotional empathy of counseling students (2005) Journal of Counseling and Development, 83 (1), pp. 66-77; Ma, W.F., Shih, F.J., Hsiao, S.M., 'Caring Across Thorns'-different care outcomes for borderline personality disorder patients in Taiwan (2009) J Clin Nurs, 18, pp. 440-450; Giannouli, H., Perogamvros, L., Berk, A., Attitudes, knowledge and experience of nurses working in psychiatric hospitals in Greece, regarding borderline personality disorder: A comparative study (2009) Psychiatr Ment Health Nurs, 16, pp. 481-487; http://www.health.gov.il/Download/pages/p_machuz270410.xls, Psychiatric Services In Israel Ministry Of Health Accessed on 8 Oct 2010; Shapira, A., Shiloh, R., Potcher, O., Hermesh, H., Popper, M., Weizman, A., Admission rates of bipolar depressed patients increase during spring/summer and correlate with maximal environmental temperature (2004) Bipolar Disorders, 6 (1), pp. 90-93. , DOI 10.1046/j.1399-5618.2003.00081.x; Bodner, E., Iancu, I., Sarel, A., The relationship between type of insurance, time period and length of stay in psychiatric hospitals: The Israeli case Isr J Psychiatry Relat Sci., , (in press); Treloar, A.J., Effectiveness of education programs in changing clinicians' attitudes toward treating borderline personality disorder (2009) Psychiatr Serv, 60, pp. 1128-1131","Iancu, I.; Beer Yaakov Hospital, POB 1, Beer Yaakov, 70350, Israel; email: iulian1@bezeqint.net",,,,,,,,0010440X,,COPYA,21130423,English,Compr. Psychiatry,Article,Final,,Scopus,2-s2.0-80051914069 "Stromwall L.K., Holley L.C., Bashor K.E.",6701896944;8425048800;36503579700;,Stigma in the mental health workplace: Perceptions of peer employees and clinicians,2011,Community Mental Health Journal,47,4,,472,481,,3,10.1007/s10597-010-9349-6,https://www.scopus.com/inward/record.uri?eid=2-s2.0-80053911273&doi=10.1007%2fs10597-010-9349-6&partnerID=40&md5=18341fdbe82d45876c4a7745eb96eb5f,"School of Social Work, College of Public Programs, Arizona State University, 411 N. Central Ave., Phoenix, AZ 85004, United States; Office of Individual and Family Affairs, Division of Behavioral Health Services, Arizona Department of Health Services, 150 N. 18th Ave, Phoenix, AZ 85007, United States","Stromwall, L.K., School of Social Work, College of Public Programs, Arizona State University, 411 N. Central Ave., Phoenix, AZ 85004, United States; Holley, L.C., School of Social Work, College of Public Programs, Arizona State University, 411 N. Central Ave., Phoenix, AZ 85004, United States; Bashor, K.E., Office of Individual and Family Affairs, Division of Behavioral Health Services, Arizona Department of Health Services, 150 N. 18th Ave, Phoenix, AZ 85007, United States","Informed by a structural theory of workplace discrimination, mental health system employees' perceptions of mental health workplace stigma and discrimination against service recipients and peer employees were investigated. Fifty-one peer employees and 52 licensed behavioral health clinicians participated in an online survey. Independent variables were employee status (peer or clinician), gender, ethnicity, years of mental health employment, age, and workplace social inclusion of peer employees. Analysis of covariance on workplace discrimination against service recipients revealed that peer employees perceived more discrimination than clinicians and whites perceived more discrimination than employees of color (corrected model F = 9.743 [16, 87], P = .000, partial η2 = .644). Analysis of covariance on workplace discrimination against peer employees revealed that peer employees perceived more discrimination than clinicians (F = 4.593, [6, 97], P = .000, partial η2 = .223). © Springer Science+Business Media, LLC 2010.",Clinician; Mental health workplace; Peer; Perceived discrimination; Stigma,adult; article; female; health care personnel; health personnel attitude; human; male; mental health service; middle aged; peer group; perception; perceptive discrimination; psychological aspect; social psychology; United States; workplace; Adult; Attitude of Health Personnel; Discrimination (Psychology); Female; Health Personnel; Humans; Male; Mental Health Services; Middle Aged; Peer Group; Perception; Southwestern United States; Stereotyping; Workplace; Young Adult,,,,,,,,,,,,"Angell, B., Cooke, A., Kovac, K., First person accounts of stigma (2005) On the Stigma of Mental Illness: Practical Strategies for Research and Social Change, pp. 69-98. , P. W. 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Gaertner (Eds.), New York: Academic Press; Mor Barak, M.E., Cherin, D.A., Berkman, S., Organizational and personal dimensions in diversity climate: Ethnic and gender differences in employee perceptions (1998) Journal of applied behavioral science, 34 (1), pp. 82-104; Noh, S., Beiser, M., Kaspar, V., Hou, F., Rummens, J., Perceived racial discrimination, depression, and coping: A study of Southeast Asian refugees in Canada (1999) Journal of Health and Social Behavior, 40, pp. 193-207; Nordt, C., Rossler, W., Lauber, C., Attitudes of mental health professionals toward people with schizophrenia and major depression (2006) Schizophrenia Bulletin, 32 (4), pp. 709-714. , DOI 10.1093/schbul/sbj065; Operario, D., Fiske, S., Ethnic identity moderates perceptions of prejudice: Judgments of personal versus group discrimination and subtle versus blatant bias (2001) Personality and Social Psychology Bulletin, 27, pp. 550-561; Peris, T.S., Teachman, B.A., Nosek, B.A., Implicit and explicit stigma of mental illness: Links to clinical care (2008) The Journal of Nervous and Mental Disease, 196, pp. 752-760; Pescosolido, B.A., Martin, J.K., Lang, A., Olafsdottir, S., Rethinking theoretical approaches to stigma: A framework integrating normative influences on stigma (FINIS) (2008) Social Science and Medicine, 67, pp. 431-440; Petersen, L.-E., Dietz, J., Prejudice and enforcement of workforce homogeneity as explanations for employment discrimination (2005) Journal of Applied Social Psychology, 35 (1), pp. 144-159; Pinfold, V., Byrne, P., Toulmin, H., Challenging stigma and discrimination in communities: A focus group study identifying UK mental health service users' main campaign priorities (2005) International Journal of Social Psychiatry, 51, pp. 126-138; Rao, D., Feinglass, J., Corrigan, P., Racial and ethnic disparities in mental illness stigma (2007) Journal of Nervous and Mental Disease, 195 (12), pp. 1020-1023. , DOI 10.1097/NMD.0b013e31815c046e, PII 0000505320071200000009; Ren, X.S., Amick, B., Williams, R., Racial/ethnic disparities in health: The interplay between discrimination and socioeconomic status (1999) Ethnicity and Disease, 9, pp. 151-165; Rubin, A., Babbie, E., (2011) Research Methods for Social Work, , Belmont, CA: Brooks/Cole; Rusch, N., Lieb, K., Bohus, M., Corrigan, P.W., Self-stigma, empowerment, and perceived legitimacy of discrimination among women with mental illness (2006) Psychiatric Services, 57 (3), pp. 399-402. , DOI 10.1176/appi.ps.57.3.399; Sanchez, J.I., Brock, P., Outcomes of Perceived Discrimination Among Hispanic Employees: Is Diversity Management a Luxury or a Necessity? (1996) Academy of Management Journal, 39 (3), pp. 704-719; Schneider, K.T., Hitlan, R.T., Radhakrishnan, P., An examination of the nature and correlates of ethnic harassment experiences in multiple contexts (2000) Journal of Applied Psychology, 85, pp. 3-12; Schulze, B., Stigma and mental health professionals: A review of the evidence on an intricate relationship (2007) International Review of Psychiatry, 19 (2), pp. 137-155. , DOI 10.1080/09540260701278929, PII 777690725; Schulze, B., Angermeyer, M.C., Subjective experiences of stigma. A focus group study of schizophrenic patients, their relatives and mental health professionals (2003) Social Science and Medicine, 56 (2), pp. 299-312. , DOI 10.1016/S0277-9536(02)00028-X, PII S027795360200028X; Schwenk, E.B., Brusilovskiy, E., Salzer, S., (2009) Results from A National Survey of Certified Peer Specialist Job Titles and Job Descriptions: Evidence of A Versatile Behavioral Health Workforce, , Philadelphia, PA: UPenn Collaborative on Community Integration; Sellers, R.M., Shelton, J.N., The role of racial identity in perceived racial discrimination (2003) Journal of Personality and Social Psychology, 84 (5), pp. 1079-1092. , DOI 10.1037/0022-3514.84.5.1079; Sue, D.W., Microagressions in Everyday Life, 2010. , Hoboken, NJ: John Wiley & Sons; Tabachnick, B.G., Fidell, L.S., (1996) Using Multivariate Statistics (3rd Ed.), , New York: HarperCollins College Publishers; Ucok, A., Polat, A., Sartorius, N., Erkoc, S., Atakli, C., Attitudes of psychiatrists toward patients with schizophrenia (2004) Psychiatry and Clinical Neurosciences, 58 (1), pp. 89-91. , DOI 10.1111/j.1440-1819.2004.01198.x; Walter, G., The attitude of health professionals towards carers and individuals with mental illness (1998) Australasian Psychiatry, 6 (2), pp. 70-72; Wiener, R.L., Voss, A.M., Winter, R.J., Arnot, L., The more you see it, the more you know it: Memory accessibility and sexual harassment judgments (2005) Sex Roles, 53 (11-12), pp. 807-820. , DOI 10.1007/s11199-005-8294-2","Stromwall, L.K.; School of Social Work, 411 N. Central Ave., Phoenix, AZ 85004, United States; email: stromwall@asu.edu",,,,,,,,103853,,CMHJA,20886293,English,Community Ment. Health J.,Article,Final,,Scopus,2-s2.0-80053911273 "Gilchrist G., Moskalewicz J., Slezakova S., Okruhlica L., Torrens M., Vajd R., Baldacchino A.",56249879600;55985953100;24923773900;6603286423;7006681890;57225241710;6603786612;,Staff regard towards working with substance users: A European multi-centre study,2011,Addiction,106,6,,1114,1125,,102,10.1111/j.1360-0443.2011.03407.x,https://www.scopus.com/inward/record.uri?eid=2-s2.0-79955919808&doi=10.1111%2fj.1360-0443.2011.03407.x&partnerID=40&md5=e175abc92b88261335abfe593f5efcba,"Substance Use Disorders Research Group, Institut Municipal d'Investigació Mèdica (IMIM), Hospital del Mar, Barcelona, Spain","Gilchrist, G., Substance Use Disorders Research Group, Institut Municipal d'Investigació Mèdica (IMIM), Hospital del Mar, Barcelona, Spain; Moskalewicz, J., Substance Use Disorders Research Group, Institut Municipal d'Investigació Mèdica (IMIM), Hospital del Mar, Barcelona, Spain; Slezakova, S., Substance Use Disorders Research Group, Institut Municipal d'Investigació Mèdica (IMIM), Hospital del Mar, Barcelona, Spain; Okruhlica, L., Substance Use Disorders Research Group, Institut Municipal d'Investigació Mèdica (IMIM), Hospital del Mar, Barcelona, Spain; Torrens, M., Substance Use Disorders Research Group, Institut Municipal d'Investigació Mèdica (IMIM), Hospital del Mar, Barcelona, Spain; Vajd, R., Substance Use Disorders Research Group, Institut Municipal d'Investigació Mèdica (IMIM), Hospital del Mar, Barcelona, Spain; Baldacchino, A., Substance Use Disorders Research Group, Institut Municipal d'Investigació Mèdica (IMIM), Hospital del Mar, Barcelona, Spain","Aims To compare regard for working with different patient groups (including substance users) among different professional groups in different health-care settings in eight European countries. Design A multi-centre, cross-sectional comparative study. Setting Primary care, general psychiatry and specialist addiciton services in Bulgaria, Greece, Italy, Poland, Scotland, Slovakia, Slovenia and Spain. Participants A multi-disciplinary convenience sample of 866 professionals (physicians, psychiatrists, psychologists, nurses and social workers) from 253 services. Measurements The Medical Condition Regard Scale measured regard for working with different patient groups. Multi-factor between-subjects analysis of variance determined the factors associated with regard for each condition by country and all countries. Findings Regard for working with alcohol (mean score alcohol: 45.35, 95% CI 44.76, 45.95) and drug users (mean score drugs: 43.67, 95% CI 42.98, 44.36) was consistently lower than for other patient groups (mean score diabetes: 50.19, 95% CI 49.71, 50.66; mean score depression: 51.34, 95% CI 50.89, 51.79) across all countries participating in the study, particularly among staff from primary care compared to general psychiatry or specialist addiction services (P<0.001). After controlling for sex of staff, profession and duration of time working in profession, treatment entry point and country remained the only statistically significant variables associated with regard for working with alcohol and drug users. Conclusions Health professionals appear to ascribe lower status to working with substance users than helping other patient groups, particularly in primary care; the effect is larger in some countries than others. © 2011 The Authors, Addiction © 2011 Society for the Study of Addiction.",Alcohol users; Cross-sectional study; Drug users; Europe; General psychiatry; Medical Condition Regard Scale; Primary care; Specialist addiction services; Staff attitudes,"addiction; adolescent; adult; alcoholism; analysis of variance; article; attitude to health; clinical trial; comparative study; cross-sectional study; depression; diabetes mellitus; drug use; Europe; female; health care delivery; health personnel attitude; human; human relation; male; medical profession; mental health service; middle aged; multicenter study; primary health care; psychological aspect; statistics; Adolescent; Adult; Alcohol-Related Disorders; Analysis of Variance; Attitude of Health Personnel; Behavior, Addictive; Cross-Sectional Studies; Depression; Diabetes Mellitus; Drug Users; Europe; Female; Health Knowledge, Attitudes, Practice; Health Occupations; Health Services Accessibility; Humans; Male; Mental Health Services; Middle Aged; Primary Health Care; Professional-Patient Relations; Substance-Related Disorders; Young Adult",,,,,,,,,,,,"Moodley-Kunnie, T., Attitudes and perceptions of health professionals toward substance use disorders and substance-dependent individuals (1988) Int J Addict, 23, pp. 469-475; Deehan, A., Taylor, C., Strang, J., The general practitioner, the drug misuser, and the alcohol misuser: major differences in general practitioner activity, therapeutic commitment, and 'shared care' proposals (1997) Br J Gen Pract, 47, pp. 705-709; Roche, A.M., Guray, C., Saunders, J.B., General practitioners' experiences of patients with drug and alcohol problems (1991) Br J Addict, 86, pp. 263-275; Ding, L., Landen, B., Wilson, I., Wong, M.D., Shapiro, M.F., Cleary, P.D., Predictors and consequences of negative physician attitudes toward HIV infected injection drug users (2005) Arch Intern Med, 165, pp. 618-623; Todd, F.C., Sellman, J.D., Robertson, P.J., Barriers to optimal care for patients with coexisting substance use and mental health disorders (2002) Aust NZ J Psychiatry, 36, pp. 792-799; Lindberg, M., Vergara, C., Wild-Wesley, R., Gruman, C., Physicians-in-training attitudes toward caring and working with patients with alcohol and drug abuse diagnoses (2006) South Med J, 99, pp. 28-35; Furlan, P.M., Laguzzi, S., Rosa, M., Barboni, S., Scarso, G., Attitude, knowledge and methods of assistance used by general practitioners in Novara in treating drug addicts. 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London: Royal College of Psychiatrists; Strang, J., McCambridge, J., Platts, S., Groves, P., Engaging the reluctant GP in care of the opiate misuser. Pilot study of change-orientated reflective listening (CORL) (2004) Fam Pract, 21, pp. 150-154; Okruhlica, L., Slezakova, S., Problem with psychiatric care accessibility for patients with addictions (2005) Alkoholizmus a drogové závislosti, 40, pp. 129-137; Caplehorn, J.R., Irwig, L., Saunders, J.B., Hartel, D., Methadone program staff attitudes and patient treatment outcome (1994) Int Conf AIDS, 10, p. 328. , abstract no. 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(2000) Drugs Ed Prev Policy, 7, pp. 203-212; Skinner, N., Roche, A.M., Freeman, T., McKinnon, A., Health professionals' attitudes towards AOD-related work: moving the traditional focus from education and training to organizational culture (2009) Drugs Ed Prev Policy, 16, pp. 232-249; Anderson, P., Kaner, E., Wutzke, S., Funk, M., Heather, N., Wensing, M., Attitudes and managing alcohol problems in general practice: an interaction analysis based on findings from a WHO collaborative study (2004) Alcohol Alcohol, 39, pp. 351-356; Kaner, E.F., Dickinson, H.O., Beyer, F.R., Pienaar, E., Campbell, F., Schlesinger, C., Effectiveness of brief alcohol interventions in primary care populations (2007) Cochrane Database Syst Rev, (2). , CD004148; Mintzer, I.L., Eisenberg, M., Terra, M., MacVane, C., Himmelstein, D.U., Woolhandler, S., Treating opioid addiction with buprenorphine-naloxone in community-based primary care settings (2007) Ann Fam Med, 5, pp. 146-150; Gerada, C., (2005) RCGP Guide to the Management of Substance Use in Primary Care, , London: Royal College of General Practitioners; Munro, A., Watson, H.E., McFadyen, A., Assessing the impact of training on mental health nurses' therapeutic attitudes and knowledge about co-morbidity: a randomised controlled trial (2007) Int J Nurs Stud, 44, pp. 1430-1438; Bland, E., Oppenheimer, L., Brisson-Carroll, G., Morel, C., Holmes, P., Gruslin, A., Influence of an educational program on medical students' attitudes to substance use disorders in pregnancy (2001) Am J Drug Alcohol Abuse, 27, pp. 483-490; Ford, C., Ryrie, I., A comprehensive package of support to facilitate the treatment of problems drug users in primary care: an evaluation of the training component (2000) Int J Drug Policy, 11, pp. 387-392; Christison, G.W., Haviland, M.G., Requiring a one-week addiction treatment experience in a six-week psychiatry clerkship: effects on attitudes toward substance-abusing patients (2003) Teach Learn Med, 15, pp. 93-97; Karam-Hage, M., Nerenberg, L., Brower, K.J., Modifying residents' professional attitudes about substance abuse treatment and training (2001) Am J Addict, 10, pp. 40-47; Goodin, G., Burns, L., Hodder, T., (1995), A large scale population survey of Australian practicing nurses' knowledge, workrelated attitudes and clinical behaviours towards individuals with alcohol and other drug-related problems. Paper presented at the Nurses Responding to Substance Abuse Conference, West Australia, Australia; Ford, R., Bammer, G., Becker, N., Improving nurses' therapeutic attitude to patients who use illicit drugs: workplace drug and alcohol education is not enough (2009) Int J Nurs Pract, 15, pp. 112-118; Skinner, N., Feather, N.T., Freeman, T., Roche, A.M., Stigma and discrimination in health care provision to drug users: the role of values, affect and deservingness judgments (2007) J Appl Soc Psychol, 37, pp. 163-186; Kolb, D.A., Boyatzis, R., Mainemelis, C., Experiential learning theory: previous research and new directions (2000) Perspectives on Cognitive Learning, and Thinking Styles, pp. 193-210. , In: Sternberg R. J., Zhang L. F., editors., Mahwah, NJ: Lawrence Erlbaum; Pidd, K., Freeman, T., Skinner, N., Addy, D., Shoobridge, J., Roche, A.M., (2004) From Training to Work Practice Change: An Examination of Factors Influencing Training Transfer in the Alcohol and Other Drugs Field, , Adelaide: NCETA, Flinders University; Roche, A.M., Freeman, T., Brief interventions: good in theory but weak in practice (2004) Drug Alcohol Rev, 23, pp. 11-18; Roche, A.M., Hotham, E.D., Richmond, R.L., The general practitioner's role in AOD issues: overcoming individual, professional and systemic barriers (2002) Drug Alcohol Rev, 21, pp. 223-230; Goldstein, I.L., Ford, J.K., (2002) Training in Organisations, , Belmont, CA: Wadsworth; Peat, J., Barton, B., (2005) Medical Statistics: A Guide to Data Analysis and Critical Appraisal, , Oxford: Blackwell","Gilchrist, G.; Substance Use Disorders Research Group, C/Dr Aiguader 88, 08003 Barcelona, Spain; email: ggilchrist@imim.es",,,,,,,,9652140,,ADICE,21320230,English,Addiction,Article,Final,,Scopus,2-s2.0-79955919808 "Hori H., Richards M., Kawamoto Y., Kunugi H.",15753924400;15754623300;35746676100;7004544595;,"Attitudes toward schizophrenia in the general population, psychiatric staff, physicians, and psychiatrists: A web-based survey in Japan",2011,Psychiatry Research,186,3-Feb,,183,189,,57,10.1016/j.psychres.2010.08.019,https://www.scopus.com/inward/record.uri?eid=2-s2.0-79952360652&doi=10.1016%2fj.psychres.2010.08.019&partnerID=40&md5=e71ab8837c10b4bf3c9b08c280c827a2,"Department of Mental Disorder Research, National Institute of Neuroscience, National Center of Neurology and Psychiatry, 4-1-1, Ogawahigashi, Kodaira, Tokyo, 187-8502, Japan; Albany Medical College, Albany, NY 12208, United States; Fulbright Foundation, New York, NY 10025, United States; CREST, JST (Japan Science and Technology Agency), Saitama, 332-0012, Japan","Hori, H., Department of Mental Disorder Research, National Institute of Neuroscience, National Center of Neurology and Psychiatry, 4-1-1, Ogawahigashi, Kodaira, Tokyo, 187-8502, Japan, Albany Medical College, Albany, NY 12208, United States; Richards, M., Department of Mental Disorder Research, National Institute of Neuroscience, National Center of Neurology and Psychiatry, 4-1-1, Ogawahigashi, Kodaira, Tokyo, 187-8502, Japan, Albany Medical College, Albany, NY 12208, United States, Fulbright Foundation, New York, NY 10025, United States; Kawamoto, Y., Department of Mental Disorder Research, National Institute of Neuroscience, National Center of Neurology and Psychiatry, 4-1-1, Ogawahigashi, Kodaira, Tokyo, 187-8502, Japan; Kunugi, H., Department of Mental Disorder Research, National Institute of Neuroscience, National Center of Neurology and Psychiatry, 4-1-1, Ogawahigashi, Kodaira, Tokyo, 187-8502, Japan, CREST, JST (Japan Science and Technology Agency), Saitama, 332-0012, Japan","Little is known about possible differences in the attitudes toward schizophrenia between the general public and various healthcare professionals. After screening for the study enrollment, 197 subjects in the general population, 100 psychiatric staff (other than psychiatrists), 112 physicians (other than psychiatrists) and 36 psychiatrists were enrolled in a web-based survey using an Internet-based questionnaire format. To assess subjects' attitudes toward schizophrenia, we used a 13-item questionnaire created by Uçok et al. (2006), to which five items were added. These 18 items were subjected to exploratory factor analysis, which yielded three factors classified as ""stigma,"" ""underestimation of patients' abilities,"" and ""skepticism regarding treatment."" These factors were compared between the four groups using analysis of covariance (ANCOVA), controlling for potential confounders. The ANCOVA for the ""stigma"" factor showed that psychiatrists scored significantly lower than the other three groups. The ANCOVA for the ""underestimation of patients' abilities"" factor revealed that psychiatric staff scored significantly lower than the general population. The present results indicated that attitudes toward schizophrenia consist of at least three separable factors. Psychiatrists had the least negative attitudes toward schizophrenia, which was followed by the psychiatric staff, and attitudes of the general population and of physicians were equally stigmatizing. © 2010 Elsevier Ltd.",Attitude toward mental illness; Schizophrenia; Stigma; Web-based survey,adult; article; attitude to mental illness; controlled study; female; health care personnel; health personnel attitude; human; Internet; Japan; male; physician attitude; priority journal; psychiatrist; questionnaire; schizophrenia; stigma; Adult; Analysis of Variance; Attitude of Health Personnel; Community Health Planning; Female; Health Surveys; Humans; Internet; Japan; Male; Middle Aged; Physicians; Professional-Patient Relations; Psychiatry; Public Opinion; Questionnaires; Schizophrenia; Schizophrenic Psychology; Statistics as Topic,,,,,"Japan Society for the Promotion of Science, JSPS: 23791372","We are grateful to Prof. Alp Uçok for his approval for the back-translated version of the questionnaire. This study was funded by the Fulbright Foundation (M.R.). This study was also supported by Grant-in-Aid for Young Scientists (Start-up) from the Japan Society for the Promotion of Science (JSPS) (H.H.), Health and Labor Sciences Research Grants (Research on Psychiatric and Neurological Diseases and Mental Health) (H.K.), Grant from Japan Foundation for Neuroscience and Mental Health (H.K.), and Grant-in-Aid for Scientific Research from the Japan Society for the Promotion of Science (JSPS) (H.K.).",,,,,,"Angermeyer, M.C., Breier, P., Dietrich, S., Kenzine, D., Matschinger, H., Public attitudes toward psychiatric treatment. 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A cross-cultural comparison of British and Hong Kong Chinese attitudes, attributions and beliefs (2004) Social Psychiatry and Psychiatric Epidemiology, 39, pp. 543-552; Furnham, A., Wong, L., A cross-cultural comparison of British and Chinese beliefs about the causes, behaviour manifestations and treatment of schizophrenia (2007) Psychiatry Research, 151, pp. 123-138; Furnham, A., Wardley, Z., Lillie, F., Lay theories of psychotherapy III: Comparing the ratings of lay persons and clinical psychologists (1992) Human Relations, 45, pp. 839-858; Griffiths, K.M., Nakane, Y., Christensen, H., Yoshioka, K., Jorm, A.F., Nakane, H., Stigma in response to mental disorders: a comparison of Australia and Japan (2006) BMC Psychiatry, 6, p. 21; Hübner-Liebermann, B., Spiessl, H., Iwai, K., Cording, C., Treatment of schizophrenia: implications derived from an intercultural hospital comparison between Germany and Japan (2005) The International Journal of Social Psychiatry, 51, pp. 83-96; Jorm, A.F., Korten, A.E., Jacomb, P.A., Rodgers, B., Pollitt, P., Christensen, H., Henderson, S., Helpfulness of interventions for mental disorders: beliefs of health professionals compared with the general public (1997) The British Journal of Psychiatry, 171, pp. 233-237; Jorm, A.F., Korten, A.E., Jacomb, P.A., Christensen, H., Henderson, S., Attitudes towards people with a mental disorder: a survey of the Australian public and health professionals (1999) The Australian and New Zealand Journal of Psychiatry, 33, pp. 77-83; Kadri, N., Sartorius, N., The global fight against the stigma of schizophrenia (2005) PLoS Medicine, 2, pp. e136; Kurihara, T., Kato, M., Sakamoto, S., Reverger, R., Kitamura, T., Public attitudes towards the mentally ill: a cross-cultural study between Bali and Tokyo (2000) Psychiatry and Clinical Neurosciences, 54, pp. 547-552; Kuroda, N., Sun, S., Lin, C.K., Morita, N., Kashiwase, H., Yang, F., Nakatani, Y., Attitudes toward taking medication among outpatients with schizophrenia: cross-national comparison between Tokyo and Beijing (2008) Environmental Health and Preventive Medicine, 13, pp. 288-295; Kurumatani, T., Ukawa, K., Kawaguchi, Y., Miyata, S., Suzuki, M., Ide, H., Seki, W., Uemoto, M., Teachers' knowledge, beliefs and attitudes concerning schizophrenia-a cross-cultural approach in Japan and Taiwan (2004) Social Psychiatry and Psychiatric Epidemiology, 39, pp. 402-409; Lauber, C., Anthony, M., Ajdacic-Gross, V., Rössler, W., What about psychiatrists' attitude to mentally ill people? (2004) European Psychiatry, 19, pp. 423-427; Magliano, L., Fiorillo, A., De Rosa, C., Malangone, C., Maj, M., Beliefs about schizophrenia in Italy: a comparative nationwide survey of the general public, mental health professionals, and patients' relatives (2004) The Canadian Journal of Psychiatry, 49, pp. 322-330; Nakane, Y., Jorm, A.F., Yoshioka, K., Christensen, H., Nakane, H., Griffiths, K.M., Public beliefs about causes and risk factors for mental disorders: a comparison of Japan and Australia (2005) BMC Psychiatry, 5, p. 33; Nordt, C., Rössler, W., Lauber, C., Attitudes of mental health professionals toward people with schizophrenia and major depression (2006) Schizophrenia Bulletin, 32, pp. 709-714; Ono, Y., Satsumi, Y., Kim, Y., Iwadate, T., Moriyama, K., Nakane, Y., Nakata, T., Yoshimura, K., Schizophrenia: is it time to replace the term? (1999) Psychiatry and Clinical Neurosciences, 53, pp. 335-341; Pescosolido, B.A., Olafsdottir, S., Martin, J.K., Long, J.S., Cross-cultural aspects of the stigma of mental illness (2008) Understanding the Stigma of Mental Illness: Theory and Interventions, pp. 19-35. , John Wiley & Sons, Ltd., England, J. Arboleda-Florez, N. Sartorius (Eds.); Rhodes, S.D., Bowie, D.A., Hergenrather, K.C., Collecting behavioural data using the world wide web: considerations for researchers (2003) Journal of Epidemiology and Community Health, 57, pp. 68-73; Ruhnke, G.W., Wilson, S.R., Akamatsu, T., Kinoue, T., Takashima, Y., Goldstein, M.K., Koenig, B.A., Raffin, T.A., Ethical decision making and patient autonomy: a comparison of physicians and patients in Japan and the United States (2000) Chest, 118, pp. 1172-1182; Schulze, B., Stigma and mental health professionals: a review of the evidence on an intricate relationship (2007) International Review of Psychiatry, 19, pp. 137-155; Schulze, B., Richter-Werling, M., Matschinger, H., Angermeyer, M.C., Crazy? So what! Effects of a school project on students' attitudes towards people with schizophrenia (2003) Acta Psychiatrica Scandinavica, 107, pp. 142-150; Thornicroft, G., Rose, D., Kassam, A., Sartorius, N., Stigma: ignorance, prejudice or discrimination? (2007) The British Journal of Psychiatry, 190, pp. 192-193; Thornicroft, G., Brohan, E., Rose, D., Sartorius, N., Leese, M., Global pattern of experienced and anticipated discrimination against people with schizophrenia: a cross-sectional survey (2009) The Lancet, 373, pp. 408-415; Uçok, A., Polat, A., Sartorius, N., Erkoc, S., Atakli, C., Attitudes of psychiatrists toward patients with schizophrenia (2004) Psychiatry and Clinical Neurosciences, 58, pp. 89-91; Uçok, A., Soygür, H., Atakli, C., Kuçcu, K., Sartorius, N., Duman, Z.C., Polat, A., Erkoç, S., The impact of antistigma education on the attitudes of general practitioners regarding schizophrenia (2006) Psychiatry and Clinical Neurosciences, 60, pp. 439-443","Hori, H.; Department of Mental Disorder Research, 4-1-1, Ogawahigashi, Kodaira, Tokyo, 187-8502, Japan; email: hori@ncnp.go.jp",,,,,,,,1651781,,PSRSD,20846728,English,Psychiatry Res.,Article,Final,,Scopus,2-s2.0-79952360652 "Loch A.A., Hengartner M.P., Guarniero F.B., Lawson F.L., Wang Y.-P., Gattaz W.F., Rössler W.",55883215800;50161568100;36959658600;54380352900;8576812100;34569066200;7004584290;,Psychiatrists' stigma towards individuals with schizophrenia [O estigma atribuído pelos psiquiatras aos indivíduos com esquizofrenia],2011,Revista de Psiquiatria Clinica,38,5,,173,177,,15,10.1590/S0101-60832011000500001,https://www.scopus.com/inward/record.uri?eid=2-s2.0-80054724253&doi=10.1590%2fS0101-60832011000500001&partnerID=40&md5=249b1d5ef08cd29d0f6d265c53beb535,"Departamento e Instituto de Psiquiatria, Faculdade de Medicina, Universidade de São Paulo (FMUSP), Brazil; Psychiatric University Hospital Zurich, Departamento de Psiquiatria Geral e Social, Zurich, Switzerland; Collegium Helveticum, A joint Research Institute between the University of Zurich, Swiss Federal Institute of Technology, Zurich, Switzerland","Loch, A.A., Departamento e Instituto de Psiquiatria, Faculdade de Medicina, Universidade de São Paulo (FMUSP), Brazil; Hengartner, M.P., Psychiatric University Hospital Zurich, Departamento de Psiquiatria Geral e Social, Zurich, Switzerland; Guarniero, F.B., Departamento e Instituto de Psiquiatria, Faculdade de Medicina, Universidade de São Paulo (FMUSP), Brazil; Lawson, F.L., Departamento e Instituto de Psiquiatria, Faculdade de Medicina, Universidade de São Paulo (FMUSP), Brazil; Wang, Y.-P., Departamento e Instituto de Psiquiatria, Faculdade de Medicina, Universidade de São Paulo (FMUSP), Brazil; Gattaz, W.F., Departamento e Instituto de Psiquiatria, Faculdade de Medicina, Universidade de São Paulo (FMUSP), Brazil; Rössler, W., Psychiatric University Hospital Zurich, Departamento de Psiquiatria Geral e Social, Zurich, Switzerland, Collegium Helveticum, A joint Research Institute between the University of Zurich, Swiss Federal Institute of Technology, Zurich, Switzerland","Background: Literature on how the general population stigmatizes individuals with mental disorders has increased considerably over the last decades. But the question remains if psychiatrists also stigmatize their patients. Objective: The present study aimed to assess Brazilian psychiatrists' attitude towards individuals with schizophrenia. Methods: Out of the approximately 6,000 participants of the 2009 National Psychiatry Congress in Brazil, 1,414 psychiatrists agreed to undergo the survey. Face-to-face interviews were conducted using a questionnaire that assessed stigma in three dimensions: stereotypes, social distance and prejudice towards a person with schizophrenia. Their opinion on psychotropic drugs and tolerance of side-effects were also assessed. Socio-demographic and professional data were collected. Results: Brazilian psychiatrists tend to negatively stereotype individuals with schizophrenia. More negative stereotypes correlated with a positive opinion on psychotropic drugs and with a higher tolerance of side-effects. Higher age was correlated with positive stereotyping and with less prejudice. Discussion: Psychiatrists stigmatize individuals with schizophrenia and possibly find it difficulty admit this fact. Anti-stigma campaigns among mental health professionals should be promoted.",Mental health professionals; Prejudice; Schizophrenia; Social distance; Stereotypes; Stigma,psychotropic agent; article; drug tolerance; health personnel attitude; human; interview; psychiatrist; psychiatrist attitude; questionnaire; schizophrenia; social distance; social psychology; stereotypy; stigma,,,,,,,,,,,,"Sharac, J., McCrone, P., Clement, S., Thornicroft, G., The economic impact of mental health stigma and discrimination: A systematic review (2010) Epidemiol Psichiatr Soc, 19 (3), pp. 223-232; Corrigan, P.W., Shapiro, J.R., Measuring the impact of programs that challenge the public stigma of mental illness (2010) Clin Psychol Rev, 30 (8), pp. 907-922; Henderson, C., Thornicroft, G., Stigma and discrimination in mental illness (2009) Time to Change. Lancet, 373 (9679), pp. 1928-1930; Corrigan, P.W., Gelb, B., Mass approaches to challenge the stigma of mental illness (2006) Psychiatr Serv, 57, pp. 393-398; Crisp, A., Cowan, L., Hart, D., The College's Anti-Stigma Campaign, 1998-2003 (2004) Psychiatric Bulletin, 28, pp. 133-136; Estroff, S., Penn, D.L., Toporek, J.R., From stigma to discrimination: An analysis of community efforts to reduce the negative consequences of having a psychiatric disorder and label (2004) Schizophr Bull, 30 (3), pp. 493-509; Gaebel, W., Baumann, A., Interventions to reduce the stigma associated with severe mental illness: Experiences from the Open the Doors Program in Germany (2003) Can J Psychiatry, 48, pp. 657-662; Heijnders, M., van der Meij, S., The fight against stigma: An overview of stigma-reduction strategies and interventions (2006) Psychol Health Med, 11 (3), pp. 353-363; Sartorius, N., Lessons from a 10-year global programme against stigma and discrimination because of an illness (2006) Psychol Health Med, 11 (3), pp. 383-388; Stuart, H., Fighting stigma caused by mental disorders: Past perspectives, present activities, and future directions (2008) World Psychiatry, 7, pp. 185-188; Lauber, C., Anthony, M., Ajdacic-Gross, V., Rössler, W., What about psychiatrists' attitude to mentally ill people? (2004) Eur Psychiatry, 19, pp. 423-427; Schulze, B., Stigma and mental health professionals: A review of the evidence on an intricate relationship (2007) Int Rev Psychiatry, 19 (2), pp. 137-155; Nordt, C., Rössler, W., Lauber, C., Attitudes of mental health professionals toward people with schizophrenia and major depression (2006) Schizophr Bull, 32 (4), pp. 709-714; Magliano, L., Fiorillo, A., de Rosa, C., Malangone, C., Maj, M., Beliefs about schizophrenia in Italy: A comparative nationwide survey of the general public, mental health professionals, and patients' relatives (2004) Can J Psychiatry, 49 (5), pp. 322-330; Jorm, A.F., Korten, A.E., Jacomb, P.A., Christensen, H., Henderson, S., Attitudes towards people with a mental disorder: A survey of the Australian public and health professionals (1999) Aust N Z J Psychiatry, 33 (1), pp. 77-83; Schulze, B., Angermeyer, M.C., Subjective experiences of stigma. A focus group study of schizophrenic patients, their relatives and mental health professionals (2003) Soc Sci Med, 56, pp. 299-312; van Dorn, R.A., Swanson, J.W., Elbogen, E.B., Swartz, M.S., A comparison of stigmatising attitudes toward persons with schizophrenia in four stakeholder groups: Perceived likelihood of violence and desire for social distance (2005) Psychiatry, 68, pp. 152-163; Lepping, P., Steinert, T., Gebhardt, R.P., Rottgers, H.R., Attitudes of mental health professionals and lay-people towards involuntary admission and treatment in England and Germany - A questionnaire analysis (2004) Eur Psychiatry, 19, pp. 91-95; de Toledo, P.P.E., Blay, S.L., Community perception of mental disorders- a systematic review of Latin American and Caribbean studies (2004) Soc Psychiatry Psychiatr Epidemiol, 39 (12), pp. 955-961; Paim, J., Travassos, C., Almeida, C., Bahia, L., Macinko, J., The Brazilian health system: History, advances, and challenges (2011) Lancet, 377 (9779), pp. 1778-1797; Zappitelli, M.C., Gonçalves, E.C., Mosca, I., (2005) Panorama da Saúde Mental no Estado de São Paulo: Leitos Psiquiátricos E Assistência Extra-hospitalar, , (São Paulo, Brasil): Secretaria de Estado da Saúde de Sao Paulo; (2005) Conferência Regional De Reforma Dos Serviços De Saúde Mental: 15 Anos Depois De Caracas, , (Brasília, Brasil): Ministério da Saúde: Reforma psiquiátrica e política de saúde mental no Brasil, Ministério da Saúde; Scherl, D.J., Macht, L.B., Deinstitutionalization in the absence of consensus (1979) Hosp Community Psychiatry, 30 (9), pp. 599-604; Kadri, N., Sartorius, N., The global fight against the stigma of schizophrenia (2005) PLoS Med, 2 (7), pp. E136; Peluso, E.T.P., Blay, S.L., Public beliefs about the treatment of schizophrenia and depression in Brazil (2009) Int J Soc Psychiatry, 55, pp. 16-27; Peluso, E.T., Blay, S.L., Public stigma and schizophrenia in São Paulo city (2011) Rev Bras Psiquiatr, 33 (2), pp. 130-136; des Courtis, N., Lauber, C., Costa, C.T., Cattapan-Ludewig, T., Beliefs about the mentally ill: A comparative study between healthcare professionals in Brazil and in Switzerland (2008) Int Rev Psychiatry, 20 (6), pp. 503-509; The 27th Brazilian Congress of Psychiatry, , http://www.wpanet.org/detail.php?section_id=7&content_id=822, World Psychiatric Association, Disponível em; Lauber, C., Nordt, C., Sartorius, N., Falcato, L., Rossler, W., Public acceptance of restrictions on mentally ill people (2000) Acta Psychiatr Scand Suppl, 407, pp. 26-32; Lauber, C., Nordt, C., Braunschweig, C., Rossler, W., Do mental health professionals stigmatize their patients? (2006) Acta Psychiatr Scand Suppl, 429, pp. 51-59; Lauber, C., Nordt, C., Rossler, W., Recommendations of mental health professionals and the general population on how to treat mental disorders (2005) Soc Psychiatry Psychiatr Epidemiol, 40 (10), pp. 835-843; Bogardus, E.S., Measurement of personal-group relations (1947) Sociometry, 10 (4), pp. 306-311; Link, B.G., Cullen, F.T., Frank, J., Wozniak, J.F., The social rejection of formermental patients: Understanding why labels matter (1987) Am J Sociol, 92, pp. 1461-1500; Angermeyer, M.C., Däumer, M., Matschinger, H., Benefits and risks of psychotropic medication in the eyes of the general public: Results of a survey in the Federal Republic of Germany (1993) Pharmacopsychiatry, 26 (4), pp. 114-120; Angermeyer, M.C., Matschinger, H., Labeling-stereotype-discrimination. An investigation of the stigma process (2005) Soc Psychiatry Psychiatr Epidemiol, 40 (5), pp. 391-395; Wolff, G., Pathare, S., Craig, T., Leff, J., Community knowledge of mental illness and reaction to mentally ill people (1996) Br J Psychiatry, 168, pp. 191-198; Dovidio, J.F., Brigham, J.C., Johnson, B.T., Gaertner, S.L., Stereotyping, prejudice, and discrimination: Another look (1996) Stereotypes and Stereotyping, , Macrae CN, Stangor C, Hewstone M, editors., (New York, USA): The Guilford Press; Rettenbacher, M.A., Burns, T., Kemmler, G., Fleischhacker, W., Schizophrenia: Attitudes of patients and professional carers towards the illness and antipsychotic medication (2004) Pharmacopsychiatry, 37, pp. 103-109; Pilgrim, D., The biopsychosocial model in Anglo-America psychiatry: Past, present and future? (2002) J Mental Health, 11 (6), pp. 585-594; Read, J., The bio-bio-bio model of madness (2005) Psychologist, 18, pp. 596-597; Ghaemi, N., McHugh, P.R., (2007) The Concepts of Psychiatry: A Pluralistic Approach to The Mind and Mental Illness, , (Baltimore, USA): The Johns Hopkins University Press; Read, J., Masson, J., Genetics eugenics and mass murder (2004) Models of Madness: Psychological, Social and Biological Approaches to Schizophrenia, pp. 35-42. , Read J, Mosher L, Bentall R, editors, (Hove, United Kingdom): Brunner-Routledge; Angermeyer, M.C., Matschinger, H., Causal beliefs and attitudes to people with schizophrenia (2005) Br J Psychiatry, 186, pp. 331-334; Read, J., Harré, N., The role of biological and genetic causal beliefs in the stigmatization of 'mental patients' (2001) J Mental Health, 10 (2), pp. 223-235; Read, J., Haslam, N., Sayce, L., Davies, E., Prejudice and schizophrenia: A review of the ''mental illness is an illness like any other'' approach (2006) Acta Psychiatr Scand, 114, pp. 303-318; Phelan, J., Genetic bases of mental illness: A cure for stigma? (2002) Trends Neurosci, 25, pp. 430-431; Lincoln, T.M., Arens, E., Berger, C., Rief, W., Can antistigma campaigns be improved? A test of the impact of biogenetic vs psychosocial causal explanations on implicit and explicit attitudes to schizophrenia (2008) Schizophr Bull, 34 (5), pp. 984-994; Corrigan, P.W., Penn, D.L., Lessons from social psychology on discrediting psychiatric stigma (1999) Am Psychol, 54 (9), pp. 765-776; Gentil, V., Principles that should guide mental health policies in low-and middle-income countries (LMICs): Lessons from the Brazilian experiment (2011) Rev Bras Psiquiatr, 33 (1), pp. 2-3","Loch, A. A.; Laboratório de Neurociências (LIM-27), Rua Dr. Ovídio Pires de Campos, 785, 05403-010 - São Paulo, SP, Brazil; email: alexandre.loch@usp.br",,,Universidade de Sao Paulo,,,,,1016083,,RPCLF,,English; Portuguese,Rev. Psiquiatr. Clin.,Article,Final,"All Open Access, Gold, Green",Scopus,2-s2.0-80054724253 "Norton J.L., Pommié C., Cogneau J., Haddad M., Ritchie K.A., Mann A.H.",8833743200;6507436961;6602160765;16024688900;7006483248;7201627833;,Beliefs and attitudes of French family practitioners toward depression: The impact of training in mental health,2011,International Journal of Psychiatry in Medicine,41,2,,107,122,,12,10.2190/PM.41.2.a,https://www.scopus.com/inward/record.uri?eid=2-s2.0-79955088690&doi=10.2190%2fPM.41.2.a&partnerID=40&md5=1adcd885e5d823ea8b33167a5cc72092,"Inserm U1061, Hôpital La Colombière Pavillon 42, 39 avenue Charles Flahault, 34093 Montpellier Cedex 5, France; IRMG, France; King's College, London, United Kingdom","Norton, J.L., Inserm U1061, Hôpital La Colombière Pavillon 42, 39 avenue Charles Flahault, 34093 Montpellier Cedex 5, France; Pommié, C., Inserm U1061, Hôpital La Colombière Pavillon 42, 39 avenue Charles Flahault, 34093 Montpellier Cedex 5, France; Cogneau, J., IRMG, France; Haddad, M., King's College, London, United Kingdom; Ritchie, K.A., Inserm U1061, Hôpital La Colombière Pavillon 42, 39 avenue Charles Flahault, 34093 Montpellier Cedex 5, France; Mann, A.H., King's College, London, United Kingdom","Objective: To study, in a sample of French Family Practitioners (FPs), beliefs and attitudes toward depression and how they vary according to training received in mental health. Methods: The Depression Attitude Questionnaire (DAQ) was completed by 468 FPs from all regions of France, recruited by pharmaceutical company representatives to attend focus groups on the management of depression in general practice. Results: A three-factor model was derived from the DAQ, accounting for 37.7% of the total variance. The correlations between individual items of each component varied from 0.4 to 0.65, with an overall internal consistency of 0.47 (Cronbach's alpha). FPs had an overall neutral position on component 1, professional ease, a positive view on the origins of depression and its amenability to change (component 2), and a belief in the necessity of medication and the benefit of antidepressant therapy (component 3). Training in mental health, specifically through continuing medical education and postgraduate psychiatric hospital training, was significantly and positively associated with both professional ease and a medication approach to treating depression. Conclusion: This study is the first description of the beliefs and attitudes of French FPs toward depression using a standardized measure, the DAQ, despite the instrument's limited psychometric properties. It shows the positive effect of training in mental health on attitudes toward depression. © 2011, Baywood Publishing Co., Inc.",attitudes; depression; family physicians; training in mental health,"article; depression; France; general practitioner; health belief; human; medical education; mental health; physician attitude; questionnaire; Adult; Attitude of Health Personnel; Depressive Disorder; Education, Medical, Continuing; Family Practice; Female; France; Health Knowledge, Attitudes, Practice; Humans; Male; Mental Health Services; Middle Aged; Physicians, Family; Principal Component Analysis; Psychometrics; Questionnaires",,,,,,,,,,,,"A. 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(2000) Psychological Medicine, 30 (2), pp. 413-419. , DOI 10.1017/S0033291799001531; Ross, S., Moffat, K., McConnachie, A., Gordon, J., Wilson, P., Sex and attitude: A randomized vignette study of the management of depression by general practitioners (1999) British Journal of General Practice, 49 (438), pp. 17-21; Butler, M., Quayle, E., Training primary care nurses in late-life depression: Knowledge, attitude and practice changes (2007) International Journal of Older People Nursing, 2, pp. 25-35; Haddad, M., Plummer, S., Taverner, A., Gray, R., Lee, S., Payne, F., Knight, D., District nurses' involvement and attitudes to mental health problems: A three-area cross-sectional study (2005) Journal of Clinical Nursing, 14 (A8), pp. 976-985. , DOI 10.1111/j.1365-2702.2005.01196.x; Payne, F., Harvey, K., Jessopp, L., Knowledge, confidence and attitudes towards mental health of nurses working in NHS Direct and the effects of training (2002) Journal of Advanced Nursing, 40, pp. 549-559; Waller, R., Hillam, J., Assessment of depression in older medical inpatients: Practice, attitudes and the effect of teaching (2000) Aging and Mental Health, 4, pp. 275-277; Cape, J., Morris, E., Burd, M., Buszewicz, M., Complexity of GPs' explanations about mental health problems: Development, reliability, and validity of a measure (2008) British Journal of General Practice, 58, pp. 403-408. , 410; Lecrubier, Y., Boyer, P., Lepine, J., Weiller, E., Results from the Paris centre (1995) Mental Illness in General Health Care. An International Study, , Ustun TB, Sartorius N. Chichester: John Wiley & Sons; Norton, J., De Roquefeuil, G., Boulenger, J.-P., Ritchie, K., Mann, A., Tylee, A., Use of the PRIME-MD Patient Health Questionnaire for estimating the prevalence of psychiatric disorders in French primary care: comparison with family practitioner estimates and relationship to psychotropic medication use (2007) General Hospital Psychiatry, 29 (4), pp. 285-293. , DOI 10.1016/j.genhosppsych.2007.02.005, PII S0163834307000539; Norton, J., David, M., Boulenger, J.-P., General practitioners are bearing an increasing burden of the care of common mental disorders in France (2007) European Journal of Psychiatry, 21 (1), pp. 63-70. , http://scielo.isciii.es/pdf/ejpen/v21n1/report2.pdf; Réseau de Promotion pour la Santé Mentale 78. Rapport de l'enquête 2000 du Réseau de Promotion pour la Santé Mentale dans les Yvelines Sud. La Lettre de Promotion Santé Mentale Yvelines Sud, 2003, 4; (2006) Journal Officiel de la République Française, , Ministère de la Santé et des Solidarités. Arrêté du 13 juillet 2006 portant l'homologation des règles de validation de la formation médicale continue; Linden, M., Lecrubier, Y., Bellantuono, C., Benkert, O., Kisely, S., Simon, G., The prescribing of psychotropic drugs by primary care physicians: An international collaborative study (1999) Journal of Clinical Psychopharmacology, 19 (2), pp. 132-140. , DOI 10.1097/00004714-199904000-00007; Hull, S.A., Aquino, P., Cotter, S., Explaining variation in antidepressant prescribing rates in east London: A cross sectional study (2005) Family Practice, 22 (1), pp. 37-42. , DOI 10.1093/fampra/cmh712; Ustun, T.B., Sartorius, N., (1995) Mental Illness in General Health Care. An International Study, , Chichester: John Wiley & Sons;; Verger, P., (2006) Colloque ""représentations des Troubles Psychiques Pratiques de Soins et Vécu des Maladies."", , Déterminants de l'hétérogénéité des pratiques de prise en charge des problèmes de santé mentale en médecine de ville: Étude des prescriptions d'antidé presseurs par les médecins généralistes de la région Provence-Alpes-Côte d'Azur (PACA) Paris, 4 décembre 2006; Kisely, S., Duerden, D., Shaddick, S., Jayabarathan, A., Collaboration between primary care and psychiatric services: Does it help family physicians? (2006) Canadian Family Physician, 52 (7), pp. 876-877. , http://www.cfpc.ca/cfp/2006/Jul/_pdf/vol52-jul-research-kisely.pdf; Andersson, S.J., Lindberg, G., Troein, M., What shapes GP's work with depressed patients? A qualitative interview study (2002) Family Practice, 19 (6), pp. 623-631; (2009) The NICE Guideline on the Treatment and Management of Depression in Adults, , National Clinical Practice Guideline 90. London: National Institute for Health and Clinical Excellence. National Health Service; (2003) Investing in Mental Health, , WHO. Geneva: World Health Organization; Croudace, T., Evans, J., Harrison, G., Sharp, D.J., Wilkinson, E., McCann, G., Spence, M., Brindle, L., Impact of the ICD-10 Primary Health Care (PHC) diagnostic and management guidelines for mental disorders on detection and outcome in primary care. Cluster randomised controlled trial (2003) British Journal of Psychiatry, 182 (JANUARY), pp. 20-30. , DOI 10.1192/bjp.182.1.20; Thompson, C., Kinmonth, A.L., Stevens, L., Peveler, R.C., Stevens, A., Ostler, K.J., Pickering, R.M., Campbell, M.J., Effects of a clinical-practice guideline and practice-based education on detection and outcome of depression in primary care: Hampshire Depression Project randomised controlled trial (2000) Lancet, 355 (9199), pp. 185-191; Gilbody, S., Whitty, P., Grimshaw, J., Thomas, R., Educational and Organizational Interventions to Improve the Management of Depression in Primary Care: A Systematic Review (2003) Journal of the American Medical Association, 289 (23), pp. 3145-3151. , DOI 10.1001/jama.289.23.3145; Dietrich, A.J., Oxman, T.E., Williams Jr., J.W., Re-engineering systems for the treatment of depression in primary care: Cluster randomised controlled trial (2004) British Medical Journal, 329, p. 602; Upshur, C., Weinreb, L., A survey of primary care provider attitudes and behaviors regarding treatment of adult depression: What changes after a collaborative care intervention? (2008) Primary Care Companion to the Journal of Clinical Psychiatry, 10 (3), pp. 182-186. , http://www.psychiatrist.com/pcc/pccpdf/v10n03/v10n0301.pdf; Chew-Graham, C.A., Lovell, K., Roberts, C., Baldwin, R., Morley, M., Burns, A., Richards, D., Burroughs, H., A randomised controlled trial test the feasibility of a collaborative care model for the management of depression in older people (2007) British Journal of General Practice, 57 (538), pp. 364-370; Richards, D.A., Lovell, K., Gilbody, S., Gask, L., Torgerson, D., Barkham, M., Bland, M., Richardson, R., Collaborative care for depression in UK primary care: A randomized controlled trial (2008) Psychological Medicine, 38 (2), pp. 279-287. , DOI 10.1017/S0033291707001365, PII S0033291707001365; Nutting, P.A., Gallagher, K., Riley, K., Care management for depression in primary care practice: Findings from the RESPECT-Depression trial (2008) Annals of Family Medicine, 6, pp. 30-37; De Jong, F.J., Van Steenbergen-Weijenburg, K.M., Huijbregts, K.M., The Depression Initiative. Description of a collaborative care model for depression and of the factors influencing its implementation in the primary care setting in the Netherlands (2009) International Journal of Integrative Care, 9, pp. e81; Deehan, A., The effect of cash and other financial inducements on the response rate of general practitioners in a national postal study (1997) British Journal of General Practice, 47 (415), pp. 87-90; Templeton, L., Surveying general practitioners: Does a low response rate matter? (1997) British Journal of General Practice, 47 (415), pp. 91-94; DREES. Les médecins: Estimations au 1er janvier 2007, Ministère de l'Emploi et de la Solidarité, 2007, aout-sept 2007; Thornett, A.M., Pickering, R.M., Willis, T., Thompson, C.D., Found no relationship between the scores on the Depression Attitude Questionnaire and GPs' ability to identify depressed individuals in the surgery (2001) Psychology and Medicine, 31, p. 181","Norton, J. L.; Inserm U1061, 39 avenue Charles Flahault, 34093 Montpellier Cedex 5, France; email: joanna.norton@inserm.fr",,,,,,,,912174,,IJMED,21675343,English,Int. J. Psychiatry Med.,Article,Final,"All Open Access, Green",Scopus,2-s2.0-79955088690 "Black D.W., Blum N., Pfohl B., Mccormick B., Allen J., North C.S., Phillips K.A., Robins C., Siever L., Silk K.R., Williams J.B.W., Zimmerman M.",57205017103;7006713528;7003650286;18536568000;16229539900;7102686532;7201518294;7006544180;7006816945;7003717637;7409578417;7202495698;,Attitudes toward borderline personality disorder: A survey of 706 mental health clinicians,2011,CNS Spectrums,16,3,,,,,51,10.1017/s109285291200020x,https://www.scopus.com/inward/record.uri?eid=2-s2.0-79953007898&doi=10.1017%2fs109285291200020x&partnerID=40&md5=95609480c53f1596c46b1455ba893428,"University of Iowa, United States; Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, United States; Warren Alpert Medical School of Brown University, United States; University Medical Center in Durham; Mount Sinai School of Medicine, New York, NY, United States; Department of Psychiatry, University of Michigan Health System in Ann Arbor; Clinical Development, at MedAvante, Inc, Hamilton, NJ, United States; Biometrics Research Department (Retired), New York State Psychiatric Institute, United States; Rhode Island Hospital, United States","Black, D.W., University of Iowa, United States; Blum, N., University of Iowa, United States; Pfohl, B., University of Iowa, United States; Mccormick, B., University of Iowa, United States; Allen, J., University of Iowa, United States; North, C.S., Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, United States; Phillips, K.A., Warren Alpert Medical School of Brown University, United States; Robins, C., University Medical Center in Durham; Siever, L., Mount Sinai School of Medicine, New York, NY, United States; Silk, K.R., Department of Psychiatry, University of Michigan Health System in Ann Arbor; Williams, J.B.W., Clinical Development, at MedAvante, Inc, Hamilton, NJ, United States, Biometrics Research Department (Retired), New York State Psychiatric Institute, United States; Zimmerman, M., Rhode Island Hospital, United States","Objective: We sought to determine attitudes toward patients with borderline personality disorder (BPD) among mental health clinicians at nine academic centers in the United States. Methods: A self-report questionnaire was distributed to 706 mental health clinicians, including psychiatrists, psychiatry residents, social workers, nurses, and psychologists. Results: The study showed that most clinicians consider BPD a valid diagnosis, although nearly half reported that they preferred to avoid these patients. The clinician's occupational subgroup was significantly related to attitude. Staff nurses had the lowest self-ratings on overall caring attitudes, while social workers had the highest. Social workers and psychiatrists had the highest ratings on treatment optimism. Social workers and psychologists were most optimistic about psychotherapy effectiveness, while psychiatrists were most optimistic about medication effectiveness. Staff nurses had the lowest self-ratings on empathy toward patients with BPD and treatment optimism. Discussion: Negative attitudes persist among clinicians toward BPD, but differ among occupational subgroups. Overall, caring attitudes, empathy, and treatment optimism were all higher among care providers who had cared for a greater number of BPD patients in the past 12 months. Conclusion: These findings hold important implications for clinician education and coordination of care for patients with BPD.",,article; attitude to mental illness; borderline state; controlled study; empathy; health personnel attitude; human; medical education; mental health care; optimism; priority journal; psychotherapy; questionnaire; self report; social worker; staff nurse; United States,,,,,,,,,,,,"Cleary, M., Siegfried, N., Walter, G., Experience, knowledge and attitudes of mental health staff regarding clients with a borderline personality disorder (2001) Int J Ment Health Nurs, 11, pp. 186-191; Lewis, G., Appleby, L., Personality disorder: The patients psychiatrists dislike (1988) Br J Psychiatry, 153, pp. 44-49; Markham, D., Trower, P., The effect of the psychiatric label ""borderline personality disorder"" on nursing staff's perceptions and causal attributions for challenging behaviors (2003) Br J Clin Psychol, 42, pp. 243-256; Zimmerman, M., Ruggero, C.J., Chelminski, I., Psychiatric diagnoses in patients previously overdiagnosed with bipolar disorder (2010) J Clin Psychiatry, 71, pp. 26-31; Fraser, K., Gallop, R., Nurses' confirming/disconfirming responses to patients diagnosed with borderline personality disorder (1993) Arch Psychiatr Nurs, 7, pp. 336-341; Shanks, C., Pfohl, B., Blum, N., Black, D.W., Can negative attitudes toward patients with borderline personality disorder be changed? The Effect of Attending a STEPPS Workshop J Person Disord, , in press; Agresti, A., Categorical Data Analysis (2002) John Wiley & Sons, , 2nd ed. New York; Users Guide (2004), Cary, NC: SAS Institute, Inc. SAS/STAT: 9.1, SAS Institute; Black, D.W., Blum, N., Pfohl, B., St John, D., The STEPPS group treatment for outpatients with borderline personality disorder (2004) J Contemp Psychother, 34, pp. 193-210; Blum, N., St John, D., Pfohl, B., Systems Training for Emotional Predictability and Problem Solving (STEPPS) for outpatients with borderline personality disorder: A randomized controlled trial and 1-year follow-up (2008) Am J Psychiatry, 165, pp. 468-478; McHenry, S., When the therapist needs therapy: Characterological countertransference issues and failures in the treatment of the borderline personality disorder (1994) Psychother, 31, pp. 557-570; Piccinino, S., The nursing care challenge-borderline patients (1990) J Psychosoc Nurs, 28, pp. 22-27; Miller, S., Davenport, N., Increasing staff knowledge of and improving attitudes towards patients with borderline personality disorder (1996) Psychiatr Serv, 47, pp. 533-535; Krawitz, R., Borderline personality disorder: Attitudinal change following training (2004) Aust NZ J Psychiatry, pp. 554-559; Treolar, A.J.C., Effectiveness of education programs in changing clinicians' attitudes toward treating borderline personality disorder (2009) Psychiatr Serv, 60, pp. 1128-1131","Black, D. W.; University of Iowa, , Iowa City, IA 52242, United States; email: Donald-Black@uiowa.edu",,,Cambridge University Press,,,,,10928529,,CNSPF,,English,CNS Spectr.,Article,Final,,Scopus,2-s2.0-79953007898 "Ahmead M.K., Rahhal A.A., Baker J.A.",24536814600;36440400200;55469103400;,The attitudes of mental health professionals towards patients with mental illness in an inpatient setting in Palestine,2010,International Journal of Mental Health Nursing,19,5,,356,362,,16,10.1111/j.1447-0349.2010.00674.x,https://www.scopus.com/inward/record.uri?eid=2-s2.0-77956285495&doi=10.1111%2fj.1447-0349.2010.00674.x&partnerID=40&md5=675866111936b7348d9cc4761a2b9483,"Faculty of Public Health, Community Mental Health Division, Al-Quds University, Jerusalem, Israel; Faculty of Dentistry, Arab-American University-Jenin, Jenin, Palestine; School of Nursing Midwifery and Social Work, The University of Manchester, Manchester, United Kingdom","Ahmead, M.K., Faculty of Public Health, Community Mental Health Division, Al-Quds University, Jerusalem, Israel; Rahhal, A.A., Faculty of Dentistry, Arab-American University-Jenin, Jenin, Palestine; Baker, J.A., School of Nursing Midwifery and Social Work, The University of Manchester, Manchester, United Kingdom","Culture plays a vital role in shaping public and professional attitudes towards mental illness. In Arab cultures negative attitudes toward patients experiencing mental illnesses are common. There is a lack of studies that investigate the attitudes of professionals towards patients in inpatient mental health settings. This study aimed to assess the attitudes of professionals towards patients with mental illnesses in the only psychiatric hospital in Palestine. A survey was undertaken using the Attitudes Toward Acute Mental Health Scale (ATAMHS 33). The scale was distributed to a variety of professionals at the only psychiatric hospital in Bethlehem. Data was managed and analysed by using SPSS 15 (a statistical package for social sciences). The participants (mostly nurses) expressed both negative and positive attitudes toward patients, however, results revealed more negative than positive attitudes, particularly in relation to alcohol misuse, medication, patients' ability to control their emotions, and genetic predisposition to mental illness. This paper provides baseline data about the attitude of mental health professionals towards patients experiencing mental illnesses. Education and direct contact with patients with mental illness may not be enough to foster positive attitudes towards them. This may indicate the need to revise educational curriculum at the Palestinian universities and offer more training for mental health professionals in order to change their attitudes. © 2010 The Authors. International Journal of Mental Health Nursing © 2010 Australian College of Mental Health Nurses Inc.",Acute mental health setting; Attitudes; Inpatient; Mental health professional; Nursing; Patient,"adult; Arab; article; ethnology; female; health personnel attitude; human; human relation; male; mental disease; mental hospital; middle aged; Middle East; nursing; psychological aspect; social psychology; Adult; Arabs; Attitude of Health Personnel; Female; Hospitals, Psychiatric; Humans; Male; Mental Disorders; Middle Aged; Middle East; Prejudice; Professional-Patient Relations",,,,,,,,,,,,"Abdel-Latif, K., Belief and attitude towards mental illness in a group of male and female students (1989) Egyptian Psychology Journal, 11, pp. 103-117; Adewuya, A.O., Oguntade, A.A., Doctors' attitude towards people with mental illness in Western Nigeria (2007) Social Psychiatry and Psychiatric Epidemiology, 42, pp. 931-936; Aghanwa, H.S., Attitude toward and knowledge about mental illness in Fiji Islands (2004) International Journal of Social Psychiatry, 50 (4), pp. 361-375; Al-Adawi, S., Dorvlo, A.S.S., Al-Ismaily, S.S., Perception of and attitude towards mental illness in oman (2002) International Journal of Social Psychiatry, 48, pp. 305-317; Al-Issa, A., Culture and mental illness in Algeria (1990) International Journal of Social Psychiatry, 36, pp. 230-240; Al-Krenawi, A., Graham, J.R., Social work practice and traditional healing rituals among the Bedouin of the Negev (1996) International Social Work, 39, pp. 177-188; Al-Krenawi, A., Graham, J.R., Tackling mental illness: Roles for old and new disciplines (1996) World Health Forum, 17, pp. 246-248; Al-Subaie, A.A., Traditional healing experiences in patients attending a university outpatient clinic (1994) Arab Journal of Psychiatry, 5, pp. 83-91; Baker, J.A., Richards, D., Campbell, M., Nursing attitudes toward acute mental health care: A measurement tool development (2005) Journal of Advanced Nursing, 49 (5), pp. 522-529; Chong, S.A., Verma, S., Vaingankar, J.A., Chan, Y.H., Wong, L.Y., Bee Hoon Heng, B.H., Perception of the public towards the mentally ill in developed Asian country (2007) Social Psychiatry and Psychiatric Epidemiology, 42 (9), pp. 734-739; Duxbury, J., An evaluation of staff and patient views of and strategies employed to manage inpatient aggression and violence on one mental health unit: A pluralistic design (2002) Journal of Psychiatric & Mental Health Nursing, 9 (3), pp. 325-337; Eimear, M.C., Adult, G.D., An investigation into nurses' perceptions of secluding patients on closed psychiatric wards (1996) Journal of Advanced Nursing, 23 (3), pp. 555-563; El-Gawad, M., Transculutral psychiatry in Egypt (1995) Handbook of Culture and Mental Illness: An International Perspective, pp. 53-64. , Al-Issa I. Ed., Madison, International University Press, Inc; El-Islam, M.F., Arabic cultural psychiatry (1982) Transcultural Psychiatric Research Review, 19 (1), pp. 5-24; Emrich, K., Thompson, T.C., Moore, K., Positive attitude: An essential element for effective care of people with mental illnesses (2003) Journal of Psychosocial Nursing & Mental Health Services, 41 (1), pp. 18-25; Esters, I., Cooker, P., Ittenbach, R., Effects of a unit of instruction in mental health on rural adolescents' conceptions of mental illness and attitudes about seeking help (1998) Adolescence, 33, pp. 469-476; Foster, K., Usher, K., Baker, J.A., Gadai, S., Ali, S., Mental health workers' attitudes toward mental illness in Fiji (2008) Australian Journal of Advanced Nursing, 25 (3), pp. 72-79; Halter, M.J., Stigma and help seeking related to depression: A study of nursing students (2004) Journal of Psychosocial Nursing and Mental Health Services, 42 (2), pp. 42-51; Hugo, M., Mental health professionals' attitudes toward people who have experienced a mental health disorder (2001) Journal of Psychiatric and Mental Health Nursing, 8 (5), pp. 419-425; Jorm, A.F., Korten, A.E., Jacomb, P.A., Christensen, H., Henderson, S., Attitudes toward people with a mental disorder: A survey of the Australian public and health professionals (1999) Australian and New Zealand Journal of Psychiatry, 33 (1), pp. 77-83; Munro, S., Baker, J.A., Surveying the attitudes of acute mental health nurses (2007) Journal of Psychiatric & Mental Health Nursing, 14, pp. 196-202; Murad, I., Gordon, H., Psychiatry and the Palestinian population (2002) Psychiatric Bulletin, 26, pp. 28-30; Okasha, A., Karam, E., Mental health services and research in the Arab world (1998) Acta Psychiatrica Scandinavica, 98, pp. 406-413; Peluso, E.T.P., Blay, S.L., Community perception of mental illnesses: A systematic review of Latin American and Caribbean studies (2004) Social Psychiatry and Psychiatric Epidemiology, 39 (12), pp. 955-961; Qureshi, N.A., Van der Molen, H.T., Schmidt, H.G., Al-Habeeb, T.A., Magzoub, M.M., General practitioners pre and post training knowledge and attitude towards psychiatry (2004) Neurosciences, 9 (4), pp. 287-294; Read, J., Harre, N., The role of biological and genetic causal beliefs in the stigmatisation of 'mental patients' (2001) Journal of Mental Health, 10 (2), pp. 223-235; Shuqueir, Z., Belief and attitude towards mental illness among secondary and university students (1994) Egyptian Psychology Journal, 30, pp. 124-139; Sijuwola, O.A., Culture, religion and mental illness in Nigeria (1995) Handbook of Culture and Mental Illness: An International Perspective, pp. 65-72. , Al-Issa I. Ed., Madison, International Universities Press Inc; Sim-Eng, C.T., Pariyasami, S.D.O., Ravindran, K., Ali, M.I.A., Rowsudeen, M.T., Nurses' attitudes toward people with mental illnesses in a psychiatric hospital in Singapore (2004) Journal of Psychosocial Nursing and Mental Health Services, 42 (10), pp. 40-47; Tay Sim-Eng, C., Pariyasami, S.D.O., Ravindran, K., Ali, M.I.A., Rowsudeen, M.T., Nurses' attitudes toward people with mental illnesses in a psychiatric hospital in Singapore (2004) Journal of Psychosocial Nursing and Mental Health Services, 42 (10), pp. 40-47; Mental Health Care in Developing Countries: A critical appraisal of research findings Technical (1984), WHO, WHO Report Series 698, Geneva; Ministerial European conference: Stigma and discrimination against the mentally ill in Europe (2005), WHO, WHO Report, Geneva","Ahmead, M.K.; Faculty of Public Health, , Jerusalem, Israel; email: munaahmead@yahoo.com",,,,,,,,14458330,,,20887610,English,Int. J. Ment. Health Nurs.,Article,Final,,Scopus,2-s2.0-77956285495 "Guise V., Chambers M., Välimäki M., Makkonen P.",36087330900;35609790000;7102827558;35746453500;,A mixed-mode approach to data collection: Combining web and paper questionnaires to examine nurses' attitudes to mental illness,2010,Journal of Advanced Nursing,66,7,,1623,1632,,23,10.1111/j.1365-2648.2010.05357.x,https://www.scopus.com/inward/record.uri?eid=2-s2.0-77954187089&doi=10.1111%2fj.1365-2648.2010.05357.x&partnerID=40&md5=47282ae752b44f1bbbef6576cb0bf35f,"Health and Social Care Sciences, University of London and Kingston University, United Kingdom; Health and Social Care Sciences, University of London and Kingston University, United Kingdom; Department of Nursing Science, University of Turku, Finland; Nursing Director, Hospital District of Southwest Finland, Finland; Hospital District of Southwest Finland, Finland","Guise, V., Health and Social Care Sciences, University of London and Kingston University, United Kingdom; Chambers, M., Health and Social Care Sciences, University of London and Kingston University, United Kingdom; Välimäki, M., Department of Nursing Science, University of Turku, Finland, Nursing Director, Hospital District of Southwest Finland, Finland; Makkonen, P., Hospital District of Southwest Finland, Finland","guise v., chambers m., välimäki m. & makkonen p. (2010) A mixed-mode approach to data collection: combining web and paper questionnaires to examine nurses' attitudes to mental illness. Journal of Advanced Nursing 66(7), 1623-1632. Title.: A mixed-mode approach to data collection: combining web and paper questionnaires to examine nurses' attitudes to mental illness Aim.: This paper is a report an evaluation of the use of a sequential mixed-mode approach to data collection in a study of attitudes to mental illness and people with mental health problems held by Registered Nurses working in adult acute inpatient and psychiatric intensive care settings. Background.: The use of electronic tools for data collection is becoming increasingly common in nursing research. Currently there is a lack of reports of the use of mixed-mode designs featuring both web and paper questionnaires. The efficacy of this approach remains unclear. Method.: Web and paper versions of a questionnaire including the Community Attitudes towards the Mentally Ill scale were distributed in 2007 to all 148 Registered Nurses working in acute care settings in an English mental healthcare organization. Results.: The mixed-mode design was successful in increasing overall response rate. Data collection mode was indicative of statistically significantly different response rates, but had no impact on differences in nurses' socio-demographic characteristics or attitudes to mental illness. The use of email reminders had a positive impact on the web questionnaire return rate. Conclusion.: Future nursing studies could benefit from a mixed-mode study design to attain increased response rates and reduce non-response bias, although further research should be undertaken with larger groups of nurses to verify consistently the absence of mode effect on study outcomes. © 2010 The Authors. Journal compilation © 2010 Blackwell Publishing Ltd.",Community Attitudes towards the Mentally Ill scale; Mental illness; Mixed-mode approach; Nurses; Paper questionnaires; Web questionnaires,"adult; article; female; health personnel attitude; human; information processing; Internet; male; mental disease; methodology; middle aged; national health service; nursing staff; psychological aspect; questionnaire; Adult; Attitude of Health Personnel; Data Collection; Female; Humans; Internet; Male; Mental Disorders; Middle Aged; Nursing Staff, Hospital; Questionnaires; State Medicine; Young Adult",,,,,,,,,,,,"Ahren, N.R., Using the internet to conduct research (2005) Nurse Researcher, 13 (2), pp. 55-70; Badger, F., Werrett, J., Room for improvement? Reporting response rates and recruitment in nursing research in the past decade (2005) Journal of Advanced Nursing, 51 (5), pp. 502-510; Baernholdt, M., Clarke, S.P., Internet research in an international context (2006) Applied Nursing Research, 19, pp. 48-50; Beebe, T.J., Locke, G.R., Barnes, S.A., Davern, M.E., Anderson, K.J., Mixing web and mail methods in a survey of physicians (2007) Health Services Research, 42 (3), pp. 1219-1234; Birnbaum, M.H., Human research and data collection via the Internet (2004) Annual Review of Psychology, 55, pp. 803-832; Braithwaite, D., Emery, J., de Lusignan, S., Sutton, S., Using the Internet to conduct surveys of health professionals: a valid alternative? (2003) Family Practice, 20 (5), pp. 545-551; Cantrell, M.A., Lupinacci, P., Methodological issues in online data collection (2007) Journal of Advanced Nursing, 60 (5), pp. 544-549; Cleary, M., Walter, G., Matheson, S., What is the role of e-technology in mental health services and psychiatric research? (2008) Journal of Psychosocial Nursing, 46 (4), pp. 42-48; Converse, P.D., Wolfe, E.W., Huang, X., Oswald, F.L., Response rates for mixed-mode surveys using mail and e-mail/web (2008) American Journal of Evaluation, 29 (1), pp. 99-107; Denscombe, M., Web-based questionnaires and the mode effect: an evaluation based on completion rates and data contents of near-identical questionnaires delivered in different modes (2006) Social Science Computer Review, 24, pp. 246-254; Duffy, M.E., Methodological issues in web-based research (2002) Journal of Nursing Scholarship, 34 (1), pp. 83-88; Gosling, S.D., Vazire, S., Srivastava, S., John, O.P., Should we trust web-based studies? A comparative analysis of six preconceptions about Internet questionnaires (2004) American Psychologist, 59 (2), pp. 93-104; Im, E., Chee, W., Bendea, M., Cheng, C., Tsai, H., Kang, N.M., Lee, H., The psychometric properties of pen-and-pencil and internet versions of the midlife women's symptom index (MSI) (2005) International Journal of Nursing Studies, 42, pp. 167-177; Kaplowitz, M.D., Hadlock, T.D., Levine, R., A comparison of web and mail survey response rates (2004) Public Opinion Quarterly, 68 (1), pp. 94-101; Kingdon, D., Sharma, T., Hart, D., What attitudes do psychiatrists hold towards people with mental illness? (2004) Psychiatric Bulletin, 28, pp. 401-406; Koivunen, M., Valimaki, M., Koskinen, A., Staggers, N., Katajisto, J., The impact of individual factors on healthcare staff's computer use in psychiatric hospitals (2008) Journal of Clinical Nursing, 18, pp. 1141-1150; Lakeman, R., Using the Internet for data collection in nursing research (1997) Computers in Nursing, 15 (5), pp. 269-275; Lauber, C., Anthony, M., Ajdacic-Gross, V., Rössler, W., What about psychiatrists' attitude to mentally ill people? (2004) European Psychiatry, 19, pp. 423-427; Leece, P., Bhandari, M., Sprague, S., Swiontkowski, M.F., Schemitsch, E.H., Tornetta, P., Devereaux, P.J., Guyatt, G.H., Internet versus mailed questionnaires: a randomized comparison (2) (2004) Journal of Medical Internet Research, 6 (3). , http://www.jmir.org/2004/3/e30/, [Online], Retrieved from on 29 August 2007; de Leeuw, E.D., To mix or not to mix data collection modes in surveys (2005) Journal of Official Statistics, 21 (2), pp. 233-255; Matz, C.M., (1999) Administration of Web Versus Paper Surveys: Mode Effects and Response Rates, , A Master's paper for the M.S. in L.S. degree, November, 1999. 86 pages, University of North Carolina, Chapel Hill, NC; McCabe, S.E., Boyd, C.J., Couper, M.P., Crawford, S., D'Arcy, H., Mode effects for collecting alcohol and other drug use data: web and U.S. mail (2002) Journal of Studies on Alcohol, 63 (6), pp. 755-761; Meckel, M., Walters, D., Baugh, P., Mixed-mode surveys using mail and web questionnaires (2005) The Electronic Journal of Business Research Methodology [online], 3 (1), pp. 69-80. , http://www.ejbrm.com/vol3/v3-i1/v3-L1-art-meckel.pdf, Retrieved from: on 11 May 2010; Porter, S.R., Whitcomb, M.E., Mixed-mode contacts in web surveys (2007) Public Opinion Quarterly, 71 (4), pp. 635-648; Ritter, P., Lorig, K., Laurent, D., Matthews, K., Internet versus mailed questionnaires: a randomized comparison (2004) Journal of Medical Internet Research, 6 (4). , http://www.jmir.org/2004/3/e29/, [Online], Retrieved from on 29 August 2007; (2005) The Information Needs of Nurses: Summary Report of an RCN Survey, , Royal College of Nursing, London; Schaefer, D.R., Dillman, D.A., Development of a standard e-mail methodology: results of an experiment (1998) Public Opinion Quarterly, 62, pp. 378-397; Schleyer, T.K.L., Forrest, J.L., Methods for the design and administration of web-based surveys (2000) Journal of the American Medical Informatics Association, 7, pp. 416-425; Schmidt, W.C., World-Wide Web survey research: benefits, potential problems, and solutions (1997) Behavior Research Methods, Instruments & Computers, 29 (2), pp. 274-279; Sevigny, R., Yang, W., Zhang, P., Marleau, J.O., Yang, Z., Su, L., Li, G., Wong, M., Attitudes toward the mentally ill in a sample of professionals working in a psychiatric hospital in Beijing (China) (1999) International Journal of Social Psychiatry, 45 (1), pp. 41-55; Shih, T., Fan, X., Comparing response rates from web and mail surveys: a meta-analysis (2008) Field Methods, 20 (3), pp. 249-271; Tabachnick, B.G., Fidell, L.S., (2001) Using Multivariate Statistics, , Harper Collins, New York; Taylor, S.M., Dear, M.J., Scaling community attitudes toward the mentally ill (1981) Schizophrenia Bulletin, 7 (2), pp. 225-240; Taylor, S.M., Dear, M.J., Hall, G.B., Attitudes toward the mentally ill and reactions to mental health facilities (1979) Social Science and Medicine, 13 D (4), pp. 281-290; Truell, A.D., Bartlett, J.E., Alexander, M.W., Response rate, speed, and completeness: a comparison of Internet-based and mail surveys (2002) Behavior Research Methods, Instruments & Computers, 34 (1), pp. 46-49; (2009) An Easy Tool to Ensure Good Decisions, , http://www.webropol.co.uk/, [Online] Retrieved from on 12 February 2009; Whitehead, L.C., Methodological and ethical issues in Internet-mediated research in the field of health: an integrated review of the literature (2007) Social Science & Medicine, 65, pp. 782-791; Yeaworth, R.C., Use of the Internet in survey research (2001) Journal of Professional Nursing, 17 (4), pp. 187-193","Guise, V.; Health and Social Care Sciences, United Kingdom; email: v.guise@sgul.kingston.ac.uk",,,,,,,,3092402,,JANUD,20497273,English,J. Adv. Nurs.,Article,Final,,Scopus,2-s2.0-77954187089 "Smith A.L., Cashwell C.S.",56128183200;6602282873;,Stigma and mental illness: Investigating attitudes of mental health and non-mental-health professionals and trainees,2010,"Journal of Humanistic Counseling, Education and Development",49,2,,189,202,,26,10.1002/j.2161-1939.2010.tb00097.x,https://www.scopus.com/inward/record.uri?eid=2-s2.0-78149319820&doi=10.1002%2fj.2161-1939.2010.tb00097.x&partnerID=40&md5=1b780b9a41e061c4089c9629544cdc89,"Clinical Mental Health Counseling Program, Antioch University New England, United States; Counseling and Educational Development, University of North Carolina, Greensboro, United States; Clinical Mental Health Counseling Program, Antioch University New England, 40 Avon Street, Keene, NH 03431, United States","Smith, A.L., Clinical Mental Health Counseling Program, Antioch University New England, United States, Clinical Mental Health Counseling Program, Antioch University New England, 40 Avon Street, Keene, NH 03431, United States; Cashwell, C.S., Counseling and Educational Development, University of North Carolina, Greensboro, United States","The authors explored attitudes toward adults with mental illness. Results suggest that mental health trainees and professionals had less stigmatizing attitudes than did non-mental-health trainees and professionals. Professionals receiving supervision had higher mean scores on the Benevolence subscale than did professionals who were not receiving supervision. Implications for teaching, practice, and research are discussed. © 2010 by the American Counseling Association. All rights reserved.",,,,,,,,,,,,,,"(2000) Diagnostic and Statistical Manual of Mental Disorders, , American Psychiatric Association. (4th ed., text rev.). Washington, DC: Author; Bairan, A., Farnsworth, B., Attitudes towards mental illness: Does a psychiatric nursing course make a difference? (1989) Archives of Psychiatric Nursing, 3, pp. 351-357; Byrne, P., Stigma of mental illness and ways of diminishing it (2000) Advances in Psychiatric Treatment, 6, pp. 65-72; Struening, E.L., Opinions about mental illness in the personnel of two large mental hospitals (1962) Journal of Abnormal Social Psychology, 64, pp. 349-360; Cohen, N., Stigma is in the eye of the beholder: A hospital outreach program for treating homeless mentally ill people (1990) Bulletin of the Menninger Clinic, 54, pp. 255-258; Corrigan, P., Target-specific stigma change: A strategy for impacting mental illness stigma (2004) Psychiatric Rehabilitation Journal, 28, pp. 113-121; Crisp, A., Gelder, M., Rix, S., Meltzer, H., Rowlands, O., Stigmatisation of people with mental illness (2000) British Journal of Psychiatry, 177, pp. 4-7; Crowne, D.P., Marlowe, D., A new scale of social desirability independent of psychopathology (1960) Journal of Consulting Psychology, 24, pp. 349-354; Gureje, O., Lasebikan, V.O., Ephraim-Oluwanuga, O., Olley, B.O., Kola, L., Community study of knowledge of and attitude to mental illness in Nigeria (2005) British Journal of Psychiatry, 186 (MAY), pp. 436-441. , DOI 10.1192/bjp.186.5.436; Hansen, J., A review and critical analysis of humanistic approaches to treating disturbed clients (1999) Journal of Humanistic Counseling, Education and Development, 38, pp. 29-38; Hansen, J., Mental health counseling: Comments on the emerging identity of an adolescent profession (2000) Journal for the Professional Counselor, 15, pp. 39-51; Hansen, J., Psychoanalysis and humanism: A review and critical examination of integrationist efforts with some proposed resolutions (2000) Journal of Counseling & Development, 78, pp. 21-28; Hansen, J., Including diagnostic training in counseling curricula: Implications for professional identity development (2003) Counselor Education and Supervision, 43, pp. 96-107; Heppner, P.P., Kivlighan Jr., D.M., Wampold, B.E., (1999) Research Design in Counseling, , (2nd ed.). Belmont, CA: Wadsworth; Hinkle, J.S., A voice from the trenches: A reaction to Ivey and Ivey (1998) (1999) Journal of Counseling & Development, 77, pp. 474-483; Hromco, J., Lyons, J., Nikkel, R., Mental health case management: Characteristics, job function, and occupational stress (1995) Community Mental Health Journal, 31, pp. 111-125; Ivey, A., Ivey, M., Myers, J., Sweeney, T., (2005) Developmental Counseling and Therapy: Promoting Wellness over the Lifespan., , New York, NY: Lahaska Press; Lauber, C., Anthony, M., Ajdacic-Gross, V., Rossler, W., What about psychiatrists' attitude to mentally ill people? (2004) European Psychiatry, 19 (7), pp. 423-427. , DOI 10.1016/j.eurpsy.2004.06.019, PII S0924933804001518; Leite, W.L., Beretvas, S.N., Validation of scores on the marlowe-crowne social desirability scale and the balanced inventory of desirable responding (2005) Educational and Psychological Measurement, 65 (1), pp. 140-154. , DOI 10.1177/0013164404267285; Levey, S., Howells, K., Accounting for fear of schizophrenia (1994) Journal of Community & Applied Social Psychology, 4, pp. 313-328; Link, B.G., Phelan, J.C., Bresnahan, M., Stueve, A., Pescosolido, B.A., Public conceptions of mental illness: Labels, causes, dangerousness, and social distance (1999) American Journal of Public Health, 89 (9), pp. 1328-1333; Link, B.G., Struening, E.L., Neese-Todd, S., Asmussen, S., Phelan, J.C., The consequences of stigma for the self-esteem of people with mental illnesses (2001) Psychiatric Services, 52 (12), pp. 1621-1626. , DOI 10.1176/appi.ps.52.12.1621; Link, B., Yang, L., Phelan, J., Collins, P., Measuring mental illness stigma (2004) Schizophrenia Bulletin, 30, pp. 511-541; Minkoff, K., Resistance of mental health professionals to working with the chronic mentally ill (1987) New Directions for Mental Health Services, 33, pp. 3-20; Murray, M., Steffen, J., Attitudes of case managers toward people with serious mental illness (1999) Community Mental Health Journal, 35, pp. 505-514; (2009) About Mental Illness., , http://www.nami.org/Content/NavigationMenu/Inform-Yourself/ About-Mental-Illness.htm, National Alliance on Mental Illness. Retrieved from; Nordt, C., Rossler, W., Lauber, C., Attitudes of mental health professionals toward people with schizophrenia and major depression (2006) Schizophrenia Bulletin, 32 (4), pp. 709-714. , DOI 10.1093/schbul/sbj065; Penny, N., Kasar, J., Sinay, T., Student attitudes toward persons with mental illness: The influence of coursework and Level i fieldwork (2001) The American Journal of Occupational Therapy, 55, pp. 217-220; Perlick, D.A., Special section on stigma as a barrier to recovery: Introduction (2001) Psychiatric Services, 52 (12), pp. 1613-1614. , DOI 10.1176/appi.ps.52.12.1613; Perlick, D., Rosenheck, R., Clarkin, J., Sirey, J., Salahi, J., Struening, E., Link, B., Adverse effects of perceived stigma on social adaptation of persons diagnosed with bipolar affective disorder (2001) Psychiatric Services, 52, pp. 1627-1632; Procter, N., Hafner, J., Student nurses' attitudes to psychiatry: The influence of training and personality (1991) Journal of Advanced Nursing, 16, pp. 845-849; Sirey, J.A., Bruce, M.L., Alexopoulos, G.S., Perlick, D.A., Friedman, S.J., Meyers, B.S., Perceived stigma and patient-rated severity of illness as predictors of antidepressant drug adherence (2001) Psychiatric Services, 52 (12), pp. 1615-1620. , DOI 10.1176/appi.ps.52.12.1615; Taylor, S.M., Dear, M.J., Scaling community attitudes toward the mentally ill (1981) Schizophrenia Bulletin, 7 (2), pp. 225-240; (1999) Mental Health: A Report of the Surgeon General - Executive Summary. Retrieved from, , http://www.surgeongeneral.gov/library/mentalhealth/pdfs/ExSummary-Final. pdf, Department of Health and Human Services; Wallach, H., Changes in attitudes towards mental illness following exposure (2004) Community Mental Health Journal, 40, pp. 235-248","Smith, A. L.; Clinical Mental Health Counseling Program, 40 Avon Street, Keene, NH 03431, United States; email: asmith3@antioch.edu",,,American Counseling Association,,,,,19310293,,,,English,J. Humanist. Couns. Educ. Dev.,Article,Final,"All Open Access, Green",Scopus,2-s2.0-78149319820 "Hamdan-Mansour A.M., Wardam L.A.",15839594300;8258171900;,Attitudes of jordanian mental health nurses toward mental illness and patients with mental illness,2009,Issues in Mental Health Nursing,30,11,,705,711,,25,10.3109/01612840903131792,https://www.scopus.com/inward/record.uri?eid=2-s2.0-70349943785&doi=10.3109%2f01612840903131792&partnerID=40&md5=0f71b8a9fbcfca39778e50c5be7b2513,"Department of Community Health Nursing, Faculty of Nursing, University of Jordan, Amman, Jordan; University of Jordan, Faculty of Nursing, Amman, 11942, Jordan","Hamdan-Mansour, A.M., Department of Community Health Nursing, Faculty of Nursing, University of Jordan, Amman, Jordan, University of Jordan, Faculty of Nursing, Amman, 11942, Jordan; Wardam, L.A., Department of Community Health Nursing, Faculty of Nursing, University of Jordan, Amman, Jordan","The purpose of this study was to examine Jordanian mental health nurses' attitudes toward mental illness and patients with mental illness. A descriptive correlational design was utilized to collect data from 92 mental health nurses in Jordan. Data was collected on nurses' attitudes toward mental illness and patients with mental disorder and their satisfaction with nursing care delivery. The Jordanian mental health nurses who participated in this study had negative attitudes toward mental illness and toward patients with mental disorders. About 60 of the mental health nurses had perceived patients with mental illness to be dangerous, immature, dirty, cold hearted, harmful, and pessimistic. In only two descriptionsbeing polite and adultdid nurses have positive perception about patients with mental illness. Mental health nurse were not satisfied with nursing care delivery. More than 70 of nurses were proud to be a mental health nurse. Age and gender were significant influential factors in forming the nurses' attitudes or satisfaction. Immediate intervention is needed to improve the quality of patient care provided by mental health nurses. © 2009 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted.",,"adult; article; attitude to health; chi square distribution; control; education; female; health care quality; health personnel attitude; health service; human; job satisfaction; Jordan; male; mental disease; middle aged; nonparametric test; nursing; nursing methodology research; nursing staff; organization and management; psychiatric nursing; psychological aspect; questionnaire; social psychology; Adult; Attitude of Health Personnel; Chi-Square Distribution; Female; Health Knowledge, Attitudes, Practice; Health Services Needs and Demand; Humans; Internal-External Control; Job Satisfaction; Jordan; Male; Mental Disorders; Middle Aged; Nursing Methodology Research; Nursing Staff; Prejudice; Psychiatric Nursing; Quality of Health Care; Questionnaires; Statistics, Nonparametric; Stereotyping",,,,,,,,,,,,"Addison, S.J., Thorpe, S.J., Factors involved in the formation of attitudes towards thosewho arementally ill (2004) Social Psychiatry and Psychiatric Epidemiology, 39, pp. 228-234; Al-Krenawi, A., Graham, J.R., Kandah, J., Gendered utilization differences of mental health services in Jordan (2000) Community Mental Health Journal, 36 (5), pp. 501-511; Aydin, N., Yigit, A., Inandi, T., Kirpinar, I., Attitudes of hospital staff toward mentally ill patients in a teaching hospital (2003) International Journal of Social Psychiatry, 49, pp. 7-26. , Turkey; Baker, S., (2000) Environmentally Friendly, Patients' Views of Conditions in Psychiatric Wards, , London: Mind; Baker, J.A., Richards, D.A., Campbell, A., Nursing attitudes towards acute mental health care: Development of a measurement tool (2005) Journal of Advanced Nursing, 49 (5), pp. 522-529; Cleary, M., The challenges of mental health care reform for contemporary mental health nursing practice: Delivery of nursing care (2003) International Journal of Mental Health Nursing, 12, pp. 213-222; Cleary, M., The realities of mental health nursing in acute inpatient environments (2004) International Journal of Mental Health Nursing, 13, pp. 53-60; Cleary, M., Walter, G., Hunt, G., The experience and views of mental health nurses regarding nursing care delivery in an integrated, inpatient setting (2005) International Journal of Mental Health Nursing, 14, pp. 72-77; El-Islam, F.M., Cultural aspects of morbid fears in Qatari women (1994) Social Psychiatry and Psychiatric Epidemiology, 29 (3), pp. 137-140; MacGabhann, L., Baker, S., Dixon, P., Prevention and management of violence: Implementing clinically effective practice (2002) Mental Health Practice, 6, pp. 8-13; Moyle, W., Nurse-patient relationship: A dichotomy of expectations (2003) International Journal of Mental Health Nursing, 12, pp. 103-109; Munro, S., Baker, J.A., Surveying the attitudes of acute mental health nurses (2007) Journal of Psychiatric and Mental Health Nursing, 14 (2), pp. 196-202; O'Brien, L., Cole, R., Close-observation areas in acute psychiatric units: A literature review (2003) International Journal of Mental Health Nursing, 12, pp. 165-176; Read, J., Harre, N., The role of biological and genetic causal beliefs in the stigmatization of ""mental patients."" (2001) Journal of Mental Health, 10 (2), pp. 233-335; Rey, J., Walter, G., Giuffrida, M., Policy, structural change and quality of psychiatric services in Australia: The views of psychiatrists (2004) Australasian Psychiatry, 12, pp. 118-122; Mental illness: Stigmatization and discrimination within the medical profession (2001) Council Report CR91, , Royal College of Psychiatrists. London: Author; Sartorius, N., Iatrogenic stigma of mental illness (2002) British Medical Journal, 324, pp. 1470-1471; Wardam, L., Dawani, H., Perception of Jordanian Population Toward Mental Illness, , unpublished. Unpublished manuscript, University of Jordan at Amman; (2003) Mental Health in Jordan, , http://www.emro.who.int/MNH/WHD/CountryProfile-JOR.htm, Regional Office for the Eastern Mediterranean. Retrieved April 12, 2009, from; (2001) The WPA Global Program to Reduce the Stigma and Discrimination because of Schizophrenia-an Interim Report, , World Psychiatric Association. Geneva: Author","Hamdan-Mansour, A. M.; University of Jordan, , Amman, 11942, Jordan; email: a.mansour@ju.edu.jo",,,,,,,,1612840,,,19874099,English,Issues Ment. Health Nurs.,Article,Final,,Scopus,2-s2.0-70349943785 Chikaodiri A.N.,26666603900;,Attitude of health workers to the care of psychiatric patients,2009,Annals of General Psychiatry,8,,19,,,,23,10.1186/1744-859X-8-19,https://www.scopus.com/inward/record.uri?eid=2-s2.0-70049086959&doi=10.1186%2f1744-859X-8-19&partnerID=40&md5=48c8e34acce5a9f5be8facb7213ef87a,"Department of Psychiatry, Aminu Kano Teaching Hospital, Kano, Nigeria","Chikaodiri, A.N., Department of Psychiatry, Aminu Kano Teaching Hospital, Kano, Nigeria","Background: In a few months from the time of this report, wards for inpatient care of psychiatric patients at the Bayero University Medical School Aminu Kano Teaching Hospital will be ready for admissions. The attitude of staff to the care of such patients within the hospital was the focus of this study. Methods: The investigation was a descriptive and cross-sectional study on a stratified and randomly selected sample population of workers at the Aminu Kano Teaching Hospital. A questionnaire was used to elicit responses from the respondents, containing 11 modified items. Statistical analysis of responses was performed. Results: The number of properly completed questionnaires analysed was 362. The result showed that 232 (64.1%) respondents would be fearful of having psychiatric patients admitted within the hospital. In all, 192 (53.0%) would not want their place of work to be next door to the psychiatric wards. Gender showed a significant association with responses on many of the questionnaire items (P < 0.05), with more females than males expressing unfavourable attitudes. Profession of the respondents was significantly related to both not wanting ones place of work to be next door to the psychiatric wards and having good reason to resist the location of psychiatric wards within the hospital (P < 0.05). Conclusion: Health workers expressed fears about treating psychiatric patients within a general hospital environment and preferred segregation of the wards and the patients if treated within such a setting. Expansive enlightenment programmes and positive contacts with psychiatric patients during treatment could help reduce stigma to mental illness by health workers. © 2009 Chikaodiri; licensee BioMed Central Ltd.",,adult; article; attitude to mental illness; controlled study; cross-sectional study; descriptive research; fear; female; hazard assessment; health care facility; health personnel attitude; hospital care; human; male; mental health care; mental patient; Nigeria; patient care; psychiatric department; questionnaire; sex difference; workplace,,,,,,,,,,,,"Binitie, A., Attitude of educated Nigerians to mental illness (1970) Acta Psychiatrica Scandinavica, 46, pp. 27-46. , 10.1111/j.1600-0447.1970.tb02128.x; Awaritefe, A., Ebie, J.C., Contemporary attitudes to mental illness in Nigeria (1975) African J Psychiatry, 1, pp. 37-43; Ewhrudjakpor, C., Knowledge, beliefs and attitudes of health care providers towards the mentally ill in Delta State, Nigeria (2009) Ethno Med, 3, pp. 19-25; Gureje, O., Lasebikan, V., Oluwanuga, O.E., Olley, B.O., Kola, L., Community study of knowledge and attitude to mental illness in Nigeria (2005) Br J Psychiatry, 186, pp. 436-441. , 10.1192/bjp.186.5.436 15863750; Minas, H., Diatri, H., Pasung: Physical restraint and confinement of the mentally ill in the community (2008) Int J Mental Health Syst, 2, p. 8. , 10.1186/1752-4458-2-8; Odejide, A.O., Olatawura, M.O., A survey of community attitudes to the concepts and treatment of mental illness in Ibadan, Nigeria (1979) Nigerian Med J, 9, pp. 343-347; Wolf, G., Soumtra, P., Craig, T., Leff, J., Community attitudes to mental illness (1996) Br J Psychiatry, 168, pp. 183-190. , 10.1192/bjp.168.2.183 8837908; Muga, F.A., Jenkins, R., Training, attitude and practice of district health workers in Kenya (2008) Soc Psychiatry Psychiatr Epidemiol, 43, pp. 477-482. , 10.1007/s00127-008-0327-z 18327522; Crisp, A.H., Gelder, M.G., Rix, S., Meltzer, H.I., Rowlands, O.J., Stigmatisation of people with mental illness (2000) Br J Psychiatry, 177, pp. 4-7. , 10.1192/bjp.177.1.4 10945080; Thiru, G.S., Yad, M.J., Are mental health professionals immune to stigmatizing beliefs? (2005) Psychiatr Serv, 56, p. 610; Salter, M., Byrne, P., The stigma of mental illness: How you can use the media to reduce it (2000) Psychiatr Bull, 24, pp. 281-283. , 10.1192/pb.24.8.281; Sherman, P., Stigma, Mental Illness, and Culture, , http://www.scribd.com/doc/11731670/The-Stigma-of-mental-Illness; Shepherd, S., They're Possessed? Cultural Views of Mental Illness, , http://www.medhunters.com/articles/theyrePossessed.html?hec=; Larson, J.E., Corrigan, P., The stigma of families with mental illness (2008) Acad Psychiatry, 32, pp. 87-91. , 10.1176/appi.ap.32.2.87 18349326; Bolton, J., Reducing the stigma of mental illness (2003) Student BMJ, 11, pp. 87-130; Tipper, R., Mountain, D., Lorimer, S., Mclntosh, A., Support workers' attitudes to mental illness: Implications for reducing stigma (2006) Psychiatr Bull, 30, pp. 179-181. , 10.1192/pb.30.5.179; Florez, A.J., Holley, H.L., Crisanti, A., (1996) Mental Illness and Violence: Proof or Stereotype?, , Ottawa, Canada: National Clearing House on Family Violence, Public Health Agency of Canada; Jegede, A.S., The notion of ""were"" in Yoruba conception of mental illness (2005) Nordic J African Stud, 3, pp. 5-9; Jegede, R.O., A study of the role of socio-cultural factors in the treatment of mental illness in Nigeria (1981) Soc Sci Med, 15 A, pp. 49-54; Walsh, E., Buchanan, A., Fahy, T., Violence and schizophrenia: Examining the evidence (2002) Br J Psychiatry, 180, pp. 490-495. , 10.1192/bjp.180.6.490 12042226; Hustig, A., Stigma of Mental Illness and HIV: Causes and Strategies, , http://www.thelancetstudent.com/2009/07/20/ stigma-of-mental-illness-hiv-causes-strategies/","Chikaodiri, A.N.; Department of Psychiatry, , Kano, Nigeria; email: drchikan@yahoo.co.uk",,,,,,,,1744859X,,,,English,Ann. Gen. Psychiatry,Article,Final,"All Open Access, Gold, Green",Scopus,2-s2.0-70049086959 "Currin L., Waller G., Schmidt U.",56629825600;7103248326;7402009547;,Primary care physicians' knowledge of and attitudes toward the eating disorders: Do they affect clinical actions?,2009,International Journal of Eating Disorders,42,5,,453,458,,66,10.1002/eat.20636,https://www.scopus.com/inward/record.uri?eid=2-s2.0-67650179076&doi=10.1002%2feat.20636&partnerID=40&md5=6cf3b120633e56df51931395a7b1edbf,"King's College London, Institute of Psychiatry, Section of Eating Disorders, Box 059, De Crespigny Park, London SE5 8AF, United Kingdom; Vincent Square Eating Disorders Service, Central and North-West London NHS Foundation Trust, London, United Kingdom","Currin, L., King's College London, Institute of Psychiatry, Section of Eating Disorders, Box 059, De Crespigny Park, London SE5 8AF, United Kingdom; Waller, G., King's College London, Institute of Psychiatry, Section of Eating Disorders, Box 059, De Crespigny Park, London SE5 8AF, United Kingdom, Vincent Square Eating Disorders Service, Central and North-West London NHS Foundation Trust, London, United Kingdom; Schmidt, U., King's College London, Institute of Psychiatry, Section of Eating Disorders, Box 059, De Crespigny Park, London SE5 8AF, United Kingdom","Objective: This study examined the influence of primary care physicians' knowledge of and attitudes to eating disorders on their treatment decisions. Method: A sample of primary care physicians completed self-report measures on eating disorders and their attitudes towards such patients. They also indicated their diagnosis and treatment decisions in response to case vignettes. Results: Physicians had substantial gaps in knowledge of the eating disorders. Attitudes to anorexia nervosa clustered differently to those toward patients with bulimia nervosa. However, for both disorders, the factor that explained the most variance was illness duration and consequences. There was no association of knowledge and attitudes, and these variables did not predicted the likelihood of diagnosing an eating disorder. However, those with higher knowledge scores were more likely to ensure that a followup appointment took place, particularly when they held the attitude that people with anorexia nervosa had personal control over their problem. Discussion: There is a need for greater education of primary care physicians regarding the diagnosis and treatment of the eating disorders, and for that information to be more readily accessible when it is needed. Their clinical actions need to be guided by more objective sources of information and protocols. © 2008 by Wiley Periodicals, Inc.",Attitudes; Clinician knowledge; Eating disorders; Primary care,"anorexia; article; body mass; bulimia; eating disorder; female; follow up; health survey; human; knowledge; male; physician attitude; prevalence; primary medical care; priority journal; rural area; self report; urban area; Analysis of Variance; Anorexia Nervosa; Attitude of Health Personnel; Bulimia Nervosa; Cohort Studies; Eating Disorders; Factor Analysis, Statistical; Female; Health Knowledge, Attitudes, Practice; Humans; Male; Physician's Practice Patterns; Physicians, Family; Questionnaires; Statistics, Nonparametric",,,,,,,,,,,,"Jorm, A.F., Kortean, A.E., Jacomb, P.A., Christensen, H., Rodgers, B., Pollitt, P., 'Mental health literacy': A survey of the public's ability to recognise mental disorders and their beliefs about the effectiveness of treatment (1997) Med J Aust, 166, pp. 182-186; Jorm, A.F., Mental health literacy (2000) Br J Psychiatry, 177, pp. 396-401; Hoek, H.W., The incidence and prevalence of anorexia nervosa and bulimia nervosa in primary care (1991) Psychol Med, 21, pp. 455-460; Crisp, A.H., Gelder, M.G., Rix, S., Meltzer, H.I., Rowlands, O.J., Stigmatisation of people with mental illnesses (2000) Br J Psychiatry, 177, pp. 4-7; Stewart, M.-C., Keel, P.K., Schiavo, R.S., Stigmatization of anorexia nervosa (2006) Int J Eat Disord, 39, pp. 320-325; Fleming, J., Szmukler, G.I., Attitudes of medical professionals towards patients with eating disorders (1992) Aust N Z J Psychiatry, 26, pp. 436-443; Hay, P.J., De Angelis, C., Millar, H., Mond, J., Bulimia nervosa mental health literacy of general practitioners (2005) Primary Care and Community Psychiatry, 10 (3), pp. 103-108. , DOI 10.1185/135525706X56673; Album, D., Westin, S., Do diseases have a prestige hierarchy? a survey among physicians and medical students (2008) Social Science and Medicine, 66 (1), pp. 182-188. , DOI 10.1016/j.socscimed.2007.07.003, PII S0277953607003929; Mond, J.M., Hay, P.J., Rodgers, B., Owen, C., Beumont, P.J.V., Beliefs of women concerning the severity and prevalence of bulimia nervosa (2004) Social Psychiatry and Psychiatric Epidemiology, 39 (4), pp. 299-304. , DOI 10.1007/s00127-004-0726-8; Currin, L., Schmidt, U., Waller, G., Variables that influence diagnosis and treatment of the eating disorders within primary care settings: A vignette study (2007) International Journal of Eating Disorders, 40 (3), pp. 257-262. , DOI 10.1002/eat.20355; Hebebrand, J., Casper, R., Treasure, J., Schweiger, U., The need to revise the diagnostic criteria for anorexia nervosa (2004) Journal of Neural Transmission, 111 (7), pp. 827-840. , Biological Child and Adolescent Psychiatry; Hoek, H.W., Bartelds, A.I., Bosveld, J.J., Van Der Graaf, Y., Limpens, V.E., Maiwald, M., Impact of urbanization on detection rates of eating disorders (1995) Am J Psychiatry, 152, pp. 1272-1278; Noordenbos, G., Early identification (2003) Handbook of Eating Disorders, 2nd Ed., pp. 455-466. , Treasure J, Schmidt U, Van Furth EF, editors. London: Wiley; Vos, T., Mathers, C., Herrman, H., Harvey, C., Gureje, O., Bui, D., The burden of mental disorders in Victoria, 1996 (2001) Soc Psychiatry Psychiatr Epidemiol, 36, pp. 53-62; Zipfel, S., Reas, D.L., Thornton, C., Olmsted, M.P., Williamson, D.A., Gerlinghoff, M., Herzog, W., Beumont, P.J., Day hospitalization programs for eating disorders: A systematic review of the literature (2002) International Journal of Eating Disorders, 31 (2), pp. 105-117. , DOI 10.1002/eat.10009; (2001) Primary Care Protocols for Common Mental Illnesses- Protocol III: Eating Disorders (181 Years) Identification and Referral, , Royal College of Psychiatrists. London: Royal College of Psychiatrists; Holliday, J., Wall, E., Treasure, J., Weinman, J., Perceptions of illness in individuals with anorexia nervosa: A comparison with lay men and women (2005) International Journal of Eating Disorders, 37 (1), pp. 50-56. , DOI 10.1002/eat.20056; Weinman, J., Petrie, K.J., Moss-Morris, R., Horne, R., The Illness Perception Questionnaire: A New Method for Assessing the Cognitive Representation of Illness (1996) Psychology and Health, 11 (3), pp. 431-445; Keski-Rahkonen, A., Hoek, H.W., Susser, E.S., Linna, M.S., Sihvola, E., Raevuori, A., Bulik, C.M., Rissanen, A., Epidemiology and course of anorexia nervosa in the community (2007) American Journal of Psychiatry, 164 (8), pp. 1259-1265. , DOI 10.1176/appi.ajp.2007.06081388; Fairburn, C.G., Cooper, Z., Doll, H.A., Norman, P., O'Connor, M., The natural course of bulimia nervosa and binge eating disorder in young women (2000) Archives of General Psychiatry, 57 (7), pp. 659-665; (2004) Eating Disorders: Core Interventions in the Treatment and Management of Anorexia Nervosa, Bulimia Nervosa and Related Eating Disorders. Clinical Guideline 9, , National Institute of Clinical Excellence. London: British Psychological Society; Hoek, H.W., Van Hoeken, D., Review of the Prevalence and Incidence of Eating Disorders (2003) International Journal of Eating Disorders, 34 (4), pp. 383-396. , DOI 10.1002/eat.10222; Johnson, J.G., Spitzer, R.L., Williams, J.B.W., Health problems, impairment and illnesses associated with bulimia nervosa and binge eating disorder among primary care and obstetric gynaecology patients (2001) Psychological Medicine, 31 (8), pp. 1455-1466; Hugo, P., Kendrick, T., Reid, F., Lacey, H., GP referral to an eating disorder service: Why the wide variation? (2000) British Journal of General Practice, 50 (454), pp. 380-383; Garvican, L., Doyle, Y., Public health physicians' knowledge of core skills and current policy: Clinical audit by questionnaire (2001) Journal of Public Health Medicine, 23 (2), pp. 135-140. , DOI 10.1093/pubmed/23.2.135; Prochazka, A.V., Lundahl, K., Pearson, W., Oboler, S.K., Anderson, R.J., Support of evidence-based guidelines for the annual physical examination: A survey of primary care providers (2005) Archives of Internal Medicine, 165 (12), pp. 1347-1352. , http://archinte.ama-assn.org/cgi/reprint/165/12/1347.pdf, DOI 10.1001/archinte.165.12.1347; Skevington, S.M., Day, R., Chisholm, A., Trueman, P., How much do doctors use quality of life information in primary care? Testing the Trans-Theoretical Model of behaviour change (2005) Quality of Life Research, 14 (4), pp. 911-922. , DOI 10.1007/s11136-004-3710-6; Byrne, P., Psychiatric stigma: Past, passing and to come (1997) Journal of the Royal Society of Medicine, 90 (11), pp. 618-621; (2003) Depression: Management of Depression in Primary and Secondary Care. Clinical Guideline 23, , National Institute of Clinical Excellence London: British Psychological Society; Currin, L., (2006) Primary Care Management of Eating Disorders: From Diagnosis to Referral, , PhD Dissertation. King's College, London; Currin, L., Waller, G., Treasure, J., Nodder, J., Stone, C., Yeomans, M., The use of guidelines for dissemination of 'best practice' in primary care of patients with eating disorders (2007) Int J Eat Disord, 40, pp. 479-1479","Currin, L.; King's College London, Box 059, De Crespigny Park, London SE5 8AF, United Kingdom; email: l.currin@iop.kcl.ac.uk",,,,,,,,2763478,,INDID,19115367,English,Int. J. Eating Disord.,Article,Final,,Scopus,2-s2.0-67650179076 "Jones S.M., Vahia I.V., Cohen C.I., Hindi A., Nurhussein M.",57198656780;24587946500;7401692759;56052088200;6603239269;,"A pilot study to assess attitudes, behaviors, and inter-office communication by psychiatrists and primary care providers in the care of older adults with schizophrenia",2009,International Journal of Geriatric Psychiatry,24,3,,254,260,,9,10.1002/gps.2098,https://www.scopus.com/inward/record.uri?eid=2-s2.0-67649364087&doi=10.1002%2fgps.2098&partnerID=40&md5=9b3aba4b947f49846783dbaeccb08daa,"SUNY Downstate School of Medicine, Brooklyn, NY, United States; Stein Institute for Research in Aging, Division of Geriatric Psychiatry, UCSD, La Jolla, CA, United States; Division of Geriatric of Psychiatry, SUNY Downstate Medical Center, Brooklyn, NY, United States; Department of Psychiatry, SUNY Downstate Medical Center, Brooklyn, NY, United States; Division of Geriatric Medicine, SUNY Downstate Medical Center, Brooklyn, NY, United States; 9500 Gilman Drive 0664, La Jolla, CA 92093, United States","Jones, S.M., SUNY Downstate School of Medicine, Brooklyn, NY, United States; Vahia, I.V., Stein Institute for Research in Aging, Division of Geriatric Psychiatry, UCSD, La Jolla, CA, United States, 9500 Gilman Drive 0664, La Jolla, CA 92093, United States; Cohen, C.I., Division of Geriatric of Psychiatry, SUNY Downstate Medical Center, Brooklyn, NY, United States; Hindi, A., Department of Psychiatry, SUNY Downstate Medical Center, Brooklyn, NY, United States; Nurhussein, M., Division of Geriatric Medicine, SUNY Downstate Medical Center, Brooklyn, NY, United States","Introduction: There is a lack of assessment tools and empirical data concerning clinician attitudes and behaviors with respect to the health care of older adults with schizophrenia.We develop a survey instrument of physician attitudes, behavior, and inter-office communication, and provide preliminary data on physician-related issues in the provision of health care to this population. Methods: A semi-structured 20-item survey instrument was administered to a stratified convenience sample of 24 primary care physicians (PCPs) and 27 psychiatrists working in the New York metropolitan area. Using open ended and multiple choice items, scales, summed scores, and case vignettes, we assessed attitudes, experiences, and procedures in treating medical illnesses in older persons with schizophrenia. All scales had internal consistency reliabilities of >0.70. Results: There were no differences between PCPs and psychiatrists in reported and anticipated behavior towards older adults with symptoms of schizophrenia, and both groups displayed favorable views. However, both groups had slightly negative stereotypes and attitudes concerning these patients. PCPs reported receiving information from psychiatrists slightly more than 0 to 10 percent of the time. Conclusions: Our preliminary findings indicated more favorable attitudes and behaviors by PCPs than had been anticipated based on earlier research with younger patients. The data suggest that the failure of older schizophrenia patients to receive adequate treatment may not be due primarily to clinicians' negative attitudes and behaviors, and that problems with communication may play a more important role. Copyright © 2008 John Wiley & Sons, Ltd.",Attitudes; Communication; Medical care; Primary care providers; Psychiatrists; Schizophrenia,"article; controlled study; female; general practitioner; human; interpersonal communication; male; patient information; physician attitude; pilot study; psychiatrist; rating scale; reliability; schizophrenia; stereotypy; symptom; Attitude of Health Personnel; Female; Health Care Surveys; Humans; Interprofessional Relations; Male; Middle Aged; New York City; Physicians, Family; Pilot Projects; Psychiatry; Quality of Health Care; Referral and Consultation; Schizophrenia",,,,,,,,,,,,"Auslander, L.A., Jeste, D.V., Perceptions of problems and needs for service among middle-aged and elderly outpatients with schizophrenia and related psychotic disorders (2002) Community Ment Health J, 38 (5), pp. 391-402; Bartels, S.J., Clark, R.E., Peacock, W.J., Medicare and medicaid costs for schizophrenia patients by age cohort compared with costs for depression, dementia, and medically ill patients (2003) Am J Geriatr Psychiatry, 11 (6), pp. 648-657; Cohen, P., Cohen, J., The clinician's illusion (1984) Arch Gen Psychiatry, 41 (12), pp. 1178-1182; Druss, B.G., Bradford, W.D., Rosenheck, R.A., Quality of medical care and excess mortality in older patients with mental disorders (2001) Arch Gen Psychiatry, 58 (6), pp. 565-572; Druss, B.G., Rohrbaugh, R.M., Levinson, C.M., Rosenheck, R.A., Integrated medical care for patients with serious psychiatric illness: A randomized trial (2001) Arch Gen Psychiatry, 58 (9), pp. 861-886; Felker, B.L., Barnes, R.F., Greenberg, D.M., Preliminary outcomes from an integrated mental health primary care team (2004) Psychiatr Serv, 55 (4), pp. 442-444; Goff, D.C., Cather, C., Evins, A.E., Medical morbidity and mortality in schizophrenia: Guidelines for psychiatrists (2005) J Clin Psychiatry, 66 (2), pp. 183-194. , quiz 147, 273-274; Hunkeler, E., Katon, W., Tang, L., Long term outcomes from the IMPACT randomized trial for depressed elderly patients in primary care (2006) BMJ, 332 (7536), pp. 259-263; Jeste, D.V., Gladsjo, J.A., Lindamer, L.A., Lacro, J.P., Medical comorbidity in schizophrenia (1996) Schizophr Bull, 22 (3), pp. 413-430; Lauber, C., Anthony, M., Ajdacic-Gross, V., Rossler, W., What about psychiatrists' attitude to mentally ill people? (2004) Eur Psychiatry, 19 (7), pp. 423-427; Lawrie, S.M., Parsons, C., Patrick, J., A controlled trial of general practitioners' attitudes to patients with schizophrenia (1996) Health Bull (Edinb), 54 (3), pp. 201-203; Lawrie, S.M., Martin, K., McNeill, G., General practitioners' attitudes to psychiatric and medical illness (1998) Psychol Med, 28 (6), pp. 1463-1467; Lester, H., Tritter, J.Q., England, E., Satisfaction with primary care: The perspectives of people with schizophrenia (2003) Fam Pract, 20 (5), pp. 508-513; Marder, S.R., Essock, S.M., Miller, A.L., Physical health monitoring of patients with schizophrenia (2004) Am J Psychiatry, 161 (8), pp. 1334-1349; Meyer, J.M., Nasrallah, H., Issues surrounding medical care for individuals with schizophrenia (2003) Medical Illness and Schizophrenia, pp. 1-11. , Meyer JM, Nasrallah H eds, American Psychiatric Publishing Inc, Washington, DC;; Mitchell, A.J., Malone, D., Physical health and schizophrenia (2006) Curr Opin Psychiatry, 19 (4), pp. 432-437; Nordt, C., Rossler, W., Lauber, C., Attitudes of mental health professionals toward people with schizophrenia and major depression (2006) Schizophr Bull, 32 (4), pp. 709-714; Schoos, R., Cohen, C.I., Medical comorbidity in older persons with schizophrenia (2003) Schizophrenia into Later Life: Treatment, Research and Policy, pp. 113-138. , Cohen CI ed, American Psychiatric Publishing Inc, Washington, DC;; Shore, J.H., Psychiatry at a crossroad: Our role in primary care (1996) Am J Psychiatry, 153 (11), pp. 1398-1403; Sternberg, D.E., Testing for physical illness in psychiatric patients (1986) J Clin Psychiatry, 47 (1 SUPPL.), pp. 3-9; Tanielian, T.L., Pincus, H.A., Dietrich, A.J., Referrals to psychiatrists. Assessing the communication interface between psychiatry and primary care (2000) Psychosomatics, 41 (3), pp. 245-252; Teutsch, C., Patient-doctor communication (2003) Med Clin North Am, 87 (5), pp. 1115-1145; Vahia, I., Diwan, S., Bankole, A., Adequacy of medical care for older persons with schizophrenia (2008) Psychiatric Servic, 59 (8). , in press; Veloski, J., Tai, S., Evans, A.S., Nash, D.B., Clinical vignette-based surveys: A tool for assessing physician practice variation (2005) Am J Med Qual, 20 (3), pp. 151-157; Weiden, P.J., Managing unhealthy behaviors in schizophrenia (2000) J Psychiatric Pract, 6, pp. 160-168","Vahia, I.V.9500 Gilman Drive 0664, La Jolla, CA 92093, United States; email: ivahia@ucsd.edu",,,,,,,,8856230,,IJGPE,18663699,English,Int. J. Geriatr. Psychiatry,Article,Final,,Scopus,2-s2.0-67649364087 "Ahn W., Proctor C.C., Flanagan E.H.",7005887449;35844573700;7005558258;,"Mental health clinicians' beliefs about the biological, psychological, and environmental bases of mental disorders",2009,Cognitive Science,33,2,,147,182,,92,10.1111/j.1551-6709.2009.01008.x,https://www.scopus.com/inward/record.uri?eid=2-s2.0-77953166232&doi=10.1111%2fj.1551-6709.2009.01008.x&partnerID=40&md5=5f76f3e7823b56725a0999816f2b68dc,"Department of Psychology, Yale University, United States; Department of Psychiatry, Yale University School of Medicine, United States","Ahn, W., Department of Psychology, Yale University, United States; Proctor, C.C., Department of Psychology, Yale University, United States; Flanagan, E.H., Department of Psychiatry, Yale University School of Medicine, United States","The current experiments examine mental health clinicians' beliefs about biological, psychological, and environmental bases of the DSM-IV-TR mental disorders and the consequences of those causal beliefs for judging treatment effectiveness. Study 1 found a large negative correlation between clinicians' beliefs about biological bases and environmental/psychological bases, suggesting that clinicians conceptualize mental disorders along a single continuum spanning from highly biological disorders (e.g., autistic disorder) to highly nonbiological disorders (e.g., adjustment disorders). Study 2 replicated this finding by having clinicians list what they thought were the specific causes of nine familiar mental disorders and rate their bio-psycho-environmental bases. Study 3 further found that clinicians believe medication to be more effective for biologically based mental disorders and psychotherapy to be more effective for psychosocially based mental disorders. These results demonstrate that even expert mental health clinicians make strong distinctions between psychological and biological phenomena. Copyright © 2009 Cognitive Science Society, Inc. All rights reserved.",Causal explanation; Clinical reasoning; Concept; Dualism,,,,,,,,,,,,,"Ahn, W., Flanagan, E.H., Marsh, J.K., Sanislow, C.A., Beliefs about essences and the reality of mental disorders (2006) Psychological Science, 17 (9), pp. 759-766; (2000) Diagnostic and Statistical Manual of Mental Disorders, , American Psychiatric Association. 4th edition text revision. Washington, DC: American Psychiatric Association; (2002) Practice guideline for treatment of patients with bipolar disorder, , American Psychiatric Association. (2nd ed.) 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R. Gunnar & M. Maratsos (Eds.) Hillsdale, NJ: Lawrence Erlbaum Associates; Kendler, K.S., Psychiatric dialogue on the mind-body (2001) American Journal of Psychiatry, 158, pp. 989-1000; Kendler, K.S., Toward a philosophical structure for psychiatry (2005) American Journal of Psychiatry, 162, pp. 433-440; Kessler, R.C., Chiu, W.T., Demler, O., Walters, E.E., Prevalence, severity, and comorbidity of twelve-month DSM-IV disorders in the National Comorbidity Survey Replication (NCS-R) (2005) Archives of General Psychiatry, 62, pp. 617-627; Kiesler, D.J., (1999) Beyond the disease model of mental disorders, , Westport, CT: Praeger Publishers; Kramer, P.D., (1993) Listening to Prozac, , New York: Viking; Kuppin, S.A., Carpiano, R.M., Public conceptions of serious mental illness and substance abuse, their causes and treatments: Findings from the 1996 General Social Survey (2006) American Journal of Public Health, 96 (10), pp. 1766-1771; Lake, J.L., Emerging paradigms in medicine: implications for the future of psychiatry (2007) Explore, 3, pp. 467-477; Link, B.G., Phelan, J.C., Bresnahan, M., Stueve, A., Pescosolido, B.A., Public conceptions of mental illness: Labels, causes, dangerousness, and social distance (1999) American Journal of Public Health, 89, pp. 1328-1333; Luhrmann, T.M., (2000) Of two minds: The growing disorder in American psychiatry, , New York, NY: Alfred A. Knopf; Luk, C., Bond, M.H., Chinese lay beliefs about the causes and cures of psychological problems (1992) Journal of Social and Clinical Psychology, 11, pp. 140-157; Lynch, E., Medin, D., Explanatory models of illness: A study of within-culture variation (2006) Cognitive Psychology, 53 (4), pp. 285-309; Magliano, L., Guarneri, M., Fiorillo, A., Marasco, C., Malangone, C., Maj, M., A multicenter Italian study of patients' relatives' beliefs about schizophrenia (2001) Psychiatric Service, 52, pp. 1528-1530; Malle, B.F., How people explain behavior: A new theoretical framework (1999) Personality and Social Psychology Review, 3, pp. 23-48; Markman, A.B., Ross, B.H., Category use and category learning (2003) Psychological Bulletin, 129, pp. 592-613; Meyer, D., Leventhal, H., Gutmann, M., Common-sense models of illness: The example of hypertension (1985) Health Psychology, 4, pp. 115-135; Miresco, M.J., Kirmayer, L.J., The persistence of mind-brain dualism in psychiatric reasoning about clinical scenarios (2006) American Journal of Psychiatry, 163, pp. 913-918; Mulatu, M.S., Perceptions of mental and physical illnesses in north-western Ethiopia: Causes, treatments, and attitudes (1999) Journal of Health Psychology, 4 (4), pp. 531-549; Murdock, G.P., (1980) Theories of illness: A world survey, , Pittsburgh, PA: University of Pittsburgh Press; Narikiyo, T.A., Kameoka, V.A., Attributions of mental illness and judgments about help-seeking among Japanese-American and White American students (1992) Journal of Counseling Psychology, 39 (3), pp. 363-369; Notaro, P.C., Gelman, S.A., Zimmerman, M.A., Children's understanding of psychogenic bodily reactions (2001) Child Development, 72, pp. 444-459; Proctor, C., (2008) Clinicians' and laypeoples' beliefs about the causal basis and treatment of mental disorders, , Dissertation, Yale University, New Haven, CT; Propst, L.R., The comparative efficacy of religious and nonreligious imagery for the treatment of mild depression in religious individuals (1980) Cognitive Therapy and Research, 4, pp. 167-178; Rubel, A.J., O'Nell, C.W., Collado-Ardon, R., (1985) Susto, a folk illness, , Berkeley: University of California Press; Wellman, H.M., Gelman, S.A., Cognitive development: Foundational theories of core domains (1992) Annual Review of Psychology, 43, pp. 337-375; Woodward, A.L., Infants selectively encode the goal object of an actor's reach (1998) Cognition, 69, pp. 1-34; Zachar, P., (2000) Psychological concepts and biological psychiatry, , Philadelphia: John Benjamin Publishing Company","Ahn, W.; Department of Psychology, 2 Hillhouse Avenue, New Haven CT 06520, United States; email: woo-kyoung.ahn@yale.edu",,,,,,,,3640213,,COGSD,,English,Cogn. Sci.,Article,Final,"All Open Access, Bronze, Green",Scopus,2-s2.0-77953166232 "Flanagan E.H., Miller R., Davidson L.",7005558258;57194933431;7201394981;,"""unfortunately, we treat the chart:"" Sources of stigma in mental health settings",2009,Psychiatric Quarterly,80,1,,55,64,,20,10.1007/s11126-009-9093-7,https://www.scopus.com/inward/record.uri?eid=2-s2.0-61449173677&doi=10.1007%2fs11126-009-9093-7&partnerID=40&md5=f5871bd21600ed40cdedf86c88f12737,"Department of Psychiatry, Yale School of Medicine, Building 1, 319 Peck Street, New Haven, CT 06513, United States","Flanagan, E.H., Department of Psychiatry, Yale School of Medicine, Building 1, 319 Peck Street, New Haven, CT 06513, United States; Miller, R., Department of Psychiatry, Yale School of Medicine, Building 1, 319 Peck Street, New Haven, CT 06513, United States; Davidson, L., Department of Psychiatry, Yale School of Medicine, Building 1, 319 Peck Street, New Haven, CT 06513, United States","Background Stigma within mental health settings may be equally detrimental to people with mental illnesses as societal stigma. Aims This study investigated stigma in mental health settings through a mixed qualitative-quantitative design. Method Practitioners at a community mental health center indicated (1) their subjective experience of treating people with mental illness, and (2) descriptive features of people with mental illness. Results Interpretive phenomenological analysis found that a primary theme across practitioners was the causes and effects of labeling patients, a process practitioners attributed to other practitioners and/or to systemic pressures to ""treat the chart"" instead of the patient. Beyond symptoms and deficits, practitioners rated people with mental illnesses as ""insightful"" and ""able to recover."" Conclusions These data suggest that stigma in mental health settings may be due to structural, systemic pressures on practitioners, with practitioners' emphasis on symptoms and deficits as a secondary factor. © 2009 Springer Science+Business Media, LLC.",Clinicians; Community mental health centers; Qualitative research; Serious mental illness; Stigmatization,"adult; article; borderline state; cultural factor; female; human; male; medical record; mental health care; phenomenology; physician attitude; qualitative analysis; quantitative analysis; stigma; symptomatology; Adult; Attitude of Health Personnel; Community Mental Health Centers; Data Collection; Diagnosis, Differential; Female; Humans; Male; Mental Disorders; Middle Aged; Prejudice; Prognosis; Stereotyping; United States",,,,,"National Institutes of Health, NIH: F32-MH069013",Acknowledgments Support for this research was provided in part by National Institute of Health Grant (NIH F32-MH069013) to Elizabeth Flanagan. The authors indicate no conflict of interest with regards to this research.,,,,,,"Davidson, L., Stayner, D., Haglund, K.E., (1998); Brody, D., Strategies for transformation: Identifying, reducing and ending discrimination and stigma in mental health and primary care settings Improving Provider Attitudes, Behaviors, and Practices Toward People with Mental Illness, , Teleconference Sponsored by the SAMHSA Resource Center to Address Discrimination and Stigma, 2007 June 20 2007; Flanagan, E.H., Davidson, L., ""schizophrenics,"" ""borderlines,"" and the lingering legacy of ""misplaced concreteness"": The persistent misconception that the DSM classifies people instead of disorders (2007) Psychiatry: Interpersonal and Biological Processes, 70, pp. 100-112. , 2. 10.1521/psyc.2007.70.2.100; Schwartz, M.B., O'Neal Chambliss, H., Brownell, K.D., Blair, S.N., Billington, C., Weight bias among health professionals specializing in obesity (2003) Obesity Research, 11, pp. 1033-1039. , 9. 10.1038/oby.2003.142; Kingdon, D., Sharma, T., Hart, D., What attitudes do psychiatrists hold towards people with mental illness? (2004) Psychiatric Bulletin, 28, pp. 401-406. , 10.1192/pb.28.11.401; Lauber, C., Anthony, M., Ajdacic-Gross, V., Rossler, W., What about psychiatrists' attitude to mentally ill people? (2004) European Psychiatry, 19, pp. 423-427. , 10.1016/j.eurpsy.2004.06.019; Lepping, P., Steinert, T., Geghardt, R., Rottgers, H.R., Attitudes of mental health professionals and lay-people towards involuntary admission and treatment in England and Germany-a questionnaire analysis (2004) European Psychiatry, 19, pp. 91-95. , 10.1016/j.eurpsy.2003.11.001; Kaplan, H.I., Saddock, B.J., (1998), 8 Williams & WIlkins Baltimore, MD; (2000), World Psychiatric Association. WPA Geneva; Pinfold, V., Toulmin, H., Thornicroft, G., Huxley, P., Farmer, P., Graham, T., Reducing psychiatric stigma and discrimination: Evaluation of educational interventions in UK secondary schools (2003) British Journal of Psychiatry, 182, pp. 342-346. , 10.1192/bjp.182.4.342; Benner, P., (1994), Sage Thousand Oaks, CA","Flanagan, E. H.; Department of Psychiatry, 319 Peck Street, New Haven, CT 06513, United States; email: elizabeth.flanagan@yale.edu",,,,,,,,332720,,PSQUA,19191027,English,Psychiatr. Q.,Article,Final,,Scopus,2-s2.0-61449173677 "Lovi R., Barr J.",35604008000;23481126500;,Stigma reported by nurses related to those experiencing drug and alcohol dependency: A phenomenological Giorgi study,2009,Contemporary Nurse,33,2,,166,178,,31,10.5172/conu.2009.33.2.166,https://www.scopus.com/inward/record.uri?eid=2-s2.0-77449146155&doi=10.5172%2fconu.2009.33.2.166&partnerID=40&md5=cadc20b1d8fce598130b366a1ef5f9f1,"School of Nursing and Midwifery, Queensland University of Technology, Brisbane, QLD, Australia; QUT Visiting Research Fellow, Senior Lecturer, Queensland University of Technology, Brisbane, QLD, Australia","Lovi, R., School of Nursing and Midwifery, Queensland University of Technology, Brisbane, QLD, Australia; Barr, J., QUT Visiting Research Fellow, Senior Lecturer, Queensland University of Technology, Brisbane, QLD, Australia","Alcohol and drug dependency is a widespread health and social issue encountered by registered nurses in contemporary practice. A study aiming to describe the experiences of registered nurses working in an alcohol and drug unit in South East Queensland was implemented. Data were analysed via Giorgi's phenomenological method and an unexpected but signifi cant fi nding highlighted the frustration felt by registered nurses regarding experiences of stigma they identified in their daily work encounters. Secondary analysis confirmed the phenomenon of stigma with three themes: (1) inappropriate judgement; (2) advocacy; and (3) education. Resultantly, findings concluded registered nurses' working in this field need to become advocates for their clients, ensuring professional conduct is upheld at all times. This paper recommends that stigma could be addressed by incorporating alcohol and other drug dependency subjects and clinical placements into the curriculum of the Bachelor of Nursing degrees, and in-services for all practising registered nurses. © eContent Management Pty Ltd.",Advocacy; Alcohol; Drugs; Nursing; Phenomenology; Stigma,addiction; alcoholism; article; Australia; health education; human; patient advocacy; psychological aspect; social psychology; Alcoholism; Health Education; Humans; Patient Advocacy; Queensland; Stereotyping; Substance-Related Disorders,,,,,,,,,,,,"Ahern, J., Stuber, J., Galea, S., Stigma, discrimination and the health of illicit drug users (2007) Drug and Alcohol Dependence, 88, pp. 188-196; (2005) Code of ethics for nurses with interpretive statements, , http://nursingworld.org/ethics/code/protected_nwcoe813.htm, American Nurses Association. 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Dickson, ACT: ANMC; Barr, J., Postpartum depression, delayed maternal adaptation, and mechanical infant caring: A phenomenological hermeneutic study (2008) International Journal of Nursing Studies, 45, pp. 362-369; Camic, P.M., Rhodes, J.E., Yardley, L., (2003) Qualitative research in psychology: Expanding perspectives in methodology and design, , Washington American Psychological Association; Ahern, J., (2008) Code of ethics for registered nurses, , http://www.cna-nurses.ca/CNA/practice/ethics/code/default_e.aspx, Canadian Nurses Association. Retrieved July 6, 2008, from; Carroll, J., The negative attitudes of some general nurses towards drug misusers (1995) Nursing Standard, 9 (34), pp. 36-38; Carroll, J., Gear future training to practitioners' needs: Attitudes towards intravenous drug users (1995) Professional Nurse, 10 (4), pp. 215-219; Cowan, L., Deering, D., Crowe, M., Sellman, D., Futterman-Collier, A., Adamson, S., Alcohol and drug treatment for women: Clinicians' beliefs and practices (2003) International Journal of Mental Health Nursing, 12, pp. 48-55; Crotty, M., (1996) Phenomenology and nursing research, , South Melbourne: Churchill Livingstone; Cunningham, J.A., Sobell, L.C., Sobell, M.B., Agrawal, S., Toneatto, T., Barriers to treatment: Why alcohol and drug abusers delay or never seek treatment (1993) Addictive Behaviours, 18, pp. 347-353; DeJong, C.A.J., Brink, W., Jansen, J.A.M., Sex role stereotypes and clinical judgement: How therapists view their alcoholic patients (1993) Journal of Substance Abuse Treatment, 10, pp. 383-389; Ahern, J., (1996) Ethical guidelines of nursing, , http://www.sairaanhoitajaliitto.fi/sairaanhoitajan_tyo_ja_hoitotyon/sairaanhoitajan_tyo/sairaanhoitajan_eettiset_ohjeet/ethical_guidelines_of_nursing/, Finnish Ethical Guidelines for Nurses. Retrieved July 6, 2008, from; Fortney, J., Mukherjee, S., Curran, G., Fortney, S., Han, X., Booth, B.M., Factors associated with perceived stigma for alcohol use and treatment among at-risk drinkers (2004) Journal of Behavioural Services and Research, 31 (4), pp. 418-429; Giorgi, A., (1985) Phenomenology and psychological research, , Pittsburgh: Duquesne University Press; Grootjans, J., Hunt, H., Cresswell, S., Robinson, T., Exploration of self-identified education needs of alcohol and other drug workers (2006) Australian Journal of Rural Health, 14, pp. 62-65; Herek, G.M., AIDS and stigma (1999) The American Behavioural Scientist, 42, pp. 1106-1116; Howard, M.O., Walker, R.D., Walker, P.S., Suchinsky, R.T., Alcohol and drug education in schools of nursing (1997) Journal of Alcohol and Drug Education, 42 (3), pp. 54-80; Husserl, E., (1970) Logical investigations, , (J. N. Findlay, Trans.). London: Routledge & Kegan Paul. 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Newbury Park: Sage Publications; Link, B.G., Struening, E.L., Rahav, M., Phelan, J.C., Nuttbrock, L., On stigma and its consequences: Evidence from a longitudinal study of men with dual diagnoses of mental illness and substance abuse (1997) Journal of Health and Social Behaviour, 38 (2), pp. 177-190; Luoma, J.B., Twohig, M.P., Waltz, T., Hayes, S.C., Roget, N., Padilla, M., An investigation of stigma in individuals receiving treatment for substance abuse (2007) Addictive Behaviours, 32, pp. 1331-1346; MacDonald, H., Relational ethics and advocacy in nursing: Literature review (2006) Journal of Advanced Nursing, 57 (2), pp. 119-126; Mallik, M., Advocacy in nursing perceptions of practising nurses (1997) Journal of Clinical Nursing, 6, pp. 303-313; Maloney, C., Campbell-Evans, G., Using interactive Journal writing as a strategy for professional growth (2002) Asia-Pacific Journal of Teacher Education, 30 (1), pp. 39-50; Markey, B.T., Stone, J.B., An alcohol and drug education program for nurses (1997) AORN Journal, 66 (5), pp. 845-853; Miller, N., Sheppard, L., Colenda, C., Magen, J., Why physicians are unprepared to treat patients who have alcohol- and drug-related disorders (2001) Academic Medicine, 76, pp. 410-418; Munhall, P.L., (1994) Revisioning phenomenology: Nursing and health science research, , New York: National League for Nursing Press; Murphy, S.A., Scott, C.S., Mandel, L.S., Evaluating students' substance abuse assessment skills (1995) Journal of Substance Abuse, 7, pp. 357-364; Naegle, M.A., The need for alcohol abuse-related education in nursing curricula (1994) Alcohol Health and Research World, 18 (2), pp. 154-157; (2004) Alcohol and other drug drugs: A handbook for health professionals, , National Centre for Education and Training on Addiction (NCETA) Consortium Canberra: Australian Government Department of Health and Ageing; Ahern, J., (2007), http://www.nhmrc.gov.au/publications/synopses/_files/r39.pdf, National Health and Medical Research Council (NHMRC) Australian code for the responsible conduct of research. Retrieved September 2, 2008 from; Nietswiadomy, R.M., (2008) Foundations of nursing research, , New Jersey: Pearson/Prentice Hall; Polit, D.F., Beck, C.T., (2004) Nursing research: Principles and methods, , Philadelphia: Lippincott Williams & Wilkins; Polit, D.F., Beck, C.T., (2006) Essentials of nursing research: Methods, appraisal, and utilization, , Philadelphia: Lippincott Williams & Wilkins; Rassool, G.H., Oyefeso, A., Predictors of course satisfaction and perceived course impact of addiction nurses undertaking a postgraduate diploma in addictive behaviour (2007) Nurse Education Today, 27, pp. 256-265; Rassool, G.H., Rawaf, S., Educational intervention of undergraduate nursing students' confidence skills with alcohol and drug misusers (2008) Nurse Education Today, 28 (3), pp. 284-292; Rassool, G.H., Villar-Luis, M., Carraro, T.E., Lopes, G., Undergraduate nursing students' perceptions of substance use and misuse: A Brazilian position (2006) Journal of Psychiatric and Mental Health Nursing, 13, pp. 85-89; Rice, P.L., Ezzy, D., (1999) Qualitative research methods, , Oxford: Oxford University Press.Semple; S J Grant, I., Patterson, T.L., Utilization of drug treatment programs by methamphetamine users: The role of social stigma (2005) The American Journal of Addictions, 14, pp. 367-380; Skinner, N., Feather, N.T., Freeman, T., Roche, A., Stigma and discrimination in health-care provision to drug users: The role of values, affect and deservingness judgments (2007) Journal of Applied Social Psychology, 37 (1), pp. 163-186; Skinner, N., Roche, A.M., Freeman, T., Addy, D., Responding to alcohol and other drug issues: The effect of role adequacy and role legitimacy on motivation and satisfaction (2005) Drugs: Education, Prevention and Policy, 12 (6), pp. 449-463; Stewart, D., Mickunas, A., (1974) Exploring phenomenology: A guide to the field and its literature, , Athens: Ohio University Press; Treloar, C., Holt, M., Deficit models and divergent philosophies: Service providers' perspectives on barriers and incentives to drug treatment (2006) Drugs: Education, Prevention and Policy, 13 (4), pp. 367-382; (2008) Principles of drug dependence treatment: Discussion paper, , http://www.who.int/substance_abuse/publications/principles_drug_dependence_treatment.pdf, United Nations Office on Drugs and Crime (UNODC) and World Health Organisation (WHO). Retrieved August 28; Vaartio, H., Leino-Kilpi, H., Nursing advocacy-a review of the empirical research 1990-2003 (2005) International Journal of Nursing Studies, 42, pp. 705-714; White, W.L., (1998) Slaying the dragon: The history of addiction treatment and recovery in America, , Bloomington: Lighthouse Institute; (2008) The global burden, , http://www.who.int/substance_abuse/facts/global_burden/en/print.html, World Health Organisation (WHO). Retrieved August 10 2008 from; Young, M., Stuber, J., Ahern, J., Galea, S., Interpersonal discrimination and the health of illicit drug users (2005) The American Journal of Drug and Alcohol Abuse, 31, pp. 371-391","Lovi, R.; School of Nursing and Midwifery, , Brisbane, QLD, Australia",,,eContent Management Pty Ltd,,,,,10376178,,,19929161,English,Contemp. Nurse,Article,Final,,Scopus,2-s2.0-77449146155 "Back S.E., Waldrop A.E., Brady K.T.",7005710598;6602126012;7101818468;,Treatment challenges associated with comorbid substance use and posttraumatic stress disorder: Clinicians' perspectives,2009,American Journal on Addictions,18,1,,15,20,,61,10.1080/10550490802545141,https://www.scopus.com/inward/record.uri?eid=2-s2.0-60549112863&doi=10.1080%2f10550490802545141&partnerID=40&md5=20289a34912ea7c0383266527a0727dc,"Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, United States; Medical University of South Carolina, Department of Psychiatry and Behavioral Sciences, Division of Clinical Neuroscience, 67 President Street, Charleston, SC 29425, United States","Back, S.E., Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, United States, Medical University of South Carolina, Department of Psychiatry and Behavioral Sciences, Division of Clinical Neuroscience, 67 President Street, Charleston, SC 29425, United States; Waldrop, A.E., Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, United States; Brady, K.T., Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, United States","A significant proportion of individuals with substance use disorders (SUDs) meet criteria for comorbid posttraumatic stress disorder (PTSD). This comorbidity confers a more complicated clinical presentation that carries with it formidable treatment challenges for practitioners. The current study examined sources of difficulty and gratification among clinicians (N = 423) from four national organizations who completed an anonymous questionnaire. As expected, the findings revealed that comorbid SUD/PTSD was rated as significantly more difficult to treat than either disorder alone. The most common challenges associated with treating SUD/PTSD patients included knowing how to best prioritize and integrate treatment components, patient self-destructiveness and severe symptomatology, and helping patients abstain from substance use. The findings increase understanding of SUD/PTSD treatment challenges, and may be useful for enhancing therapist training programs, supervision effectiveness, and designing optimal SUD/PTSD interventions. Copyright © American Academy of Addiction Psychiatry.",,"abstinence; adult; article; clinical feature; comorbidity; demography; disease severity; education program; female; human; major clinical study; male; medical education; patient assessment; physician; posttraumatic stress disorder; problem patient; psychotherapist; questionnaire; self concept; statistical significance; substance abuse; treatment planning; Adult; Attitude of Health Personnel; Diagnosis, Dual (Psychiatry); Emotions; Female; Health Care Surveys; Health Personnel; Humans; Male; Middle Aged; Patient Care; Self-Injurious Behavior; Severity of Illness Index; Stress Disorders, Post-Traumatic; Substance-Related Disorders; Treatment Outcome",,,,,"National Institute on Drug Abuse, NIDA: K23DA021228, R01DA030143",,,,,,,"Grant, B.F., Harford, T.C., Comorbidity between DSM-IV alcohol use disorders and major depression: Results of a national survey (1995) Drug Alcohol Depend, 39, pp. 197-206; Grant, B.F., Hasin, D.S., Stinson, F.S., Prevalence, correlates, comorbidity, and comparative disability of DSM-IV generalized anxiety disorder in the USA: Results from the National Epidemiologic Survey on Alcohol and Related Conditions (2005) Psychol Med, 35, pp. 1747-1759; Kessler, R.C., McGonagle, K.A., Zhao, S., Lifetime and 12-month prevalence of DSM-III - R psychiatric disorders in the United States: Results from the National Comorbidity Study (1994) Arch Gen Psychiatry, 51, pp. 8-19; Regier, D.A., Farmer, M.E., Rae, D.S., Comorbidity of mental disorders with alcohol and other drug abuse. Results from the Epidemiologic Catchment Area (ECA) Study (1990) JAMA, 264, pp. 2511-2518; Conway, K.P., Compton, W., Stinson, F.S., Grant, B.F., Lifetime comorbidity of DSM-IV mood and anxiety disorders and specific drug use disorders: Results from the National Epidemiologic Survey on Alcohol and Related Conditions (2006) J Clin Psychiatry, 67, pp. 247-257; Jacobsen, L.K., Southwick, S.M., Kosten, T.K., Substance use disorders in patients with posttraumatic stress disorder: A review of the literature (2001) Am J Psychiatry, 158, pp. 1184-1190; Ouimette, P., Brown, P.J., (2003) Trauma and substance abuse: Causes, consequences, and treatment of comorbid disorders, , Washington, DC: American Psychological Association;; Back, S., Dansky, B.S., Coffey, S.F., Saladin, M.E., Sonne, S., Brady, K.T., Cocaine dependence with and without post-traumatic stress disorder: A comparison of substance use, trauma history and psychiatric comorbidity (2000) Am J Addict, 9, pp. 51-62; Brady, K.T., Killeen, T., Saladin, M.E., Dansky, B., Becker, S., Comorbid substance abuse and posttraumatic stress disorder: Characteristics of women in treatment (1994) Am J Addict, 3, pp. 160-164; Ford, J.D., Hawke, J., Alessi, S., Ledgerwood, D., Petry, N., Psychological trauma and PTSD symptoms as predictors of substance dependence treatment outcomes (2007) Behav Res Ther, 45, pp. 2417-2431; Hien, D.A., Nunes, E., Levin, F.R., Fraser, D., Posttraumatic stress disorder and short-term outcome in early methadone treatment (2000) J Subst Abuse Treat, 19, pp. 31-37; Mills, K.L., Teesson, M., Ross, J., Darke, S., Shanahan, M., The costs and outcomes of treatment for opioid dependence associated with posttraumatic stress disorder (2005) Psychiatr Serv, 56, pp. 940-945; Najavits, L.M., Weiss, R.D., Shaw, S.R., The link between substance abuse and posttraumatic stress disorder in women. A research review (1997) Am J Addict, 6, pp. 273-283; Ouimette, P., Ahrens, C., Moos, R., Finney, J., Posttraumatic stress disorder in substance abuse patients: Relationships to one year posttreatment outcomes (1997) Psychol Addict Behav, 1, pp. 34-47; Ouimette, P., Goodwin, E., Brown, P.J., Health and well being of substance use disorder patients with and without posttraumatic stress disorder (2006) Addict Behav, 31, pp. 1415-1423; Schafer, I., Najavits, L.M., Clinical challenges in the treatment of patients with posttraumatic stress disorder and substance abuse (2007) Curr Opin Psychiatry, 20, pp. 614-618; Triffleman, E., Carroll, K., Kellogg, S., Substance dependence posttraumatic stress disorder therapy. An integrated cognitive-behavioral approach (1999) J Subst Abuse Treat, 17, pp. 3-14; Back, S.E., Brady, K.T., Jackson, J.L., Salstrom, S., Zinzow, H., Gender differences in stress reactivity among cocaine-dependent individuals (2005) Psychopharmacology, 180, pp. 169-176; Becker, C.B., Darius, E., Schaumberg, K., An analog study of patient preferences for exposure versus alternative treatments for posttraumatic stress disorder (2007) Behav Res Ther, 45, pp. 2861-2873; Brown, P.J., Stout, R.L., Gannon-Rowley, J., Substance use disorder-PTSD comorbidity: Patients' perceptions of symptom interplay and treatment issues (1998) J Subst Abuse Treat, 15, pp. 445-448; Najavits, L.M., Sullivan, T.P., Schmitz, M., Weiss, R.D., Lee, C.S., Treatment utilization by women with PTSD and substance dependence (2004) Am J Addict, 13, pp. 215-224; Young, H.E., Rosen, C.S., Finney, J.W., A survey of PTSD screening and referral practices in VA addiction treatment programs (2005) J Subst Abuse Treat, 28, pp. 313-319; Becker, C.B., Zayfert, C., Anderson, E., A survey of psychologists' attitudes towards and utilization of exposure therapy for PTSD (2004) Behav Res Ther, 42, pp. 277-292; Nace, E.P., Posttraumatic stress disorder and substance abuse. Clinical issues (1988) Recent Dev Alcohol, 6, pp. 9-26; Pitman, R.K., Altman, B., Greenwald, E., Psychiatric complications during flooding therapy for posttraumatic stress disorder (1991) J Clin Psychiatry, 52, pp. 17-20; Back, S.E., Waldrop, A.E., Brady, K.T., Hien, D., Evidence-based time-limited treatment of co-occurring substance use disorders and civilian-related posttraumatic stress disorder (2006) Brief Treatment and Crisis Intervention, 6, pp. 1-12; Brady, K.T., Dansky, B.S., Back, S.E., Foa, E.B., Carroll, K.M., Exposure therapy in the treatment of PTSD among cocaine-dependent individuals: Preliminary findings (2001) J Subst Abuse Treat, 21, pp. 47-54; Foa, E., Chrestman, K., Riggs, D.S., Integrating prolonged exposure therapy and substance abuse treatment (2006) Annual Meeting of the International Society for Traumatic Stress Studies, , Paper presented at:, November 4-7, Los Angeles, Calif; Najavits, L.M., Schmitz, M., Gotthardt, S., Weiss, R.D., Seeking safety plus exposure therapy: An outcome study on dual diagnosis men (2005) J Psychoactive Drugs, 37, pp. 425-435; Triffleman, E., Gender differences in a controlled pilot study of psychosocial treatments in substance dependent patients with post-traumatic stress disorder: Design considerations and outcomes (2000) Alcoholism Treatment Quarterly, 18, pp. 113-126; Najavits, L.M., Clinicians' views on treating posttraumatic stress disorder and substance use disorder (2002) J Subst Abuse Treat, 22, pp. 79-85; Back, S.E., Dansky, B.S., Carroll, K.M., Foa, E.B., Brady, K.T., Exposure therapy in the treatment of PTSD among cocaine-dependent individuals: Description of procedures (2001) J Subst Abuse Treat, 21, pp. 35-45; Hien, D.A., Cohen, L.R., Miele, G.M., Litt, L.C., Capstick, C., Promising treatments for women with comorbid PTSD and substance use disorders (2004) Am J Psychiatry, 161, pp. 1426-1432; Coffey, S.F., Schumacher, J.A., Brimo, M.L., Brady, K.T., Exposure therapy for substance abusers with PTSD: Translating research to practice (2005) Behav Modif, 29, pp. 10-38; Riggs, D.S., Rukstalis, M., Volpicelli, J.R., Kalmanson, D., Foa, E.B., Demographic and social adjustment characteristics of patients with comorbid posttraumatic stress disorder and alcohol dependence: Potential pitfalls to PTSD treatment (2003) Addict Behav, 28, pp. 1717-1730","Back, S. E.; Medical University of South Carolina, 67 President Street, Charleston, SC 29425, United States; email: backs@musc.edu",,,,,,,,10550496,,AJADE,19219661,English,Am. J. Addict.,Article,Final,"All Open Access, Green",Scopus,2-s2.0-60549112863 "Foster K., Usher K., Baker J.A., Gadal S., Ali S.",57203083087;7003691769;55469103400;26424196600;7403093744;,Mental health workers' attitudes toward mental illness in Fiji,2008,Australian Journal of Advanced Nursing,25,3,,72,79,,21,,https://www.scopus.com/inward/record.uri?eid=2-s2.0-63249117671&partnerID=40&md5=6fca070e948f07541c31d97cec82faa6,"School of Nursing Midwifery and Nutrition, James Cook University, Cairns, QLD, Australia; School of Nursing Midwifery and Nutrition, James Cook University, Townsville, QLD, Australia; School of Nursing Midwifery and Social Work, The University of Manchester, Manchester, United Kingdom; Fiji School of Nursing, Suva, Fiji; St. Giles Hospital, Suva, Fiji","Foster, K., School of Nursing Midwifery and Nutrition, James Cook University, Cairns, QLD, Australia; Usher, K., School of Nursing Midwifery and Nutrition, James Cook University, Townsville, QLD, Australia; Baker, J.A., School of Nursing Midwifery and Social Work, The University of Manchester, Manchester, United Kingdom; Gadal, S., Fiji School of Nursing, Suva, Fiji; Ali, S., St. Giles Hospital, Suva, Fiji","Objective: To survey mental health workers' attitudes toward mental illness in Fiji as a means of understanding the attitudes of these staff. Design: A questionnaire survey using a previously validated scale: Attitudes Toward Acute Mental Health Scale (ATAMHS 33), was modified and distributed to registered nurses and mental health workers at a major mental health care setting in Fiji. The ATAMH (33) is a 33 item measure of attitudes developed specifically for use within inpatient mental health settings. Setting: A major in-patient mental health care setting in Fiji providing primary, secondary and tertiary care. Subjects: 71 registered nurses and medical orderlies in a mental health setting in Fiji completed the measure. Main outcome measure: The identification of mental health workers' attitudes toward mental illness in Fiji. Results: The participants expressed both positive and negative attitudes toward individuals in mental health care. Positive attitudes can be identified in a range of answers to questions including psychosocial causational beliefs and when comparisons were made with physical health issues. Negative attitudes were expressed with respect to alcohol abuse and lack of self control, individuals with mental illness lacking control over their emotions, psychotropic medications being used to control disruptive behaviour, and that mental illness is caused by genetic factors. A number of questions provided mixed responses. Conclusions: This paper provides a baseline of attitudinal measure of mental health workers in Fiji toward mental illness. It will enable future educational interventions to be evaluated and comparison to be made with other cultures and countries in the South Pacific region.",Atitudes; Fiji; Mental health; Mental health workers; Mental illness,,,,,,,,,,,,,"Aghanwa, H.S., Attitude toward and knowledge about mental illness in Fiji Islands (2004) International Journal of Social Psychiatry, 50 (4), pp. 361-375; Baker, J.A., Richards, D., Campbell, M., Nursing attitudes toward acute mental health care: A measurement tool development (2005) Journal of Advanced Nursing, 49 (5), pp. 522-529; Cho, K., Mak, K., Attitudes to mental patients among Hong Kong Chinese: A trend over two years (1998) International Journal of Social Psychiatry, 44 (10), pp. 215-224; Esters, I., Cooker, P. and Ittenbach R. 1998. Effects of a unit of instruction in mental health on rural adolescents' conceptions of mental illness and attitudes about seeking help, in K. Emrich, T.C. Thompson and G. Moore. 2003. Positive attitude: an essential element for effective care of people with mental illnesses. Journal of Psychosocial Nursing and Mental Health Services, 41(5):18-25; Feifel, D., Moutier, C.Y., Swerdlow, N.R., Attitudes toward psychiatry as a prospective career among students entering medical school (1999) American Journal of Psychiatry, 156 (9), pp. 1397-1402; Halter, M.J., Stigma and help seeking related to depression: A study of nursing students (2004) Journal of Psychosocial Nursing and Mental Health Services, 42 (2), pp. 42-51; Hugo, M., Mental health professionals' attitudes toward people who have experienced a mental health disorder (2001) Journal of Psychiatric and Mental Health Nursing, 8 (5), pp. 419-425; Jorm, A.F., Korten, A.E., Jacomb, P.A., Christensen, H., Henderson, S., Attitudes toward people with a mental disorder: A survey of the Australian public and health professionals (1999) Australian and New Zealand Journal of Psychiatry, 33 (1), pp. 77-83; Kurihara, T., Kato, M., Sakamoto, S., Reverger, R., Kitamura, T., Public attitudes toward the mentally ill: A cross-cultural study between Bali and Tokyo (2000) Psychiatry and Clinical Neurosciences, 54 (5), pp. 547-552; Morrison, E.F., Thornton, K.A., Influence of southern spiritual beliefs on perceptions of mental illness (1999) Issues in Mental Health Nursing, 20 (5), pp. 443-458; Munro, S., Baker, J.A., Surveying the attitudes of acute mental health nurses (2007) Journal of Psychiatric and Mental Health Nursing, 14 (2), pp. 196-202; Read, J., Harre, N., The role of biological and genetic causal beliefs in the stigmatisation of 'mental patients' (2001) Journal of Mental Health, 10 (2), pp. 223-235; Read, J., Law, A., The relationship between causal beliefs and contact with users of mental health services to attitudes to mental illness (1999) International Journal of Social Psychiatry, 45 (3), pp. 216-219; Singh, S.P., Baxter, H., Standen, P., Duggan, C., Changing the attitudes of 'tomorrow's doctors' toward mental illness and psychiatry: A comparison of two teaching methods (1998) Medical Education, 32 (2), pp. 115-120; Tay Sim-Eng, C., Pariyasami, S.D.O., Ravindran, K., Ali, M.I.A., Rowsudeen, M.T., Nurses' attitudes toward people with mental illnesses in a psychiatric hospital in Singapore (2004) Journal of Psychosocial Nursing and Mental Health Services, 42 (10), pp. 40-47","Foster, K.; School of Nursing Midwifery and Nutrition, , Cairns, QLD, Australia; email: kim.foster@jcu.edu.au",,,,,,,,8130531,,,,English,Aus. J. Adv. Nurs.,Article,Final,,Scopus,2-s2.0-63249117671 "Woollaston K., Hixenbaugh P.",25224043200;25222914800;,'Destructive whirlwind': Nurses' perceptions of patients diagnosed with borderline personality disorder,2008,Journal of Psychiatric and Mental Health Nursing,15,9,,703,709,,48,10.1111/j.1365-2850.2008.01275.x,https://www.scopus.com/inward/record.uri?eid=2-s2.0-53349176161&doi=10.1111%2fj.1365-2850.2008.01275.x&partnerID=40&md5=f6b7a8594986b9e6e785d713e5722b24,"Psychology Department, University of Westminster, London, United Kingdom; University of Westminster, 309 Regent Street, London W1B 2UW, United Kingdom","Woollaston, K., Psychology Department, University of Westminster, London, United Kingdom; Hixenbaugh, P., Psychology Department, University of Westminster, London, United Kingdom, University of Westminster, 309 Regent Street, London W1B 2UW, United Kingdom","Research suggests that nurses have negative perceptions and subsequently negative interactions with patients diagnosed as having Borderline Personality Disorder (BPD). However, this research is mainly quantitative in nature and does not allow nurses to speak freely about their experiences of working with this client group. The purpose of this study was to explore nurses' relationships with BPD patients from their own perspective. Semi-structured interviews were used to elicit the participants' experiences of BPD patients and thematic analysis was used to raise themes from the data. One core theme and four major themes were identified. The core theme was: 'Destructive Whirlwind', which refers to the nurses perceiving these patients as a powerful, dangerous, unrelenting force that leaves a trail of destruction in its wake. The major themes were: care giving; idealized and demonized; manipulation and threatening. The study concludes that nurses experience BPD patients in a negative manner. This can be attributed to the unpleasant interactions they can have with them and feeling that they lack the necessary skills in working with this group. The results also indicate that nurses want to improve their relationships with BPD patients. © 2008 Blackwell Publishing Ltd.",Caring; Nursing role; Personality disorders; Qualitative methodology; Therapeutic relationships,article; behavior; borderline state; cognition; diagnostic and statistical manual of mental disorders; human; interview; mood disorder; nurse patient relationship; nursing; perception; psychiatric nursing; psychological aspect; treatment refusal; violence; Behavior; Borderline Personality Disorder; Cognition; Dangerous Behavior; Diagnostic and Statistical Manual of Mental Disorders; Humans; Interviews as Topic; Mood Disorders; Nurse-Patient Relations; Perception; Psychiatric Nursing; Treatment Refusal,,,,,,,,,,,,"Bateman, A., Fonagy, P., Treatment of borderline personality disorder with psychoanalytically oriented partial hospitalization: An 18-month follow-up (2001) American Journal of Psychiatry, 158, pp. 36-42; Bateman, A., Fonagy, P., (2004) Psychotherapy for Borderline Personality Disorder: Mentalization-Based Treatment., , Oxford University Press. Oxford; Clarkson, P., (2003) The Therapeutic Relationship, 2nd Edn., , Whurr Publishers. London; Deans, C., Meocevic, E., Attitudes of registered psychiatric nurses towards patients diagnosed with borderline personality disorder (2006) Contemporary Nurse, 21, pp. 43-49; Ezzy, D., (2002) Qualitative Analysis: Practice and Innovation., , Routledge. London; Fincham, F.D., Emery, R.E., Limited mental capacities and perceived control in attribution of responsibility (1998) British Journal of Social Psychology, 27, pp. 193-207; Fraser, K., Gallop, R., Nurses' confirming/disconfirming responses to patients diagnosed with borderline personality disorder (1993) Archives of Psychiatric Nursing, 6, pp. 336-341; Gabbard, G.O., Wilkinson, S.M., (2000) Management of Countertransference with Borderline Clients., , Jason Aronson Inc. London; Gallop, R., Lancee, W., Escaping borderline stereotypes: Working through the maze of staff-patient interactions (1986) Journal of Psychosocial Nursing, 26, pp. 16-20; James, P.D., Cowman, S., Psychiatric nurses' knowledge, experience and attitudes towards clients with borderline personality disorder (2007) Journal of Psychiatric and Mental Health Nursing, 14, pp. 670-678; Lewis, G., Appleby, L., Personality disorder: The patients psychiatrists dislike (1988) British Journal of Psychiatry, 153, pp. 44-49; Linehan, M.M., (1993) Cognitive Behavioral Treatment of Borderline Personality Disorder., , Guiloford Press. New York, NY; Linehan, M.M., Comtoia, K.A., Murray, A.M., Al, E., Two-year randomized controlled trial and follow-up of dialectical behavior therapy vs therapy by experts for suicidal behaviors and borderline personality disorder (2006) Archive of General Psychiatry, 63, pp. 757-766; Markham, D., Attitudes towards patients with a diagnosis of 'borderline personality disorder': Social rejection and dangerousness (2003) Journal of Mental Health, 12, pp. 595-612; Markham, D., Trower, P., The effects of the psychiatric label 'borderline personality disorder' on nursing staff's perceptions and causal attributions for challenging behaviours (2003) British Journal of Clinical Psychology, 42, pp. 243-256; (2003) Personality Disorder: No Longer A Diagnosis of Exclusion., , National Institute for Mental Health in England (. NIMHE. London; Nehls, N., Recovering: A process of empowerment (2000) Advances in Nursing Science, 22, pp. 62-70; Rayner, G.C., Allen, S.L., Johnson, M., Countetransference and self-injury: A cognitive behavioural cycle (2004) Journal of Advanced Nursing, 50, pp. 12-19; Verheul, R., Bosch, L.M.C., Koeter, M.W.J., Al, E., Dialectical behaviour therapy for women with borderline personality disorder: 12-month, randomized clinical trial in the Netherlands (2003) British Journal of Psychiatry, 182, pp. 135-140","Hixenbaugh, P.; University of Westminster, 309 Regent Street, London W1B 2UW, United Kingdom; email: p.hixenbaugh@westminister.ac.uk",,,,,,,,13510126,,JPMNE,18844794,English,J. Psychiatr. Ment. Health. Nurs.,Article,Final,,Scopus,2-s2.0-53349176161 "Saǧduyu A., Özmen E., Aker T., Ögel K., Uǧuz Ş., Tamar D., Boratav C., Liman O.",6602150734;7004523752;6506487936;6507144361;6507583092;6507705281;6506083268;15064371700;,Knowledge and attitudes of general practitioners about depression,2008,Yeni Symposium,46,4,,206,214,,1,,https://www.scopus.com/inward/record.uri?eid=2-s2.0-55049100252&partnerID=40&md5=0716ebe605dbe74641d9a483551a0b30,"Başkent University, Medical Faculty, Psychiatry Dept., Ankara, Turkey; Celal Bayar University, Medical Faculty, Psychiatry Dept., Manisa, Turkey; Kocaeli University, Medical Faculty, Psychiatry Dept., Kocaeli, Turkey; Bakirköy Psychiatric and Neurological Disorders Hospital, Istanbul, Turkey; Çukurova University, Medical Faculty, Psychiatry Dept., Adana, Turkey; Kirikkale University, Medical Faculty, Psychiatry Dept., Kirikkale, Turkey; Psychiatric Studies and Education Center Society (PAREM)","Saǧduyu, A., Başkent University, Medical Faculty, Psychiatry Dept., Ankara, Turkey; Özmen, E., Celal Bayar University, Medical Faculty, Psychiatry Dept., Manisa, Turkey; Aker, T., Kocaeli University, Medical Faculty, Psychiatry Dept., Kocaeli, Turkey; Ögel, K., Bakirköy Psychiatric and Neurological Disorders Hospital, Istanbul, Turkey; Uǧuz, Ş., Çukurova University, Medical Faculty, Psychiatry Dept., Adana, Turkey; Tamar, D., Bakirköy Psychiatric and Neurological Disorders Hospital, Istanbul, Turkey; Boratav, C., Kirikkale University, Medical Faculty, Psychiatry Dept., Kirikkale, Turkey; Liman, O., Psychiatric Studies and Education Center Society (PAREM)","Objectives: The purpose of this study is to learn more about general practititoners' knowledge, attitudes and social distance towards depression which is the most prevalent mental disorder seen in general practice. Method: The survey was conducted in 2002 using face-to-face interviews in offices of 300 general practitioners in Turkey. Data were derived from the questionnaire developed for the survey called ""Attitudes Towards Mental Disorders"". Results: Almost all of the practitioners believed that depression was treatable, and it could be completely cured according to 90% of the respondents. 80% of the practitioners considered ""extreme sadness"", near half of them ""weak personality"" and more than 90% ""social handicaps"" to be as the causes of depression. 66% believed that these patients would not improve unless social problems were solved. Attitudes of the subjects with relatives diagnosed depression, married, and older were more positive than the others with respect to social distance characteristics. Discussion: Although general practitoners with closer social distance held more positive attitudes towards depression than community people, the results suggest that incorrect knowledge and beliefs about etiology, nonmedical treatment methods and risk of dependency have a tendency to persist in this group. The results of this study underline the need for development of new education programmes aimed to decrease effects of stigmatization based upon information obtained more studies about attitudes and beliefs of physicians.",Attitude; Depression; General practitioner,adult; article; attitude to health; controlled study; dependent personality disorder; depression; education program; female; general practice; general practitioner; health survey; human; interview; knowledge; male; personality; questionnaire; social disability; social distance; social problem; Turkey (republic),,,,,,,,,,,,"Andrews, G., Carter, G.L., What people say abut their general practitioners' treatment of anxiety and depression (2001) Med J Australia, 175, pp. 48-51; Arkar, H., Akil hastalarinin sosyal reddedilimi (1991) Düş ünen Adam, 4, pp. 6-9; (1994) Diagnostic and Statistical Manual of Mental Disorders, , American Psychiatric Association , Fourth Edition. Washington, DC: American Psychiatric Association; Brandli, H., The image of mental illness in Switzerland. The Image of Madness (1999) The Public Facing Mental Illness and Psychiatric Treatment, pp. 29-37. , Guimon J, Fischer W, Sartorius M, Editors. Basel: Karger; Crisp, A.H., Gelder, M.G., Susannah, R., Stigmatisation of people with mental illness (2000) Br J Psychiatry, 117, pp. 4-7; Eskin, M., Rural populations' opinion about the causes of mental illness, modern psychiatric help sources and traditional healers in Turkey (1989) Int J Soc Psychiatry, 35, pp. 324-328; Farrel, M., Lewis, G., Discrimination on the grounds of diagnosis (1990) British J Psychiatry, 85, pp. 883-890; Gureje, O., Lasebikan, V.O., Ephrahim-Oluwanuga, O., Community study of knowledge of and attitude to mental illness in Nigeria (2005) British J Psychiatry, 186, pp. 436-441; Lennox, N., Chaplin, R., The psychiatric care of people with intellectual disability:the perceptions of consultant psychiatrists in Victoria. Australian and New Zealand (1996) J Psychiatry, 30, pp. 774-780; Link, B., Struening, E., Rahav, M., On stigma and its consequences: Evidence from a longitudinal study of man with dual diagnoses of mental illness and substance abuse (1997) J Health Soc Behav, 38, pp. 177-190; Markowitz, F., The effects of stigma on the psychological well-being and life satisfaction of persons with mental illness (1998) J Health Soc Behav, 39, p. 347; Mukherjee, R., Fialho, H., Wijetunge, A., The stigmatization of psychiatric illness: The attitudes of medical students and doctors in a London teaching hospital (2002) Psychiatry Bull, 26, pp. 178-181; Özbek, A., Akil hastasina karşi toplum. (1970) Nöropsikiyatri Arşivi, 7, pp. 73-76; Özmen, E., Ögel, K., Boratav, C., Saǧduyu, A., Aker, T., Tamar, D., Depresyon ile ilgili bilgi ve tutumlar: İstanbul örneǧi. (2003) Türk Psikiyatri Dergisi, 14, pp. 89-100; Özyiǧit, S., Savaş, H.A., Ersoy, M.A., Hemşirelik ve hemşirelik öǧrencilerinin şizofreniye yönelik tutumlari. (2004) Yeni Symposium, 42, pp. 105-112; Pescosolido, B.A., Monahan, J., Link, B.G., The public's view of the competence, dangerousness, and need for legal coercion of persons with mental health problems (1999) Am J Public Health, 89, pp. 1339-1345; Rahav, M., Struening, E.L., Andrews, H., Opinions on mental illness in Israel (1984) Soc Sci Med, 19, pp. 1154-1158; Rezaki, M., Bir saǧlik ocaǧina başvuran hastalarda depresyon. (1996) Türk Psikiyatri Dergisi, 6, pp. 13-20; Richards, J.C., Ryan, P., Marita, P.M., Barriers to the effective management of depression in general practice. Australian and New Zealand (2004) J Psychiatry, 38, pp. 795-803; Saǧduyu, A., Aker, T., Özmen, E., Ögel, K., Tamar, D., Halkin şizofreniye bakişi ve yaklaşimi üzerine bir epidemiyolojik araştirma. (2001) Türk Psikiyatri Dergisi, 12, pp. 99-110; Saǧduyu, A., Aker, T., Özmen, E., Uǧuz, S., Ögel, K., Tamar, D., Şizofrenisi olan hasta yakinlarinin şizofreniye yönelik tutumlari. (2003) Türk Psikiyatri Dergisi, 14, pp. 203-212; Sellick, K., Goodear, J., Community attitudes toward mental illness: The influence of contact and demographic variables (1985) Austr NZ J Psychiatr, 19, pp. 293-298; Shao, W.A., Williams, J.W., Badgett, R.G., Knowledge and attitudes about depression among non-generalists and generalists (1997) J Fam Pract, 44, pp. 161-168; Shulze, B., Angermayer, M.C., Subjective experience of stigma. A focus group of schizophrenic patients, their relatives and mental health professionals (2003) Soc Sci Med, 56, pp. 299-312; Star, S., The public's ideas about mental illness (1955) Annual Meeting of the National Association for Mental Health, , Indianapolis, USA; Taşkin, E.O., Şen, F.S., Aydemir, O., Demet, M., Özmen, E., İçelli, I., Türkiye'de kirsal bir bölgede yaşayan halkin şizofreniye ilişkin tutumlari. (2002) Türk Psikiyatri Dergisi, 13, pp. 205-214; Üstün TB, Saǧduyu A, Rezaki M (1997) Sonuç ve öneriler. Temel Saǧlik Hizmetlerinde Ruhsal Sorunlar. Üstün TB, Saǧduyu A, Rezaki M, Editörler. Ankara: HÜTF Psikiyatri Bölümü DSÖ İşbirliǧi Merkezi Yayinlari, 118-126","Saǧduyu, A.; Başkent University, , Ankara, Turkey; email: afsinsagduyu@hotmail.com",,,,,,,,13008773,,,,English,Yeni Symp.,Article,Final,,Scopus,2-s2.0-55049100252 "Eack S.M., Newhill C.E.",8686104600;6601915528;,What influences social workers' attitudes toward working with clients with severe mental illness?,2008,Families in Society,89,3,,418,427,,6,10.1606/1044-3894.3767,https://www.scopus.com/inward/record.uri?eid=2-s2.0-52149096269&doi=10.1606%2f1044-3894.3767&partnerID=40&md5=e1611e7443aec5848a4e4f69a6e2f503,"School of Social Work, University of Pittsburgh; School of Social Work, University of Pittsburgh, 2117 Cathedral of Learning, Pittsburgh, PA 15260, United States","Eack, S.M., School of Social Work, University of Pittsburgh, School of Social Work, University of Pittsburgh, 2117 Cathedral of Learning, Pittsburgh, PA 15260, United States; Newhill, C.E., School of Social Work, University of Pittsburgh","A national random survey of 2,000 National Association of Social Workers (NASW) members in post-master's degree practice in mental health was conducted to investigate their experiences and attitudes about working with individuals with severe and persistent mental illness (SPMI). Through a series of structural equation models we examined the influence of different frustrations reported by the respondents on their attitudes toward working with individuals with SPMI. Results suggest social worker attitudes toward working with individuals with SPMI are primarily influenced by their frustrations related to client behaviors and treatment issues rather than frustrations with system-related issues. Implications for social work practice include burnout and challenges to staff retention. Other implications and directions for future research are discussed. ©2008 Alliance for Children and Families.",,,,,,,,,,,,,,"Acker, G.M., The impact of client's mental illness on social workers' job satisfaction and burnout (1999) Health & Social Work, 24, pp. 112-119; Acker, G.M., The effect of organizational conditions (role conflict, role ambiguity, opportunities for professional development, and social support) on job satisfaction and intention to leave among social workers in mental health care (2004) Community Mental Health Journal, 40, pp. 65-73; Anderson, C.M., Reiss, D.J., Hogarty, G.E., (1986) Schizophrenia and the family, , New York: Guilford; Ball, R.A., Moore, E., Kuipers, L., Expressed emotion in community care staff: A comparison of patient outcome in a nine month follow-up of two hostels (1992) Social Psychiatry & Psychiatric Epidemiology, 27, pp. 35-39; Baron, R.M., Kenny, D.A., The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations (1986) Journal of Personality & Social Psychology, 51, pp. 1173-1182; Barrowclough, C., Haddock, G., Lowens, I., Connor, A., Pidliswyj, J., Tracey, N., Staff expressed emotion and causal attributions for client problems on a low security unit: An exploratory study (2001) Schizophrenia Bulletin, 27, pp. 517-526; Barrowclough, C., Tarrier, N., Humphreys, L., Ward, J., Gregg, L., Andrews, B., Self-esteem in schizophrenia: Relationships between self-evaluation, family attitudes, and symptomatology (2003) Journal of Abnormal Psychology, 112, pp. 92-99; Bentler, P.M., A lower-bound method for the dimension-free measurement of internal consistency (1972) Social Science Research, 1, pp. 343-357; Bentler, P.M., Comparative fit indexes in structural models (1990) Psychological Bulletin, 107, pp. 238-346; Bentler, P.M., (1995) EQS structural equation modeling program, , Encino, CA: Multivariate Software; Bentler, P.M., (1995) EQS structural equation modeling program manual, , Encino, CA: Multivariate Software; Brief, A.P., Weiss, H.M., Organizational behavior: Affect in the workplace (2002) Annual Review of Psychology, 53, pp. 279-307; Brown, G.W., Monck, E.M., Carstairs, G.M., Wing, J.K., Influence of family life on the course of schizophrenic illness (1962) British Journal of Preventative and Social Medicine, 16, pp. 55-68; Browne, M.W., Cudeck, R., Alternative ways of assessing model fit (1993) Testing structural equation models, pp. 136-162. , K. A. Bollen & J. S. Long Eds, Newbury Park, CA: Sage; Butzlaff, R.L., Hooley, J.M., Expressed emotion and psychiatric relapse: A meta-analysis (1998) Archives of General Psychiatry, 55, pp. 547-552; Cole, D.A., Maxwell, S.E., Testing mediational models with longitudinal data: Questions and tips in the use of structural equation modeling (2003) Journal of Abnormal Psychology, 112, pp. 558-577; Cuijpers, P., Stam, H., Burnout among relatives of psychiatric patients attending psychoeducational support groups (2000) Psychiatric Services, 51, pp. 375-379; Eack, S.M., Ooms, A., Berenbaum, H., A prospective study of staff attitudes and feelings, and the behavior of severely mentally ill residents, , in review; Heresco-Levy, U., Ermilov, M., Giltsinsky, B., Lichtenstein, M., Blander, D., Treatment-resistant schizophrenia and staff rejection (1999) Schizophrenia Bulletin, 25, pp. 457-465; Kadushin, A., (1992) Supervision in social work, , 3rd ed, New York: Columbia University Press; Kenny, D.A., Kashy, D.A., Bolger, N., Data analysis in social psychology (1998) Handbook of social psychology, 1, pp. 252-259. , D. Gilbert, S. Fiske, & G. Lindzey Eds, Boston: McGraw-Hill; Kline, R.B., (2005) Principles and practice of structural equation modeling, , 2nd ed, New York: Guilford; Maslach, C., (1982) Burnout: The cost of caring, , Englewood Cliffs, NJ: Prentice Hall; Mason, K., Olmos-Gallo, A., Bacon, D., McQuilken, M., Henley, A., Fisher, S., Exploring the consumer's and providers perspective on service quality in community mental health care (2004) Community Mental Health Journal, 40, pp. 33-46; Mirabi, M., Weinman, M.I., Magnetti, S.M., Keppler, K.N., Professional attitudes toward the chronic mentally ill (1985) Hospital & Community Psychiatry, 36, pp. 404-405; Moore, E., Kuipers, L., Behavioural correlates of expressed emotion in staff-patient interactions (1992) Social Psychiatry & Psychiatric Epidemiology, 27, pp. 298-303; (2005) Assuring the sufficiency of a frontline workforce: A national study of licensed social workers, , National Association of Social Workers, Washington, DC: Author; Newhill, C.E., Challenges for social work practice with severe mental illness: Results of a national survey (2003) NASW Mental Health Section Connection, 1, pp. 13-15; Newhill, C.E., Korr, W.S., Practice with people with severe mental illness: Rewards, challenges, burdens (2004) Health & Social Work, 29, pp. 297-305; Raykov, T., Coefficient alpha and composite reliability with interrelated nonhomogeneous items (1998) Applied Psychological Measurement, 22, pp. 375-385; Raykov, T., Point and interval estimation of reliability for multiple-component measuring instruments via linear constraint covariance structure modeling (2004) Structural Equation Modeling, 11, pp. 342-356; Reid, Y., Johnson, S., Morant, N., Kuipers, E., Szmukler, G., Thornicroft, G., Explanations for stress and satisfaction in mental health professionals: A qualitative study (1999) Social Psychiatry & Psychiatric Epidemiology, 34, pp. 301-308; Robinson, D.G., Woerner, M.G., Mcmeniman, M., Mendelowitz, A., Bilder, R.M., Symptomatic and functional recovery from a first episode of schizophrenia or schizoaffective disorder (2004) American Journal of Psychiatry, 161, pp. 473-479; Snyder, K.S., Wallace, C.J., Moe, K., Liberman, R.P., Expressed emotion by residential care operators and residents' symptoms and quality of life (1994) Hospital & Community Psychiatry, 45, pp. 1141-1143; Snyder, K.S., Wallace, C.J., Moe, K., Ventura, J., Liberman, R.P., The relationship of residential care-home operators' expressed emotion and schizophrenic residents' symptoms and quality of life (1995) International Journal of Mental Health, 24 (3), pp. 27-37; (2001) Mental health, United States: 2000, , Substance Abuse and Mental Health Services Administration, Washington, DC: Author; Tomarken, A.J., Waller, N.G., Potential problems with ""well fitting"" models (2003) Journal of Abnormal Psychology, 112, pp. 578-598; Velicer, W.F., Fava, J.L., Affects of variable and subject sampling on factor pattern recovery (1998) Psychological Methods, 3, pp. 231-251; Wykes, T., Stevens, W., Everitt, B., Stress in community care teams: Will it affect the sustainability of community care? (1997) Social Psychiatry & Psychiatric Epidemiology, 32, pp. 398-407","Eack, S. M.; School of Social Work, , Pittsburgh, PA 15260, United States; email: sme12@pitt.edu",,,,,,,,10443894,,,,English,Fam. Soc.,Article,Final,"All Open Access, Green",Scopus,2-s2.0-52149096269 "Newton-Howes G., Weaver T., Tyrer P.",10540070400;24473622500;35429745200;,Attitudes of staff towards patients with personality disorder in community mental health teams,2008,Australian and New Zealand Journal of Psychiatry,42,7,,572,577,,64,10.1080/00048670802119739,https://www.scopus.com/inward/record.uri?eid=2-s2.0-47649097317&doi=10.1080%2f00048670802119739&partnerID=40&md5=092ca2a4383c557b85301d4878a6a179,"Department of Psychological Medicine, Imperial College, London, United Kingdom","Newton-Howes, G., Department of Psychological Medicine, Imperial College, London, United Kingdom; Weaver, T., Department of Psychological Medicine, Imperial College, London, United Kingdom; Tyrer, P., Department of Psychological Medicine, Imperial College, London, United Kingdom","Objective: The purpose of the present paper was to assess the attitudes of clinicians working with personality disordered patients. Methods: Secondary analysis of the Comorbidity of Substance Misuse and Mental Illness Collaborative (COSMIC) data set was undertaken using a priori hypothesis testing. The null hypothesis was that there would be no measurable difference between the attitudes of mental health professionals toward patients with a clinical diagnosis of personality disorder and those with an instrument-rated diagnosis of personality disorder. The potential confounders of global psychopathology, need, social functioning and documented aggression were assessed as possible reasons explaining a rejection of the null hypothesis. Results: Clinicians believed those with the clinical diagnostic label of personality disorder to be more difficult to manage than personality-disordered patients identified by a research tool who did not carry this label. These attitudes were not explained by the potential confounders of psychopathology, social morbidity or acts of aggression. Conclusions: An awareness of a personality disorder diagnosis is associated with a clinician belief that patients will be harder to manage. Objective measures of potential confounders do not explain why this group should be harder to manage. One explanation of this finding is that the label 'personality disorder' is stigmatizing. This may also explain the disparity between clinical and research assessments of personality disorder.",Perception; Personality disorder; Stigma,adult; article; attitude to mental illness; clinical assessment tool; clinical evaluation; community care; female; health care personnel; health personnel attitude; human; job stress; major clinical study; male; mental health care; personality disorder; psychologic test; stigma; Adult; Attitude of Health Personnel; Community Mental Health Services; Comorbidity; Demography; Female; Humans; Male; Mental Disorders; Patient Care Team; Patient Compliance; Personality Disorders; Professional-Patient Relations; Questionnaires; Stereotyping; Substance-Related Disorders,,,,,,,,,,,,"Angermeyer, M., Kenzine, P., Matschinger, H., Public attitudes towards psychiatric treatment (2005) Soc Psychiatry Psychiatr Epidemiol, 40, pp. 855-864; Lee, S., Lee, M., Chiu, M., Kleinman, A., Experience of social stigma by people with schizophrenia in Hong Kong (2005) Br J Psychiatry, 186, pp. 153-157; Crisp, A., Cowan, L., Hart, D., The College's Anti-Stigma Campaign, 1998-2003: A shortened version of the concluding report (2004) Psychiatr Bull, 28, pp. 133-136; (2002) Building on Strengths: A New Approach to Promoting Mental Health in New Zealand/Aotearoa, , Ministry of Health Ministry of Health, Wellington; (2008) Like Minds Like Mine, , Like minds; Lewis, G., Appleby, L., Personality disorder: The patients psychiatrists dislike (1988) Br J Psychiatry, 153, pp. 44-49; Goffman, E., (1963) Stigma: Notes on the Management of Spoiled Identity, , Simon & Schuster, New York; Rush, L., Affective reactions to multiple social stigmas (1998) J Soc Psychol, 138, pp. 421-430; Stone, M.H., Hurt, S.W., Stone, D.K., The PI 500: Long-term follow-up of borderline patients meeting DSM-III criteria - 1. Global outcome (1987) J Pers Disord, 1, pp. 291-298; Benjamin, L.S., (1993) Interpersonal Diagnosis and Treatment of Personality Disorders, , Guilford Press, New York; Davidson, K., A new cognitive therapy for borderline and anti-social personality disorders (1993) Proceedings of the 3rd International Conference of Disorders of Personality, p. 15. , Cambridge, MA; Keown, P., Holloway, F., Kuipers, E., The prevalence of personality disorders, psychotic disorders and affective disorders amongst the patients seen by a community mental health team in London (2002) Soc Psychiatry Psychiatr Epidemiol, 37, pp. 225-229; Casey, P., Tyrer, P., Personality, functioning and symptomatology (1986) J Psychiatr Res, 20, pp. 363-374; Newton-Howes, G., Tyrer, P., Johnson, T., Personality disorder and the outcome of depression: A meta-analysis of published studies (2006) Br J Psychiatry, 188, pp. 13-20; Tyrer, P., Coombs, N., Ibrahami, F., Critical developments in the assessment of personality disorder (2007) Br J Psychiatry, pp. S51-S59; El-Badri, S., Mellsop, G., Stigma and quality of life as experienced by people with mental illness (2007) Australas Psychiatry, 15, pp. 195-200; Personality Disorder: No Longer a Diagnosis of Exclusion, , National Institute of Mental Health (England) Department of Health, London; Weaver, T., Madden, P., Charles, V., Comorbidity of substance misuse and mental illness in community mental health and substance misuse services (2003) Br J Psychiatry, 183, pp. 304-313; Malone, D., Newton-Howes, G., Tyrer, P., Community mental health teams (CMHTs) for people with severe mental illnesses and disordered personality (2007) Cochrane Database Syst Rev; Tyrer, P., Quick Personality Assessment Schedule: PAS-Q (2000) Personality Disorders: Diagnosis, Management and Course, pp. 181-190. , Arnold, London; Tyrer, P., Alexander, J., Classification of personality disorder (1979) Br J Psychiatry, 135, pp. 163-167; Tyrer, P., Alexander, M.S., Cicchetti, D., Reliability of a schedule for rating personality disorders (1979) Br J Psychiatry, 135, pp. 168-174; Tyrer, P., Tom, B., Byford, S., Differential effects of manual assisted cognitive behavior therapy in the treatment of recurrent deliberate self-harm and personality disturbance: The POPMACT study (2004) J Pers Disord, 18, pp. 82-96; Tyrer, P., Seivewright, H., Johnson, T., The Nottingham Study of Neurotic Disorder: Predictors of 12year outcome of dysthymic, panic and generalised anxiety disorder (2004) Psychol Med, 34, pp. 1385-1394; Asberg, M., Montgomery, S., Perris, C., A comprehensive psychopathology rating scale (1978) Acta Psychiatr Scand, 271, pp. 5-27; Phelan, M., Slade, M., Thornicroft, G., The Camberwell Assessment of Need (CAN): The validity and reliability of an instrument to assess the needs of people with severe mental illness (1995) Br J Psychiatry, 167, pp. 589-595; Tyrer, P., Nur, U., Crawford, M., The Social Functioning Questionnaire: A rapid and robust measure of perceived functioning (2005) Int J Soc Psychiatry, 51, pp. 265-275; Tyrer, P., Seivewright, N., Ferguson, B., The Nottingham study of neurotic disorder: Relationship between personality status and symptoms (1990) Psychol Med, 20, pp. 423-431","Newton-Howes, G.; Department of Psychological Medicine, , London, United Kingdom",,,,,,,,48674,,ANZPB,18612860,English,Aust. New Zealand J. Psychiatry,Article,Final,,Scopus,2-s2.0-47649097317 "Cape J., Morris E., Burd M., Buszewicz M.",7005556994;8091404700;7003913664;6602241772;,"Complexity of GPs' explanations about mental health problems: Development, reliability, and validity of a measure",2008,British Journal of General Practice,58,551,,403,408+410,,10,10.3399/bjgp08X299281,https://www.scopus.com/inward/record.uri?eid=2-s2.0-44649089668&doi=10.3399%2fbjgp08X299281&partnerID=40&md5=90582813beee514783f737694c95b207,"Camden and Islington Foundation Trust, St Pancras Hospital, 4 St Pancras Way, London NW1 0PE, United Kingdom; Barnet, Enfield and Haringey Mental Health NHS Trust; Primary Care Psychology and Counselling Service, Tower Hamlets Primary Care Trust; Department of Primary Care and Population Sciences, Royal Free and University College Medical School, London, United Kingdom","Cape, J., Camden and Islington Foundation Trust, St Pancras Hospital, 4 St Pancras Way, London NW1 0PE, United Kingdom; Morris, E., Barnet, Enfield and Haringey Mental Health NHS Trust; Burd, M., Primary Care Psychology and Counselling Service, Tower Hamlets Primary Care Trust; Buszewicz, M., Department of Primary Care and Population Sciences, Royal Free and University College Medical School, London, United Kingdom","Background: How GPs understand mental health problems determines their treatment choices; however, measures describing GPs' thinking about such problems are not currently available. Aim: To develop a measure of the complexity of GP explanations of common mental health problems and to pilot its reliability and validity. Design of study: A qualitative development of the measure, followed by inter-rater reliability and validation pilot studies. Setting: General practices in North London. Method: Vignettes of simulated consultations with patients with mental health problems were videotaped, and an anchored measure of complexity of psychosocial explanation in response to these vignettes was developed. Six GPs, four psychologists, and two lay people viewed the vignettes. Their responses were rated for complexity, both using the anchored measure and independently by two experts in primary care mental health. In a second reliability and revalidation study, responses of 50 GPs to two vignettes were rated for complexity. The GPs also completed a questionnaire to determine their interest and training in mental health, and they completed the Depression Attitudes Questionnaire. Results: Inter-rater reliability of the measure of complexity of explanation in both pilot studies was satisfactory (intra-class correlation coefficient = 0.78 and 0.72). The measure correlated with expert opinion as to what constitutes a complex explanation, and the responses of psychologists, GPs, and lay people differed in measured complexity. GPs with higher complexity scores had greater interest, more training in mental health, and more positive attitudes to depression. Conclusion: Results suggest that the complexity of GPs' psychosocial explanations about common mental health problems can be reliably and validly assessed by this new standardised measure. © British Journal of Geneneral Practice.","Doctor-patient relations; Mental health; Physician, primary health care","article; consultation; controlled study; depression; Depression Attitudes Questionnaire; general practice; general practitioner; human; interrater reliability; medical education; medical expert; mental health care; physician attitude; pilot study; primary medical care; psychologist; psychosocial care; qualitative research; questionnaire; simulation; standardization; United Kingdom; validation study; Attitude of Health Personnel; Family Practice; Humans; Mental Disorders; Physician-Patient Relations; Physicians, Family; Pilot Projects; Professional Practice; Questionnaires; Reproducibility of Results",,,,,,,,,,,,"Goldberg, D., Huxley, P., (1992) Common mental disorders: A bio-social model, , London: Routledge; Regier, D.A., Narrow, W.E., Rae, D., The de facto US mental and addictive disorders service system Epidemiologic catchment area prospective 1-year prevalence rates of disorders and services (1993) Arch Gen Psychiat, 50 (2), pp. 85-94; Greenhalgh T. intuition and evidence - uneasy bedfellows? Br J Gen Pract 2002, 52(478): 395-400; Cape, J., Barker, C., Buszewicz, M., Pistrang, N., General practitioner psychological management of common emotional problems (II): A research agenda for the development of evidence-based practice (2000) Br J Gen Pract, 50 (454), pp. 396-400; Jeakins, R., Smeeton, N., Marinker, M., Shepherd, M., A study of the classification of mental ill-health in general practice (1985) Psychol Med, 15 (2), pp. 403-409; Ross, S., Moffit, K., McConnachie, A., Sex and attitude: A randomized vignette study of the management of depression by general practitioners (1999) Br J Gen Pract, 49 (438), pp. 17-21; Dale, J., Middleton, H., Factors influencing general practitioners' management of psychosocial and physical problems: A study using case vignettes (1990) Br J Gen Pract, 49 (336), pp. 123-424; Botega, N., Blizard, R., Wilkinson, G., Mann, A., General practitioners and depression - first use of the depression attitude questionnaire (1992) Int J Methods Psychiatr Res, 2, pp. 169-180; Shrout, P.E., Fliess, J.L., Intraclass correlations: Uses in assessing rater reliability (1979) Psychol Bull, 86 (2), pp. 420-428; Kessler, D., Bennewith, O., Lewis, G., Sharp, D., Detection of depression and anxiety in primary care: Follow up study (2002) BMJ, 325 (7371), pp. 1016-1017; Ogden, J., Boden, J., Caird, R., You're depressed'; 'no I'm not': GPS' and patients' different models of depression (1999) Br J Gen Pract, 49 (439), pp. 123-124; Chew-Graham, C.A., Mullin, S., May, C.R., Managing depression in primary care: Another example of the inverse care law? (2002) Fam Pract, 19 (6), pp. 632-637; Thomas-Maclean, R., Stoppard, J.M., Physicians' constructions of depression: Inside/outside the boundaries of medicalization (2004) Health, 8 (3), pp. 275-293; Murray, J., Banerjee, S., Byng, R., Primary care professionals' perceptions of depression in older people: A qualitative study (2006) Soc Sci Med, 63 (5), pp. 1363-1373; Burroughs, H., Lovell, K., Morley, M., Justifiable depression': How primary care professionals and patients view late-life depression? A qualitative study (2006) Fam Pract, 23 (3), pp. 369-377; Johnston, O., Kumar, S., Kendall, K., Qualitative study of depression: GP and patient goals, and the value of listening (2007) Br J Gen Pract, 57 (344), pp. 872-879; Furnham, A., Kuyken, W., Lay theories of depression (1991) J Soc Behav Pers, 6, pp. 329-342; Kuyken, W., Brewin, C.R., Power, M.J., Furnham, A., Causal beliefs about depression in depressed patients, clinical psychologists and lay persons (1992) Br J Med Psychol, 65 (PART 3), pp. 257-268; Roter, D.L., Hall, J.A., Kern, D.E., Improving physicians' interviewing skills and reducing patients' emotional distress. a randomized clinical trial (1995) Arch intern Med, 155 (17), pp. 1877-1884; Cape, J., Psychological treatment of emotional problems by general practitioners (1996) Br J Med Psychol, 69 (PART 2), pp. 85-99; Mercer, S.W., McConachie, A., Maxwell, M., Relevance and practical use of the Consultation and Relational Empathy (CARE) Measure in general practice (2005) Fam Pract, 22 (3), pp. 328-334; Larsson, E.B., Yao, X., Clinical empathy as emotional labor in the patient-physician relationship (2005) JAMA, 293 (1), pp. 1100-1106; Davis, M.H., (1994) Empathy. a social psychological approach, , Madison: Brown and Benchmark; Lawrence, E.J., Shaw, P., Baker, D., Measuring empathy: Reliability and validity of the Empathy Quotient (2004) Psychol Med, 34 (5), pp. 911-924; McCallum, M., Piper, W., Psychological mindedness (1996) Psychiatry, 59 (1), pp. 48-64; Dowrick, C.F., Ring, A., Humphris, G.M., Salmon, P., Normalisation of unexplained symptoms by general practitioners: A functional typology (2004) Br J Gen Pract, 34 (500), pp. 165-170; Salmon, P., Peters, S., Stanley, I., Patients'perceptions of medical explanations for somatisation disorders: Qualitative analysis (1999) BMJ, 318 (7180), pp. 372-376; Skelton, J.R., Wearn, A.M., Hobbs, F.D.R., A concordance-based study of metaphoric expressions used by general practitioners and patients in consultation (2002) Br J Gen Pract, 52 (475), pp. 114-118; Williams, N., Ogden, J., The impact of matching the patients' vocabulary: A randomized control trial (2004) Fam Pract, 21 (6), pp. 630-635; O'Donnell, C., Variation in GP referral rates: What can we learn from the literature? (2000) Fam Pract, 17 (6), pp. 462-471; Cape, J., Parham, A., Relationship between practice counselling and referral to outpatient psychiatry and clinical psychology (1998) Br J Gen Pract, 48 (433), pp. 1477-1480; Robertson, N., Variations in referral pattern to the psychiatric services by general practitioners (1979) Psychol Med, 9 (2), pp. 355-364; Verhaak, P.F.M., Analysis of referral of mental health problems by general practitioners (1993) Br J Gen Pract, 43 (370), pp. 203-208; Balint, E., Nòrell, J.S., (1973) Six minutes for the patient: Interactions in general practice consultations, , London: Tavistock; Power, M., Brewin, C., (1997) Transformation of meaning in psychological therapies, , New York: Wiley; Persons, J.B., Davidson, J., Cognitive-behavioral case formulation (2001) Handbook oftognitive-behavioural therapies, pp. 86-110. , Dobson K ed, New York: Guilford","Cape, J.; Camden and Islington Foundation Trust, 4 St Pancras Way, London NW1 0PE, United Kingdom; email: j.cape@ucl.ac.uk",,,,,,,,9601643,,BJGPE,18505616,English,Br. J. Gen. Pract.,Article,Final,"All Open Access, Bronze, Green",Scopus,2-s2.0-44649089668 "Peris T.S., Teachman B.A., Nosek B.A.",23393981600;6602263693;6602443500;,Implicit and explicit stigma of mental illness: Links to clinical care,2008,Journal of Nervous and Mental Disease,196,10,,752,760,,106,10.1097/NMD.0b013e3181879dfd,https://www.scopus.com/inward/record.uri?eid=2-s2.0-54849438801&doi=10.1097%2fNMD.0b013e3181879dfd&partnerID=40&md5=fcc841c163bc51212492080cfce1745a,"Division of Child and Adolescent Psychiatry, UCLA Semel Institute for Neuroscience and Human Behavior, Los Angeles, CA, United States; Department of Psychology, University of Virginia, Charlottesville, VA, United States; 300 Medical Plaza, Los Angeles, CA 90024, United States","Peris, T.S., Division of Child and Adolescent Psychiatry, UCLA Semel Institute for Neuroscience and Human Behavior, Los Angeles, CA, United States, 300 Medical Plaza, Los Angeles, CA 90024, United States; Teachman, B.A., Department of Psychology, University of Virginia, Charlottesville, VA, United States; Nosek, B.A., Department of Psychology, University of Virginia, Charlottesville, VA, United States","This study examined implicit and explicit measures of bias toward mental illness among people with different levels of mental health training, and investigated the influence of stigma on clinically-relevant decision-making. Participants (N = 1539) comprised of (1) mental health professionals and clinical graduate students, (2) other health care/social services specialists, (3) undergraduate students, and (4) the general public self-reported their attitudes toward people with mental illness, and completed implicit measures to assess mental illness evaluations that exist outside of awareness or control. In addition, participants predicted patient prognoses and assigned diagnoses after clinical vignettes. Compared with people without mental health training, individuals with mental health training demonstrated more positive implicit and explicit evaluations of people with mental illness. Further, explicit (but not implicit) biases predicted more negative patient prognoses, but implicit (and not explicit) biases predicted over-diagnosis, underscoring the value of using both implicit and explicit measures. © 2008 by Lippincott Williams & Wilkins.",Clinical decision making; Contact hypothesis.; Implicit attitude; Mental illness; Stigma,"alcohol; adult; alcoholism; article; attitude; awareness; comparative study; controlled study; decision making; female; graduate; health care; health practitioner; human; major depression; male; medical specialist; mental health; prediction; prognosis; schizophrenia; scoring system; social work; stigma; student; training; vignette; attitude to health; health personnel attitude; mental disease; middle aged; psychological aspect; social psychology; Adult; Attitude of Health Personnel; Female; Health Knowledge, Attitudes, Practice; Humans; Male; Mental Disorders; Middle Aged; Prejudice; Stereotyping",,"alcohol, 64-17-5",,,"National Institute of Mental Health, NIMH: R01MH068447",,,,,,,"Allport, G.W., (1954) The nature of prejudice, , Reading, Mass: Addison-Wesley; Asendorpf, J.B., Banse, R., Mücke, D., Double dissociation between implicit and explicit personality self-concept: The case of shy behavior (2002) J Pers Soc Psychol, 83, pp. 380-393; Browne, M.W., Cudeck, R., Alternative ways of assessing model fit (1993) Testing structural equation models, pp. 136-162. , KA Bollen, JS Long, Eds, Newbury Park CA, Sage; Calabrese, J.D., Corrigan, P.W., Beyond dementia praecox: Findings from longterm follow-up studies of schizophrenia (2005) Recovery in mental illness: Broadening our understanding of wellness, , RO Ralph, PW Corrigan (Eds, Washington DC, American Psychological Association; Corrigan, P.W., How stigma interferes with mental health care (2004) Am Psychol, 59, pp. 614-625; Desai, M.M., Rosenheck, R.A., Druss, B.G., Perlin, J.B., Mental disorders and quality of care among postacute myocardial infarction outpatients (2002) J Nerv Ment Dis, 190, pp. 51-53; Druss, B.G., Bradford, D.W., Rosenheck, R.A., Radford, M.J., Krumholz, H.M., Mental disorders and use of cardiovascular procedures after myocardial infarction (2000) JAMA: J Am Med Assoc, 283, pp. 506-511; Gaertner, S.L., Rust, M.C., Dovidio, J.F., Bachman, B.A., Anastasio, P.A., The contact hypothesis: The role of a common ingroup identity on reducing intergroup bias among majority and minority group members (1996) What's social about social cognition, pp. 230-260. , JL Nye, AM Brower (Eds, Thousand Oaks CA, Sage; Garb, H., Race bias, social class bias and gender bias in clinical judgment (1997) Clin Psychol Sci Pract, 4, pp. 99-120; Green, A.W., Carney, D.R., Pallin, D.J., Ngo, L.H., Raymond, K.L., Lezzoni, L.L., Banaji, M.R., Implicit bias among clinicians and its prediction of thrombolysis decisions for black and white patients J Gen Intern Med, , in press; Greenwald, A.G., Banaji, M.R., Implicit social cognition: Attitudes, Self-esteem and stereotypes (1995) Psychol Rev, 102, pp. 4-27; Greenwald, A.G., McGhee, D.E., Schwartz, J.L.K., Measuring individual differences in implicit cognition: The implicit association test (1998) J Pers Soc Psychol, 74, pp. 1464-1480; Greenwald, A.G., Nosek, B.A., Banaji, M.R., Understanding and using the Implicit Association Test: I. An improved scoring algorithm (2003) J Pers SocPsychol, 85, pp. 197-216; Greenwald, A.G., Poehlman, T.A., Uhlmann, E.L., Banaji, M.R., Understanding and using the Implicit Association Test: III. Meta-analysis of predictive validity (2007) J Pers Soc Psychol, , Yale University Press; Hinshaw, S.P., (2007) The Mark of Shame: Stigma of Mental Illness and an Agenda for Change, , New York NY, Oxford University Press; Hu, L., Bentler, P.M., Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives (1999) Struct Equation ModelMultidisciplinary J, 6, pp. 1-55; Joreskog, K.G., Sorbom, D., (1979) Advances in factor analysis and structural equation models, , Cambridge MA, Abt Books; Kessler, R.C., Berglund, P.A., Bruce, M.L., Koch, J.R., Laska, E.M., Leaf, P.J., Manderscheid, R.W., Wang, P.S., The prevalence and correlates of untreated serious mental illness (2001) Health Serv Res, 36, pp. 987-1007; Kolodziej, M.E., Johnson, B.T., Interpersonal contact and acceptance of persons with psychiatric disorders: A research synthesis (1996) J Consult Clin Psychol, 64, pp. 1387-1396; Link, B.G., Phelan, J.C., Conceptualizing stigma (2001) Annual Review of Sociology, 27, pp. 363-385; Link, B.G., Phelan, J.C., Bresnahan, M., Steuve, A., Pescolido, B., Public conceptions of mental illness: Labels, causes, dangerousness and social distance (1999) Am J PublicHealth, 89, pp. 1328-1333; Little, R.J.A., Rubin, D.B., (1987) Statistical analysis with missing data, , New York: John Wiley; McArdle, J.J., Hamagami, F., Multilevel models from a multiple group structural equation perspective (1996) Advanced structural equation modeling techniques, pp. 89-124. , G Marcoulides, R Schumacker (Eds, Hillsdale NJ, Lawrence Erlbaum Associates; Nosek, B.A., Moderators of the relationship between implicit and explicit evaluation (2005) J Exp Psychol Gen, 134, pp. 565-584; Nosek, B.A., Banaji, M.R., Greenwald, A.G., Math = male, me = female, therefore math ≠ me (2002) J Pers Soc Psychol, 83, pp. 44-59; Nosek, B.A., Greenwald, A.G., Banaji, M.R., The Implicit Association Test at age 7: A methodological and conceptual review (2006) Social Psychology and theUnconscious: The Automaticity of Higher Mental Processes, pp. 265-292. , JA Bargh Ed, Philadelphia, PA: Psychology Press; Nosek, B.A., Smyth, F.L., A multitrait-multimethod validation of the Implicit Association Test: Implicit and explicit attitudes are related but distinct constructs (2007) Exp Psychol, 54, pp. 14-29; Nosek, B.A., Smyth, F.L., Hansen, J.J., Devos, T., Lindner, N.M., Ranganath, K.A., Smith, C.T., Banaji, M.R., Pervasiveness and correlates of implicit attitudes and stereotypes (2007) Eur Rev Soc Psychol, 18, pp. 36-88; Pescosolido, B.A., Monahan, J., Link, B., Steuve, A., Kikuzawa, S., The public's view of the competence, dangerousness and need for legal coercion of persons with mental health problems (1999) Am J Public Health, 89, pp. 1339-1345; Pettigrew, T.F., Tropp, L.R., A meta-analytic test of intergroup contact theory (2006) J Pers Soc Psychol, 90, pp. 751-783; Reiger, D.A., Narrow, W.E., Rae, D.S., Manderscheid, R.W., Locke, B.Z., Goodwin, F.K., The de facto US mental and addictive disorders service system: Epidemiological catchment area prospective 1-year prevalence rates of disorders and services (1993) Arch Gen Psychiatry, 50, pp. 85-94; Rüsch, N., Angermeyer, M., Corrigan, P., Mental illness stigma: Concepts, consequences and initiatives to reduce stigma (2005) Eur Psychiatry, 20, pp. 529-539; Sirey, J.A., Bruce, M.L., Alexopoulos, G.S., Perlick, D.A., Raue, P., Friedman, S.J., Meyers, B.S., Perceived stigma as a predictor of treatment discontinuation in young and older outpatients with depression (2001) Am J Psychiatry, 158, pp. 479-481; Steiger, J.H., Point estimation, hypothesis testing and interval estimation using the RMSEA: Some comments and a reply to Hayduck and Glaser (2000) Struct Equation Model, 7, pp. 149-162; Teachman, B.A., Allen, J.P., Development of social anxiety: Social interaction predictors of implicit and explicit fear of negative evaluation (2007) J Abnorm Child Psychol, 35, pp. 63-78; Teachman, B.A., Brownwell, K.D., Implicit anti-fat bias among health professionals: Is anyone immune? (2001) Int J Obes, 25, pp. 1525-1531; Teachman, B.A., Wilson, J.G., Komarovskaya, I., Implicit and explicit stigma of mental illness in diagnosed and healthy samples (2006) J Soc Clin Psychol, 25, pp. 75-95; Teachman, B.A., Woody, S.R., Magee, J.C., Implicit and explicit appraisals of the importance of intrusive thoughts (2006) Behav Res Ther, 44, pp. 785-805; (1999) Mental health: A report of the surgeon general, , US Department of Health and Human Services (, Rockville MD","Peris, T. S.300 Medical Plaza, Los Angeles, CA 90024; email: tperis@mednet.ucla.edu",,,Lippincott Williams and Wilkins,,,,,223018,,JNMDA,18852619,English,J. Nerv. Ment. Dis.,Article,Final,,Scopus,2-s2.0-54849438801 "Album D., Westin S.",23007831600;7004516577;,Do diseases have a prestige hierarchy? A survey among physicians and medical students,2008,Social Science and Medicine,66,1,,182,188,,209,10.1016/j.socscimed.2007.07.003,https://www.scopus.com/inward/record.uri?eid=2-s2.0-36349004810&doi=10.1016%2fj.socscimed.2007.07.003&partnerID=40&md5=dece32e00600d4929abc29dbd6bdb7bc,"University of Oslo, Oslo, Norway; Norwegian University of Science and Technology, Norway","Album, D., University of Oslo, Oslo, Norway; Westin, S., Norwegian University of Science and Technology, Norway","Surveys have shown that the prestige of medical specialities is ordered hierarchically. We investigate whether similar tacit agreement in the medical community also applies to diseases, since such rankings can affect priority settings in medical practice. A cross-sectional survey was performed in three samples of physicians and medical students in Norway in 2002. A questionnaire was sent to 305 senior doctors (response rate, 79%), 500 general practitioners (response rate, 65%) and 490 final-year medical students (response rate, 64%). Outcome measures were ratings on a 1-9 scale of the prestige these respondents believed most health personnel would accord to a sample set of 38 different diseases as well as 23 medical specialities. Both diseases and specialities were clearly and consistently ranked according to prestige. Myocardial infarction, leukaemia and brain tumour were among the highest ranked, and fibromyalgia and anxiety neurosis were among the lowest. Among specialities, neurosurgery and thoracic surgery were accorded the highest rank, and geriatrics and dermatovenerology the lowest. Our interpretation of the data is that diseases and specialities associated with technologically sophisticated, immediate and invasive procedures in vital organs located in the upper parts of the body are given high prestige scores, especially where the typical patient is young or middle-aged. At the other end, low prestige scores are given to diseases and specialities associated with chronic conditions located in the lower parts of the body or having no specific bodily location, with less visible treatment procedures, and with elderly patients. © 2007 Elsevier Ltd. All rights reserved.",Disease hierarchy; Norway; Prestige; Sociology of disease; Status; Stigma,"disease incidence; disease treatment; health survey; hierarchical system; ranking; student; anxiety neurosis; article; brain tumor; fibromyalgia; general practitioner; health care; heart infarction; human; leukemia; medical specialist; medical student; neurosurgery; Norway; physician; questionnaire; social medicine; sociology; thorax surgery; venereology; Adult; Attitude of Health Personnel; Attitude to Health; Cross-Sectional Studies; Disease; Humans; Male; Middle Aged; Norway; Physicians; Prejudice; Social Class; Specialties, Medical; Students, Medical; Eurasia; Europe; Northern Europe; Norway; Scandinavia",,,,,,We thank the National Geriatric Dissemination Centre for a supporting grant. Grete Botten and Bjørg Dæhli took part in the original operationalization and interpretation of the disease prestige concept. Astrid Skatvedt did most of the data gathering and processing. Ole Berg gave valuable comments on previous drafts.,,,,,,"Album, D., Sykdommers og medisinske spesialiteters prestisje (The prestige of diseases and medical specialities) (1991) Tidsskr Nor Lægeforen, 106, pp. 232-236; Album, D., (1996) Nære fremmede. Pasientkulturen i sykehus, , Tano, Oslo [Close strangers. Patient culture in hospitals]; Freidson, E., (1970) Profession of medicine: a study of the sociology of applied knowledge, , Dodd Mead & Co, New York; Goffman, E., (1963) Stigma, , Prentice-Hall, Englewood Cliffs, NJ; Hart, J.T., (2006) The political economy of health care: A clinical perspective, , The Policy Press, Bristol; Hinze, S.W., Gender and the body of medicine or at least some body parts: (Re)constructing the prestige hierarchy of medical specialities (1999) The Sociological Quarterly, 40 (2), pp. 217-239; Martin, D., Singer, P., A strategy to improve priority setting in health care institutions (2003) Health Care Analysis, 11 (1), pp. 59-68; Matteson, M.T., Smith, S.V., Medical specialty choice: A note on status rankings (1977) Social Science & Medicine, 11, pp. 421-423; McWhinney, I., (1997) A textbook of family medicine, , Oxford University Press, Oxford; Parsons, T., (1951) The social system, , The Free Press of Glencoe, New York; Polanyi, M., (1967) The tacit dimension, , Routledge & Kegan Paul, London; Rosoff, S.M., Leone, M.C., The public prestige of medical specialities: overviews and undercurrents (1991) Social Science & Medicine, 32 (3), pp. 321-326; Shortell, S.M., Occupational prestige differences within the medical and allied health professions (1974) Social Science & Medicine, 8 (1), pp. 1-9; Treiman, D.J., (1977) Occupational prestige in comparative perspective, , Academic Press, New York, N.Y; Zhou, X.G., The institutional logic of occupational prestige ranking: Reconceptualization and reanalyses (2005) American Journal of Sociology, 111 (1), pp. 90-140","Album, D.; University of Oslo, Oslo, Norway; email: dag.album@sosiologi.uio.no",,,,,,,,2779536,,SSMDE,17850944,English,Soc. Sci. Med.,Article,Final,,Scopus,2-s2.0-36349004810 "James P.D., Cowman S.",57214527833;57204295001;,"Psychiatric nurses' knowledge, experience and attitudes towards clients with borderline personality disorder",2007,Journal of Psychiatric and Mental Health Nursing,14,7,,670,678,,59,10.1111/j.1365-2850.2007.01157.x,https://www.scopus.com/inward/record.uri?eid=2-s2.0-34548810395&doi=10.1111%2fj.1365-2850.2007.01157.x&partnerID=40&md5=6356bb54984f9c4a4d3396307e3b66da,"Royal College of Surgeons in Ireland, Clinical Nurse Specialist, Youth Drug and Alcohol Service (YoDA), Tallaght, Dublin, Ireland; Royal College of Surgeons in Ireland, St Stephens Green, Dublin, Ireland; Glenabbey Building, Belgard Road, Tallaght Dublin 24, Ireland","James, P.D., Royal College of Surgeons in Ireland, Clinical Nurse Specialist, Youth Drug and Alcohol Service (YoDA), Tallaght, Dublin, Ireland, Glenabbey Building, Belgard Road, Tallaght Dublin 24, Ireland; Cowman, S., Royal College of Surgeons in Ireland, St Stephens Green, Dublin, Ireland","There is evidence in the literature to suggest that mental health care staffs' attitudes towards clients with borderline personality disorder (BPD) are less than favourable. This study reports on a survey of psychiatric nurses' knowledge, experience and attitudes towards care received by clients with a diagnosis of BPD. The questionnaire was sent to all clinical nurses (n = 157) working in a psychiatric service in Dublin, Ireland and received a response rate of 41.4% (n = 65). The results indicate that the majority of nurses have regular contact with clients with BPD and nurses on inpatient units reported more frequent contact than nurses in the community. Eighty per cent of nurses view clients with BPD as more difficult to care for than other clients and 81% believe that the care they receive is inadequate. Lack of services was cited as the most important factor contributing to the inadequate care and the development of a specialist service is reported as the most important resource to improve care. © 2007 Blackwell Publishing Ltd.",Attitudes; Borderline personality disorder; Experience; Knowledge; Survey,"adult; attitude to health; borderline state; clinical competence; female; health personnel attitude; human; male; middle aged; nurse; nurse patient relationship; psychiatric nursing; psychological aspect; review; standard; Adult; Attitude of Health Personnel; Borderline Personality Disorder; Clinical Competence; Female; Health Knowledge, Attitudes, Practice; Humans; Male; Middle Aged; Nurse-Patient Relations; Nurses; Psychiatric Nursing",,,,,,,,,,,,"(2000) Diagnostic and Statistical Manual of Mental Disorders, 4th Edn., , American Psychiatric Association (. Text Revision. American Psychiatric Association, Washington DC; Practice guidelines for the treatment of patients with borderline personality disorder (2001) American Journal of Psychiatry, 158, pp. 2-52. , American Psychiatric Association (; Becker, D., When she was bad: Borderline personality disorder in a post-traumatic age (2000) American Journal of Orthopsychiatry, 70, pp. 422-432; Becker, D., Lamb, S., Sex bias in the diagnosis of borderline personality disorder and post-traumatic stress disorder (1994) Professional Psychology: Research and Practice, 55, pp. 55-61; Bjorklund, P., There but for the grace of God: Moral responsibility and mental illness (2004) Nursing Philosophy, 5, pp. 188-200; Boutcher, F., Gallop, R., Psychiatric nurses' attitudes toward sexuality, sexual assault/rape and incest (1996) Archives of Psychiatric Nursing, 10, pp. 184-191; Bowers, L., (2002) Dangerous and Severe Personality Disorder: Response and Role of the Psychiatric Team., , Routledge, London; Bray, A., Moral responsibility and borderline personality disorder (2003) Australian and New Zealand Journal of Psychiatry, 37, pp. 270-276; Cleary, M., Siegfried, N., Walter, G., Experience, knowledge and attitudes of mental health staff regarding clients with a borderline personality disorder (2002) International Journal of Mental Health Nursing, 11, pp. 186-191; Cowman, S., Farrelly, M., Gilheaney, P., (1997) The Role and Function of the Psychiatric Nurse in Clinical Practice., , St. Vincent's Hospital, Fairview & The School of Nursing, Dublin City University, Dublin; Daly, A., Walsh, D., (2003) Activities of Irish Psychiatric Services 2001., , Health Research Board, Dublin; Daly, A., Walsh, D., (2003) Activities of Irish Psychiatric Services 2002., , Health Research Board, Dublin; Dean, M.A., (2001) Borderline Personality Disorder: The Latest Assessment and Treatment Strategies, 2nd Edn., , Compact Clinicals, Kansas City, KS; Duff, A., Managing personality disorder: Making positive connections (2003) Nursing Management, 10, pp. 27-30; Eastwick, Z., Grant, A., The treatment of people with 'borderline personality disorder': A cause for concern? (2005) Mental Health Practice, 8, pp. 38-40; (2004) What We Heard: A Report on the Service User Consultation Process., , Expert Group on Mental Health Policy (. Department of Health & Children, Dublin; (2006) 'Vision for Changer': Report of the Expert Group on Mental Health Policy., , Expert Group on Mental Health Policy (. Stationary Office, Dublin; Fallon, P., Travelling through the system: The lived experience of people with borderline personality disorder in contact with psychiatric services (2003) Journal of Psychiatric and Mental Health Nursing, 10, pp. 393-400; Farquharson, G., How good staff become bad (2004) From Toxic Institutions to Therapeutic Environments: Residential Settings in Mental Health Services, pp. 12-19. , In: (eds. Camping, P., Davies, S. Farquharson, G.), pp. Gaskell, London; Faulkner, D., Developing the workforce (2004) From Toxic Institutions to Therapeutic Environments: Residential Settings in Mental Health Services, pp. 188-196. , In: (eds. Camping, P., Davies, S. Farquharson, G.), pp. Gaskell, London; Fraser, K., Gallop, R., Nurses' confirming/disconfirming responses to patients diagnosed with borderline personality disorder (1993) Archives of Psychiatric Nursing, 7, pp. 366-341; Gabbard, G.O., Coyne, L., Allen, J.G., Evaluation of intensive inpatient treatment of patients with severe personality disorder (2000) Psychiatric Services, 51, pp. 893-898; Gallop, R., Self-destructive and impulsive behaviour in the patient with a borderline personality disorder: Rethinking hospital treatment and management (1992) Archives of Psychiatric Nursing, 6, pp. 178-182; Gallop, R., Lancee, W.J., Garfinkel, P., How nursing staff respond to the label 'borderline personality disorder' (1989) Hospital and Community Psychiatry, 40, pp. 815-819; Gallop, R., McKeever, P., Toner, B., Inquiring about childhood sexual abuse as part of the nursing history: Opinions of abused and non-abused nurses (1995) Archives of Psychiatric Nursing, 9, pp. 145-151; Goater, N., Meehan, K., Detection and awareness of child sexual abuse in adult psychiatry (1998) Psychiatric Bulletin, 22, pp. 211-213; Herman, J.L., Perry, C., Van Der Kolk, B.A., Childhood trauma in borderline personality disorder (1989) American Journal of Psychiatry, 164, pp. 490-495; Hoffman, P.D., Buteau, E., Hooley, J.M., Family members' knowledge about borderline personality disorder: Correspondence with their levels of depression, burden, distress and expressed emotion (2003) Family Process, 42, pp. 469-478; Kelly, M.P., Hill, J., Boardman, H., Therapeutic communities (2004) From Toxic Institutions to Therapeutic Environments; Residential Settings in Mental Health Services, pp. 254-266. , In: (eds. Camping, P., Davies, S. Farquharson, G. pp. Gaskell, London; Krawitz, R., Borderline personality disorder: Foundation training for public mental health clinicians (2001) Australasian Psychiatry, 9, pp. 25-28; Krawitz, R., Borderline personality disorder: Attitudinal change following training (2004) Australian and New Zealand Journal of Psychiatry, 38, pp. 554-559; Krawitz, R., Watson, C., (2003) Borderline Personality Disorder: A Practical Guide to Treatment., , Oxford University Press, Oxford; Lewis, G., Appleby, L., Personality disorder: The patients psychiatrists dislike (1988) British Journal of Psychiatry, 153, pp. 44-49; Lieb, K., Zanarini, M.C., Schmahl, C., Borderline personality disorder (2004) Lancet, 364, pp. 453-461; Linehan, M.M., (1993) Cognitive-Behavioural Treatment of Borderline Personality Disorder., , Guildford, New York; Lynch, T., (2001) Beyond Prozac: Healing Mental Suffering Without Drugs., , Marino Books, Dublin; Markham, D., Attitudes towards patients with a diagnosis of 'borderline personality disorder': Social rejection and dangerousness (2003) Journal of Mental Health, 12, pp. 595-612; Markham, D., Trower, P., The effects of the psychiatric label 'borderline personality disorder' on nursing staff's perceptions and causal attributions for challenging behaviours (2003) British Journal of Clinical Psychology, 42, pp. 243-256; (2005) Quality in Mental Health - Your Views: Report on Stakeholder Consultation on Quality in Mental Health Services., , Mental Health Commission (. Mental Health Commission, Dublin; Miller, S.A., Davenport, N.C., Increasing staff knowledge of and attitudes towards patients with borderline personality disorder (1996) Psychiatric Services, 47, pp. 533-535; Miller, S.G., Borderline personality disorder from the patient's perspective (1994) Hospital and Community Psychiatry, 45, pp. 1215-1219; Munro, R., Law and disorder (1999) Nursing Times, 95, pp. 16-17; (2003) Personality Disorder: No Longer A Diagnosis of Exclusion., , National Institute for Mental Health in England (NIMHE. National Institute for Mental Health in England, Leeds; Nehls, N., Developing a systems approach to caring for persons with borderline personality disorder (1993) Community Mental Health Journal, 29, pp. 161-172; Nehls, N., Brief hospital treatment plans for persons with borderline personality disorder: Perspectives of inpatient nurses and community mental health centre clinicians (1994) Archives of Psychiatric Nursing, 8, pp. 303-311; Nehls, N., Brief hospital treatment plans: Innovations in practice and research (1994) Issues in Mental Health Nursing, 15, pp. 1-11; Nehls, N., Borderline personality disorder: Gender stereotypes, stigma, and limited system of care (1998) Issues in Mental Health Nursing, 19, pp. 97-112; Nehls, N., Borderline personality disorder: The voice of patients (1999) Research in Nursing and Health, 22, pp. 285-293; Nehls, N., Being a case manager for persons with borderline personality disorder: Perspectives of community mental health centre clinicians (2000) Archives of Psychiatric Nursing, 14, pp. 12-18; O'Brien, L., Flote, J., Providing nursing care for a patient with borderline personality disorder on an inpatient unit: A phenomenological study (1997) Australian and New Zealand Journal of Mental Health Nursing, 6, pp. 137-147; Schotte, C.K.W., Assessment of borderline personality disorder: Considering a diagnostic strategy (2002) Acta Neuropsychiatrica, 14, pp. 55-59; Simmons, D., Gender issues and borderline personality disorder: Why do females dominate the diagnosis? (1992) Archives of Psychiatric Nursing, 6, pp. 219-223; Trull, T.J., Stepp, S.D., Durrett, C.A., Research on borderline personality disorder: An update (2003) Current Opinion in Psychiatry, 16, pp. 77-82; Williams, C., A sense of self and identity (2002) Mental Health Practice, 5, pp. 24-27; Williams, L., A 'classic' case of borderline personality disorder (1998) Psychiatric Services, 49, pp. 173-174; Zimmerman, M., Mattia, J.I., Differences between clinical and research practices in diagnosing borderline personality disorder (1999) American Journal of Psychiatry, 156, pp. 1570-1574","James, P.D.; Glenabbey Building, Belgard Road, Tallaght Dublin 24, Ireland; email: philip.james@mailm.hse.ie",,,,,,,,13510126,,JPMNE,17880661,English,J. Psychiatr. Ment. Health. Nurs.,Review,Final,,Scopus,2-s2.0-34548810395 "Kukulu K., Ergün G.",8231473000;57206567646;,Stigmatization by nurses against schizophrenia in Turkey: A questionnaire survey,2007,Journal of Psychiatric and Mental Health Nursing,14,3,,302,309,,12,10.1111/j.1365-2850.2007.01082.x,https://www.scopus.com/inward/record.uri?eid=2-s2.0-34147160768&doi=10.1111%2fj.1365-2850.2007.01082.x&partnerID=40&md5=fd441b674975b88c09062d6ce1316c72,"Akdeniz University, Antalya, Turkey; School of Health, Akdeniz University, 07058 Antalya, Turkey","Kukulu, K., Akdeniz University, Antalya, Turkey, School of Health, Akdeniz University, 07058 Antalya, Turkey; Ergün, G., Akdeniz University, Antalya, Turkey","Individuals who have been diagnosed with schizophrenia face discrimination, exclusion and stigmatization by society. Nurses who work on psychiatric wards frequently face individuals diagnosed with schizophrenia throughout their careers. This study was conducted for the purpose of evaluating nurses' opinions about individuals who had been diagnosed with schizophrenia. A total of 543 nurses working on the psychiatric wards of 27 university hospitals (164), six training and research hospitals (21) and six psychiatric hospitals (358) in Turkey completed the questionnaire. The majority of the nurses stated that schizophrenia is caused by social problems, that they would be able to work with someone who has schizophrenia, that they would not be able to marry someone with schizophrenia, that they would not be bothered by having a neighbour with schizophrenia, that schizophrenia cannot be completely cured, that it can be improved with psychotherapy, that schizophrenic patients are aggressive and that medications used to treat schizophrenia have serious side effects and are addictive. It is important for nurses to avoid stigmatizing patients in order to promote a therapeutic environment - particularly on the wards - and also to improve individual awareness and perceptions in society. © 2007 The Authors. Journal compilation © 2007 Blackwell Publishing Ltd.",Schizophrenia; Stigma,"adult; article; attitude to health; defense mechanism; education; epidemiology; health personnel attitude; human; mental hospital; middle aged; nurse attitude; nursing methodology research; nursing staff; organization and management; patient advocacy; perception; prognosis; psychiatric nursing; psychological aspect; psychology; questionnaire; schizophrenia; social distance; social problem; social psychology; Turkey (republic); university hospital; Adult; Attitude of Health Personnel; Attitude to Health; Causality; Health Knowledge, Attitudes, Practice; Hospitals, Psychiatric; Hospitals, University; Humans; Middle Aged; Negativism; Nurse's Role; Nursing Methodology Research; Nursing Staff, Hospital; Patient Advocacy; Prognosis; Psychiatric Nursing; Questionnaires; Schizophrenia; Schizophrenic Psychology; Social Distance; Social Perception; Social Problems; Stereotyping; Turkey",,,,,,,,,,,,"Akdede, B.B., Alptekin, K., Özden, S., Gençlerde şizofreniyi damgalama düzeyi (2004) Yeni Symposium, 42, pp. 113-117; Aker, T., Özmen, E., Ögel, K., Birinci basamak hekimlerin şizofreniye bakiş açisi (2002) Anadolu Psikiyatri Dergisi, 3, pp. 5-13; Angermeyer, M., Matschinger, H., Public attitude towards psychiatric treatment (1996) Acta Psychiatrica Scandinavica, 94, pp. 326-336; Arikan Ç. (1993) Psikiyatrik tedavi kurumlarinda staj yapmiş olmanin ruh hastalari ve hastaliklarina karşi tutum deǧişikliǧi yaratmadaki rolü. XXV. Ulusal psikiyatri ve Nörolojik Bilimler Kongresi: 602-607; Arkar, H., Eker, D., Akil hastaliklari ile ilgili tutumlar: Verilen neden tipinin etkisi (1996) Türk Psikiyatri Dergisi, 7, pp. 191-197; Baǧ, B., Ekinci, M., Saǧlik personelinin ruhsal sorunlari olan bireye yönelik tutumlarinin araştirilmasi (2005) Elektronik Sosyal Bilimler Dergisi, 3, pp. 107-127. , http://www.esosder.com, Available at; Bostanci, N., Psikiyatri ve Psikiyatri Dişi Kliniklerde Çalişan Hemşirelerin Ruh Saǧliǧi Bozuk Olan Bireylere Karşi Tutum ve Davranişlarinin (2000) Deģ erlendirilmesi, , Yüksek Lisans Tezi, İstanbul Üniversitesi Saǧlik Bilimleri Enstitüsü, İstanbul; Chung, K.E., Chen, E.Y.H., Liu, C.S.M., University students, attitudes toward mental patients and psychiatric treatment (2001) The International Journal of Social Psychiatry, 2, pp. 63-72; Corrigan, P.W., Penn, D.L., Lessons from social psychology on discrediting psychiatric stigma (1999) American Psychologist, 9, pp. 765-776; Crisp, A., Gelder, M.G., Rix, S., Stigmatisation of people with mental illnesses (2000) British Journal of Psychiatry, 117, pp. 4-7; Dickerson, F.B., Sommerville, J., Origoni, A.E., Experiences of stigma among outpatients with schizophrenia (2002) Schizophrenia Bulletin, 28, pp. 143-155; Ferriman, A., The stigma of schizophrenia (2000) British Medical Journal, 320, pp. 522-524; Fitzgerald, F.S., Schizophreniz in the public (2001) Surviving Schizophrenia, pp. 387-388. , ed Torrey, E, pp, Harper Collins, New York; George, T.B., Care meanings, expressions, and experiences of those with chronic mental illness (2002) Archives of Psychiatric Nursing, 16, pp. 25-31; Gülseren, L., Şizofreni ve aile; güçlü kler, yükler, duygular, gereksinimler (2002) Türk Psikiyatri Dergisi, 13, pp. 143-151; Halter, M.J., Stigma in psychiatric nursing (2002) Perspectives in Psychiatric Care, 38, pp. 23-28; Jorm, A.F., Korten, A.E., Jacomb, P.A., Public beliefs about causes and risk factors for depression and schizophrenia (1997) Social Psychiatry Psychiatric Epidemiology, 32, pp. 143-148; Link, B.G., Phelan, J.C., Bresnehan, M., Public conceptions of mental illness: Labels, causes, dangerousness and social distance (1999) American Journal of Public Health, 89, pp. 1328-1333; Martin, J.K., Pescosolido, B.A., Tuch, S.A., Of fear and loathing: The role of 'disturbing behavior', labels, and causal attributions in shaping public attitudes toward people with mental illness (2000) Journal of Health Social Behavior, 41, pp. 208-223; Murray, G.M., Steffen, J.J., Attitude of case managers toward people with serious mental illness (1999) Community Mental Health Journal, 35, pp. 505-514; Özmen, E., Depresyone yönelik tutumlar ve damgalama (2004) 3P Dergisi, 12, pp. 51-61; Özmen, E., Taşkin, E.O., Ruhsal hastaliklara yönelik tutumlarin ruh saǧliǧi hizmetlerine etkisi (2004) 3P Dergisi, 12, pp. 83-92; Özyiǧit, S., Savaş, H.A., Ersoy, M.A., Hemşirelerin ve hemşirelik öǧ rencilerinin şizofreniye ilişkin tutumlari (2004) Yeni Symposium, 42, pp. 105-112; Penn, D.L., Kommana, S., Mansfield, M., Dispelling the stigma of schizophrenia. II. The impact of information on dangerousness (1999) Schizophrenia Bulletin, 3, pp. 437-466; Phelan, J.C., Bromet, E.J., Link, B.G., Psychiatric illness and family stigma (1998) Schizophrenia Bulletin, 24, pp. 115-126; Phillips, M.R., Pearson, V., Li, F., Stigma and expressed emotion: A study of people with schizophrenia and their family members in China (2002) British Journal of Psychiatry, 181, pp. 488-493; Rahav, M., Struening, E.L., Andrews, H., Opininons on mental illness in Israel (1984) Social Science and Medicine, 19, pp. 1154-1158; Saǧduyu, A., Aker, T., Özmen, E., Halkin sizofreniye bakisi ve yaklasimi üzerine bir epidemiyolojik çalisma (2001) Türk Psikiyatri Dergisi, 12, pp. 99-110; Saǧduyu, A., Aker, T., Özmen, E., Şizofrenisi olan hasta yakinlarinin şizofreniye yönelik tutumlari (2003) Türk Psikiyatri Dergisi, 14, pp. 203-212; Shibre, T., Negash, A., Kullgren, G., Perception of stigma among family members of individuals with schizophrenia and major affective disorders in rural Ethiopia (2001) Social Psychiatry and Psychiatric Epidemiology, 36, pp. 299-303; Soygür, H., (2000) Damga, şizofreni ve insanin deǧeri: Önyargilari deǧiştirebilirmiyiz, p. 36. , Ulusal Psikiyatri Kongresi Kitabi, Art Ofset Matbaacilik, İstanbul; Soygür, H., (2003) Damgalama ile mücadele neden gerekli, p. 10. , Ulusal Sosyal Psikiyatri Kongresi Özet Kitabi, Ankara; Sugiura, T., Labelling effect of Seishin-Bunretsu-Byou, the Japanese translation for schizophrenia: A arguement for relabeling (2001) The International Journal of Social Psychiatry, 47, pp. 43-51; Taşkin, E.O., Şizofreniye yönelik tutumlar ve damgalama (2004), 12, pp. 41-50. , Ek-3; Thara, R., Srinivasan, T.N., How stigmatising is schizophrenia in India? (2000) The International Journal of Social Psychiatry, 46, pp. 135-141; Trute, B., Tefft, B., Segall, A., Social rejection of the mentally ill: A replication study of public attitude (1989) Social Psychiatry and Psychiatric Epidemiology, 24, pp. 69-76; Yanik, M., Şimşek, Z., Kati, M., Tip fakültesi öǧrencilerinin şizofreniye karşi tutumlari ve psikiyatri eǧitiminin etkisi (2003) Yeni Symposium, 41, pp. 194-199; Yildiz, M., Yazici, A., Ünal, S., Birinci basamak saǧlik hizmetlerinde çalişan pratisyen hekimlerin psikotik bozukluklar ve tedavisine yönelik tutumlari (2003) Türk Psikiyatri Dergisi, 14, pp. 106-115","Kukulu, K.; School of Health, , 07058 Antalya, Turkey; email: kkamile@akdeniz.edu.tr",,,,,,,,13510126,,JPMNE,17430454,English,J. Psychiatr. Ment. Health. Nurs.,Article,Final,,Scopus,2-s2.0-34147160768 "Servais L.M., Saunders S.M.",16307633500;35450760000;,Clinical psychologists' perceptions of persons with mental illness,2007,Professional Psychology: Research and Practice,38,2,,214,219,,55,10.1037/0735-7028.38.2.214,https://www.scopus.com/inward/record.uri?eid=2-s2.0-34248371708&doi=10.1037%2f0735-7028.38.2.214&partnerID=40&md5=adc392b77ca01ff069522fd664c63caf,"Marquette University, United States; 7515 Parkview Road, No. 17, Greendale, WI 53129, United States","Servais, L.M., Marquette University, United States, 7515 Parkview Road, No. 17, Greendale, WI 53129, United States; Saunders, S.M., Marquette University, United States","Clinical psychologists have an ethical responsibility to monitor the nature and appropriateness of their attitudes toward persons with mental illness. This article presents the results of a survey of randomly selected clinical psychologists who were asked to rate the effectiveness, understandability, safety, worthiness, desirability, and similarity (to the rater) of persons with moderate depression, borderline features, and schizophrenia. The results show that psychologists perceive these individuals differently with respect to these characteristics. The results also suggest that psychologists disidentify or distance themselves from persons with personality and psychotic conditions. Implications for quality improvement and stigma reduction in the field of professional psychology are discussed. Copyright 2007 by the American Psyxhological Association.",Attitudes of psychologists; Disidentification; Mental health attitudes; Professional bias,,,,,,,,,,,,,"(1997) 1997 Directory of the American Psychological Association, , American Psychological Association, Washington, DC: Author; Atwood, N., Professional prejudice and the psychotic client (1982) Social Work, pp. 172-177. , March; Aubry, T., Tefft, B., Currie, R.F., Predicting intentions of community residents toward neighbors with psychiatric disabilities (1995) Psychosocial Rehabilitation Journal, 18, pp. 51-66; Barnes, A., On seeing people through ""rust-colored glasses"": A study of practitioners' perceptions of clients (1999) Journal of Applied Social Sciences, 23, pp. 13-20; Bhugra, D., Attitudes towards mental illness (1989) Acta Psychiatrica Scandinavica, 80, pp. 1-12; (2004) Occupational outlook handbook, , http://www.bls.gov/oco/ocos056.htm, Bureau of Labor Statistics, U.S. Department of Labor, 2005 ed, Retrieved May 25, 2004, from; Calicchia, J.P., Attitudinal comparison of mental health and non-mental health professionals toward ex-mental patients (1981) The Journal of Psychology, 108, pp. 35-41; Calicchia, J.P., Differential perceptions of psychiatrists, psychologists, and social workers toward the ex-mental patient (1981) Journal of Community Psychology, 9, pp. 361-366; Cavior, N., Glogower, F., Effects of physical attractiveness of therapist and client on number of psychotherapy sessions (1973) Proceedings of the American Psychological Association, USA, 81, pp. 1069-1070; Coady, N.F., The worker-client relationship revisited (1993) Families in Society, 74, pp. 291-298; Cohen, J., (1988) Statistical power analysis for the behavioral sciences, , 2nd ed, New York: Academic Press; Cohen, N.L., Stigma is in the eye of the beholder: A hospital outreach program for treating homeless mentally ill people (1990) Bulletin of the Menninger Clinic, 54, pp. 255-258; Cook, J.A., Jonikas, J.A., Razzano, L., A randomized evaluation of consumer versus nonconsumer training of state mental health service providers (1995) Community Mental Health Journal, 31, pp. 229-238; Corrigan, P.W., How stigma interferes with mental health care (2004) American Psychologist, 59, pp. 614-625; Corrigan, P.W., River, L.P., Lundin, R.K., Uphoff Wasowski, K., Campion, J., Mathisen, J., Stigmatizing attributions about mental illness (2000) Journal of Community Psychology, 28, pp. 91-102; Crawford, I., Humfleet, G., Ribordy, S.C., Ho, F.C., Vickers, V.L., Stigmatization of AIDS patients by mental health professionals (1991) Professional Psychology: Research and Practice, 22, pp. 357-361; Cumming, E., Cumming, J., (1957) Closed ranks: An experiment in mental health education, , Cambridge, MA: Harvard University Press; Dincin, J., Ending stigma and discrimination begins at home (1993) Hospital and Community Psychiatry, 44, p. 309; Dressler, D. M., Prusoff, B., Mark, H., & Shapiro, D. (1975). Clinician attitudes toward the suicide attempter. The Journal of Nervous and Mental Disease, 160, 146-155.Dunning, D., Leuenberger, A., & Sherman, D. A. (1995). A new look at; motivated inference: Are self-serving theories of success a product of motivational forces? 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Worchel & L. W. Austin Eds, Chicago: Nelson-Hall; Turner, J.C., Oakes, P.J., Haslam, S.A., McGarty, C., Self and collective: Cognition and social context (1994) Personality and Social Psychology Bulletin, 20, pp. 454-463; Wahl, O.F., Mental health consumers' experience of stigma (1999) Schizophrenia Bulletin, 25, pp. 467-478; Wills, T.A., Perceptions of clients by professional helpers (1978) Psychological Bulletin, 85, pp. 968-1000; Zolik, E.S., Boyd, R.J., Attitudes toward patients and service delivery (1972) Proceedings of the Annual Convention of the American Psychological Association, 7, pp. 797-798","Servais, L.M.7515 Parkview Road, No. 17, Greendale, WI 53129, United States; email: lynnservais@hotmail.com",,,,,,,,7357028,,,,English,Prof. Psychol. Res. Pract.,Article,Final,"All Open Access, Green",Scopus,2-s2.0-34248371708 Morant N.,6603484587;,Social representations and professional knowledge: The representation of mental illness among mental health practitioners,2006,British Journal of Social Psychology,45,4,,817,838,,43,10.1348/014466605X81036,https://www.scopus.com/inward/record.uri?eid=2-s2.0-33846500772&doi=10.1348%2f014466605X81036&partnerID=40&md5=484c4fc8941c92bf120aff909aa7b860,"Anglia Ruskin University, United Kingdom; Deportment of Psychology, Anglia Ruskin University, East Road, Cambridge, CB1 1PT, United Kingdom","Morant, N., Anglia Ruskin University, United Kingdom, Deportment of Psychology, Anglia Ruskin University, East Road, Cambridge, CB1 1PT, United Kingdom","The closing decades of the twentieth century saw a dramatic shift from institutional to community-based care for the mentally ill. This paper describes a study of the social representation of mental illness by mental health professionals working in Britain and France during this time of major policy change. Such professionals play a vital social role in translating policy directives into practical work with laypeople, yet their representations are relatively under-researched. Data in this study derive from semi-structured interviews on the nature of mental ill-health and mental health work conducted with a multidisciplinary sample of professionals (N = 60). Consonant with community care policies, analysis suggests that professionals conceptualize mental illhealth and its treatment in social rather than medical terms. However, uncertainty characterizes many aspects of their representations. This is associated with eclectic working practices combining multiple strategies derived from diverse theoretical traditions. The changing policy context appears to have augmented this representational uncertainty. Psychodynamic perspectives are more influential amongst French practitioners compared with their British counterparts. The study highlights how social representations held by 'intermediary' groups reflect their interface between scientific and lay spheres. The role of power and the function of social representations in reconciling sources of tension and ambiguity associated with this unique social position are discussed. © 2006 The British Psychological Society.",,article; clinical competence; ethnology; France; health care personnel; health personnel attitude; human; mental disease; mental health service; psychological aspect; psychology; social behavior; standard; United Kingdom; Attitude of Health Personnel; Clinical Competence; Community Mental Health Services; Ethnopsychology; France; Great Britain; Health Personnel; Humans; Mental Disorders; Social Identification,,,,,,,,,,,,"(2000) Diagnostic and statistical manual of mental disorders, DSM-IV TR, , American Psychiatric Association , 4th ed, Washington, DC: American Psychiatric Association, text revision; Ayesteran, S., Paez, D., Representacion social de la enfermedad mental (1986) Revista de la Associacion Espagnola de Neuropsiquiastria, 16, pp. 95-124; Bangerter, A., Rethinking the relation between science and common sense: A comment of the current state of SR theory (1995) Papers on Social Representations, 4 (1), pp. 61-78; Barnes, M., (1997) Care, communities and citizens, , London: Longman; Bauer, M., Gaskell, G., Towards a paradigm for research in social representations (1999) Journal for the Theory of Social Behaviour, 29 (2), pp. 163-188; (1987) La représentation sociale de la maladie mentale, , Bellelli, G, Ed, Naples: Ligouri; (1994) L'altra malattia, , Bellelli, G, Ed, Naples: Ligouri; Busfield, J., (1986) Managing madness: Changing ideas and practice, , London: Unwin Hyman; Campbell, P., The role of users of psychiatric development - influence not power (2001) Psychiatric Bulletin, 25 (3), pp. 87-88; Castel, R., (1981) La gestion des risques: De l'anti-psychiatrie à l'après-psychanalyse, , Paris: Les Éditions de Minuit; Coffey, A., Atkinson, P., Making sense of qualitative data: Complementary research strategies (1996) Concepts and coding, pp. 26-53. , London: Sage; Cowen, H. 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Psychol.,Article,Final,,Scopus,2-s2.0-33846500772 "Nordt C., Rössler W., Lauber C.",56823701700;7004584290;7004026795;,Attitudes of mental health professionals toward people with schizophrenia and major depression,2006,Schizophrenia Bulletin,32,4,,709,714,,344,10.1093/schbul/sbj065,https://www.scopus.com/inward/record.uri?eid=2-s2.0-33745822330&doi=10.1093%2fschbul%2fsbj065&partnerID=40&md5=1d8876c42ae1d2aa06f72e9efb63eab7,"Psychiatric University Hospital, Zurich, Switzerland","Nordt, C., Psychiatric University Hospital, Zurich, Switzerland; Rössler, W., Psychiatric University Hospital, Zurich, Switzerland; Lauber, C., Psychiatric University Hospital, Zurich, Switzerland","Several studies reveal poor knowledge about mental illness in the general population and stigmatizing attitudes toward people with mental illness. However, it is unknown whether mental health professionals hold fewer stigmatizing attitudes than the general population. A survey was conducted of the attitudes of mental health professionals (n = 1073) and members of the public (n = 1737) toward mental illness and their specific reaction toward a person with and without psychiatric symptoms (""non-case"" as a reference category). Psychiatrists had more negative stereotypes than the general population. Mental health professionals accepted restrictions toward people with mental illness 3 times less often than the public. Most professionals were able to recognize cases of schizophrenia and depression, but 1 in 4 psychiatrists and psychologists also considered the non-case as mentally ill. The social distance toward both major depression and the non-case was lower than toward schizophrenia. However, in this regard, there was no difference between professionals and the public. The study concludes that the better knowledge of mental health professionals and their support of individual rights neither entail fewer stereotypes nor enhance the willingness to closely interact with mentally ill people. © The Author 2006. Published by Oxford University Press on behalf of the Maryland Psychiatric Research Center. All rights reserved.",Mental illness; Social distance; Stereotypes; Stigma,"adult; article; depression; female; human; male; mental disease; mental health; mental patient; normal human; physician attitude; priority journal; psychiatrist; psychologist; public opinion; schizophrenia; social distance; stereotypy; Adult; Ambulatory Care Facilities; Attitude of Health Personnel; Depressive Disorder, Major; Female; Humans; Male; Mental Health Services; Middle Aged; Patient Care Team; Prejudice; Public Opinion; Schizophrenia; Schizophrenic Psychology; Social Distance; Stereotyping; Switzerland",,,,,,,,,,,,"Caldwell, T.M., Jorm, A.F., Mental health nurses' beliefs about interventions for schizophrenia and depression: A comparison with psychiatrists and the public (2000) Aust N Z J Psychiatry, 34, pp. 602-611; Gureje, O., Lasebikan, V.O., Ephraim-Oluwanuga, O., Olley, B.O., Kola, L., Community study of knowledge of and attitude to mental illness in Nigeria (2005) Br J Psychiatry, 186, pp. 436-441; Jorm, A.F., Korten, A.E., Jacomb, P.A., Helpfulness of interventions for mental disorders: Beliefs of health professionals compared with the general public (1997) Br J Psychiatry, 171, pp. 233-237; Link, B.G., Phelan, J.C., Bresnahan, M., Stueve, A., Pescosolido, B.A., Public conceptions of mental illness: Labels, causes, dangerousness, and social distance (1999) Am J Public Health, 89, pp. 1328-1333; Pinfold, V., Toulmin, H., Thornicroft, G., Huxley, P., Farmer, P., Graham, T., Reducing psychiatric stigma and discrimination: Evaluation of educational interventions in UK secondary schools (2003) Br J Psychiatry, 182, pp. 342-346; Wolff, G., Pathare, S., Craig, T., Leff, J., Public education for community care: A new approach (1996) Br J Psychiatry, 168, pp. 441-447; Crisp, A.H., Gelder, M.G., Rix, S., Meltzer, H.I., Rowlands, O.J., Stigmatisation of people with mental illnesses (2000) Br J Psychiatry, 177, pp. 4-7; Jorm, A.F., Mental health literacy: Public knowledge and beliefs about mental disorders (2000) Br J Psychiatry, 177, pp. 396-401; Byrne, P., Psychiatric stigma (2001) Br J Psychiatry, 178, pp. 281-284; Kingdon, D., Sharma, T., Hart, D., What attitudes do psychiatrists hold towards people with mental illness? (2004) Psychiatr Bull, 28, pp. 401-406; Lauber, C., Anthony, M., Ajdacic-Gross, V., Rössler, W., What about psychiatrists' attitude to mentally ill people? (2004) Eur Psychiatry, 19, pp. 423-427; Lepping, P., Steinert, T., Gebhardt, R.-P., Röttgers, H.R., Attitudes of mental health professionals and laypeople towards involuntary admission and treatment in England and Germany: A questionnaire analysis (2004) Eur Psychiatry, 19, pp. 91-95; Lauber, C., Nordt, C., Sartorius, N., Falcato, L., Rössler, W., Public acceptance of restrictions on mentally ill people (2000) Acta Psychiatr Scand Suppl, 102, pp. 26-32; Kish, L., A procedure for objective respondent selection within the household (1949) J Am Stat Assoc, 44, pp. 380-387; Lauber, C., Nordt, C., Falcato, L., Rössler, W., Public attitude to compulsory admission of mentally ill people (2002) Acta Psychiatr Scand, 105, pp. 385-389; Angermeyer, M.C., Matschinger, H., Social distance towards the mentally ill: Results of representative surveys in the Federal Republic of Germany (1997) Psychol Med, 27, pp. 131-141; Link, B.G., Cullen, F.T., Frank, J., Wozniak, J.F., The social rejection of former mental patients: Understanding why labels matter (1987) Am J Sociol, 92, pp. 1461-1500; Angermeyer, M.C., Matschinger, H., Causal beliefs and attitudes to people with schizophrenia: Trend analysis based on data from two population surveys in Germany (2005) Br J Psychiatry, 186, pp. 331-334; Eker, D., Attitudes toward mental illness: Recognition, desired social distance, expected burden, and negative influence on mental health among Turkish freshmen (1989) Soc Psychiatry Psychiatr Epidemiol, 24, pp. 146-150; Kitchener, B.A., Jorm, A.F., Mental health first aid training for the public: Evaluation of effects on knowledge, attitudes, and helping behavior (2002) BMC Psychiatry, 2, p. 10; Simon, A.E., Lauber, C., Ludewig, K., Braun-Scharm, H., Umbricht, D.S., General practitioners and schizophrenia: Results from a Swiss survey (2005) Br J Psychiatry, 187, pp. 274-281; Sartorius, N., Stigma: What can psychiatrists do about it? (1998) Lancet, 352, pp. 1058-1059","Nordt, C.; Psychiatric University Hospital, Zurich, Switzerland; email: cnordt@bli.unizh.ch",,,,,,,,5867614,,SCZBB,16510695,English,Schizophr. Bull.,Article,Final,"All Open Access, Bronze, Green",Scopus,2-s2.0-33745822330 "Murray J., Banerjee S., Byng R., Tylee A., Bhugra D., Macdonald A.",12240134800;7404539568;6603256768;7004922897;7006858005;7401581841;,Primary care professionals' perceptions of depression in older people: a qualitative study,2006,Social Science and Medicine,63,5,,1363,1373,,77,10.1016/j.socscimed.2006.03.037,https://www.scopus.com/inward/record.uri?eid=2-s2.0-33745909443&doi=10.1016%2fj.socscimed.2006.03.037&partnerID=40&md5=f60ef42a8273cd0bb72105fded05da03,"Health Services Research Department, Institute of Psychiatry, King's College, London, United Kingdom; Peninsula Primary Care Research Network, Peninsula Medical School, United Kingdom","Murray, J., Health Services Research Department, Institute of Psychiatry, King's College, London, United Kingdom; Banerjee, S., Health Services Research Department, Institute of Psychiatry, King's College, London, United Kingdom; Byng, R., Peninsula Primary Care Research Network, Peninsula Medical School, United Kingdom; Tylee, A., Health Services Research Department, Institute of Psychiatry, King's College, London, United Kingdom; Bhugra, D., Health Services Research Department, Institute of Psychiatry, King's College, London, United Kingdom; Macdonald, A., Health Services Research Department, Institute of Psychiatry, King's College, London, United Kingdom","An understanding of patients' perspectives is crucial to improving engagement with health care services. For older people who may not wish to bother medical professionals with problems of living such as depression, such exploration becomes critical. General practitioners (GPs), nurses and counsellors working in 18 South London primary care teams were interviewed about their perceptions of depression in older people. All three professional groups shared a predominantly psychosocial model of the causes of depression. While presentation of somatic symptoms was seen as common in all age groups, identification of depression in older patients was complicated by co-existent physical illnesses. GPs reported that older patients rarely mentioned psychological difficulties, but practice nurses felt that older people were less inhibited in talking to them about ""non-medical"" problems. Many older people were perceived to regard symptoms of depression as a normal consequence of ageing and not to think it appropriate to mention non-physical problems in a medical consultation. Men were thought to be particularly reluctant to disclose emotional distress and were more vulnerable to severe depression and suicide. Some GPs had mixed feelings about offering medication to address what they believed to be the consequences of loneliness and social isolation. Participants thought that many older people regard depression as a ""sign of weakness"" and the perceived stigma of mental illness was widely recognised as a barrier to seeking help. Cultural variations in illness beliefs, especially the attribution of symptoms, were thought to profoundly influence the help-seeking behaviour of elders from minority ethnic groups. Families were identified as the main source of both support and distress; and as such their influence could be crucial to the identification and treatment of depression in older people. © 2006 Elsevier Ltd. All rights reserved.",Depression; Old age; Primary care; UK,age structure; aging population; behavioral response; cultural tradition; health care; health survey; qualitative analysis; adult; aging; article; counseling; cultural anthropology; depression; disease severity; distress syndrome; emotional disorder; ethnic and racial groups; general practitioner; groups by age; health care; health care personnel; help seeking behavior; human; loneliness; medical practice; mental disease; normal human; nurse; perception; physical disease; professional practice; psychological aspect; qualitative analysis; social isolation; social psychology; suicide; symptom; United Kingdom; Adult; Aging; Attitude of Health Personnel; Cultural Characteristics; Depression; Female; Geriatrics; Humans; Male; Middle Aged; Patient Care Team; Prejudice; Primary Health Care; Qualitative Research; Risk Factors; Sex Factors; England; Eurasia; Europe; London [England]; United Kingdom; Western Europe,,,,,,,,,,,,"Abas, M., Depression and anxiety among older Caribbean people in the UK: screening, unmet need and the provision of appropriate services (1996) International Journal of Geriatric Psychiatry, 11, pp. 377-382; Anderson, D., Treating depression in old age: the reasons to be positive (2001) Age & Ageing, 30, pp. 13-17; Baker, F.M., Parker, D.A., Wiley, C., Velli, S.A., Johnson, J.T., Depressive symptoms in African American medical patients (1995) International Journal of Geriatric Psychiatry, 10, pp. 9-14; Bhugra, D., Depression across cultures (1996) Primary Care Psychiatry, 2, pp. 155-165; Bhui, K., Stansfeld, S., Hull, S., Priebe, S., Mole, F., Feder, G., Ethnic variation in pathways to and use of specialist mental health services in the UK. Systematic review (2003) British Journal of Psychiatry, 182, pp. 105-116; Blanchard, M., Waterreus, A., Mann, A.H., The nature of depression in older people in Inner London and the contact with primary care (1994) British Journal Psychiatry, 164, pp. 396-402; Brodaty, H., Peters, K., Boyce, P., Mickie, I., Parker, C., Mitchell, F., Age and depression (1991) Journal of Affective Disorders, 23, pp. 137-149; Butler, R., Orrell, M., Late life depression (1998) Current Opinion in Psychiatry, 11 (4), pp. 435-439; Callahan, C.M., Quality improvement research on late life depression in primary care (2001) Medical Care, 39 (8), pp. 772-784; Callahan, C.M., Hui, S.L., Nienaber, N.A., Musick, B.S., Tierney, W.M., Longitudinal study of depression and health services use among elderly primary care patients (1994) Journal of the American Geriatric Society, 42, pp. 833-838; Chew-Graham, C., Mullin, S., May, C., Hedley, S., Cole, H., Managing depression in primary care: another example of the inverse care law? (2002) Family Practice, 19, pp. 632-637; Collins, E., Katona, C., Orrell, M., Management of depression in the elderly by general practitioners: 11 Attitudes to aging and factors affecting practice (1995) Family Practice, 12, pp. 12-17; Commander, M.J., Odell, S.M., Surtees, P.G., Sashidharan, S.P., Care pathways for south Asian and white people with depressive and anxiety disorders in the community (2004) Social Psychiatry and Psychiatric Epidemiology, 39, pp. 259-264; Comino, E.J., Silove, D., Manicavasagar, V., Harris, E., Harris, M.F., Agreement in symptoms of anxiety and depression between patients and GPs: The influence of ethnicity (2001) Family Practice, 18, pp. 71-77; Crawford, M.J., Prince, M., Menezes, P., Mann, A.H., The recognition and treatment of depression in older people in primary care (1998) International Journal of Geriatric Psychiatry, 13, pp. 172-176; Evans, S., Katona, C.L.E., Prevalence of depressive symptoms in elderly primary care attenders (1993) Dementia, 4, pp. 327-333; Fenton, S., Sadiq-Sangster, A., Culture, relativism and the experience of mental distress: South Asian women in Britain (1996) Sociology of Health & Illness, 18, pp. 66-85; Glaser, B.G., Strauss, A.L., (1967) The discovery of grounded theory: strategies for qualitative research, , Aldine, Chicago; Illiffe, S., Manthorpe, J., The prevention of suicide in later life: A task for GPs (2005) British Journal of General Practice, 55-513, pp. 261-262; Jadhav, S., Weiss, M.G., Littlewood, R., Cultural experience of depression among white British in London (2001) Anthropology & Medicine, 8, pp. 47-69; Jorm, A.F., Epidemiology of mental disorders in old age (1998) Current Opinion in Psychiatry, 11, pp. 405-409; Kessler, D., Lloyd, K., Lewis, G., Gray, D.P., Heath, I., Cross sectional study of symptom attribution and recognition of depression and anxiety in primary care (1999) British Medical Journal, 318, pp. 436-440; Kirmayer, I.J., Robbins, M., Dworkind, M., Yaffe, M.J., Somatization and the recognition of depression and anxiety in primary care (1993) American Journal of Psychiatry, pp. 734-741; Kleinman, A.M., Depression, somatization and the new cross-cultural psychiatry (1977) Social Science & Medicine, 11, pp. 3-10; Krause, I.B., Sinking heart. A Punjabi communication of distress (1992) Social Science & Medicine, 29, pp. 563-575; Lawrence, V., Murray, J., Banerjee, S., Turner, S., Sangha, K., Byng, R., Concepts and causation of depression: A cross-cultural study of the beliefs of older adults (2006) The Gerontologist, 46; Marwaha, S., Livingston, G., Stigma, racism or choice. Why do depressed ethnic elders avoid psychiatrists (2002) Journal of Affective Disorders, 72, pp. 257-265; Meltzer, H., Bebbington, P., Brugha, T., Farrell, M., Jenkins, R., Lewis, G., The reluctance to seek treatment for neurotic disorders (2000) Journal of Mental Health, 9, pp. 319-327; Odell, S., Surtees, P.G., Wainwright, N.W.J., Commander, M.J., Sashidharan, S.P., Determinants of general practitioner recognition of psychological problems in a multi-ethnic inner city health district (1997) British Journal of Psychiatry, 171, pp. 537-541; Orrell, M., Collins, E., Shergill, S., Katona, C., Management of depression by general practitioners: 1. use of antidepressants (1995) Family Practice, 12, pp. 5-11; Pfaff, J., Olmeida, O., Detecting suicidal ideation in older patients: Identifying risk factors within the general practice setting (2005) British Journal of General Practice, 513, pp. 269-273; Prior, L., Wood, F., Lewis, G., Pill, R., Stigma revisited, disclosure of emotional problems in primary care consultations in Wales (2003) Social Science & Medicine, 56, pp. 2191-2200; (2002) Nvivo, , QSR Internationa, QSR International Pty Ltd, Victoria Australia; Ranga, R.K., George, L.K., Peiper, C.F., Depression and social support in elderly patients with cardiac disease (1998) American Heart Journal, 136, pp. 491-495; Roberts, R.E., Kaplan, G.A., Shema, S.J., Strawbridge, W.J., Does growing old increase the risk for depression? (1997) American Journal of Psychiatry, 154, pp. 1384-1390; Scheuer, E., Steurer, J., Buddeberg, C., Predictors of differences in symptom perception of older patients and their doctors (2002) Family Practice, 19, pp. 357-361; Schulman, K., Conceptual problems in the assessment of depression in old age (1989) Psychiatric Journal of the University of Ottawa, 14, pp. 364-371; Unutzer, J., Katon, W., Sullivan, M., Miranda, J., Treating depressed older adults in primary care: Narrowing the gap between efficacy and effectiveness (1999) Milbank Quarterly, 77 (2), pp. 225-256; Weich, S., Lewis, G., Mann, A.H., Donmall, R., The somatic presentation of psychiatric morbidity in general practice (1995) British Journal of General Practice, 45, pp. 143-147","Murray, J.; Health Services Research Department, , London, United Kingdom; email: spjujom@iop.kcl.ac.uk",,,,,,,,2779536,,SSMDE,16698157,English,Soc. Sci. Med.,Article,Final,,Scopus,2-s2.0-33745909443 "Üçok A., Soygür H., Atakli C., Kuşcu K., Sartorius N., Duman Z.Ç., Polat A., Erkoç Ş.",57200577911;6507427562;7801356395;13908350600;7102159482;14038655100;7005490062;7006363015;,The impact of antistigma education on the attitudes of general practitioners regarding schizophrenia,2006,Psychiatry and Clinical Neurosciences,60,4,,439,443,,43,10.1111/j.1440-1819.2006.01529.x,https://www.scopus.com/inward/record.uri?eid=2-s2.0-33745946289&doi=10.1111%2fj.1440-1819.2006.01529.x&partnerID=40&md5=c3bb84f5a82f4b067042f6ab7afc5c45,"Department of Psychiatry, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey; Oncology Hospital, Ankara, Turkey; Bakirkoy State Hospital of Psychiatry and Neurology, Marmara Faculty of Medicine, Marmara University, Istanbul, Turkey; Department of Psychiatry, Marmara Faculty of Medicine, Marmara University, Istanbul, Turkey; Department of Psychiatry, University of Geneva, Geneva, Switzerland; School of Nursing, Eylul University, Izmir, Turkey; Department of Psychiatry, Kocaeli Faculty of Medicine, Kocaeli University, Kocaeli, Turkey; Istanbul Medical Faculty, Department of Psychiatry, Millet street, Capa (34390), Istanbul, Turkey","Üçok, A., Department of Psychiatry, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey, Istanbul Medical Faculty, Department of Psychiatry, Millet street, Capa (34390), Istanbul, Turkey; Soygür, H., Oncology Hospital, Ankara, Turkey; Atakli, C., Bakirkoy State Hospital of Psychiatry and Neurology, Marmara Faculty of Medicine, Marmara University, Istanbul, Turkey; Kuşcu, K., Department of Psychiatry, Marmara Faculty of Medicine, Marmara University, Istanbul, Turkey; Sartorius, N., Department of Psychiatry, University of Geneva, Geneva, Switzerland; Duman, Z.Ç., School of Nursing, Eylul University, Izmir, Turkey; Polat, A., Department of Psychiatry, Kocaeli Faculty of Medicine, Kocaeli University, Kocaeli, Turkey; Erkoç, Ş., Oncology Hospital, Ankara, Turkey","The aim of this study was to examine the views and attitudes of general practitioners (GP) with respect to schizophrenia, and the changes in their attitudes after antistigma education. A total of 106 GPs working in 71 health institutions were included in the study. A questionnaire of 16 items, focussing on doctors' views and attitudes towards schizophrenia, was applied. Questions were about the views and attitudes of doctors towards general myths related to schizophrenia. Doctors were asked to select one of two responses: 'I agree' or 'I disagree', for statements such as 'schizophrenic patients cannot work' and 'schizophrenic patients are aggressive and dangerous'. After completing the questionnaire, all the GPs were given a single session of antistigma education. The questionnaire was repeated 3 months after training meetings in a subsample of 54 GPs which represented the whole sample in terms of gender, age, and years in medical practice. The authors found statistically significant, positive changes on five items out of the 16 items in the post-test survey when compared to attitudes before training, including items about the treatability of schizophrenia, harmfulness and untrustworthiness of schizophrenic patients. The authors' findings suggest that one antistigma education session, supported by the distribution of related documents, can improve GPs attitudes towards schizophrenia. © 2006 The Authors.",General practitioners; Schizophrenia; Stigma,"adult; aggression; behavior disorder; competence; conference paper; continuing education; controlled study; female; general practitioner; human; human experiment; learning; male; medical education; medical practice; normal human; patient attitude; physician attitude; questionnaire; schizophrenia; staff training; stigma; Adult; Attitude of Health Personnel; Education, Medical, Continuing; Female; Humans; Male; Middle Aged; Physicians, Family; Questionnaires; Schizophrenia; Turkey",,,,,,,,,,,,"Sartorius, N., Stigma: What can psychiatrists do about it? (1998) Lancet, 352, pp. 1058-1059; Sagduyu, A., Aker, T., Ozmen, E., Ogel, K., Tamar, D., Public opinion and attitude towards schizophrenia: An epidemiologic research (2001) Turk. Psikiyatri Derg., 12, pp. 99-110. , in Turkish; Stuart, H., Arboleda-Florez, J., Community attitudes toward people with schizoprenia (2001) Can. J. Psychiatry, 46, pp. 245-252; Jorm, A.F., Korten, A.E., Jacomb, P.A., Christensen, H., Henderson, S., Attitudes toward people with a mental disorder: A survey of the Australian public and health professionals (1999) Aust. N. Z. J. Psychiatry, 33, pp. 77-83; Gaebel, W., Baumann, A., Witte, A.M., Zaeske, H., Public attitudes towards people with mental illness in six German cities - Results of a public survey under special consideration of schizophrenia (2002) Eur. Arch. Psychiatry Clin. Neurosci., 252, pp. 278-287; Tanaka, G., Inadomi, H., Kikuchi, Y., Ohta, Y., Evaluating community attitudes to people with schizophrenia and mental disorders using a case vignette method (2005) Psychiatry Clin. Neurosci., 59, pp. 96-101; Corker, E., Stigma caused by psychiatrists (2001) Br. J. Psychiatry, 178, p. 379; Ono, Y., Satsumi, Y., Kim, Y., Schizophrenia: Is it tune to replace the term? (1999) Psychiatry Clin. Neurosci., 53, pp. 335-341; Ucok, A., Polat, A., Sartorius, N., Erkoc, S., Atakli, C., Attitudes of psychiatrists toward schizophrenia (2004) Psychiatry Clin. Neurosci., 58, pp. 89-91; Sartorius, N., Iatrogenic stigma of mental illness (2002) BMJ, 324, pp. 1470-1471; Ishige, N., Hayashi, N., Occupation and social experience: Factors influencing attitude towards people with schizophrenia (2005) Psychiatry Clin. Neurosci., 59, pp. 89-95; Aydin, N., Yigit, A., Inandi, T., Kirkpinar, I., Attitudes of hospital staff toward mentally ill patients in a teaching hospital, Turkey (2003) Int. J. Soc. Psychiatry, 49, pp. 17-26; Llerena, A., Caceres, M.C., Penas, L., Ledo, E.M., Schizophrenia stigma among medical and nursing undergraduates (2002) Eur. Psychiatry, 17, pp. 298-299; Al-Adawi, S., Dorvlo, A.S., Al-Ismaily, S.S., Perception of and attitude towards mental illness in Oman (2002) Int. J. Soc. Psychiatry, 48, pp. 305-317; Thompson, A., Stuart, H., Bland, R.C., Attitudes about schizophrenia from the pilot site of the WPA worldwide campaign against the stigma of schizophrenia (2002) Soc. Psychiatry Psychiatr. Epidemiol., 37, pp. 475-482; Oiesvold, T., Sandlund, M., Hansson, L., Factors associated with referral to psychiatric care by general practitioners compared with self-referrals (1998) Psychol. Med., 28, pp. 427-436; Trude, S., Stoddart, J.J., Referral gridlock: Primary care physicians and mental health services (2003) J. Gen. Intern. Med., 18, pp. 442-449; Toews, J., Lockyer, J., Addington, D., McDougall, G., Ward, R., Simpson, E., Improvement in the management of patients with schizophrenia in primary care: Assessing learning needs as a first step (1996) Can. J. Psychiatry, 41, pp. 617-622; Kilic, C., Rezaki, M., Ustun, T.B., Gader, R.A., Pathways to psychiatric care in Ankara (1994) Soc. Psychiatry Psychiatr. Epidemiol., 29, pp. 131-136; Yildiz, M., Onder, M.E., Tural, U., Balta, H.I., Kocalim, N., General practitioners' attitudes towards psychotic disorders and their treatment in primary health care system (2003) Turk. Psikiyatri Derg., 14, pp. 106-1105. , in Turkish; (2002) Open the Doors, 2002 Report, , World Psychiatric Association, New York; Link, B.G., Phelan, J.C., Breshnahan, M., Stueve, A., Pescosolido, B.A., Public conceptions of mental illness: Labels, causes, dangerousness, and social distance (1999) Am. J. Public Health, 89, pp. 1328-1333; Crisp, A.H., Gelder, M.G., Rix, S., Meltzer, H.I., Rowlands, O.J., Stigmatisation of people with mental illness (2000) Br. J. Psychiatry, 177, pp. 4-7; Pescosolido, B.A., Monahan, T., Link, B.G., Stueve, A., Kikozawa, S., The public's view of the competence, dangerousness, and need for legal coercion of persons with mental health problems (1999) Am. J. Public Health, 89, pp. 1339-1345","Üçok, A.; Istanbul Medical Faculty, Millet street, Capa (34390), Istanbul, Turkey; email: alpucok@superonline.com",,,,,,,,13231316,,PCNEF,16884445,English,Psychiatry Clin. Neurosci.,Conference Paper,Final,"All Open Access, Bronze",Scopus,2-s2.0-33745946289 "Burroughs H., Lovell K., Morley M., Baldwin R., Burns A., Chew-Graham C.",6602855911;7006183801;7006568348;7402397032;35451022300;6701468194;,'Justifiable depression': How primary care professionals and patients view late-life depression? A qualitative study,2006,Family Practice,23,3,,369,377,,139,10.1093/fampra/cmi115,https://www.scopus.com/inward/record.uri?eid=2-s2.0-34248540373&doi=10.1093%2ffampra%2fcmi115&partnerID=40&md5=7a955317d99f2f39b8c2c2631dbfb088,"Division of Primary Care, University of Manchester, Rusholme Academic Unit, Rusholme, Manchester M14 5NP, United Kingdom; School of Nursing, Midwifery and Health Visiting, University of Manchester, Manchester M13 9PL, United Kingdom; Manchester Mental Health and Social Care Trust (MMHSCT), York House, Manchester Royal Infirmary, Oxford Road, M13 9WL, United Kingdom; Manchester Mental Health and Social Care Trust (MMHSCT), Wythenshawe Hospital, Manchester M23 9WL, United Kingdom","Burroughs, H., Division of Primary Care, University of Manchester, Rusholme Academic Unit, Rusholme, Manchester M14 5NP, United Kingdom; Lovell, K., School of Nursing, Midwifery and Health Visiting, University of Manchester, Manchester M13 9PL, United Kingdom; Morley, M., Manchester Mental Health and Social Care Trust (MMHSCT), York House, Manchester Royal Infirmary, Oxford Road, M13 9WL, United Kingdom; Baldwin, R., Manchester Mental Health and Social Care Trust (MMHSCT), York House, Manchester Royal Infirmary, Oxford Road, M13 9WL, United Kingdom; Burns, A., Manchester Mental Health and Social Care Trust (MMHSCT), Wythenshawe Hospital, Manchester M23 9WL, United Kingdom; Chew-Graham, C., Division of Primary Care, University of Manchester, Rusholme Academic Unit, Rusholme, Manchester M14 5NP, United Kingdom","Background. Depression is the commonest mental health problem in elderly people and continues to be underdiagnosed and undertreated. Aim. To explore the ways that primary care professionals and patients view the causes and management of late-life depression. Design. A qualitative study using semistructured interviews. Setting. One Primary Care Trust in North West England. Participants. Fifteen primary care practitioners comprising nine GPs, three practice nurses, two district nurses and one community nurse; twenty patients who were over the age of 60 and who were participating in a feasibility study of a new model of care for late-life depression [PRIDE Trial: PRimary care Intervention for Depression in the Elderly (a feasibility study in Central Manchester funded by the Department of Health)]. Results. Primary care practitioners conceptualized late-life depression as a problem of their everyday work, rather than as an objective diagnostic category. They described depression as part of a spectrum including loneliness, lack of social network, reduction in function and viewed depression as 'understandable' and 'justifiable'. This view was shared by patients. Therapeutic nihilism, the feeling that nothing could be done for this group of patients, was a feature of all primary care professionals' interviews. Patients' views were characterized by passivity and limited expectations of treatment. Depression was not viewed as a legitimate illness to be taken to the GP. Primary care professionals recognized that managing late-life depression did fall within their remit, but identified limitations in their own skills and capabilities in this area, as well as a lack of other resources to which they could refer patients. Conclusion. This study highlights the complicated nature of the diagnosis and management of late-life depression. Protocols for the diagnosis and treatment of depression emphasis the biomedical model which does not fit with the everyday experience of GPs or elderly patients who share the views of primary care professionals that depression is a consequence of social and contextual issues. There is a need for the development of evidence-based provision for older people with depression within primary care, but also a need for elderly patients to be made aware of the legitimacy of presenting low mood and misery to their primary care professional. © The Author (2006). Published by Oxford University Press. All rights reserved.",Depression; Elderly; Primary care,"article; depression; female; general practitioner; gerontopsychiatry; health personnel attitude; human; literature; male; primary health care; psychological aspect; qualitative research; Anecdotes; Attitude of Health Personnel; Depressive Disorder; Female; Geriatric Psychiatry; Humans; Male; Physicians, Family; Primary Health Care; Qualitative Research",,,,,"Department of Health and Social Care, DH; Department of Health and Social Care, DH",*Primary care Intervention for Depression in the Elderly (a feasibility study in Central Manchester funded by the Department of Health),"Funding: The PRIDE trial is funded by the Department of Health. The researchers are independent of the funding body, and the views expressed are not necessarily those of the Department of Health.",,,,,"(1999), World Health Organisation. The World Health Report. Geneva: WHO; Beekman, A.T., Copeland, J.R., Prince, M.J., Review of community prevalence of depression in later life (1999) Br J Psychiatry, 174, pp. 307-311; Oxman, T.E., Barrett, A.T., Barrett, J., Gerber, P., Symptomatology of late-life minor depression among primary care patients (1990) Psychosomatics, 31, pp. 174-180; Cole, S.A., Bellavance, F., The prognosis of depression in old age (1997) Am J Geriatr Psychiatry, 5, pp. 4-14; Geerlings, S.W., Beekman, A.T., Deeg, D.J., Van Tilburg, W., Physical Health and the onset and persistence of depression in older adults: An eight-wave prospective community-based study (2000) Psychol Med, 30, pp. 369-380; Unutzer, J., Patrick, D.L., Diehr, P., Simon, G., Grembowski, D., Katon, W., Quality adjusted life years in older years with depressive symptoms and chronic medical disorders (2000) Int Psychogeriatr, 12, pp. 15-33; Ciechanowski, C.M., Katon, W.J., Russo, J.E., Depression and diabetes: impact of depressive symptom on adherence, function and costs (2000) Arch Intern Med, 160, pp. 3278-3285; Penninx, B.W., Geerlings, S.W., Deeg, D.J., Minor and major depression and the risk of death in older persons (1999) Arch Gen Psychiatry, 56, pp. 889-895; Meltzer, H., Gill, B., Petticrew, M., Hinds, K., Physical complaints, Service Use and Treatment of Adults with Psychiatric Disorders 1995; OPCS Surveys of Psychiatric Morbidity in Great Britain London: Reports 1 2&3 OPCS; Wilson, K., Mottram, P., Sivanranthan, A., Nightingale, A., Antidepressant versus placebo for depressed elderly (2001) Cochrane Database Syst Rev, pp. CD000561; Karel, M.J., Hinrichsen, G., Treatment of depression in late life: psychotherapeutic interventions (2000) Clin Psychol Rev, 20, pp. 707-729; Scogin, F., McElreath, L., Efficacy of psychosocial treatments for geriatric depression: a quantitative review (1994) J Consult Clin Psychol, 62, pp. 69-74; Freudenstein, U., Jagger, C., Arthur, A., Donner-Banzhoff, N., Treatment for late-life depression in primary care-a systematic review (2001) Fam Pract, 18, pp. 321-327; Unutzer, J., Diagnosis and treatment of older adults with depression in primary care (2002) Biol Psychiatry, 52, pp. 285-292; Callahan, C.M., Quality improvement research on late-life depression (2001) Med Care, 39, pp. 772-784; Starfield, B., Primary Care: Balancing Health Needs, Services and Technology (1998), Oxford: Oxford University Press; (2003), NHS Confederation. Investing in General Practice-the New General Medical Services Contract. NHS Confederation, February; Gurland, B.J., The comparative frequency of depression in various adult age groups (1976) J Gerontol, 31, pp. 283-292; Pfaff, J., Almeida, O.P., Detecting suicidal ideation in older patients: risk factors within the general practice setting (2005) Br J Gen Pract, 55, pp. 269-273; Rabins, P., Barriers to diagnosis and treatment of depression in elderly patients (1996) Am J Geriatr Psychiatry, 4, pp. 79-84; Unützer, J., Katon, W., Sullivan, M., Miranda, J., Treating depressed older adults in primary care: narrowing the gap between efficacy and effectiveness (1999) Milbank Q, 77, pp. 225-256; Brodaty, H., Green, A., Koschera, A., Meta-analysis of psychological interventions for caregivers of people with dementia (2003) JAm Geriatr Soc, 51, pp. 657-664; Unutzer, J., Diagnosis and treatment of older adults with depression in primary care (2002) Biol Psychiatry, 52, pp. 285-292; Montano, C.B., Primary care issues related to the treatment of depression in elderly patients (1999) J Clin Psychiatry, 60, pp. 45-51; Chew-Graham, C., May, C.R., Cole, H., Hedley, S., The burden of depression in primary care: a qualitative investigation of general practitioners' constructs of depressed people in the inner city (2002) Prim Care Psychiatry, 6, pp. 137-141; May, C., Chronic Illness and intractability: professionalpatient interactions in primary care (2005) Chronic Illness, 1, pp. 15-20; Unutzer, J., Diagnosis and Treatment of Older Adults with depression in Primary Care (2002) Biological Psychiatry, 52, pp. 285-92; (2003), NHS Confederation. Investing in general practice-the new General Medical Services Contract. NHS Confederation; February; Gask, L., Overt and covert barriers to the integration of primary and specialist mental health care (2005) Soc Sci Med, 61, pp. 1785-1794; NSF (Older People) London: DH; 2001, , Department of Health; Rait, G., Burns, A., Baldwin, R., Screening for depression in older African-Caribbeans (1999) Fam Pract, 16, pp. 591-595; Chew-Graham, C.A., Baldwin, R.C., Burns, A., Treating depression in later life: We need to implement the evidence that exists. [Editorial] (2004) Br Med J, 329, pp. 181-182; Strauss, A., Qualitative Analysis for Social Scientists (1986), Cambridge University Press: Cambridge; Weitzman, E.A., Software and qualitative research (2006), pp. 802-20. , Denzin NK Lincoln YS (eds). Handbook of qualitative research, 2nd edn, Thousand Oaks, CA: Sage publications; Fenton, S., Sadiq, A., Asian Women and Depression (1991), London: Commission for Racial Equality; Unutzer, J., Diagnosis and treatment of older adults with depression in primary care (2002) Biol Psychiatry, 52, pp. 285-292; (2001), Department of Health. NSF (Mental Health 1999). London: DH; Montano, C.B., Primary care issues related to the treatment of depression in elderly patients (1999) J Clin Psychiatry, 60, pp. 45-51; Thomas-MacLean, R., Stoppard, J.M., Physicians constructions of depression: inside/outside the boundaries of medicalisation. Health: an interdisciplinary journal for the social study of health (2004) Illness Med, 8, pp. 275-293; Pilgrim, D., Bentall, R., The medicalisation of misery: A critical realist analysis of the concept of depression (1999) J Mental Health, 8, pp. 261-274; NICE Guidelines for Depression, 2004 National Collaborating Centre for Mental Health; Chew-Graham, C., May, C.R., Cole, H., Hedley, S., The burden of depression in primary care: a qualitative investigation of general practitioners' constructs of depressed people in the inner city (2002) Prim Care Psychiatry, 6, pp. 137-141; May, C., Allison, G., Chapple, A., Framing the doctorpatient relationship in chronic illness: a comparative study of general practitioners' accounts (2004) Sociol Health Illn, 26, pp. 135-158; Schwenk, T.L., Diagnosis of late life depression: the view from primary care (2002) Biol Psychiatry, 52, pp. 157-163; Hegel, M.T., Unutzer, J., Tang, L., Impact of comorbid panic and posttraumatic stress disorder on outcomes of collaborative care for late-life depression in primary care (2005) Am J Geriatr Psychiatry, 13, pp. 48-58; (2003), Royal College of Psychiatrists. Depression in Older Adults: Guidance for the General Public. Londan: Royal College of Psychiatrists","Burroughs, H.; Division of Primary Care, , Rusholme, Manchester M14 5NP, United Kingdom; email: burroughs@man.ac.uk",,,,,,,,2632136,,FAPRE,16476699,English,Fam. Pract.,Article,Final,"All Open Access, Bronze",Scopus,2-s2.0-34248540373 "Deans C., Meocevic E.",6701442962;13610986400;,Attitudes of registered psychiatric nurses towards patients diagnosed with borderline personality disorder.,2006,Contemporary nurse : a journal for the Australian nursing profession,21,1,,43,49,,60,10.5172/conu.2006.21.1.43,https://www.scopus.com/inward/record.uri?eid=2-s2.0-33646834151&doi=10.5172%2fconu.2006.21.1.43&partnerID=40&md5=9cadda91a82100003c5678c246e89017,"University of Ballarat and Ballarat Health Services, and North West Health Care Network, Royal Melbourne Hospital, Parksville, Victoria, Australia","Deans, C., University of Ballarat and Ballarat Health Services, and North West Health Care Network, Royal Melbourne Hospital, Parksville, Victoria, Australia; Meocevic, E., University of Ballarat and Ballarat Health Services, and North West Health Care Network, Royal Melbourne Hospital, Parksville, Victoria, Australia","Caring for patients with a diagnosis of Borderline Personality Disorder (BPD) has been identified as a problem area for mental health professionals with some studies suggesting that a diagnosis of BPD will influence the level and quality of interaction staff have with patients. It is inherent to psychiatric nursing that practitioners are able to establish rapport, develop trust and demonstrate empathy with consumers of mental health services. Despite the importance of this issue for psychiatric nurses and for consumers, the perceptions and attitudes of psychiatric nurses towards patients diagnosed with BPD have received almost no research attention. This paper describes findings from a study of attitudes held by 65 registered nurses employed in a psychiatric inpatient unit and psychiatric community service where individuals with a DSM-IV diagnosis of BPD received treatment. In particular, findings relating to Clinical Description, Emotional Reactions, Concerns and Management of patients with BPD are reported. Results show that a proportion of psychiatric nurses experience negative emotional reactions and attitudes toward people with BPD with the majority of nurses perceiving people with BPD as manipulative, almost one third reporting that patients with BPD made them angry and over one third either 'strongly disagreed' or 'disagreed' that they know how to care for people with BPD. Although psychiatric nurses face many challenges in providing care for patients with BPD, it is also of concern to the profession that one of the problems confronting people with BPD is the negative attitudes of those staff that care for them. Further research is necessary to identify appropriate service frameworks and clinical interventions that assist in more effective clinical management of clients of BPD.",,"adult; article; Australia; borderline state; counter transference; emotion; female; health personnel attitude; human; male; mental health service; middle aged; nurse attitude; nurse patient relationship; nursing; nursing care; psychiatric department; psychiatric nursing; psychological aspect; Adult; Attitude of Health Personnel; Borderline Personality Disorder; Community Mental Health Services; Countertransference (Psychology); Emotions; Female; Humans; Male; Middle Aged; Nurse's Role; Nurse-Patient Relations; Nursing Care; Psychiatric Department, Hospital; Psychiatric Nursing; Victoria",,,,,,,,,,,,,"Deans, C.",,,,,,,,10376178,,,16594881,English,Contemp Nurse,Article,Final,"All Open Access, Green",Scopus,2-s2.0-33646834151 "Rosendal M., Bro F., Sokolowski I., Fink P., Toft T., Olesen F.",6602403423;6701764864;12241245600;57208437317;6507225050;7004841105;,A randomised controlled trial of brief training in assessment and treatment of somatisation: Effects on GPs' attitudes,2005,Family Practice,22,4,,419,427,,50,10.1093/fampra/cmi033,https://www.scopus.com/inward/record.uri?eid=2-s2.0-25644445519&doi=10.1093%2ffampra%2fcmi033&partnerID=40&md5=fb2dae2c3c5b8c8a82472cd176277cb4,"Quality Improvement Committee for General Practice in Vejle County, Vejle County, Denmark; Research Unit, Institute for General Practice, Aarhus University, Vennelyst Boulevard 6, DK-8000 Aarhus, Denmark; Research Unit for General Practice, University of Southern Denmark, Odense M, Denmark; Research Unit for Functional Disorders, Aarhus University Hospital, Aarhus, Denmark","Rosendal, M., Quality Improvement Committee for General Practice in Vejle County, Vejle County, Denmark, Research Unit, Institute for General Practice, Aarhus University, Vennelyst Boulevard 6, DK-8000 Aarhus, Denmark; Bro, F., Research Unit for General Practice, University of Southern Denmark, Odense M, Denmark; Sokolowski, I., Research Unit, Institute for General Practice, Aarhus University, Vennelyst Boulevard 6, DK-8000 Aarhus, Denmark; Fink, P., Research Unit for Functional Disorders, Aarhus University Hospital, Aarhus, Denmark; Toft, T., Research Unit for Functional Disorders, Aarhus University Hospital, Aarhus, Denmark; Olesen, F., Research Unit, Institute for General Practice, Aarhus University, Vennelyst Boulevard 6, DK-8000 Aarhus, Denmark","Background. Somatising patients frequently present in primary care but GPs often express frustration in dealing with them. A negative attitude may result in missed diagnoses and ineffective treatment. Objective. This study aimed to evaluate the effect of a novel, multifaceted training programme on GPs' attitudes towards somatisation. Methods. The study was performed as a cluster randomised controlled trial with practices as randomisation unit and with a follow-up period of 12 months. Forty-three GPs from 27 practices in Vejle County, Denmark participated. The intervention consisted of a cognitive-oriented educational programme on assessment, treatment and management of somatisation (The Extended Reattribution and Management Model). Outcome measures were GPs' attitudes toward somatoform disorder and somatisation in general measured by the means of questionnaires at baseline and follow-up. The primary outcome was a change in response. Results. Baseline values confirmed previous findings that GPs find it difficult to deal with somatising patients. Compared with the control doctors, intervention doctors' attitudes towards patients with somatoform disorders had changed significantly 12 months after training on the parameters enjoyment (P = 0.008) and anxiety (P = 0.002). Doctors also felt more comfortable in dealing with somatising patients in general (P = 0.002). Attitudes about other parameters related to the doctors feelings, aetiology and course of somatisation changed in the expected direction, but these changes were not statistically significant. Conclusion. A brief multifaceted training programme focussing on somatisation was accompanied by a significant change in GPs' attitude towards patients with somatoform disorders. © The Author (2005). Published by Oxford University Press. All rights reserved.",Education - Continuing; Health personnel attitude; Primary health care; randomised controlled trial; Somatoform disorders,"adult; anxiety; article; clinical examination; clinical trial; cluster analysis; cognitive therapy; controlled clinical trial; controlled study; Denmark; diagnostic error; education program; female; follow up; frustration; general practice; human; male; medical education; outcomes research; physician attitude; primary medical care; questionnaire; randomized controlled trial; somatization; somatoform disorder; statistical significance; treatment failure; Adult; Attitude of Health Personnel; Denmark; Female; Humans; Inservice Training; Male; Middle Aged; Physicians, Family; Questionnaires; Somatoform Disorders",,,,,,,,,,,,"Toft, T., Fink, P., Christensen, K.S., Oernboel, E., Frostholm, L., Olesen, F., Prevalence and comorbidity among mental disorders in primary care. Results from the FIP study Psychol. Med., , (in press); Fink, P., Surgery and medical treatment in persistent somatizing patients (1992) J. Psychosom. Res., 36, pp. 439-447; Hahn, S.R., Thompson, K.S., Wills, T.A., Stern, V., Budner, N.S., The difficult doctor - Patient relationship: Somatization, personality and psychopathology (1994) J. Clin. Epidemiol., 47, pp. 647-657; Jackson, J.L., Kroenke, K., Difficult patient encounters in the ambulatory clinic: Clinical predictors and outcomes (1999) Arch. Intern. Med., 159, pp. 1069-1075; Lin, E.H., Katon, W., Von Korff, M., Bush, T., Lipscomb, P., Russo, J., Frustrating patients: Physician and patient perspectives among distressed high users of medical services (1991) J. Gen. Intern. Med., 6, pp. 241-246; Barsky, A.J., Wyshak, G., Latham, K.S., Klerman, G.L., Hypochondriacal patients, their physicians, and their medical care (1991) J. Gen. Intern. Med., 6, pp. 413-419; Reid, S., Whooley, D., Crayford, T., Hotopf, M., Medically unexplained symptoms - GPs' attitudes towards their cause and management (2001) Fam. Pract., 18, pp. 519-523; Hartmann, P.M., A pilot study of a modified Balint group using cognitive approaches to physician attitudes about somatoform disorder patients (1989) Int. J. Psychosom., 36, pp. 86-89; Rittelmeyer Jr., L.F., Continuing education in psychiatry for physicians. Report of a four-year experience (1972) J. Am. Med. Assoc., 220, pp. 710-714; Gask, L., Usherwood, T., Thompson, H., Williams, B., Evaluation of a training package in the assessment and management of depression in primary care (1998) Med. Educ., 32, pp. 190-198; King, M., Davidson, O., Taylor, F., Haines, A., Sharp, D., Turner, R., Effectiveness of teaching general practitioners skills in brief cognitive behaviour therapy to treat patients with depression: Randomised controlled trial (2002) Br. Med. J., 324, pp. 947-950; Lipowski, Z.J., Somatization: The concept and its clinical application (1988) Am. J. Psychiatry, 145, pp. 1358-1368; Fink, P., Rosendal, M., Toft, T., Assessment and treatment of functional disorders in general practice: The extended reattribution and management model - An advanced educational program for nonpsychiatric doctors (2002) Psychosomatics, 43, pp. 93-131; Rosendal, M., Bro, F., Fink, P., Christensen, K.S., Olesen, F., Diagnosis of somatisation: Effect of an educational intervention in a cluster randomised controlled trial (2003) Br. J. Gen. Pract., 53, pp. 917-922; Botega, N., Mann, A., Blizard, R., Wilkinson, G., General Practitioners and Depression - First use of the Depression Attitude Questionnaire (1992) Int. J. Methods Psych. Res., 4, pp. 169-180; Christensen, K.S., Rosendal, M., Nielsen, J.M., Kallerup, H.E.S., Olesen, F., Outreach visits. Choice of strategy for interviewing general practitioners (2003) Ugeskr Laeger, 165, pp. 1456-1460","Rosendal, M.; Research Unit for General Practice, Vennelyst Boulevard 6, DK-8000 Aarhus, Denmark; email: m.rosendal@dadlnet.dk",,,,,,,,2632136,,FAPRE,15897211,English,Fam. Pract.,Article,Final,"All Open Access, Bronze, Green",Scopus,2-s2.0-25644445519 "Deans C., Soar R.",6701442962;8643457500;,Caring for clients with dual diagnosis in rural communities in Australia: The experience of mental health professionals,2005,Journal of Psychiatric and Mental Health Nursing,12,3,,268,274,,37,10.1111/j.1365-2850.2005.00830.x,https://www.scopus.com/inward/record.uri?eid=2-s2.0-19544388417&doi=10.1111%2fj.1365-2850.2005.00830.x&partnerID=40&md5=ee3b121b8d1a40c75b4b2d41489c2591,"University of Ballarat and Ballarat Health Services, University of Ballarat, Ballarat, Vic., Australia; Dual Diagnosis Clinician, Grampians Psychiatric Services, Ballarat, Vic., Australia; University of Ballarat, PO Box 663, Ballarat, Vic. 3353, Australia","Deans, C., University of Ballarat and Ballarat Health Services, University of Ballarat, Ballarat, Vic., Australia, University of Ballarat, PO Box 663, Ballarat, Vic. 3353, Australia; Soar, R., Dual Diagnosis Clinician, Grampians Psychiatric Services, Ballarat, Vic., Australia","This paper identifies and describes the experiences of 13 rural mental health professionals who care for clients diagnosed with a mental illness and a coexisting alcohol and other drug disorder (dual diagnosis). Dual diagnosis is a common problem which is often poorly understood and managed by mental health professionals. The effect of excessive substance use on a person's mental well-being can present as a diagnostic challenge as each condition may mask symptoms of the other. The authors utilized a phenomenological approach to discover the experiences of a group of mental health professionals working in rural communities in Victoria, Australia. Caring for clients diagnosed with dual diagnosis was found to be a complex and stressful role that involved high levels of skill and knowledge. Despite the fact that health professionals in rural areas are expected to deliver the most appropriate care to individuals with a dual diagnosis, a number of these rural health professionals have limited preparation and experience in dealing with arising clinical diagnosis issues. Clinicians experience frustration, resentment and powerlessness in their attempt to understand their clients' drug misuse whilst simultaneously endeavouring to provide a quality mental health service. © 2005 Blackwell Publishing Ltd.",Comorbidity; Dual diagnosis; Mental health; Rural health,"adult; alcoholism; article; Australia; controlled study; drug abuse; female; health care delivery; health care personnel; human; male; mental disease; mental health; mental health care; mental health service; rural area; wellbeing; Adult; Alcoholism; Comorbidity; Diagnosis, Dual (Psychiatry); Female; Focus Groups; Humans; Interprofessional Relations; Male; Mental Disorders; Nurse's Role; Nurse-Patient Relations; Nursing, Team; Outcome Assessment (Health Care); Patient Care Team; Rural Population; Substance-Related Disorders; Victoria",,,,,,,,,,,,"(2002) ANCD National Report - Rural and Regional Alcohol and Other Drugs Consultant Forums, , http://www.ancd.org.au; Regional Population Growth, Australia and New Zealand 2002-2003, , (ABS Cat. No. 3235.0-8.55.001). Canberra; Becker, C., (1992) Living and Relating: An Introductory to Phenomenology, , SAGE Publications, London; Bricker, M.G., (1995) The STEMSS Supported Self-help Model for Dual Diagnosis Recovery: Applications for Rural Settings, , http://www.treatment.org/TAPS/TAP17/tap17stemss.html; Buckley, P.F., Substance abuse in schizophrenia: A review (1998) Journal of Clinical Psychiatry, 59, pp. 26-30; Conner, K.R., Silverstein, S.M., McCullock Melnyk, K.A., Maxey, J.T., The development of a partial hospitalization program for mentally ill chemical abusing (MICA) patients (1995) Journal of Substance Abuse Treatment, 12, pp. 311-318; Crawford, V., Comorbidity of substance misuse and psychiatric disorders (1996) Current Opinion in Psychiatry, 9, pp. 231-234; El-Guebaly, N., Substance abuse and mental disorders: The dual diagnosis concept (1990) Canadian Journal of Psychiatry, 35, pp. 261-266; Gafoor, M., Rassool, G.H., The coexistence of psychiatric disorders and substance misuse: Working with dual diagnosis patients (1998) Journal of Advanced Nursing, 27, p. 497; (1994) Victoria's Mental Health Service: The Framework for Service Delivery, , Health Department, Victoria; Howland, R.H., The treatment of persons with dual diagnosis in a rural community (1995) Psychiatric Quarterly, 66, pp. 33-46; Inaba, D.S., Cohen, W.E., (2000) Uppers, Downers, All Rounders, 4th Edn., , CNS Productions, San Francisco; Kavanagh, D.J., Young, R., Boyce, L., Clair, A., Sitharthan, T., Claek, D., Thompson, K., Substance treatment options in psychosis (STOP): A new intervention for dual diagnosis (1998) Journal of Mental Health, 7, pp. 135-143; Lanning-Smith, L., Dual diagnosis (2001) Journal of the American Academy of Physician Assistants, 14, pp. 22-31; Lehman, A.H.J., Schwartz, R., Myers, P., Rehabilitation for adults with severe mental illness and substance use disorders (1993) Journal of Nervous and Mental Disease, 181, pp. 86-90; McDermott, F., Pyett, P., Not welcomed anywhere: People who have both a serious psychiatric disorder and problematic drug and alcohol use (1993) Victorian Community Managed Mental Health Services, pp. 12-21; McKenna, C., Ross, C., Diagnostic conundrums the in substance abusers with psychiatric symptoms: Variable suggestive of dual diagnosis (1994) American Journal of Drug and Alcohol Abuse, 20, pp. 397-412; (1994) The Framework for Service Delivery, , Health and Community Services, Melbourne; Merleau-Ponty, M., (1962) Phenomenology of Perception, , Routledge & Kegan Paul, London; Parse, R.R., (2001) Qualitative Inquiry: The Path of Sciencing, , Jones & Bartlett, Sudbury, MA; Rassool Hussein, G., (2002) Dual Diagnosis: Substance Misuse and Psychiatric Disorder, , Blackwell Science, Melbourne; Rice, P.L., Ezzy, D., (1999) Qualitative Research Methods: A Health Focus, , Oxford University Press, Melbourne; Rieger, D.A., Farmer, M.E., Rae, D.S., Comorbidity of mental disorders with alcohol and other drug abuse: Results from the epidemiology catchment area (EGA) study (1990) Journal of Clinical Psychiatry, 7, pp. 24-31; Ryrie, I., McGowan, J., Staff perceptions of substance use among acute psychiatric inpatient (1998) Journal of Psychiatric and Mental Health Nursing, 5, pp. 137-148; Seigfried, N., Ferguson, J., Cleary, M., Walter, G., Rey, J.M., Experience, knowledge and attitudes of mental health staff regarding patients' problematic drug and alcohol use (1999) Australian and New Zealand Journal of Psychiatry, 33, pp. 267-1263; Spielberg, H., (1975) Doing Phenomenology, , Martinus-Nijhoff, Dordrecht, The Netherlands; Streubert, H.J., Carpenter, D.R., (1999) Qualitative Research in Nursing - Advancing the Humanistic Imperative, , Lippincott, Philadelphia","Deans, C.; University of Ballarat, PO Box 663, Ballarat, Vic. 3353, Australia; email: c.deans@ballarat.edu.au",,,,,,,,13510126,,JPMNE,15876232,English,J. Psychiatr. Ment. Health. Nurs.,Article,Final,,Scopus,2-s2.0-19544388417 "Lester H.E., Tritter J.Q., Sorohan H.",7102915574;55932799600;8419729300;,Patients' and health professionals' views on primary care for people with serious mental illness: Focus group study,2005,British Medical Journal,330,7500,,1122,1126,,198,10.1136/bmj.38440.418426.8F,https://www.scopus.com/inward/record.uri?eid=2-s2.0-18744380998&doi=10.1136%2fbmj.38440.418426.8F&partnerID=40&md5=d68f433dbe550218c1967374241467d1,"Department of Primary Care and General Practice, Medical School, University of Birmingham, Birmingham B15 2TT, United Kingdom; Institute of Governance and Public Management, Warwick Business School, University of Warwick, Coventry CV4 7AL, United Kingdom","Lester, H.E., Department of Primary Care and General Practice, Medical School, University of Birmingham, Birmingham B15 2TT, United Kingdom; Tritter, J.Q., Institute of Governance and Public Management, Warwick Business School, University of Warwick, Coventry CV4 7AL, United Kingdom; Sorohan, H., Department of Primary Care and General Practice, Medical School, University of Birmingham, Birmingham B15 2TT, United Kingdom","Objective: To explore the experience of providing and receiving primary care from the perspectives of primary care health professionals and patients with serious mental illness respectively. Design: Qualitative study consisting of six patient groups, six health professional groups, and six combined focus groups. Setting: Six primary care trusts in the West Midlands. Participants: Forty five patients with serious mental illness, 39 general practitioners (GPs), and eight practice nurses. Results: Most health professionals felt that the care of people with serious mental illness was too specialised for primary care. However, most patients viewed primary care as the cornerstone of their health care and preferred to consult their own GP, who listened and was willing to learn, rather than be referred to a different GP with specific mental health knowledge. Swift access was important to patients, with barriers created by the effects of the illness and the noisy or crowded waiting area. Some patients described how they exaggerated symptoms (""acted up"") to negotiate an urgent appointment, a strategy that was also employed by some GPs to facilitate admission to secondary care. Most participants felt that structured reviews of care had value. However, whereas health professionals perceived serious mental illness as a lifelong condition, patients emphasised the importance of optimism in treatment and hope for recovery. Conclusions: Primary care is of central importance to people with serious mental illness. The challenge for health professionals and patients is to create a system in which patients can see a health professional when they want to without needing to exaggerate their symptoms. The importance that patients attach to optimism in treatment, continuity of care, and listening skills compared with specific mental health knowledge should encourage health professionals in primary care to play a greater role in the care of patients with serious mental illness.",,"article; disease severity; general practitioner; high risk patient; mental disease; mental health service; patient care; patient education; primary medical care; priority journal; qualitative analysis; responsibility; schizophrenia; adolescent; adult; aged; attitude to health; chronic disease; clinical trial; female; health care delivery; health personnel attitude; human; information processing; male; mental disease; middle aged; multicenter study; nurse practitioner; organization and management; primary health care; psychological aspect; Adolescent; Adult; Aged; Attitude of Health Personnel; Attitude to Health; Chronic Disease; Female; Focus Groups; Health Services Accessibility; Humans; Male; Mental Disorders; Middle Aged; Nurse Practitioners; Physicians, Family; Primary Health Care",,,,,,,,,,,,"Nazareth, I., King, M., Haines, A., Care of schizophrenia in general practice (1993) BMJ, 307, p. 910; Lang, F., Johnstone, E., Murray, D., Service provision for people with schizophrenia. Role of the general practitioner (1997) Br J Psychiatry, 171, pp. 165-168; Kai, J., Crosland, A., Drinkwater, C., Prevalence of enduring arid disabling mental illness in the inner city (2000) Br J Gen Pract, 50, pp. 922-924; Brown, S., Excess mortality of schizophrenia. A meta-analysis (1997) Br J Psychiatry, 171, pp. 502-508; Bindman, J., Johnson, S., Wright, S., Szmukler, G., Bebbington, P., Kuipers, E., Integration between primary and secondary services in the care of the severely mentally ill: Patients' and general practitioners' views (1997) Br J Psychiatry, 171, pp. 169-174; Rogers, A., May, C., Oliver, D., Experiencing depression, experiencing the depressed: The separate worlds of patients and doctors (2001) J Mental Health, 10, pp. 317-333; Kendrick, T., Sibbald, B., Burns, T., Freeling, P., Role of general practitioners in care of the long term mentally ill patients (1993) BMJ, 302, pp. 508-510; Burns, T., Greenwood, N., Kendrick, T., Garland, C., Attitudes of general practitioners and community mental health team staff towards the locus of care for people with chronic psychotic disorders (2000) Primary Care Psychiatry, 6, pp. 67-71; Bailey, D., What is the way forward for a user-led approach to the delivery of mental health services in primary care? (1997) J Mental Health, 6, pp. 101-105; Rogers, A., Pilgrim, D., (1993) Experiencing Psychiatry: Users' Views of Services, , London: Macmillan Press; Kai, J., Crosland, A., Perspectives of people with enduring mental ill health from a community-based qualitative study (2001) Br J Gen Pract, 51, pp. 730-737; (2003) Guidelines for the Appointment of General Practitioners with Special Interests in the Delivery of Clinical Services: Mental Health, , London: DoH; Freeman, G., Weaver, T., Low, J., De Jonge, E., (2002) Promoting Continuity of Care for People with Severe Mental Illness Whose Needs Span Primary, Secondary and Social Care. A Report for the NCCSDO, , London: National Co-ordinating Centre for NHS Service Delivery and Organisation R & D; Schegloff, E.A., Notes on conversational practice: Formulating place (1972) Studies in Social Interaction, , Sudnow D, ed. New York: Free Press; Jean, Y., Inclusive intake screening: Shaping medical problems into specialist-appropriate cases (2004) Sociology of Health and Illness, 26, pp. 385-410; Harrison, G., Hopper, K., Craig, T., Laska, E., Siegel, C., Wanderling, J., Recovery from psychotic illness: A 15- and 25-year international follow-up study (2001) Br J Psychiatry, 178, pp. 506-517","Lester, H.E.; Department of Primary Care and General Practice, , Birmingham B15 2TT, United Kingdom; email: H.E.Lester@bham.ac.uk",,,,,,,,9598146,,BMJOA,15843427,English,Br. Med. J.,Article,Final,"All Open Access, Bronze, Green",Scopus,2-s2.0-18744380998 "Baker J.A., Richards D.A., Campbell M.",55469103400;55574623500;8304063400;,Nursing attitudes towards acute mental health care: Development of a measurement tool,2005,Journal of Advanced Nursing,49,5,,522,529,,42,10.1111/j.1365-2648.2004.03325.x,https://www.scopus.com/inward/record.uri?eid=2-s2.0-14844342385&doi=10.1111%2fj.1365-2648.2004.03325.x&partnerID=40&md5=0a6201b58eb66a2f65d305b34c79659f,"Sch. Nursing, Midwifery Social Wk., University of Manchester, Manchester, United Kingdom; Department of Health Sciences, University of York, York, United Kingdom; Sch. Nursing, Midwifery Social Wk., University of Manchester, Coupland III, Coupland Street, Manchester M13 9PL, United Kingdom","Baker, J.A., Sch. Nursing, Midwifery Social Wk., University of Manchester, Manchester, United Kingdom, Sch. Nursing, Midwifery Social Wk., University of Manchester, Coupland III, Coupland Street, Manchester M13 9PL, United Kingdom; Richards, D.A., Department of Health Sciences, University of York, York, United Kingdom; Campbell, M., Sch. Nursing, Midwifery Social Wk., University of Manchester, Manchester, United Kingdom","Aim. This paper reports the development, piloting and validation of a tool to measure attitudes for use with nursing staff working in acute mental health care units. Background. The quality of care provided for service users in acute mental health care has come under both scrutiny and severe criticism. The attitudes of staff working in these environments have been cited as a contributory factor in poor care. No measure of attitudes specific to acute mental health has been reported. Methods. A 64-question measure was constructed and distributed to a sample of qualified and unqualified nurses drawn from seven mental health care units in the North of England. Exploratory factor analysis and a number of other statistical tests were performed to validate the questionnaire. Results. Preliminary analysis reduced the original 64 questions to 37. Five components were retained, accounting for 42% of the variance, and the five rotated factors were identified. The resultant 'Attitudes Towards Acute Mental Health Scale' (ATAMHS) achieved good internal reliability, with a Cronbach's alpha of 0.72. Conclusion. The construction and validation of the ATAMHS measure will enable improved understanding of the attitudes of nursing staff working in acute mental health care settings to occur. This measure is available for use in a clinical area of nursing in which attitude change is of fundamental importance for future development of care. © 2005 Blackwell Publishing Ltd.",Acute mental health care; Attitudes; Measurement tools; Nursing; Validation,adult; article; controlled study; device; factorial analysis; female; human; male; measurement; mental health care; normal human; nurse attitude; nursing; nursing staff; questionnaire; rating scale; Acute Disease; Adult; Attitude of Health Personnel; Female; Humans; Likelihood Functions; Male; Mental Disorders; Nursing Staff; Principal Component Analysis; Quality of Health Care; Questionnaires; Reproducibility of Results; Sample Size,,,,,,,,,,,,"Atkinson, R.L., Atkinson, R.C., Smith, E.E., Bem, D.J., Nolen-Hoeksema, S., (1996) Hilgard's Introduction to Psychology, , Harcourt Brace College Publishers, Fort Worth; Baker, S., (2000) Environmentally Friendly, a Patients' Views of Conditions in Psychiatric Wards, , Mind, London; Burra, P., Kalin, R., Leichner, P., Waldron, J.J., Handforth, J.R., Jarrett, F.J., Amara, I.B., The ATP 30 - A scale for measuring medical students' attitudes to psychiatry (1982) Medical Education, 16, pp. 31-38; Campbell, M., (2001) CCSR Short Course Series: Factor Analysis Course Notes, , Centre for Census and Survey Research, University of Manchester, Manchester, UK; Chinnayya, H.P., Chandrashekar, C.R., Moily, S., Raghurum, A., Subramanya, K.R., Shanmugham, V., Udaykumar, G.S., Training primary care health workers in mental health care: Evaluations of attitudes towards mental illness before and after training (1990) The International Journal of Social Psychiatry, 36 (4), pp. 300-307; Cho, K., Mak, K., Attitudes to mental patients among Hong Kong Chinese: A trend over two years (1998) International Journal of Social Psychiatry, 44 (10), pp. 215-224; Dancey, C.P., Reidy, J., (2002) Statistics Without Maths for Psychology, Using SPSS for Windows, 2nd Edn., , Prentice Hall, London; (2000) Index of Multiple Deprivation, , HMSO, London; (2002) Mental Health Policy Implementation Guide: Adult Acute Inpatient Care Provision, , Department of Health Publications, London; Dodds, P., Bowles, N., Dismantling formal observations and refocusing nursing activity in acute inpatient psychiatry: A case study (2001) Journal of Psychiatric and Mental Health Nursing, 8, pp. 183-188; Eagly, A.H., Chaiken, S., (1993) The Psychology of Attitudes, , Harcourt Brace Jovanovich College Publishers, Orlando; Eiser, R.J., (1986) Social Psychology: Attitudes, Cognitions and Social Behaviour, , Cambridge University Press, Cambridge; Fraser, K., Gallop, R., Nurses confirming/disconfirming responses to patients diagnosed with borderline personality disorder (1993) Archives of Psychiatric Nursing, 7, pp. 336-341; Gallop, R., Lance, W.J., Garfinkle, P., How nursing staff respond to the label of 'borderline personality disorder' (1989) Hospital and Community Psychiatry, 40, pp. 815-819; Gillham, B., (2000) Developing a Questionnaire, , Continuum, London; Guadagnoli, E., Velicer, W.F., Relation of sample size to the stability of component patterns (1988) Psychological Bulletin, 103 (2), pp. 265-275; Hair, J., Anderson, R., Tatham, R., Black, W., (1995) Multivariate Data Analysis with Readings, 4th Edn., , Prentice-Hall International, Upper Saddle River, NJ, USA; Higgins, R., Hurst, K., Wistow, G., Nursing acute psychiatric patients: A quantitative and qualitative study (1999) Journal of Advanced Nursing, 29 (1), pp. 52-63; Higgins, R., Hurst, K., Wistow, G., (2000) Psychiatric Nursing Revisited: The Care Provided for Acute Psychiatric Patients, , Whurr Publishers Ltd, London; Hill, D.J., Bale, R.M., Development of the mental health locus of control and mental health locus of origin scales (1980) Journal of Personality Assessment, 44 (2), pp. 148-156; Hugo, M., Mental Health Professionals attitudes towards people who have experienced a mental health disorder (2001) Journal of Psychiatric and Mental Health Nursing, 8, pp. 419-425; Jorm, A.F., Korten, A.E., Jacomb, P.A., Christensen, H., Henderson, S., Attitudes towards people with a mental disorder: A survey of the Australian public and health professionals (1999) Australian and New Zealand Journal of Psychiatry, 33, pp. 77-83; Kline, P., (1993) The Handbook of Psychological Testing, , Routledge, London; Kline, P., (1994) An Easy Guide to Factor Analysis, , Routledge, London; Knapp, T.R., (1998) Quantitative Nursing Research, , SAGE Publications Inc, London; Mulaik, S.A., A brief history of the philosophical foundations of exploratory factor analysis (1987) Multivariate Behavioural Research, 22, pp. 267-305; Murray, M.G., Steffen, J.J., Attitudes of case managers toward people with serious mental illness (1999) Community Mental Health Journal, 35 (6), pp. 505-514; Oppenheim, A.N., (1996) Questionnaire Design, Interviewing and Attitude Measurement. New Edition, , Pinter, London; Read, J., Harre, N., The role of biological and genetic causal beliefs in the stigmatisation of 'mental patients' (2001) Journal of Mental Health, 10 (2), pp. 233-335; Read, J., Law, A., The relationship between causal beliefs and contact with users of mental health services to attitudes to mental illness (1999) International Journal of Social Psychiatry, 45 (3), pp. 216-219; Roberts, J.S., Laughlin, J.E., Wedell, D.H., Validity issues in the Likert and Thurstone approaches to attitude measurement (1999) Educational and Psychological Measurement, 59 (2), pp. 211-333; (2001) Mental Illness: Stigmatisation and Discrimination Within the Medical Profession, , Council report CR91. Royal College of Psychiatrists, London; Sears, D.O., Peplau, L.A., Taylor, S.E., (1998) Social Psychology, 7th Edn., , Prentice Hall, NJ, USA; Singh, S.P., Baxter, H., Standen, P., Duggan, C., Changing the attitudes of 'tomorrow's doctors' towards mental illness and psychiatry: A comparison of two teaching methods (1998) Medical Education, 32, pp. 115-120; (2003) SPSS Statistical Software, Release 11.5, , Chicago, IL, USA; (1999) Mental Health Nursing: 'Addressing Acute Concerns', , Department of Health, London; Streiner, D.L., Norman, G.R., (1995) Health Measurement Scales: A Practical Guide to Their Development and Use, 2nd Edn., , Oxford University Press, Oxford; Tabachnick, B.G., Fidell, L.S., (2001) Using Multivariate Statistics, 4th Edn., , Allyn and Bacon, Needham Heights, MA, USA; (1998) Acute Problems. A Survey of the Quality of Care in Acute Psychiatric Wards, , The Sainsbury Centre for Mental Health, London; Thompson, B., Daniel, L.G., Factor analysis evidence for the construct validity of scores: A historical overview and some guidelines (1996) Educational and Psychological Measurement, 56 (2), pp. 197-208; Warner, L., Rose, D., Mackintosh, G., Ford, R., Could this be you? Evaluating quality and standards of care in the inpatient psychiatric setting (2000) Mental Health Care, 4 (3), pp. 89-92; (2001) The WPA Global Programme to Reduce the Stigma and Discrimination because of Schizophrenia - An Interim Report, , WPA, Geneva","Baker, J.A.; Sch. Nursing, Midwifery Social Wk., Coupland Street, Manchester M13 9PL, United Kingdom; email: john.a.baker@manchester.ac.uk",,,,,,,,3092402,,JANUD,15713184,English,J. Adv. Nurs.,Article,Final,,Scopus,2-s2.0-14844342385 "Ishige N., Hayashi N.",22947407700;36730939600;,Occupation and social experience: Factors influencing attitude towards people with schizophrenia,2005,Psychiatry and Clinical Neurosciences,59,1,,89,95,,18,10.1111/j.1440-1819.2005.01337.x,https://www.scopus.com/inward/record.uri?eid=2-s2.0-14644427072&doi=10.1111%2fj.1440-1819.2005.01337.x&partnerID=40&md5=c8f5b59ee54ddadfd162e4757dda4972,"Dept. of Addictive Behavior Research, Tokyo Institute of Psychiatry, Tokyo, Japan; Department of Schizophrenia Research, Tokyo Institute of Psychiatry, Tokyo, Japan; Department of Psychiatry, Tokyo Metropol. Matsuzawa Hospital, Tokyo, Japan; Dept. of Addictive Behavior Research, Tokyo Institute of Psychiatry, 2-1-8 Kamikitazawa, Setagaya-ku, Tokyo 156-8585, Japan","Ishige, N., Dept. of Addictive Behavior Research, Tokyo Institute of Psychiatry, Tokyo, Japan, Dept. of Addictive Behavior Research, Tokyo Institute of Psychiatry, 2-1-8 Kamikitazawa, Setagaya-ku, Tokyo 156-8585, Japan; Hayashi, N., Department of Schizophrenia Research, Tokyo Institute of Psychiatry, Tokyo, Japan, Department of Psychiatry, Tokyo Metropol. Matsuzawa Hospital, Tokyo, Japan","The purpose of the present study was to examine the role of occupation and social experience as factors determining the attitude of psychiatric care workers and other workers from various backgrounds toward people with schizophrenia. To measure the attitude of 786 subjects from six occupational groups toward people with schizophrenia, the evaluation scale applying semantic differential technique and the modified Social Rejection Scale were used, which assess two aspects of the attitude: affective acceptance and social distancing, respectively. The results of the two scales from the six groups were similar on the whole. Public health nurses showed the most accepting attitude in both scales. Psychiatric nurses and local welfare commissioners were the second and the third groups in affective acceptance, and the third and the second in socially accepting behavior, respectively. There was no significant difference in attitude among the rest of the groups (nonpsychiatric care workers, professional probation officers and non-care workers). These results can be understood in terms of the workers' experience of contact with people with schizophrenia, and education and other support opportunities. The importance of positive contact experiences and the means for facilitation of an accepting attitude in psychiatric care workers and other workers need to be stressed.",Attitude toward the mentally ill; Measurement of attitude; Occupational factor; Schizophrenia,adult; affect; article; education; evaluation; experience; female; health care personnel; health personnel attitude; human; Japan; male; mental health service; normal human; nurse; occupation; police; rating scale; schizophrenia; semantics; social aspect; social rejection scale; social welfare; Adult; Affect; Aged; Attitude of Health Personnel; Female; Health Surveys; Humans; Japan; Male; Middle Aged; Occupations; Personality Inventory; Professional-Patient Relations; Psychiatric Nursing; Psychometrics; Public Health Nursing; Public Opinion; Rejection (Psychology); Schizophrenia; Schizophrenic Psychology; Social Distance,,,,,,,,,,,,"Rabkin, J., Public attitudes toward mental illness: A review of the literature (1974) Schizophr. Bull., 10, pp. 9-33; Chou, K.L., Mak, K.Y., Chung, P.K., Ho, K., Attitudes towards mental patients in Hong Kong (1996) Int. J. Soc. Psychiatry, 42, pp. 213-219; Ojanen, M., Attitiudes towards mental patients (1992) Int. J. Soc. Psychiatry, 38, pp. 120-130; Brockington, I.F., Hall, P., Murphy, C., The community's tolerance of mentally ill (1993) Br. J. Psychiatry, 162, pp. 93-99; Wolff, G., Pathare, S., Craig, T., Leff, J., Community attitudes to mental illness (1996) Br. J. Psychiatry, 168, pp. 183-190; Brockman, J., D'Arcy, C., Correlates of attitudinal social distance toward the mentally ill: A review and re-survey (1978) Soc. Psychiatry, 13, pp. 69-77; Angermeyer, M.C., Matschinger, H., Holzinger, A., Gender and attitudes towards people with schizophrenia. Results of a representative survey in the Federal Republic of Germany (1998) Int. J. Soc. Psychiatry, 44, pp. 107-116; Holmes, E.P., Corrigan, P.W., Williams, P., Canar, J., Kubiak, M.A., Changing attitudes about achizophrenia (1999) Schizophr. Bull., 25, pp. 447-456; Wolff, G., Pathare, S., Craig, T., Leff, J., Community attitudes of mental illness and reaction to mentally ill people (1996) Br. J. Psychiatry, 168, pp. 191-198; Angermeyer, M.C., Matschinger, H., Social distance towards the mentally ill: Results of representative surveys in the Federal Republic of Germany (1997) Psychol. Med., 27, pp. 131-141; Penn, D., Kommana, S., Mansfield, M., Link, B.G., Dispelling the stigma of schizophrenia: II. The impact of information on dangerousness (1999) Schizophr. Bull., 25, pp. 437-446; Sakamoto, S., Sugiura, T., Hasui, C., The investigation of factors generating the prejudice against mental illness: Social psychological approaches (1998) J. Ment. Health, 44, pp. 5-13. , in Japanese; Miura, T., Kasamatsu, A., Utena, H., Nishimaru, S., Noguchi, S., Kato, M., Study on the recotherapeutic attitudes mental-health and illness (1963) Clin. Psychiatry, 5, pp. 967-973. , in Japanese; Osgood, C.E., Suci, G.J., Tannenbaum, P.H., (1957) The Measurement of Meaning, , University of Illinois Press, Urbana; Hoshigoe, K., Suwaki, H., Jitsunari, F., A study of the social attitudes of psychiatic hospital staffs towards the mentally disabled in Kagawa Prefecture (1994) Jpn. Bull. Soc. Psychiatry, 2, pp. 93-104; Trute, B., Tefft, B., Segall, A., Social rejection of the mentally ill: A replication study of public attidude (1989) Soc. Psychiatry Psychiatr. Epidemiol., 24, pp. 69-76; Ishige, N., Hayashi, N., Effects of an educational course of mental health on nursing students' attitudes toward the mentally disabled (2000) Jpn. Bull. Soc. Psychiatry, 9, pp. 11-21. , in Japanese; Tanaka, G., Ogawa, T., Inadomi, H., Kikuchi, Y., Ohta, Y., Effects of an educational program on public attitudes towards mental illness (2003) Psychiatry Clin. Neurosci., 57, pp. 595-602; Godschalx, S.M., Effect of a mental health educational program upon police officers (1984) Res. Nurs. Health, 7, pp. 111-117","Ishige, N.; Dept. of Addictive Behavior Research, 2-1-8 Kamikitazawa, Setagaya-ku, Tokyo 156-8585, Japan; email: VYL03605@nifty.ne.jp",,,,,,,,13231316,,PCNEF,15679546,English,Psychiatry Clin. Neurosci.,Article,Final,,Scopus,2-s2.0-14644427072 "Salt N., Parkes E., Scammell A.",57194812094;6701442841;6603036559;,GPs' perceptions of the management of ADHD in primary care: A study of Wandsworth GPs,2005,Primary Health Care Research and Development,6,2,,162,171,,12,10.1191/1463423605pc239oa,https://www.scopus.com/inward/record.uri?eid=2-s2.0-85015996088&doi=10.1191%2f1463423605pc239oa&partnerID=40&md5=036ff79dd88d979ce8c2517f0a863b1a,"Battersea Research Group, Bolingbroke Hospital, Wakehurst Road, London, United Kingdom","Salt, N., Battersea Research Group, Bolingbroke Hospital, Wakehurst Road, London, United Kingdom; Parkes, E., Battersea Research Group, Bolingbroke Hospital, Wakehurst Road, London, United Kingdom; Scammell, A., Battersea Research Group, Bolingbroke Hospital, Wakehurst Road, London, United Kingdom","Attention-deficit hyperactivity disorder (ADHD) is a growing diagnosis in child mental health in the UK and is increasingly being treated with methylphenidate (Ritalin, Equasym, Concerta). There are, however, clinical and public controversies over the diagnosis and ‘labelling’ of ADHD as a disorder, the use of drug treatments, and a relative paucity of guidance on the initial diagnosis and referral of the disorder. General practitioners (GPs) are involved in the assessment, diagnosis and treatment of children with ADHD and in liasing with the other parties involved, such as parents, teachers and specialists.Therefore their understanding of ADHD and its treatment is important.This study explores Wandsworth (South West London) GPs' understanding of ADHD as a disorder and their views of its management in order to provide more precise detail about the issues concerning the management of ADHD in primary care by GPs. Qualitative information was collected by semi-structured interviews (with 13 GPs) and quantitative information by means of questionnaires (93 completed by GPs) in Wandsworth. Whilst GPs had differing views of the aetiology of ADHD, there was a consensus view about the division of responsibility in the treatment of those diagnosed with ADHD. GPs felt uncomfortable initiating the prescribing of methylphenidate and stressed the importance of ongoing specialist involvement in the management of ADHD.There was also a feeling of inadequacy in terms of the training that GPs had received. It is suggested that guidance on the initial diagnosis of ADHD is drafted for GPs and that shared care protocols are agreed between primary care and secondary care so that the ongoing division of labour in the management of ADHD is made explicit, ensuring continuity of care. © 2005, Arnold. All rights reserved.",attention-deficit hyperactivity disorder; attitudes and opinions; general practitioners; methylphenidate; primary care; secondary care,,,,,,,,,,,,,"Diagnostic and statistical manual of mental disorder IV (1994), American Psychiatric Association. Washington, DC: American Psychiatric Association; Angold, A., Erkanli, A., Egger, H.L., Costello, E.J., Stimulant treatment for children: a community perspective (2000) Journal of the American Academy of Child and Adolescent Psychiatry, 39, pp. 975-984; Ball, C., Attention deficit hyperactivity disorder (ADHD) and the use of methylphenidate: a survey of the views of General Practitioners (2000) Psychiatric Bulletin, 25, pp. 301-304; Bramble, D., Annotation: the use of psychotropic medications in children: a British view (2003) Journal of Child Psychology and Psychiatrnejthmqy, 44, pp. 169-179; Brook, U., Watemberg, N., Geva, D., Attitude and knowledge of attention deficit hyperactivity disorder and learning disability among high school teachers (2000) Patient Education and Counseling, 40, pp. 247-252; DeGrandpre, R., Ritalin nation: rapid-fire culture and the transformation of human consciousness (2000), London: Norton; Eppright, T.D., Bradley, S., Vogel, S.J., Williamson, H.A., The management of patients with attention-deficit hyperactivity disorder by family practitioners (1998) Missouri Medicine, 95, pp. 118-122; Homer, C.J., Blatz, R.D., Hickson, G.B., Miles, P.V., Newman, T.B., Shook, J.E., Zurhellen, W.M., Brown, R.T., Clinical practice guideline: diagnosis and evaluation of the child with attention-deficit/hyperactivity disorder (2000) Pediatrics, 105, pp. 1158-1170; Jensen, P.S., Current concepts and controversies in the diagnosis and treatment of attention deficit hyperactivity disorder (2000) Current Psychiatry Reports, 2, pp. 102-109; Jensen, P.S., Kettle, L., Roper, M.T., Sloan, M.T., Dulcan, M.K., Hoven, C., Bird, H.R., Payne, J.D., Are stimulants overprescribed? Treatment of ADHD in four U.S. communities (1999) Journal of the American Academy for Child and Adolescent Psychiatry, 38, pp. 797-804; Klasen, H., A name, what's in a name? The medicalization of hyperactivity, revisited (2000) Harvard Review of Psychiatry, 7, pp. 334-344; Klasen, H., Goodman, R., Parents and GPs at cross-purposes over hyperactivity: a qualitative study of possible barriers to treatment (2000) British Journal of General Practice, 50, pp. 199-202; Kwasman, A., Tinsley, B.J., Lepper, H.S., Pediatrician knowledge and attitudes concerning diagnosis nnd treatment of attention deficit and hyperactivity disorders. A national survey approach (1995) Archives of Pediatric and Adolescent Medicine, 149, pp. 1211-1216; Lobar, S.L., Oher, L.E., Waechter, M.L., Phillips, S., Parents', physicians' and nurse practitioners' perceptions of behaviors associated with attention deficit hyperactivity disorder (1999) Journal of the American Academy of Nurse Practioners, 11, pp. 237-242; Meltzer, H., Gatward, R., Goodman, R., Ford, T., Mental health of children and adolescents in Great Britain (2000), London: The Stationery Office; Guidance on the use of methylphenidate (Ritalin, Equasym) for attention deficit/hyperactivity disorder (ADHD) in childhood (2000), London: National Institute for Clinical Evidence; Perrin, J.M., Stein, M.T., Amler, R.W., Blondis, T.A., Feldman, H., Meyer, B.P., Shaywitz, B.A., France, F.L., Clinical practice guideline: treatment of the school-aged child with attention-deficit/hyperactivity disorder (2001) Pediatrics, 108, pp. 1033-1044; Sayal, K., Taylor, E., Drug treatment in attention deficit disorder: a survey of professional consensus (1997) Psychiatric Bulletin, 21, pp. 398-400; Sayal, K., Taylor, E., Beecham, J., Byrne, P., Pathways to care in children at risk of attention-deficit hyperactivity disorder (2002) britisher Journal of Psychiatry, 181, pp. 43-48; Sciutto, M.J., Terjesen, M.D., Bender-Frank, A.S., Teachers' knowledge and misperceptions of attention-deficit/ hyperactivity disorder (2000) Psychology in the Schools, 37, pp. 115-122; Attention deficit and hyperkinetic disorders in children and young people (2001) SIGN, , Online at http://www. sign.ac.uk (retrieved 15 December 2004); Shaw, K.A., Mitchell, G.K., Wagner, I.J., Eastwood, H.L., Attitudes and practices of general practitioners in the diagnosis and management of attention-deficit/hyperactivity disorder (2002) Journal of Paediatrics and Child Health, 38, pp. 481-486; Shaw, K., Wagner, I., Eastwood, H., Mitchell, G., A qualitative study of Australian GPs' attitudes and practices in the diagnosis and management of attention-deficit/ hyperactivity disorder (ADHD) (2003) Family Practice, 20, pp. 129-134; Shared care guidelines for the use of Concerta XL (pro-longed release methylphenidate), , London: South West London & St. George's Mental Health Trust; Thapar, A.J., Thapar, A., Attention-deficit hyperactivity disorder (2003) British Journal of General Practice, 53, pp. 225-230; Williams, C., Wright, B., Partridge, I., Attention deficity hyperactivity disorder - a review (1999) British Journal of General Practice, 49, pp. 563-571; Wolraich, M.L., Attention deficit hyperactivity disorder: the most studied and yet most controversial diagnosis (1999) Mental Retardation & Developmental Disabilities Research Reviews, 5, pp. 163-168; Wolraich, M.L., Lindgren, S., Stromquist, A., Milich, R., Davis, C., Watson, D., Stimulant medication use by primary care physicians in the treatment of attention deficit hyperactivity disorder (1990) Pediatrics, 86, pp. 95-101",,,,,,,,,14634236,,,,English,Prim. Heath Care Res. Dev.,Article,Final,"All Open Access, Bronze",Scopus,2-s2.0-85015996088 "Lucas H., Scammell A., Hagelskamp C.",57192738364;6603036559;57210613817;,How do GP registrars feel about dealing with mental health issues in the primary care setting? A qualitative investigation,2005,Primary Health Care Research and Development,6,1,,60,71,,7,10.1191/1463423605pc210oa,https://www.scopus.com/inward/record.uri?eid=2-s2.0-70349925424&doi=10.1191%2f1463423605pc210oa&partnerID=40&md5=9f617b4503ca9806382b13476b26d3b5,"Battersea Research Group, Bolingbroke Hospital, London, United Kingdom","Lucas, H., Battersea Research Group, Bolingbroke Hospital, London, United Kingdom; Scammell, A., Battersea Research Group, Bolingbroke Hospital, London, United Kingdom; Hagelskamp, C., Battersea Research Group, Bolingbroke Hospital, London, United Kingdom","The treatment of mental health problems is now a national priority in the UK. With a prevalence rate of 23% in the general population and 75% of the population visiting a GP each year, the role of primary care in the detection, management and treatment of mental health problems is pivotal. However, around 20% of mental health problems remain unidentified by GPs. Many reasons may contribute to this. One reason is cited as being the training received by GPs, although research into this has yielded inconclusive results. This study aimed to investigate qualitatively the attitudes of GP registrars, firstly towards dealing with mental health problems in primary care and secondly in relation to the training and support received. Sixteen semistructured interviews were conducted and analysed thematically. Results indicated that GP registrars in this study understood the psychosocial nature of mental health problems and felt confident in detecting these issues in their patients. However, they were less secure about the management of mental health problems due to a number of constraints such as inadequate time, lack of knowledge of referral pathways and local resources, and a limited understanding of the psychology of mental health problems. They appreciated the support provided by their trainers, the training practices and the vocational training scheme (VTS). They would benefit from additional input concerning assessment and management of psychological problems, and discussions around their new role as a GP, acknowledging its potentials and limitations. © 2005, Arnold. All rights reserved.",detection; GP registrars; management; mental health; support; training,,,,,,,,,,,,,"Ashworth, M., Clement, S., Sandhu, J., Farley, N., Ramsay, R., Davies, T., British Journal of General Practice (2002) Psychiatric referral rates and the influence of on-site mental health workers in general's practice., 52 (39), p. 41; Ayuso-Mateos, J.L., Vazquez-Barquero, J.L., Dorwick, C., Lehtinen, V., Dalgard, O.S., Casey, P., Wilkinsen, C., Wilkinsen, G., British Journal of Psychiatry (2001) Depressive disorders in Europe: prevalence figures from the Odin study, 179, pp. 308-316; Best, A., Gietzen, T., Henderson, M., Practitioner (2002) A patient with somatisation., 246 (34), p. 42; Cape, J., British Journal of Clinical Psychology (2000) Patient-related therapeutic relationship and outcome in general practitioner treatment of psychological problems., 39, pp. 383-395; Living in Britain: results from the 1995 General Household Survey (1995) Department of Health., , London: The Stationery Office; Department of Health (1999) Saving lives: our healthier nation., , London: The Stationery Office; Department of Health (1999) The National Service Framework for Mental Health., , London: Department of Health; Make it happen. 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Heath Care Res. Dev.,Article,Final,"All Open Access, Bronze, Green",Scopus,2-s2.0-70349925424 "Walsh J., Green R., Matthews J., Bonucelli-Puerto B.",16450810300;35615643700;57193234230;6503943539;,Social workers' views of the etiology of mental disorders: Results of a national study,2005,Social Work,50,1,,43,52,,4,10.1093/sw/50.1.43,https://www.scopus.com/inward/record.uri?eid=2-s2.0-12444304407&doi=10.1093%2fsw%2f50.1.43&partnerID=40&md5=42ac7e71a218ee0a8a711bc280e1bc1a,"School of Social Work, Virginia Commonwealth University, 1001 West Franklin Street, Richmond, VA 23284-2027, United States; School of Social Work, Virginia Commonwealth University, United States","Walsh, J., School of Social Work, Virginia Commonwealth University, 1001 West Franklin Street, Richmond, VA 23284-2027, United States; Green, R., School of Social Work, Virginia Commonwealth University, United States; Matthews, J., School of Social Work, Virginia Commonwealth University, United States; Bonucelli-Puerto, B., School of Social Work, Virginia Commonwealth University, United States","Research on many mental disorders conducted since the 1990s strongly suggests a biological component to etiology. These developments should inform the decisions clinical social workers make regarding their interventions with clients. Several recent research reports, however, suggest that social workers may underestimate the influence of biological factors in some mental disorders. Because the measures of practitioners' views developed for those studies were not sensitive to disorder-specific responses for a range of mental illnesses, the usefulness of their findings may be questioned. The authors present the results of a national study of social workers in which disorder-specific measures of mental illness were used to determine more clearly whether social workers are making research-based assessments of mental illnesses etiology. It was found that social workers attribute causality of four disorders in a manner consistent with current research.",Assessment; Clinical social work; Mental illness; Social work education; Survey research,,,,,,,,,,,,,"Akiskal, H.S., An integrative perspective on recurrent mood disorders: The mediating role of personality (1991) Psychosocial Aspects of Depression, pp. 215-235. , J. Becker & A. Kleinman (Eds.). Hillsdale, NJ: Lawrence Erlbaum; Badger, L.W., Rand, E.H., Mood disorders (1998) Mental Health Research: Implications for Practice, pp. 49-117. , J. Williams & K. Ell (Eds.). Washington, DC: NASW Press; Bebbington, P.E., Kuipers, L., The predictive ability of expressed emotion in schizophrenia (1994) Psychological Medicine, 24, pp. 707-718; Bentley, K.J., Walsh, J., (2001) The Social Worker and Psychotropic Medication (2nd Ed.), , Pacific Grove, CA: Brooks/Cole; Blackwood, D., P300: A state and a trait marker in schizophrenia (2000) Lancet, 355, pp. 771-772; Blankenship, A., Christi, N., Pratt, T., Wesch, S., (2001) Virginia Commonwealth University's Fourth Annual Graduate Research Symposium and Exhibit, , (April). BSW, MSW & PhD students' views of the etiology of severe mental illness. Poster presentation at, Richmond; Brekke, J.S., Mathiesen, S., Effects of parental involvement on the functioning of non-institutionalized adults with schizophrenia (1995) Psychiatric Services, 46, pp. 1149-1155; Brekke, J.S., Slade, E., Schizophrenia (1998) Mental Health Research: Implications for Practice, pp. 157-181. , J. Williams & K. 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A review of nonshared environment and eating disorders (2002) International Journal of Eating Disorders, 31, pp. 118-135; Krull, W., Mersky, J., Tiller, J., (2000) Virginia Commonwealth University's Fourth Annual Graduate Research Symposium and Exhibit, , (April). Marriage and family therapists' views about the etiology of severe mental illness. Poster presentation at, Richmond; Leff, J.P., Vaughn, C.E., (1985) Expressed Emotion in Families, , New York: Guilford Press; Lefley, H.P., (1996) Family Caregiving in Mental Illness, , Thousand Oaks, CA: Sage Publications; Lehmann, P., Dangel, R.F., Oppositional defiant disorder (1998) Handbook of Empirical Social Work Practice: Volume 1. Mental Disorders, 1, pp. 91-116. , B.A.Thyer & J. S.Wodarski (Eds.). New York: John Wiley & Sons; Lieb, R., Isensee, B., Hoefler, M., Pfister, H., Wittchen, H., Parental major depression and the risk of depression and other mental disorders in offspring: A prospective-longitudinal community study (2002) Archives of General Psychiatry, 59, pp. 365-374; Link, B.G., Phelan, J.C., Bresnahan, M., Stueve, A., Pescosolido, B.A., Public conceptions of mental illness: Labels, causes, dangerousness, and social distance (1999) American Journal of Public Health, 89, pp. 1328-1333; McNaughton, M.E., Patterson, T.L., Irwin, M.R., Grant, I., The relationship of life adversity, social support, and coping to hospitalization with major depression (1992) Journal of Nervous and Mental Diseases, 180, pp. 491-497; Mowbray, C.T., Holter, M.C., Mental health and mental illness: Out of the closet? (2002) Social Service Review, 74 (1), pp. 135-176; O'Neill, J., Women gain in clinical fields (1999) NASW News, 46, pp. 1-2. , June; Polivy, J., Herman, C.P., Causes of eating disorders (2002) Annual Review of Psychology, 53, pp. 187-213; Psnau, R.O., The remedicalization of psychiatry (1987) Hospital and Community Psychiatry, 38, pp. 145-151; Rapp, C.A., Hanson, J., Towards a model social work curriculum for practice with the chronically mentally ill (1988) Community Mental Health Journal, 24, pp. 270-283; Rapp, L.A., Wodarski, J.S., Oppositional defiant disorder (1998) Handbook of Empirical Social Work Practice: Volume 1. Mental Disorders, 1, pp. 75-90. , B.A.Thyer & J. S.Wodarski (Eds.). New York: John Wiley & Sons; Rice, F., Harold, G., Thapar, A., The genetic aetiology of childhood depression: A review (2002) Journal of Child Psychology and Psychiatry and Allied Disciplines, 43, pp. 65-79; Rubin, A., Cardenas, J., Warren, K., Pike, C.K., Wambach, K., Outdated practitioners views about family culpability and severe mental disorders (1998) Social Work, 43, pp. 412-422; Sadock, B.J., Sadock, V.A., (2003) Kaplan & Sadock's Synopsis of Psychiatry (9th Ed.), , Philadelphia: Lippincott Williams &Wilkins; Schultz, S.K., Andreason, N.C., Schizophrenia (1999) Lancet, 35, pp. 1425-1430; Simeon, D., Guralnik, O., Schmeidler, J., Sirof, B., Knutelska, M., The role of childhood interpersonal trauma in depersonalization disorder (2001) American Journal of Psychiatry, 158, pp. 1027-1033; Stice, E., Risk and maintenance factors for eating pathology: A meta-analytic review (2002) Psychological Bulletin, 128, pp. 825-848; Vandiver, V.L., Step-by-step practice guidelines for using evidence-based practice and expert consensus in mental health settings (2002) Social Workers' Desk Reference, pp. 731-738. , A. R. Roberts & G. J. Greene (Eds.). New York: Oxford University Press; Werrbach, G.B., Depoy, E., Working with persons with serious mental illness: Implications for social work recruitment and retention (1993) Community Mental Health Journal, 29, pp. 305-319; Williams, J.B., Ell, K., (1998) Advances in Mental Health Research: Implications for Practice, , Washington, DC: NASW Press","Walsh, J.; School of Social Work, 1001 West Franklin Street, Richmond, VA 23284-2027, United States; email: jwalsh@atlas.vcu.edu",,,Oxford University Press,,,,,378046,,,,English,Soc. Work,Review,Final,,Scopus,2-s2.0-12444304407 "Magliano L., De Rosa C., Fiorillo A., Malangone C., Guarneri M., Marasco C., Maj M., The Working Group of the Italian National Study on Families of Persons with Schizophrenia",7004344197;7102114680;55141656400;6602942167;7006854047;6603667597;7102716455;,Beliefs of psychiatric nurses about schizophrenia: A comparison with patients' relatives and psychiatrists,2004,International Journal of Social Psychiatry,50,4,,319,330,,34,10.1177/0020764004046073,https://www.scopus.com/inward/record.uri?eid=2-s2.0-19944428581&doi=10.1177%2f0020764004046073&partnerID=40&md5=eb2cb3abc8444c15ded8d5d4b20d181f,"Department of Psychiatry, University of Naples, Largo Madonna delle Grazie, I-80138 Naples, Italy","Magliano, L., Department of Psychiatry, University of Naples, Largo Madonna delle Grazie, I-80138 Naples, Italy; De Rosa, C., Department of Psychiatry, University of Naples, Largo Madonna delle Grazie, I-80138 Naples, Italy; Fiorillo, A., Department of Psychiatry, University of Naples, Largo Madonna delle Grazie, I-80138 Naples, Italy; Malangone, C., Department of Psychiatry, University of Naples, Largo Madonna delle Grazie, I-80138 Naples, Italy; Guarneri, M., Department of Psychiatry, University of Naples, Largo Madonna delle Grazie, I-80138 Naples, Italy; Marasco, C., Department of Psychiatry, University of Naples, Largo Madonna delle Grazie, I-80138 Naples, Italy; Maj, M., Department of Psychiatry, University of Naples, Largo Madonna delle Grazie, I-80138 Naples, Italy; The Working Group of the Italian National Study on Families of Persons with Schizophrenia","Background: What patients' relatives and health professionals think about causes, treatments and psychosocial consequences of schizophrenia can influence its detection and outcome. Aims: To compare the beliefs about schizophrenia in 190 nurses, 110 psychiatrists and 709 relatives of patients with this mental disorder, recruited in 30 randomly selected mental health centres. Methods: In each centre, the key-relatives of the first consecutive 25 subjects with schizophrenia, and the nurses and psychiatrists who had been working in the service for at least one year, were asked to complete the Questionnaire on the Opinions about Mental Illness (QO). Results: The factors most frequently mentioned by psychiatrists and nurses among the causes of schizophrenia were heredity, stress and family conflicts, while those most frequently mentioned by relatives were stress, traumas and love breakdown. Nurses had opinions: (a) similar to those expressed by psychiatrists concerning patients' ability to work equally as other people, and patients' punishability in case of illegal acts; (b) similar to those expressed by relatives about patients' unpredictability and political rights; (c) significantly different from the other two samples as concerns recognition of patients' affective rights. Conclusions: Family psychoeducational interventions and nurses' training should address not only clinical aspects but also disability and psychosocial consequences of schizophrenia. Copyright © 2004 Sage Publications.",Beliefs; Mental health professionals; Relatives; Schizophrenia,article; conflict; controlled study; crime; disability; family; female; health education; heredity; human; human rights; male; mental health service; mental hospital; mental patient; nurse training; nursing; prediction; psychiatrist; psychotrauma; punishment; questionnaire; relative; risk factor; schizophrenia; social psychology; stress,,,,,,,,,,,,"(1994) Diagnostic and Statistical Manual of Mental Disorders, , American Psychiatric Association (APA) 4th edn. 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A selective review from an epidemiological perspective (1999) European Archives of Psychiatry and Clinical Neurosciences, 248, pp. 189-202; Robinson, E.A.R., Causal attributions about mental illness: Relationship to family functioning (1996) American Journal of Orthopsychiatry, 66, pp. 282-295; Shanley, E., Attitudes of psychiatric hospital staff towards mental illness (1981) Journal of Advanced Nursing, 6, pp. 199-203; Sheikh, S., Furnham, A., A cross-cultural study of mental health beliefs and attitudes towards seeking professional health (2000) Social Psychiatry and Psychiatric Epidemiology, 35, pp. 326-334; Shibre, T., Negash, A., Kullgren, G., Kebede, D., Alem, A., Fekadu, A., Fekadu, D., Jacobsson, L., Perception of stigma among family members of individuals with schizophrenia and major affective disarders in rural Ethiopia (2001) Social Psychiatry and Psychiatric Epidemiology, 36, pp. 299-303; Whittle, P., Causal beliefs and acute psychiatric hospital admission (1996) British Journal of Medical Psychology, 69, pp. 355-370; Wolff, G., Pathare, S., Craig, T., Leff, J., Community attitudes to mental illness (1996) British Journal of Psychiatry, 168, pp. 183-190; Wolff, G., Pathare, S., Craig, T., Leff, J., Community knowledge of mental illness and reaction to mentally ill people (1996) British Journal of Psychiatry, 168, pp. 191-198; Zubin, J., Spring, B., Vulnerability - A new view of schizophrenia (1977) Journal of Abnormal Psychology, 86, pp. 103-126","Magliano, L.; Department of Psychiatry, Largo Madonna delle Grazie, Italy",,,SAGE Publications Ltd,,,,,207640,,IJSPA,15648745,English,Int. J. Soc. Psychiatry,Article,Final,,Scopus,2-s2.0-19944428581 "Kingdom D., Sharma T., Hart D.",26642928100;7202571892;20934377600;,What attitudes do psychiatrists hold towards people with mental illness?,2004,Psychiatric Bulletin,28,11,,401,406,,72,10.1192/pb.28.11.401,https://www.scopus.com/inward/record.uri?eid=2-s2.0-8344272002&doi=10.1192%2fpb.28.11.401&partnerID=40&md5=22a1c32a704ac32fb180cfc225691b4c,"Mental Health Care Delivery, University of Southampton, Royal South Hants Hospital, Brinton's Terrace, Southampton SO14 0YG, United Kingdom; Department of Psychiatry, South London/Maudsley NHS Trust, London, United Kingdom; Royal College of Psychiatry, United Kingdom","Kingdom, D., Mental Health Care Delivery, University of Southampton, Royal South Hants Hospital, Brinton's Terrace, Southampton SO14 0YG, United Kingdom; Sharma, T., Department of Psychiatry, South London/Maudsley NHS Trust, London, United Kingdom; Hart, D., Royal College of Psychiatry, United Kingdom","Aims and method. To investigate the attitudes that psychiatrists hold towards people with mental illness. Each member of the Royal College of Psychiatrists in the UK was sent a questionnaire based on previous research in this area, supplemented with relevant questions on management. Results. 2813 of 6524 questionnaires were returned (43%). Psychiatrists' attitudes compared favourably with those of the general population. Among other findings, they believed that the risk of dangerousness was overemphasised, that misdiagnosis of schizophrenia in Black people is common, and that polypharmacy and the use of antipsychotic medication above British National Formulary levels occurs too often. Clinical implications. Psychiatrists' attitudes are substantially more favourable towards people with mental illness than those of the general population with individual, but important, exceptions. Some aspects of psychiatric management, especially of antipsychotic medication, may undermine this, however. Comparison with other groups, e.g. general practitioners, nurses and social workers, would be useful in planning how to reduce the stigmatisation of people with mental illness.",,antiparkinson agent; neuroleptic agent; advisory committee; article; controlled study; diagnostic error; drug legislation; female; general practitioner; hazard assessment; human; male; medical practice; medical society; mental disease; Negro; nurse practitioner; physician attitude; polypharmacy; population research; psychiatric treatment; psychiatrist; questionnaire; schizophrenia; social worker; treatment planning; United Kingdom,,,,,,,,,,,,"Breggin, P., (1991) Toxic Psychiatry, , London: Harper Collins; Crisp, A.H., Gelder, M.G., Rix, S., Stigmatisation of people with mental illnesses (2000) British Journal of Psychiatry, 177, pp. 4-7; Harrison, G., Owens, D., Holton, A., A prospective study of severe mental disorder in Afro-Caribbean patients (1988) Psychological Medicine, 18, pp. 643-657; Hickling, F.W., McKenzie, K., Mullen, R., A Jamaican psychiatrist evaluates diagnoses at a London psychiatric hospital (1999) British Journal of Psychiatry, 175, pp. 283-285; Mukherjee, R., Fiahlo, A., Wijetunge, A., The stigmatisation of psychiatric illness: The attitudes of medical students and doctors in a London teaching hospital (2002) Psychiatric Bulletin, 26, pp. 178-181; Sensky, T., Turkington, D., Kingdon, D., A randomised controlled trial of cognitive-behavioral therapy for persistent symptoms in schizophrenia resistant to medication (2000) Archives of General Psychiatry, 57, pp. 165-172; Taylor, S.M., Dear, M.J., Scaling community attitudes to the mentally ill (1981) Schizophrenia Bulletin, 7, pp. 225-240","Kingdom, D.; Mental Health Care Delivery, Brinton's Terrace, Southampton SO14 0YG, United Kingdom; email: dgk@soton.ac.uk",,,,,,,,9556036,,PBULE,,English,Psychiatr. Bull.,Article,Final,,Scopus,2-s2.0-8344272002 "Lauber C., Anthony M., Ajdacic-Gross V., Rössler W.",7004026795;7101883494;6601976070;7004584290;,What about psychiatrists' attitude to mentally ill people?,2004,European Psychiatry,19,7,,423,427,,154,10.1016/j.eurpsy.2004.06.019,https://www.scopus.com/inward/record.uri?eid=2-s2.0-7044224407&doi=10.1016%2fj.eurpsy.2004.06.019&partnerID=40&md5=167199c82ca9a86b37aea907f4c1af40,"Psychiatric University Hospital, Militärstrasse 8, PO Box 1930, 8021 Zurich, S., Switzerland","Lauber, C., Psychiatric University Hospital, Militärstrasse 8, PO Box 1930, 8021 Zurich, S., Switzerland; Anthony, M., Psychiatric University Hospital, Militärstrasse 8, PO Box 1930, 8021 Zurich, S., Switzerland; Ajdacic-Gross, V., Psychiatric University Hospital, Militärstrasse 8, PO Box 1930, 8021 Zurich, S., Switzerland; Rössler, W., Psychiatric University Hospital, Militärstrasse 8, PO Box 1930, 8021 Zurich, S., Switzerland","Objective. - Firstly, to assess and, secondly, to compare experts' and lay attitudes towards community psychiatry and the respective social distance towards mentally ill people. Method. - Comparison of two representative Swiss samples, one comprising of 90 psychiatrists, the other including 786 individuals of the general population. Results. - The psychiatrists' attitude was significantly more positive than that of the general population although both samples have a positive attitude to community psychiatry. The statement that mental health facilities devalue a residential area has revealed most agreement. Psychiatrists and the public do not differ in their social distance to mentally ill people. Among both samples, the level of social distance increases the more the situation described implies 'social closeness'. Conclusion. - The strategy to use psychiatrists as role models or opinion leaders in anti-stigma campaigns cannot be realised without accompanying actions. Psychiatrists must be aware that their attitudes do not differ from the general public and, thus, they should improve their knowledge about stigma and discrimination towards people with mental illnesses. © 2004 Elsevier SAS. All rights reserved.",Anti-stigma campaign; Community psychiatry; Expert and lay attitude; Mental illness; Social distance,article; attitude; human; mental disease; mental health service; normal human; population research; priority journal; psychiatrist; social aspect; Adult; Attitude of Health Personnel; Attitude to Health; Community Psychiatry; Female; Humans; Male; Mental Disorders; Questionnaires; Social Distance; Stereotyping,,,,,,We would like to thank the participants of this study and Luis Falcato for his help in study design and data collecting. The population survey was supported by the Swiss National Research Foundation (Grant No. #32-52571.97).,,,,,,"Corrigan, P.W., River, L.P., Lundin, R.K., Penn, D.L., Uphoff-Wasowski, K., Campion, J., Three strategies for changing attributions about severe mental illness (2001) Schizophr Bull, 27, pp. 187-195; Cumming, E., Cumming, J., (1957) Closed Ranks: An Experiment in Mental Health Education, , MA: Harvard University Press Cambridge; Frey, J.H., Mertens Oishi, S., (1995) How to Conduct Interviews by Telephone and in Person, , Sage Thousand Oakes, London, New Delhi; Jorm, A.F., Christensen, H., Medway, J., Korten, A.E., Jacomb, P.A., Rodgers, B., Public belief systems about the helpfulness of interventions for depression: Associations with history of depression and professional help-seeking (2000) Soc Psychiatry Psychiatr Epidemiol, 35, pp. 211-219; Kish, L., A procedure for objective respondent selection within households (1949) J Am Stat Assoc, 44, pp. 380-387; Lauber, C., Nordt, C., Sartorius, N., Falcato, L., Rössler, W., Public acceptance of restrictions on mentally ill people (2000) Acta Psychiatr Scand Suppl, 102, pp. 26-32; Lauber, C., Nordt, C., Falcato, L., Rössler, W., Lay recommendations on how to treat mental disorders (2001) Soc Psychiatry Psychiatr Epidemiol, 36, pp. 553-556; Lauber, C., Nordt, C., Falcato, L., Rössler, W., Determinants of attitude to volunteering in psychiatry: Results of a public opinion survey in Switzerland (2002) Int J Soc Psychiatry, 48, pp. 209-219; Lauber, C., Nordt, C., Falcato, L., Rössler, W., Public attitude to compulsory admission of mentally ill people (2002) Acta Psychiatr Scand, 105, pp. 385-389; Lauber, C., Eichenberger, A., Luginbühl, P., Keller, C., Rössler, W., Determinants of burden in caregivers of patients with exacerbating schizophrenia (2003) Eur Psychiatry, 18, pp. 285-289; Lauber, C., Nordt, C., Falcato, L., Rössler, W., Do people recognise mental illness? Factors influencing mental health literacy (2003) Eur Arch Psychiatry Clin Neurosci, 253, pp. 248-251; Lauber, C., Nordt, C., Falcato, L., Rössler, W., Factors influencing social distance towards people with mental illness (2004) Community Ment Health J, 40, pp. 265-274; Lavrakas, P.J., (1983) Telephone Survey Methods: Sampling, Selection, and Supervision, , Sage Newbury Park, CA, London, New Delhi; Link, B.G., Cullen, F.T., Frank, J., Wozniak, J.F., The social rejection of former mental patients: Understanding why labels matter (1987) Am J Sociol, 92, pp. 146-150; Penn, D.L., Corrigan, P.W., The effects of stereotype suppression on psychiatric stigma (2002) Schizophr Res, 55, pp. 269-276; Penn, D.L., Kohlmaier, J.R., Corrigan, P.W., Interpersonal factors contributing to the stigma of schizophrenia: Social skills, perceived attractiveness, and symptoms (2000) Schizophr Res, 45, pp. 37-45; Rössler, W., Salize, H.J., Factors affecting public attitudes towards mental health care (1995) Eur Arch Psychiatry Clin Neurosci, 245, pp. 20-26; Sartorius, N., Stigma: What can psychiatrists do about it? (1998) Lancet, 352, pp. 1058-1059; Taylor, S.M., Dear, M.J., Scaling community attitudes toward the mentally ill (1981) Schizophr Bull, 7, pp. 225-240; Thornicroft, G., Szmukler, G., (2001) Textbook of Community Psychiatry, , Oxford University Press Oxford; Wolff, G., Pathare, S., Craig, T., Leff, J., Community knowledge of mental illness and reaction to mentally ill people (1996) Br J Psychiatry, 168, pp. 191-198","Psychiatric University Hospital, Switzerland; email: christoph.lauber@puk.zh.ch",,,,,,,,9249338,,EUPSE,15504649,English,Eur. Psychiatry,Article,Final,,Scopus,2-s2.0-7044224407 "Qureshi N.A., Van Der Molen H.T., Schmidt H.G., Al-Habeeb T.A., Magzoub M.E.M.",7103016449;7102603757;7404731734;6602841670;7004320335;,General practitioners pre and post training knowledge and attitude towards psychiatry,2004,Neurosciences,9,4,,287,294,,4,,https://www.scopus.com/inward/record.uri?eid=2-s2.0-6044250162&partnerID=40&md5=2508db7ca7ab57f1157637fdaf936a3a,"Cont. Medical Education and Research, Buraidah Mental Health Hospital, Buraidah, Saudi Arabia; Division of Psychiatry, Faculty of Medicine, King Khalid University Hospital, Riyadh, Saudi Arabia; College of Applied Sciences, King Saud University, Riyadh, Saudi Arabia; Department of Psychology, Erasmus University, Netherlands; Cont. Medical Education and Research, Buraidah Mental Health Hospital, PO Box 2292, Buraidah, Saudi Arabia","Qureshi, N.A., Cont. Medical Education and Research, Buraidah Mental Health Hospital, Buraidah, Saudi Arabia, Cont. Medical Education and Research, Buraidah Mental Health Hospital, PO Box 2292, Buraidah, Saudi Arabia; Van Der Molen, H.T., Department of Psychology, Erasmus University, Netherlands; Schmidt, H.G., Department of Psychology, Erasmus University, Netherlands; Al-Habeeb, T.A., Division of Psychiatry, Faculty of Medicine, King Khalid University Hospital, Riyadh, Saudi Arabia; Magzoub, M.E.M., College of Applied Sciences, King Saud University, Riyadh, Saudi Arabia","Objectives: General practitioners (GPs) often lack sufficient knowledge of psychiatric diagnoses and have unfavorable attitudes towards mental illness. The first aim of this intervention study is to assess the pre-and post-psychiatric training knowledge and attitudes of GPs. The second aim is to explore certain factors, which predict gain in knowledge and changes in attitude. Methods: This study was executed at Buraidah Mental Health Hospital in the year 2003. The research design consisted of a pre- and post-test comparison of GPs responses. The instruments were a Knowledge Test and an Attitude Questionnaire. Results: The psychiatric training had a discernible impact on GPs' knowledge. Though most of their pre-training attitudes were well-known either as positive or negative, certain attitudes were significantly changed post-intervention. Gain in knowledge was significantly predicted by the type of psychiatric help offered by the GPs. Gender and duration of GPs' practice significantly predicted the attitudinal changes. Conclusion: Psychiatric training courses significantly enhance GPs' knowledge together with significant changes in certain attitudes that have vast psychiatric implications including destigmatization, early diagnosis and better treatment of primary care patients with mental disorders.",,adult; article; attitude; attitude questionnaire; controlled study; education program; female; general practice; general practitioner; human; human experiment; knowledge test; male; medical education; mental disease; mental hospital; normal human; primary medical care; psychiatry; questionnaire; sex difference; social disability; training,,,,,,,,,,,,"Higgins, E., A review of unrecognized mental illness in primary care: Prevalence, natural history, and efforts to change the course (1994) Arch Fam Med, 3, pp. 908-917; Van Der Pasch, M., Verhaak, P.F., Communication in general practice: Recognition and treatment of mental illness (1998) Patient Educ Couns, 33, pp. 97-112; Odell, S.M., Surtees, P.G., Wainwright, N.W., Commander, M.J., Sashidharan, S.P., Determinants of general practitioner recognition of psychological problems in a multi-ethnic inner-city health district (1997) Br J Psychiatry, 171, pp. 537-541; Reid, S., Whooley, D., Crayford, T., Hotopf, M., Medically unexplained symptoms-GPs' attitudes towards their cause and management (2001) Fam Pract, 18, pp. 519-523; Ng, B., Bardwell, W.A., Camacho, A., Depression treatment in rural California: Preliminary survey of nonpsychiatric physicians (2002) J Rural Health, 18, pp. 556-562; Christison, G.W., Haviland, M.G., Requiring a one-week addiction treatment experience in a six-week psychiatry clerkship: Effects on attitudes toward substance abusing patients (2003) Teach Learn Med, 15, pp. 93-97; Pinfold, V., Huxley, P., Thornicroft, G., Farmer, P., Toulmin, H., Graham, T., Reducing psychiatric stigma and discrimination-evaluating an educational intervention with the police force in England (2003) Soc Psychiatry Psychiatr Epidemiol, 38, pp. 337-344; Malhi, G.S., Parker, G.B., Parker, K., Kirkby, K.C., Boyce, P., Yellowees, P., Shrinking away from psychiatry? A survey of Australian medical students' interest in psychiatry (2002) Aust N Z J Psychiatry, 36, pp. 416-423; Tharyan, P., John, T., Tharyan, A., Braganza, D., Attitudes of 'tomorrow's doctors' towards psychiatry and mental illness (2001) Natl Med J India, 14, pp. 355-359; Sim, M.G., Kamien, M., Diamond, M.R., From novice to proficient general practitioner: A critical incident study (1996) Aust Fam Physician, 25, pp. S59-S64; Walker, I., Read, J., The differential effectiveness of psychosocial and biogenetic causal explanations in reducing negative attitudes toward ""mental illness"" (2003) Psychiatry, 65, pp. 313-325; Margariti, M.M., Kontaxakis, V.P., Madianos, M., Feretopoulos, G., Kollias, K., Paplos, K., Psychiatric education: A survey of Greek trainee psychiatrists (2002) Med Educ, 36, pp. 622-625; Angermeyer, M.C., Matschinger, H., Social distance towards the mentally ill: Results of representative surveys in the Federal Republic of Germany (1997) Psychol Med, 27, pp. 131-141; Wolff, G., Pathare, S., Craig, T., Leff, J., Community knowledge of mental illness and reaction to mentally ill people (1996) Br J Psychiatry, 168, pp. 191-198; Qureshi, N.A., Al-Ghamdy, Y.S., Al-Haddad, N.S., Abdelgadir, M.H., Tawfik, M.H., Integration of mental health into primary care. Preliminary observations of continuing implementation phase (2001) Saudi Med J, 22, pp. 899-906; Qureshi, N.A., Hegazy, I.S., Al-Beyari, T.H., Al-Amri, A.H., Al-Sherbiny, L.A.M., Abdelgadir, M.H., The attitude of primary care physicians to psychiatry (1995) Saudi Med J, 16, pp. 217-221; Agbayewa, M.O., Leichner, P.P., Effects of a psychiatric rotation on psychiatric knowledge and attitudes towards psychiatry in rotating interns (1985) Can J Psychiatry, 30, pp. 1-12; Abdelgadir, M.H., Qureshi, N.A., Al-Ghamdy, Y.S., Tawfik, M.H., Al-Haddad, N.B., Al-Amri, A.H., Integration of mental health into primary care. Planning phase 1 (1999) East Mediterr Health J, 5, pp. 378-384; Qureshi, N.A., Abdelgadir, M.H., Al-Ghamdy, Y.S., Al-Haddad, N.B., Tawfik, M.H., Al-Amri, A.H., Integration of mental health into primary care. Curriculum development II (1999) East Mediterr Health J, 5, pp. 385-388; Jorm, A.F., Korten, A.E., Jacomb, P.A., Christensen, H., Rodgers, B., Pollitt, P., ""Mental health literacy"": A survey of the public's ability to recognize mental disorders and their beliefs about the effectiveness of treatment (1997) Med J Aust, 166, pp. 182-186; Sriram, T.G., Chandrashekar, C.R., Isaac, M.K., Srinivasa Murthy, R., Kishore Kumar, K.V., Moily, S., Development of case vignettes to assess the mental health training of primary care medical officers (1990) Acta Psychiatr Scand, 82, pp. 174-177; Al-Khathami, A.D., Mangoud, A.M., Rahim, S.I., Abumadini, M.S., Mental health training in primary care (2003) Neurosciences, 8, pp. 184-187; Hodges, B., Inch, C., Silver, I., Improving the psychiatric knowledge, skills, and attitudes of primary care physicians, 1950-2000: A review (2001) Am J Psychiatry, 158, pp. 1579-1586; Andersen, S.M., Harthorn, B.H., Changing the psychiatric knowledge of primary care physicians: The effects of a brief intervention on clinical diagnosis and treatment (1990) Gen Hasp Psychiatry, 12, pp. 177-190; Burns, B.J., Scott, J.E., Burke Jr., J.D., Kessler, L.G., Mental health training of primary care residents: A review of relevant literature (1974-1981) (1983) Gen Hasp Psychiatry, 5, pp. 157-169; Bowman, F.M., Goldberg, D.P., Miller, T., Gask, L., McGrath, G., Improving the skills bf established general practitioners: The long-term benefits of good teaching (1992) Med Educ, 26, pp. 63-68; King, M., Davidson, O., Taylor, F., Haines, A., Sharp, D., Turner, R., Effectiveness of teaching GPs skills in brief cognitive behavior therapy to treat patients with depression: Randomized controlled trial (2002) BMJ, 324, pp. 947-950; Scheiber, S.C., Kramer, T.A., Adamowski, S.E., The implications of core competencies or psychiatric education and practice in the US (2003) Can J Psychiatry, 48, pp. 215-221; Fischer, S.M., Gozansky, W.S., Kutner, J.S., Chomiak, A., Kramer, A., Palliative care education: An intervention to improve medical residents' knowledge and attitudes (2003) J Palliat Med, 6, pp. 391-399; Mino, Y., Yasuda, N., Tsuda, T., Shimodera, S., Effects of a one-hour educational program on medical students' attitudes to mental illness (2001) Psychiatry Clin Neurosci, 55, pp. 501-507; Kua, J.H., Parker, G., Lee, C., Jorm, A.F., Beliefs about outcomes for mental disorders: A comparative study of primary health practitioners and psychiatrists in Singapore (2000) Singapore Med J, 41, pp. 542-547; Nordt, C., Muller, B., Lauber, C., Rossler, W., Increased stigma through a former stay in a mental hospital; results of a public survey in Switzerland (2003) Psychiatr Prax, 30, pp. 384-388; Howe, A., ""I know what to do, but it's not possible to do it""-general practitioners' perceptions of their ability to detect psychological distress (1996) Fam Pract, 13, pp. 127-132; Pinfold, V., Toulmin, H., Thornicroft, G., Huxley, P., Farmer, P., Graham, T., Reducing psychiatric stigma and discrimination: Evaluation of educational interventions in UK secondary school (2003) Br J Psychiatry, 182, pp. 342-346; Mas, A., Hatim, A., Stigma in mental illness: Attitudes of medical students towards mental illness (2002) Med J Malaysia, 57, pp. 433-444","Qureshi, N.A.; Cont. Medical Education and Research, PO Box 2292, Buraidah, Saudi Arabia; email: qureshinaseem@hotmail.com",,,,,,,,13196138,,NRSAB,,English,Neurosciences,Article,Final,,Scopus,2-s2.0-6044250162 "Carr-Walker P., Bowers L., Callaghan P., Nijman H., Paton J.",9038540100;7102732657;56007614600;55488595100;35973610200;,Attitudes towards personality disorders: Comparison between prison officers and psychiatric nurses,2004,Legal and Criminological Psychology,9,2,,265,277,,17,10.1348/1355325041719347,https://www.scopus.com/inward/record.uri?eid=2-s2.0-4444247568&doi=10.1348%2f1355325041719347&partnerID=40&md5=6154c71a8fbaf076ab8462f693f59734,"City University, London, United Kingdom; TBS-Clinic De Kijvelanden, Maastricht University, Netherlands; Safer Custody Group, HM Prison Service, United Kingdom; 86 Cherrywood Lane, Morden SM4 4HS, United Kingdom","Carr-Walker, P., City University, London, United Kingdom, 86 Cherrywood Lane, Morden SM4 4HS, United Kingdom; Bowers, L., City University, London, United Kingdom; Callaghan, P., City University, London, United Kingdom; Nijman, H., TBS-Clinic De Kijvelanden, Maastricht University, Netherlands; Paton, J., Safer Custody Group, HM Prison Service, United Kingdom","Objectives. This study investigates the effects of working with dangerous and severely personality disordered (DSPD) prisoners and patients on the attitudes, perceptions and beliefs of staff, which may be important therapeutic variables in the management and treatment of prisoners and patients. Method. The attitudes of prison officers working in a DSPD prison unit and psychiatric nurses working in high-security psychiatric hospitals were compared using the Attitude to Personality Disorder Questionnaire (APDQ) and the Staff Attitude to Personality Disorder Interview (SAPDI). Results. Prison officers and nurses differed in their attitudes. Prison officers' attitudes were more positive than those of psychiatric nurses in all aspects of the APDQ. Prison officers indicated that they felt more liking for and interest in contact with personality disordered prisoners, less fear and helplessness, less anger, were more optimistic regarding treatment, and less frustrated. The SAPDI revealed that nurses expressed more concern about caring for and managing personality disordered patients, and felt more vulnerable and less accepting towards them. Prison officers conveyed more confidence in their own abilities and felt less vulnerable. Conclusion. Differences found in attitudes towards personality disordered prisoners/patients are discussed in terms of personal, environmental and experiential influences, and implications for DSPD services. Attitudes towards personality disordered prisoners/patients between nurses and officers differed. They are likely to be influenced by a combination of experience with personality disorder, organisational culture and personal characteristics.",,article; attitude; attitude to personality disorder questionnaire; comparative study; health care personnel; human; interview; nursing; perception; personality disorder; police; priority journal; prisoner; questionnaire; rating scale; staff attitude to personality disorder interview,,,,,,,,,,,,"Bowers, L., (2002) Dangerous and Severe Personality Disorder: Response and Role of the Psychiatric Team, , London: Routledge; Bowers, L., McFarlane, L., Kiyimba, F., Clark, N., Alexander, J., (2000) Factors Underlying and Maintaining Nurses' Attitudes to Patients with Severe Personality Disorder, , London: City University; Cohen, J., (1988) Statistical Power Analysis for the Behavioural Sciences, , Hillsdale, NJ: Erlbaum; Dolan, B., Cold, J., (1993) Psychopathic and Antisocial Personality Disorders: Treatment and Research Issues, , London: Gaskell; (2000) Reforming the Mental Health Act. Part II: High Risk Patients, , (December). Proposal for policy development. London: Department of Health and Home Office; Fallen, P., Bluglass, R., Edwards, B., Daniels, G., (1999) Executive Summary of the Report of the Committee of the Inquiry into the Personality Disorder Unit, Ashworth Special Hospital, , London: The Stationery Office; Ganong, L.H., Bzdek, V., Manderino, M.A., Stereotyping by nurses and nursing students: A critical review of research (1987) Research in Nursing and Health, 10, pp. 49-70; Hinshelwood, R.D., The difficult patient: The role of 'scientific psychiatry' in understanding patients with chronic schizophrenia or severe personality disorder (1999) British Journal of Psychiatry, 174 (3), pp. 187-190; Lewis, G., Appleby, L., Personality disorder: The patients psychiatrists dislike (1988) British Journal of Psychiatry, 153, pp. 44-49; Liebling, A., Price, D., (1998) Staff-Prisoner Relationships at HMP Whitemoor, , Prison Service Research Report No. 6. HM Prison Services; Nathan, R., Scientific attitude to 'difficult' patients (1999) British Journal of Psychiatry, 775 (7), p. 87; Paton, J., Harrison, M., Jenkins, R., (2000) Training Needs of Prison Officers in Relation to Mental and Personality Disorders, , Unpublished report to the Prison Service; Sarosi, G.M., A critical theory: The nurse as a fully human person (1968) Nursing Forum, 7 (4), pp. 349-363; Singleton, N., Meltzer, H., Gatward, R., Coid, J., Deasy, D., (1998) Psychiatric Morbidity among Prisoners in England and Wales, , London: The Stationery Office","Carr-Walker, P.86 Cherrywood Lane, Morden SM4 4HS, United Kingdom; email: paolacoffey@yahoo.co.uk",,,,,,,,13553259,,LCPSF,,English,Leg. Criminol. Psychol.,Article,Final,,Scopus,2-s2.0-4444247568 Schwartz C.,7201521587;,The attitudes of social work students and practicing psychiatric social workers toward the inclusion in the community of people with mental Illness,2004,Social Work in Mental Health,2,1,,33,45,,4,10.1300/J200v02n01_03,https://www.scopus.com/inward/record.uri?eid=2-s2.0-34248602753&doi=10.1300%2fJ200v02n01_03&partnerID=40&md5=d5ffcddba9fbb43762278841e61d967b,"School of Social Work, Bar-Ilan University, Ramat-Gan, 52900, Israel","Schwartz, C., School of Social Work, Bar-Ilan University, Ramat-Gan, 52900, Israel","This study measured and compared the attitudes of social work students and practicing psychiatric social workers to the inclusion in the community of people with mental illness. The Community Living Attitude Scale Mental Illness (comprising the four subscales of Empowerment, Exclusion, Sheltering, and Similarity) was administered to a random sample of 68 Israeli BA social work students (first year: n = 35; third year: n = 33) and 28 practicing psychiatric social workers. Overall, the participants endorsed Empowerment and perceived the Similarity of persons with mental illness to themselves more than they agreed with the Exclusion attitude of segregating those persons from community life. First-year students rated Empowerment and Similarity significantly lower than did the third-year students and rated Sheltering significantly higher than did psychiatric social workers. Psychiatric social workers did not differ from third-year students and did not have stronger attitudi- nal commitment to the inclusion paradigm. They differed from first-year students only in the sheltering attitude; they showed lower support for sheltering people with mental illness. © 2004, Taylor & Francis Group, LLC. All rights reserved.",Attitudes; Inclusion; Mental illness; Practicing psychiatric social workers; Social work students,,,,,,,,,,,,,"Ajzenstadt, M., Aviram, U., Kalian, M., Kanter, A., Involuntary outpatient commitment in Israel: Treatment or control? (2001) International Journal of Law and Psychiatry, 24 (6), pp. 637-657; Allport, G.W., (1954) The Nature of Prejudice, , Boston, MA: Beacon Press; Antonak, R.F., Livneh, H., (1988) The Measurement of Attitudes Toward People with Disabilities: Methods Psychometric and Scales, , pringfield, IL. England: Charles C. Thomas; Aviram, U., Community care of the seriously mentally ill: Continuing problems and current issues (1990) Community Mental Health Journal, 26, pp. 69-88; Baxter, H., Singh, S.P., Standen, P., Duggan, C., The attitudes of ‘tomorrow’s doctors’ towards mental illness and psychiatry: Changes during the final undergraduate year (2001) Medical Education, 35 (2), pp. 381-383; Cohen, J.S., Struening, E.L., Opinions about mental illness: Hospital differences in attitudes for eight occupational groups (1965) Psychological Reports, 17, pp. 25-26; Corrigan, P.W., Green, A., Lundin, R., Kubiak, M.A., Pen, D.L., Familiarity with and social distance from people who have serious mental illness (2001) Psychiatric Services, 52 (7), pp. 953-958; Coursey, R.D., Curtis, L., Marsh, D.T., Campbell, J., Competencies for direct service staff members who work with adults with severe mental illness: Specific knowledge, attitudes, skills, and bibliography (2000) Psychiatric Rehabilitation Journal, 23 (4), pp. 378-392; Emerson, E., What is normalization? (1992) Ormalization: A Reader for the Nineties, pp. 1-18. , H. Brown & H. Smith (Eds.), London: Rutledge; Florian, V., Weisel, A., Kravetz, S., Shurka-Zernitsky, E., Attitudes in the Kibbutz and city toward persons with disabilities: A multifactorial comparison (1989) Rehabilitation Counseling Bulletin, 32, pp. 210-218; Geskie, M.A., Salsek, J.L., Attitudes of health care personnel toward persons with disabilities (1987) Attitudes Toward Persons with Disabilities, pp. 187-201. , H. E. Yuker (Ed.), New York: Springer Publishing Company; Hastings, R.P., Sjostrom, K.E., Stevenage, S.V., Swedish and English adolescents’ attitudes toward the community presence of people with disabilities (1998) Journal of Intellectual Disability Research, 42 (3), pp. 246-253; Henry, D., Keys, C., Balcazar, F., Jopp, D., Attitudes of community-living staff members toward persons with mental retardation, mental illness, and dual diagnosis (1996) Mental Retardation, 34 (6), pp. 367-379; Jorm, A.F., Korten, A.E., Jacomb, P.A., Christensen, H., Henderson, S., Attitudes toward people with mental disorders: A survey of the Australian public and health professional (1999) Australia and New Zealand Psychiatry, 33 (1), pp. 77-83; Lamb, H.R., Shaner, R., When there are almost no state hospitals beds left (1993) Hospital and Community Psychiatry, 44, pp. 973-976; Lau, J.T., Cheung, C., Discriminatory attitudes to people with intellectual disability or mental health difficulty (1999) International Social Work, 42 (4), pp. 431-444; Link, B.G., Struening, E.L., Rahav, M., Phelan, J.C., Nuttbrock, L., On stigma and its consequences: Evidence from mental illness and substance abuse (1997) Journal of Health and Social Behavior, 38 (2), pp. 177-190; Livneh, H., On the origins of negative attitudes towards people with disabilities (1984) The Psychological and Social Impact of Physical Disability, pp. 167-192. , R.P. Marinelli, & A.E. Dell Orto (Eds.), 2nd ed., New York: Spring; Makas, E., Getting in touch: The relationship between contact with attitudes toward people with disabilities (1993) Perspectives on Disability, pp. 121-136. , M. Nagler (Ed.), Palo Alto, CA: Health Markets Research; Mino, Y., Yasuda, N., Tsuda, T., Shimodera, S., Effects of a one-hour educational program on medical students’ attitudes to mental illness (2001) Psychiatry and Clinical Neurosciences, 55 (5), p. 501; Pearson, V., Man-Yik, Y., Public attitudes towards mental health facilities: A study in Hong Kong (1993) Social Work and Social Sciences Review, 4 (1), pp. 59-82; Schwartz, C., Armony-Sivan, R., Students’ attitudes to the inclusion of people with disabilities in the community (2001) Disability and Society, 16 (3), pp. 403-415; Shor, R., Sykes, I.J., Introducing structured dialogue with people with mental illness into the training of social work students (2002) Psychiatry Rehabilitation Journal, 26 (1), pp. 63-69; Singh, S.P., Baxter, H., Standen, P., Duggan, C., Changing the attitudes of ‘tomorrow doctors’ towards mental illness and psychiatry: A comparison of two teaching methods (1998) Medical Education, 32 (2), p. 115; Spitzer, W., Holden, G., Cuzzi, L., Rutter, S., Chernack, P., Rosenberg, G., Edith Abbott was right: Designing fieldwork experiences for contemporary health care practice (2001) Journal of Social Work Education, 37 (1), pp. 79-90; Stroebe, W., Insko, C.A., Stereotype, prejudice and discrimination: Changing conceptions in theory andresearch (1989) Stereotyping and Prejudice: Changing Conceptions, pp. 3-34. , D. Bar-Tal, C.F. Graumann, A.W. Krulanski, & W. Stroebe (Eds.), New York: Spring-Verlag; Tharyan, P., John, T., Tharyan, A., Braganzaa, D., Attitudes of ‘tomorrow’s doctors’ towards psychiatry and mental illness (2001) The National Medical Journal of India, 14 (6), pp. 355-359; Werrbach, G.B., Depoy, E., Social work students’ interest in working with persons with serious mental illness (1993) Journal of Social Work Education, 29 (2), pp. 200-211; Yip, K., The community care movement in mental health services (2001) International Social Work, 43 (1), pp. 33-48; Yuker, H.E., (1976) Attitudes of the Public Toward Handicapped Individuals, , Washington, DC: White House Conference of Handicapped Individuals","Schwartz, C.; School of Social Work, , Ramat-Gan, 52900, Israel; email: schwartz@mail.biu.ac.il",,,,,,,,15332985,,,,English,Soc. Work Ment. Health,Article,Final,,Scopus,2-s2.0-34248602753 Krawitz R.,6602932981;,Borderline personality disorder: Attitudinal change following training,2004,Australian and New Zealand Journal of Psychiatry,38,7,,554,559,,65,10.1111/j.1440-1614.2004.01409.x,https://www.scopus.com/inward/record.uri?eid=2-s2.0-4344570984&doi=10.1111%2fj.1440-1614.2004.01409.x&partnerID=40&md5=a4f2e722c522e8241b755deecbc53ae6,"Waikato District Health Board, Private Psychotherapy Practice, Obesity Clinic, 102 Sealey Street, Thames 2801, New Zealand","Krawitz, R., Waikato District Health Board, Private Psychotherapy Practice, Obesity Clinic, 102 Sealey Street, Thames 2801, New Zealand","Objective: To assess the effect of a two-day training workshop on clinician attitudes to working with people with borderline personality disorder (BPD). The main goal of the workshop was to achieve positive change in the attitude of clinicians treating people with BPD in a public setting. The hypothesis underlying the intervention was that informing clinicians about current concepts of the diagnosis, aetiology, prognosis and treatment of BPD, combined with detailed discussion of the principles of treatment in the public setting, would result in positive attitude change. Method: Changes in attitudes (optimism, enthusiasm, confidence and willingness to work with People with BPD) and self-perceptions of knowledge and skills among staff working with BPD patients were assessed for 418 participants from public mental health and substance abuse services who attended the workshops over an 18-month period. A survey questionnaire was administered pre- and post-workshop and at 6 month follow-up (time 1, time 2, time 3, respectively). One-way repeated measures analysis of variance (ANOVA) were carried out to compare scores on attitudes and perceptions of knowledge and skills at time 1, time 2 and time 3. Results: The results from repeated measures ANOVA show that there was a statistically significant effect for time for all six items. Analyses of within-subject contrasts indicated that, for all six variables, the time 2 and the time 3 scores were statistically significantly different from time 1 scores (p < 0.01). These findings confirm that there were statistically significant changes at the post-workshop assessment, which were either maintained or showed a non-significant decrease at 6-month follow-up. Conclusions: The brief training workshop described was effective in achieving positive attitude change in clinicians working with patients with BPD. This research shows that it is possible through brief training to assist clinician positivity and to effect clinician attitude change. Implications of this research could include the influencing of future training of clinicians in public mental health and substance abuse fields.",Attitudes; Borderline; Education; Personality; Training,adult; analysis of variance; article; awareness; borderline state; controlled study; follow up; health survey; human; medical education; medical research; medical staff; mental health service; physician attitude; prognosis; psychiatric diagnosis; public health service; questionnaire; scoring system; self concept; skill; statistical significance; substance abuse; treatment planning; workshop; Adult; Attitude of Health Personnel; Australia; Borderline Personality Disorder; Education; Female; Follow-Up Studies; Health Personnel; Humans; Male; Mental Health Services; Professional Competence; Questionnaires; Self Concept; Time Factors,,,,,,,,,,,,"Swartz, M., Blazer, D., George, L., Winfield, I., Estimating the prevalence of borderline personality disorder in the community (1990) Journal of Personality Disorders, 4, pp. 257-272; Pfohl, B., Silk, K., Robins, C., Attitudes towards borderline personality disorder: A survey of 752 clinicians (1999), Geneva: International Society for the Study of Personality Disorders 6th International Congress on the Disorders of Personality; Lewis, G., Appleby, L., Personality disorder: The patients psychiatrists dislike (1988) British Journal of Psychiatry, 153, pp. 44-49; Gallop, R., Lancee, W.J., Garfinkel, P., How nursing staff respond to the label 'borderline personality disorder' (1989) Hospital and Community Psychiatry, 40, pp. 815-819; Fraser, K., Gallop, R., Nurses' confirming/disconfirming responses to patients diagnosed with borderline personality, disorder (1993) Archives of Psychiatric Nursing, 7, pp. 336-341; Miller, S.A., Davenport, N.C., Increasing knowledge of and improving attitudes towards patients with borderline personality disorder (1996) Psychiatric Services, 47, pp. 533-535; Nehls, N., Borderline personality disorder: Gender stereotypes, stigma, and limited system of care (1998) Issues in Mental Health Nursing, 19, pp. 97-112; Krawitz, R., Jackson, W., Allen, R., Professionally indicated short-term risk-taking in the treatment of borderline personality disorder (2004) Australasian Psychiatry, 12, pp. 11-17; Krawitz, R., Borderline personality disorder: Foundation training for public mental health clinicians (2001) Australasian Psychiatry, 9, pp. 25-28; Krawitz, R., Watson, C., (2000) Borderline Personality, Disorder: Foundations of Treatment, , Adelaide: Seaview Press; Krawitz, R., Watson, C., (2003) Borderline Personality Disorder: A Practical Guide to Treatment, , Oxford: Oxford University Press; Siegfried, N., Ferguson, J., Cleary, M., Walter, G., Rey, J.M., Experience, knowledge and attitudes of mental health staff regarding patients' problematic drug and alcohol use (1999) Australian and New Zealand Journal of Psychiatry, 33, pp. 267-273; Shearin, E.N., Linehan, M.M., Patient-therapist ratings and relationship to progress in dialectical behavior therapy for borderline personality disorder (1992) Behavior Therapy, 23, pp. 730-741; Lancee, W.J., Gallop, R., McCay, E., Toner, B., The relationship between nurses' limit-setting style and anger in psychiatric inpatients (1995) Psychiatric Services, 46, pp. 609-613; Breeze, J.A., Repper, J., Struggling for control: The care experiences of 'difficult' patients in mental health services (1998) Journal of Advanced Nursing, 28, pp. 1301-1311; Thomas, Y.L.N., Thomas, D.R., Evaluation of training workshops for staff working with clients who self abuse. Report for Waitemata Health (1999), Auckland: Waitemata District Health Board; Plakun, E.M., Burkhardt, P.E., Muller, J.P., 14-year follow-up of borderline and schizotypal personality disorders (1985) Comprehensive Psychiatry, 26, pp. 448-455; McGlashan, T.H., The Chestnut Lodge follow-up study: Long-term outcome of borderline personalities (1986) Archives of General Psychiatry, 43, pp. 20-30; Paris, J., Brown, R., Nowlis, D., Long-term follow-up of borderline patients in a general hospital (1987) Comprehensive Psychiatry, 28, pp. 530-535; Stone, M., The course of borderline personality disorder (1989) Review of Psychiatry, 8, pp. 103-122. , Tasman A, Hales RE, Frances AJ, eds. Washington, DC. American Psychiatric Press; Linehan, M.M., Armstrong, H., Suarez, L., Allmon, D., Cognitive-behavioural treatment of chronically parasuicidal borderline patients (1991) Archives of General Psychiatry, 48, pp. 1060-1064; Stevenson, J., Meares, R., An outcome study of psychotherapy for patients with borderline personality disorder (1992) American Journal of Psychiatry, 149, pp. 358-362; Stone, M.H., Paradoxes in the management of suicidality in borderline patients (1993) American Journal of Psychotherapy, 47, pp. 255-272; Munroe-Blum, H., Marziali, E., A controlled trial of short term group treatment for borderline personality disorder (1995) Journal of Personality Disorders, 9, pp. 190-198; Meares, R., Stevenson, J., Comerford, A., Psychotherapy with borderline patients: A comparison between treated and untreated cohorts (1999) Australian and New Zealand Journal of Psychiatry, 33, pp. 467-472; Bateman, A., Fonagy, P., Effectiveness of partial hospitalisation in the treatment of borderline personality disorder: A randomised controlled trial (1999) American Journal of Psychiatry, 156, pp. 1563-1569; Linehan, M.M., Schmidt III, H., Dimeff, L.A., Kanter, J., Comtois, K.A., Dialectical behavior therapy for patients with borderline personality disorder and drug dependence (1999) American Journal on Addiction, 8, pp. 279-292; Ryle, A., Gotynkina, K., Effectiveness of time-limited cognitive analytic therapy of borderline personality disorder: Factors associated with outcome (2000) British Journal of Medical Psychology, 73, pp. 197-210; Chiesa, M., Fonagy, P., Cassel personality disorder study: Methodology and treatment effects (2000) British Journal of Psychiatry, 176, pp. 485-491; Turner, R.M., Naturalistic evaluation of dialectical behavior therapy-oriented treatment for borderline personality disorder (2000) Cognitive and Behavioral Practice, 7, pp. 413-419; Koons, C.R., Robins, C.J., Tweed, I.L., Efficacy of dialectical behavior therapy in women veterans with borderline personality disorder (2001) Behavior Therapy, 32, pp. 371-390; Briere, J., (1992) Child Abuse Trauma: Theory and Treatment of the Lasting Effects, , London: Sage; Herman, J., (1992) Trauma and Recovery: From Domestic Abuse to Political Terror, , London: Harper Collins; Linehan, M., (1993) Cognitive Behavioral Treatment of Borderline Personality Disorder, , New York: Guilford Press; Young, J., Schema-focused therapy for borderline patients (audiotape) (1996) Audio-Digest Psychiatry, 25 (18), p. 19; Crisis Recovery Service Philosophy and Protocols for the Management of Self Harm, , Crisis Recovery Service. London: Bethlehem and Maudsley NHS Trust (undated); (1998) Guidelines for Clinical Risk Assessment and Management in Mental Health Services, , Ministry of Health. Wellington: Ministry of Health; Williams, L., A 'classic' case of borderline personality disorder (1998) Psychiatric Services, 49, pp. 173-174; Jackson, W., The legal environment (2003) Borderline Personality Disorder: A Practical Guide to Treatment, , Krawitz R, Watson C. Oxford: Oxford University Press; Gutheil, T.G., The medicolegal pitfalls in the treatment of borderline patients (1985) American Journal of Psychiatry, 142, pp. 9-14; Behnke, S.H., Saks, E.R., Therapeutic jurisprudence: Informed consent as a clinical indication for the chronically suicidal patient with borderline personality disorder (1998) Loyola of Los Angeles Law Review, 31, pp. 945-982; Clarke, D., Faith and hope (2003) Australasian Psychiatry, 11, pp. 164-168","Krawitz, R.; Waikato District Health Board, 102 Sealey Street, Thames 2801, New Zealand; email: roykrawitz@xtra.co.nz",,,,,,,,48674,,ANZPB,15255829,English,Aust. New Zealand J. Psychiatry,Article,Final,,Scopus,2-s2.0-4344570984 "Thomas-MacLean R., Stoppard J.M.",6507856608;6602165652;,Physicians' constructions of depression: Inside/outside the boundaries of medicalization,2004,Health,8,3,,275,293,,48,10.1177/1363459304043461,https://www.scopus.com/inward/record.uri?eid=2-s2.0-3042606346&doi=10.1177%2f1363459304043461&partnerID=40&md5=24cba67b56bf05ada83b05224c3415ac,"Psychology Department, University of New Brunswick, Bag Service 45444, Fredericton, NB E3B 6E4, Canada; Department of Sociology, University of Saskatchewan, Canada; Department of Psychology, University of New Brunswick, Canada","Thomas-MacLean, R., Department of Sociology, University of Saskatchewan, Canada; Stoppard, J.M., Psychology Department, University of New Brunswick, Bag Service 45444, Fredericton, NB E3B 6E4, Canada, Department of Psychology, University of New Brunswick, Canada","A qualitative study explored primary care physicians' experiences of diagnosing and treating depression. Twenty physicians participated in semi-structured interviews. Interview questions asked physicians to consider a range of topics such as the etiology of depression, the diagnostic process and treatment of depression. Transcripts were analyzed discursively with a view to exploring the ways in which physicians construct depression. In this article, physicians' constructions of depression are examined through exploration of their descriptions of this condition, as well as their recognition of the social context of depression. Based on this analysis, it was concluded that physicians' medicalized understandings of depression conflict with recognition of the social context of depression. The result of this conflict is dissonant descriptions of depression. One implication of this research is that physicians' training would benefit from the integration of multidisciplinary perspectives on depression, which would better reflect physicians' experiences in routine practice situations.",Depression; Medicalisation; Primary care; Qualitative research,"data analysis; depression; diagnostic approach route; human; interview; medical practice; pathogenesis; physician attitude; primary medical care; psychiatric treatment; qualitative analysis; review; treatment indication; Attitude of Health Personnel; Canada; Depression; Female; Humans; Interviews; Male; Physician's Practice Patterns; Primary Health Care; Stress, Psychological",,,,,,,,,,,,"Armstrong, P., Armstrong, H., (1996) Wasting Away: The Undermining of Canadian Health Care, , Toronto, ON: Oxford University Press; Blazer, D., New concepts in the diagnosis and treatment of depression (1988) Comprehensive Therapy, 14, pp. 56-60; (2001) Physician Resource Questionnaire, , www.cma.ca/cma, Canadian Medical Association; Charmaz, K., Stories of suffering: Subjective tales and research narratives (1999) Qualitative Health Research, 9, pp. 362-382; Cheek, J., (1999) Postmodern and Poststructural Approaches to Nursing Research, , Thousand Oaks, CA: Sage publications; Chew-Graham, C.A., Mullin, S., May, C.R., Hedley, S., Cole, H., Managing depression in primary care: Another example of the inverse care law? (2002) Family Practice, 19, pp. 632-637; Davidson, J.R., Meltzer-Brody, S.E., The underrecognition and undertreatment of depression: What is the breadth and depth of the problem? (1999) Journal of Clinical Psychiatry, 60, pp. 4-9; Feldman, E.L., Robbins, A., Jaffe, A., Selections from current literature: Minor depression (1998) Family Practice, 15, pp. 275-281; Foucault, M., (1979) Discipline and Punish, , New York: Vintage Books; Frank, A.W., (1991) At the Will of the Body: Reflections on Illness, , New York: Houghton Mifflin; Gubrium, J.F., Holstein, J.A., Analyzing interpretive practice (2000) Handbook of Qualitative Research, 2nd Edn, pp. 487-508. , N.K. Denzin and Y.S. Lincoln (Eds.), Thousand Oaks, CA: Sage Publications; Harman, J.S., Schulberg, H.C., Mulsant, B.H., Reynolds, C.F., The effect of patient and visit characteristics on diagnosis of depression in primary care (2001) Journal of Family Practice, 50, p. 1028; Healy, D., (2002) The Creation of Psychopharmacology, , Cambridge, MA: Harvard University Press; Hirschfeld, R.M., Keller, M.B., Panico, S., Arons, B.S., Barlow, D., Davidoff, F., Endicott, J., Wyatt, R.J., The National Depressive and Manic-Depressive Association consensus statement on the undertreatment of depression (1997) Journal of the American Medical Association, 277, pp. 333-340; Horton-Salway, M., Bio-psycho-social reasoning in GPs' case narratives: The discursive construction on ME patients' identities (2002) Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine, 6, pp. 401-421; Kangas, I., Making sense of depression: Perceptions of melancholia in lay narratives (2001) Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine, 5, pp. 76-92; Karp, D.A., Living with depression: Illness and identity turning points (1994) Qualitative Health Research, 4, pp. 6-30; Kendrick, T., Why can't GPs follow guidelines on depression? (2000) British Medical Journal, 320, pp. 200-201; Kirmayer, L.J., Cultural variations in the clinical presentation of depression and anxiety: Implications for diagnosis and treatment (2001) Journal of Clinical Psychiatry, 62, pp. 22-28; Kirmayer, L.J., Robbins, J.M., Dworkind, M., Yaffe, M.J., Somatization and the recognition of depression and anxiety in primary care (1993) American Journal of Psychiatry, 150, p. 734; Kleinman, A., (1988) The Illness Narratives: Suffering, Healing and the Human Condition, , New York: Basic Books; Klinkman, M.S., Schwenk, T.L., Coyne, J.C., Depression in primary care - More like asthma than appendicitis: The Michigan Depression Project (1997) Canadian Journal of Psychiatry, 42, pp. 966-973; Kroenke, K., Depression screening is not enough (2001) Annals of Internal Medicine, 134, pp. 418-420; Lechky, O., FP's knowledge about diagnosis, treatment of psychosocial problems improving: Psychiatrist (1995) Canadian Medical Association Journal, 10, p. 1676; McMullen, L.M., Metaphors in the talk of 'depressed' women in psychotherapy (1999) Canadian Psychology, 40, pp. 102-111; Miller, L.J., Findlay, D.A., Through medical eyes: The medicalization of women's bodies and women's lives (1994) Health, Illness and Health Care in Canada, pp. 276-306. , B.S. Bolaria and H.D. Dickinson (Eds.), Toronto, ON: Harcourt Brace; Miller, W.L., Crabtree, B.F., Clinical research (2000) Handbook of Qualitative Research, 2nd Edn, pp. 607-631. , N.K. Denzin and Y.S. Lincoln (Eds.), Thousand Oaks, CA: Sage Publications; Ostler, K., Thompson, C., Kinmonth, A.L., Peveler, R.C., Stevens, L., Stevens, A., Influence of socio-economic deprivation on the prevalence and outcome of depression in primary care: The Hampshire Depression Project (2001) British Journal of Psychiatry, 178, pp. 12-17; Parker, I., Discursive psychology (1997) Critical Psychology: An Introduction, pp. 284-298. , D. Fox and I. Prilleltensky (Eds.), London: Sage Publications; Parkerson, G.R., Broadhead, W.E., Screening for anxiety and depression in primary care with the Duke Anxiety-Depression Scale (1997) Family Medicine, 29, pp. 177-181; Peveler, R., Kendrick, T., Treatment delivery and guidelines in primary care (2001) British Medical Bulletin, 57, pp. 193-206; Pignone, M.P., Gaynes, B.N., Rushton, J.L., Burchell, C.M., Orleans, C.T., Mulrow, C.D., Lohr, K.N., Screening for depression in adults: A summary of the evidence for the U.S. preventive services task force (2002) Annals of Internal Medicine, 136, p. 765; Pilgrim, D., Bentall, R., The medicalization of misery: A critical realist analysis of the concept of depression (1999) Journal of Mental Health, 8, pp. 261-274; Riessman, C.K., Women and medicalization: A new perspective (1998) The Politics of Women's Bodies: Sexuality, Appearance, and Behavior, pp. 46-63. , R. Weitz (Ed.), New York: Oxford University Press; Rogers, A., May, C., Oliver, D., Experiencing depression, experiencing the depressed: The separate worlds of patients and doctors (2001) Journal of Mental Health, 10, pp. 317-333; Rogers, W.H., Wilson, I.B., Bungay, K.M., Cynn, D.J., Adler, D.A., Assessing the performance of a new depression screener for primary care (PC-SAD) (2002) Journal of Clinical Epidemiology, 55, pp. 164-175; Rost, K., Smith, R., Matthews, D.B., Guise, B., The deliberate misdiagnosis of major depression in primary care (1994) Archives of Family Medicine, 3, pp. 333-337; Schwenk, T.L., Klinkman, M.S., Coyne, J.C., Depression in the family physician's office: What the psychiatrist needs to know (1998) Journal of Clinical Psychiatry, 59, pp. 94-100. , The Michigan Depression Project; Solberg, L.I., Korsen, N., Oxman, T.E., Fischer, L.R., Bartels, S., The need for a system in the care of depression (1999) Journal of Family Practice, 48, pp. 973-979; Stoppard, J.M., Why new perspectives are needed for understanding depression in women (1999) Canadian Psychology, 40, pp. 79-90; Stoppard, J.M., (2000) Understanding Depression: Feminist Social Constructionist Approaches, , London: Routledge; Strauss, A.L., Corbin, J.M., Why major reform is needed (1999) Health, Illness and Healing: Society, Social Context and Health, pp. 592-600. , K. Charmaz and D.A. Paterniti (Eds.), Los Angeles, CA: Roxbury; Synott, A., (1993) The Body Social: Symbolism, Self and Society, , New York: Routledge; Thomas-MacLean, R.L., Altered bodies/altered selves: Exploring women's accounts of illness experiences (2000) Women's Bodies/women's Lives: Health, Well-being and Body Image, pp. 42-61. , B. Miedema, J.M. Stoppard and V. Anderson (Eds.), Toronto, ON: Sumach; Thomas-MacLean, R.L., (2001) Victims, Patients, Survivors, Women: Experiences of Embodiment after Breast Cancer, , Unpublished doctoral dissertation, University of New Brunswick, Fredericton, New Brunswick, Canada; Thompson, C., Kinmonth, A.L., Stevens, L., Peveler, R.C., Stevens, A., Ostler, K.J., Pickering, R.M., Campbell, M.J., Effects of clinical-practice guideline and practice-based education on detection and outcome of depression in primary care: Hampshire Depression Project randomised controlled trial (2000) Lancet, 15, pp. 185-191; Turner, B.S., (1995) Medical Power and Social Knowledge, , London: Sage Publications; Screening for depression: Recommendations and rationale (2002) Annals of Internal Medicine, 136, p. 760; Valenstein, M., Vijan, S., Zeber, J.E., Boehm, K., Buttar, A., The cost-utility of screening for depression in primary care (2001) Annals of Internal Medicine, 134, pp. 345-360; Weitzman, E.A., Software and qualitative research (2000) Handbook of Qualitative Research, 2nd Edn, pp. 803-820. , N.K. Denzin and Y.S. Lincoln (Eds.), Thousand Oaks, CA: Sage Publications; Willig, C., (2001) Introducing Qualitative Research in Psychology: Adventures in Theory and Method, , Buckingham, UK: Open University","Psychology Department, Bag Service 45444, Fredericton, NB E3B 6E4, Canada",,,,,,,,13634593,,,15200756,English,Health,Review,Final,,Scopus,2-s2.0-3042606346 "Üçok A., Polat A., Sartorius N., Erkoç S., Atakli C.",57200577911;7005490062;7102159482;7006363015;7801356395;,Attitudes of psychiatrists toward patients with schizophrenia,2004,Psychiatry and Clinical Neurosciences,58,1,,89,91,,63,10.1111/j.1440-1819.2004.01198.x,https://www.scopus.com/inward/record.uri?eid=2-s2.0-1042300088&doi=10.1111%2fj.1440-1819.2004.01198.x&partnerID=40&md5=53f3ff202f3bff2542883cf525bba6b5,"Istanbul University, Istanbul Faculty of Medicine, Department of Psychiatry, Istanbul, Turkey; German Hospital, Istanbul, Turkey; Bak'yrköy Mental Hospital, Istanbul, Turkey; Department of Psychiatry, University of Geneva, Geneva, Switzerland; Istanbul Faculty of Medicine, Department of Psychiatry, 34390 Capa, Istanbul, Turkey","Üçok, A., Istanbul University, Istanbul Faculty of Medicine, Department of Psychiatry, Istanbul, Turkey, Istanbul Faculty of Medicine, Department of Psychiatry, 34390 Capa, Istanbul, Turkey; Polat, A., German Hospital, Istanbul, Turkey; Sartorius, N., Department of Psychiatry, University of Geneva, Geneva, Switzerland; Erkoç, S., Bak'yrköy Mental Hospital, Istanbul, Turkey; Atakli, C., Bak'yrköy Mental Hospital, Istanbul, Turkey",A questionnaire was distributed to psychiatrists to investigate their attitudes toward patients with schizophrenia. A total of 42.7% of 60 respondents never informed patients of the diagnosis of schizophrenia and 40.7% informed on a case-by-case basis. The reason that psychiatrists gave for avoiding informing the patients/family members of the diagnosis was the idea that they would not understand the meaning (32.6%) and that they would drop-out from treatment (28.3%). A total of 88.4% of respondents thought the term 'schizophrenia' was used in a pejorative manner in public. The findings revealed that stigmatizing attitudes of society are also shared by some psychiatrists.,Mental illness; Psychiatrists; Schizophrenia; Stigma,article; doctor patient relation; human; mental disease; physician attitude; psychiatrist; questionnaire; schizophrenia; social psychology; Adult; Attitude of Health Personnel; Cultural Characteristics; Family Health; Female; Health Care Surveys; Humans; Male; Prejudice; Professional-Patient Relations; Psychiatry; Schizophrenia; Social Conditions; Truth Disclosure; Turkey,,,,,,,,,,,,"Sartorius, N., Stigma: What can psychiatrists do about it? (1998) The Lancet, 352, pp. 1058-1059; Sagduyu, A., Aker, T., Ozmen, E., Ogel, K., Tamar, D., Public opinion and attitude towards schizophrenia: An epidemiologic research (2001) Turk. Psikiyatri. Derg., 12, pp. 99-110. , in Turkish; Jorm, A.F., Korten, A.E., Jacomb, P.A., Christensen, H., Henderson, S., Attitudes toward people with a mental disorder. A survey of the Australian public and health professionals (1999) Aust. NZ. J. Psychiatry, 33, pp. 77-83; Gaebel, W., Baumann, A., Witte, A.M., Zaeske, H., Public attitudes towards people with mental illness in six German cities: Results of a public survey under special consideration of schizophrenia (2002) Eur. Arch. Psychiatry Clin. Neurosci., 252, pp. 278-287; Corker, E., Stigma caused by psychiatrists (2001) Br. J. Psychiatry, 178, p. 379; Ono, Y., Satsumi, Y., Kim, Y., Schizophrenia: Is it time to replace the term? (1999) Psychiatry Clin. Neurosci., 53, pp. 335-341; Schlosberg, A., Psychiatric stigma and mental health professionals (stigmatizers and desitmatizers) (1993) Med. Law, 12, pp. 409-416; Stuart, H., Arboleda-Florez, J., Community attitudes toward people with schizophrenia (2001) Can. J. Psychiatry, 46, pp. 245-252; Sartorius, N., Iatrogenic stigma of mental illness (2002) BMJ, 324, pp. 1470-1471; Kua, J.H., Parker, G., Lee, C., Jorm, A.F., Beliefs about outcomes for mental disorders: A comparative study of primary health practitioners and psychiatricts in Singapore (2000) Singapore Med. J., 41, pp. 542-547; Aydin, N., Yigit, A., Inandi, T., Kirkpinar, I., Attitudes of hospital staff toward mentally ill patients in a teaching hospital (2003) Int. J. Soc. Psychiatry, 49, pp. 17-26; Llerena, A., Caceres, M.C., Penas, L., Ledo, E.M., Schizophrenia stigma among medical and nursing undergraduates (2002) Eur. Psychiatry, 17, pp. 298-299; Al-Adawi, S., Dorvlo, A.S., Al-Ismaily, S.S., Perception of and attitude towards mental illness in Oman (2002) Int. J. Soc. Psychiatry, 48, pp. 305-317; Thompson, A., Stuart, H., Bland, R.C., Arboleda-Florez, J., Warner, R., Dickson, R.A., Attitudes about schizophrenia from the pilot site of the WPA worldwide campaign against the stigma of schizophrenia (2002) Soc. Psychiatry Psychiatr. Epidemiol., 37, pp. 475-482; Sugiura, T., Sakamoto, S., Tanaka, E., Tomoda, A., Kitamura, T., Labeling effect of Seishin-bunretsu-byou, the Japanese translation for schizophrenia: An argument for relabeling (2001) Int. J. Soc. Psychiatry, 47, pp. 43-51","Üçok, A.; Istanbul Faculty of Medicine, , 34390 Capa, Istanbul, Turkey; email: alpucok@superonline.com",,,,,,,,13231316,,PCNEF,14678463,English,Psychiatry Clin. Neurosci.,Article,Final,"All Open Access, Bronze",Scopus,2-s2.0-1042300088 "Newhill C.E., Korr W.S.",6601915528;6602866029;,"Practice with people with severe mental illness: Rewards, challenges, burdens",2004,Health and Social Work,29,4,,297,305,,18,10.1093/hsw/29.4.297,https://www.scopus.com/inward/record.uri?eid=2-s2.0-9144257878&doi=10.1093%2fhsw%2f29.4.297&partnerID=40&md5=6a019dbbe0c542b059ef611526f87a32,"School of Social Work, University of Pittsburgh, 2326 Cathedral of Learning, Pittsburgh, PA 15260, United States; School of Social Work, Univ. of IL at Urbana-Champaign, United States; University of Pittsburgh, Campus Research Development Fund, Ctr. for Mental Hlth. Serv. Research, United States","Newhill, C.E., School of Social Work, University of Pittsburgh, 2326 Cathedral of Learning, Pittsburgh, PA 15260, United States; Korr, W.S., School of Social Work, Univ. of IL at Urbana-Champaign, United States, University of Pittsburgh, Campus Research Development Fund, Ctr. for Mental Hlth. Serv. Research, United States","The authors surveyed a random sample of 1,200 NASW members in post-master's practice in mental health to identify their attitudes toward practice with people with severe mental illness. Contrary to the literature that claims social workers have abandoned vulnerable populations or have negative attitudes toward this population, the authors found that the majority practice with this clientele and find their practice rewarding. Most of the respondents' frustration and obstacles in practice were related to systemic problems, not client-related problems. Respondents' recommendations for education of future practitioners are presented.",Attitudes; Mental health; Severe mental illness; Social work practice,adult; aged; controlled study; correlation analysis; data analysis; disease severity; female; general practitioner; health care delivery; health education; health service; health survey; human; major clinical study; male; medical literature; medical practice; mental disease; population research; review; social worker,,,,,"National Institute of Mental Health, NIMH: R24 MH056848","Christina E. Newhill, PhD, ACSW, LCSW, BCD, is associate professor, School of Social Work, University of Pittsburgh, 2326 Cathedral of Learning, Pittsburgh, PA 15260; e-mail: Newhill@pitt.edu. Wynne S. Korr, PhD, is dean, School of Social Work, University of Illinois at Urbana-Champaign. The authors wish to acknowledge the University of Pittsburgh Campus Research Development Fund and the Center for Mental Health Services Research, NIMH R24 MH056848, for supporting this research.",,,,,,"(2003) Diagnostic and Statistical Manual of Mental Disorders (4th Ed., Rev. Text), , Washington, DC: Author; Anthony, W.A., Cohen, M.R., Farkas, M., Professional pre-service training for working with the long-term mentally ill (1988) Community Mental Health Journal, 24, pp. 258-269; Bowker, J., (1985) Education for Practice with the Chronically Mentally Ill: What Works?, , Washington, DC: Council on Social Work Education; Chernus, L.A., Social workers: Fallen angels or mere mortals? (1995) Clinical Social Work Journal, 23, pp. 375-382; Fisher, R., Social services and community in the new private city (1996) Urban Affairs Review, 32, pp. 554-561; Foley, H., Sharfstein, S., (1983) Madness and Government: Who Cares for the Mentally Ill?, , Washington, DC: American Psychiatric Press; Gerhart, U., (1990) Caring for the Chronic Mentally Ill, , Itasca, IL: F. E. Peacock; Hargrove, D.S., Spaulding, W.D., Training psychologists for work with the chronically mentally ill (1988) Community Mental Health Journal, 24, pp. 283-295; Hogarty, G.E., Social work practice research on severe mental illness: Charting a future (1991) Research on Social Work Practice, 1, pp. 5-31; Kates, N., Cook, P., Denson, J., Low, J., Training residents to care for the mentally ill (1989) Canadian Journal of Psychiatry, 34, pp. 195-199; Larsen, J.K., Community mental health services in transition (1987) Community Mental Health Journal, 23, pp. 250-259; Lefley, H., Cutler, D., Training professionals to work with the chronically mentally ill (1988) Community Mental Health Journal, 24, pp. 253-257; Lehman, A.F., Strategies for improving services for the chronically mentally ill (1989) Hospital and Community Psychiatry, 40, pp. 916-920; Marsh, J., Review essay (1995) Journal of Sociology and Social Welfare, 22, pp. 125-130; Menninger, W.W., Hannah, G.T., (1984) The Chronic Mental Patient/II, , Washington, DC: American Psychiatric Press; Meyerson, A.T., (1987) Barriers to Treating the Chronic Mentally Ill, , San Francisco, CA: Jossey-Bass; Mirabi, M., Weinman, M.L., Magnetti, S.M., Keppler, K.N., Professional attitudes toward the chronic mentally ill (1985) Hospital and Community Psychiatry, 36, pp. 404-405; (1988) Clinical Training in Serious Mental Illness: Proceedings of the National Forum for Educating Mental Health Professionals to Work with the Seriously Mentally Ill and Their Families, , Chevy Chase, MD: Author; (1991) Caring for People with Severe Mental Disorders: A National Plan of Research to Improve Services, , (DHHS Publication No. ADM91-1792). Washington, DC: U.S. Government Printing Office; Nielsen, A.C., Stein, L.I., Talbott, J.A., Lamb, H.R., Osser, D.N., Glazer, W.M., Encouraging psychiatrists to work with chronic patients: Opportunities and limitations of residency education (1981) Hospital and Community Psychiatry, 32, pp. 767-775; O'Hare, T., The interest of trainees in working with seriously mentally ill persons (1997) Administration and Policy in Mental Health, 24, pp. 235-242; O'Neill, J.V., Profession dominates in mental health (1999) NASW News, 44, p. 1. , June; O'Neill, J.V., Surgeon general's report lauded (2000) NASW News, 45, p. 1. , February; Packer, S., Prendergast, P., Wasylenki, D., Toner, B., Ali, A., Psychiatric residents' attitudes toward patients with chronic mental illness (1994) Hospital and Community Psychiatry, 45, pp. 1117-1121; Rabkin, J., Public attitudes toward mental illness: A review of the literature (1974) Schizophrenia Bulletin, 10, pp. 9-33; Rapp, C.A., Hanson, J., Toward a model social work curriculum for practice with the chronically mentally ill (1988) Community Mental Health Journal, 23, pp. 48-55; Reda, S., Public perception of discharged psychiatric patients: A community survey (1996) International Journal of Social Psychiatry, 42, pp. 220-229; Rubin, A., Johnson, P.J., Practitioner orientations toward the chronically disabled: Prospects for policy implementation (1982) Administration in Mental Health, 10, pp. 3-12; Sands, R., (1991) Clinical Social Work Practice in Community Mental Health, , New York: Macmillan; Schwartz, S., Krieger, M., Sorensen, J., Preliminary survey of therapists who work with chronic patients: Implications for training (1981) Hospital and Community Psychiatry, 32, pp. 799-800; Specht, H., Courtney, M., (1994) Unfaithful Angels: How Social Work Has Abandoned Its Mission, , New York: Free Press; (1998) Mental Health, United States: 1998, , Washington, DC: Author; Talbott, J.A., (1978) The Chronic Mental Patient: Problems, Solutions, and Recommendations for a Public Policy, , Washington, DC: American Psychiatric Press; Tobias, M., Validator: A key role in empowering the chronically mentally ill [Points & Viewpoints] (1990) Social Work, 35, pp. 357-359; (1999) Mental Health: A Report of the Surgeon General, , Rockville, MD: Substance Abuse and Mental Health Services Administration, Center for Mental Health Services; Wahl, O.F., (1995) Media Madness: Public Images of Mental Illness, , New Brunswick, NJ: Rutgers University Press; Werrbach, G.B., DePoy, E., Social work students' interest in working with persons with serious mental illness (1993) Journal of Social Work Education, 29, pp. 200-211; Werrbach, G.B., DePoy, E., Working with persons with serious mental illness: Implication for social work recruitment and retention (1993) Community Mental Health Journal, 29, pp. 305-319; White, H.S., Bennett, M.B., Training psychiatric residents in chronic care (1981) Hospital and Community Psychiatry, 32, pp. 339-343; Winerip, M., The crisis of the mentally ill (1999) New York Times Magazine, pp. 42-49. , May 23. Sect. 6","Newhill, C.E.; School of Social Work, , Pittsburgh, PA 15260, United States; email: Newhill@pitt.edu",,,National Association of Social Workers,,,,,3607283,,HSWOD,,English,Health Soc. Work,Review,Final,,Scopus,2-s2.0-9144257878 "Hayes S.C., Bissett R., Roget N., Padilla M., Kohlenberg B.S., Fisher G., Masuda A., Pistorello J., Rye A.K., Berry K., Niccolls R.",7202407986;6603897335;8692218900;15835810900;6603554724;7402440224;7201483424;6602263422;8692219500;8692219600;54887279200;,The impact of acceptance and commitment training and multicultural training on the stigmatizing attitudes and professional burnout of substance abuse counselors,2004,Behavior Therapy,35,4,,821,835,,216,10.1016/S0005-7894(04)80022-4,https://www.scopus.com/inward/record.uri?eid=2-s2.0-23044504751&doi=10.1016%2fS0005-7894%2804%2980022-4&partnerID=40&md5=468f0a8939b1779e0302c0fd96e37c61,"University of Nevada, Reno, NV, United States; Department of Psychology/296, University of Nevada, Reno, NV 89557-0062, United States","Hayes, S.C., University of Nevada, Reno, NV, United States, Department of Psychology/296, University of Nevada, Reno, NV 89557-0062, United States; Bissett, R., University of Nevada, Reno, NV, United States; Roget, N., University of Nevada, Reno, NV, United States; Padilla, M., University of Nevada, Reno, NV, United States; Kohlenberg, B.S., University of Nevada, Reno, NV, United States; Fisher, G., University of Nevada, Reno, NV, United States; Masuda, A., University of Nevada, Reno, NV, United States; Pistorello, J., University of Nevada, Reno, NV, United States; Rye, A.K., University of Nevada, Reno, NV, United States; Berry, K., University of Nevada, Reno, NV, United States; Niccolls, R., University of Nevada, Reno, NV, United States","Empirically validated methods for reducing stigma and prejudice toward recipients of behavioral health-care services are badly needed. In the present study, two packages presented in 1-day workshops were compared to a biologically oriented educational control condition in the alleviation of stigmatizing attitudes in drug abuse counselors. One, Acceptance and Commitment Training (ACT), utilized acceptance, defusion, mindfulness, and values methods. The other, multicultural training, sensitized participants to group prejudices and biases. Measures of stigma and burnout were taken pretraining, posttraining, and after a 3-month follow-up. Results showed that multicultural training had an impact on stigmatizing attitudes and burnout post-intervention but not at follow-up, but showed better gains in a sense of personal accomplishment as compared to the educational control at follow-up. ACT had a positive impact on stigma at follow-up and on burnout at posttreatment and follow-up and follow-up gains in burnout exceeded those of multicultural training. ACT also significantly changed the believability of stigmatizing attitudes. This process mediated the impact of ACT but not multicultural training on follow-up stigma and burn-out. This preliminary study opens new avenues for reducing stigma and burnout in behavioral health counselors. Copyright 2004 by Association for Advancement of Behavior Therapy All rights for reproduction in any form reserved.",,acceptance and commitment training; achievement; adult; article; attitude; behavior therapy; burnout; clinical trial; controlled clinical trial; controlled study; education; female; follow up; health care industry; health care personnel; human; intermethod comparison; male; multicultural training; normal human; social psychology; stigmatizing attitude; substance abuse; substance abuse counselor; workshop,,,,,"Substance Abuse and Mental Health Services Administration, SAMHSA: TI12899; Center for Substance Abuse Treatment, CSAT","Empirically validated methods for reducing stigma and prejudice toward recipients of behavioral health-care services are badly needed. In the present study, two packages presented in 1-day workshops were compared to a biologically oriented educational control condition in the alleviation of stigmatizing attitudes in drug abuse counselors. One, Acceptance and Commitment Training (ACT), utilized acceptance, delusion, mindfulness, and values methods. The other, multicultural training, sensitized participants to group prejudices and biases. Measures of stigma and burnout were taken pretraining, posttraining, and after a 3-month follow-up. Results showed The present project was funded by a grant from the Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration, Grantee TI12899. This project was designed and implemented as part of the Nevada Practice Improvement Collaborative. The authors would like to thank Dr, Susan Doctor, Leslie Steve, Dr. John Chappel, Garry Rubinstein, and Casey Sackett for their help with this study.",,,,,,"Bach, P., Hayes, S.C., The use of Acceptance and Commitment Therapy to prevent the rehospitalization of psychotic patients: A randomized controlled trial (2002) Journal of Consulting and Clinical Psychology, 70, pp. 1129-1139; Bakker, A.B., Demerouti, E., Schaufeli, W.B., Validation of the Maslach Burnout Inventory -General Survey: An internet study (2002) Anxiety, Stress and Coping, 15, pp. 245-260; Baron, R.M., Kenny, D.A., The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations (1986) Journal of Personality and Social Psychology, 51, pp. 1173-1182; Bond, F.W., Bunce, D., Mediators of change in emotion-focused and problem-focused worksite stress management interventions (2000) Journal of Occupational Health Psychology, 5, pp. 156-163; Bradley, J.R., Cartwright, S., Social support, job stress, health, and job satisfaction among nurses in the United Kingdom (2002) International Journal of Stress Management, 9, pp. 163-182; Corrigan, P.W., Testing social cognitive models of mental illness stigma: The prairie state stigma studies (2002) Psychiatric Rehabilitation Skills, 6, pp. 232-254; Corrigan, P.W., Penn, D.L., Lessons from social psychology on discrediting psychiatric stigma (1999) American Psychologist, 54, pp. 765-776; Corrigan, P.W., River, L., Lundin, R.K., Penn, D.L., Uphoff-Wasowski, K., Campion, J., Mathisen, J., Kubiak, M.A., Three strategies for changing attributions about severe mental illness (2001) Schizophrenia Bulletin, 27, pp. 187-195; Couture, S.M., Penn, D.L., Interpersonal contact and the stigma of mental illness: A review of the literature (2003) Journal of Mental Health, 12, pp. 291-305; Crisp, A.H., Gelder, M.G., Nix, S., Meltzer, H.I., Rowlands, O.J., Stigmatisation of people with mental illnesses (2000) British Journal of Psychiatry, 177, pp. 4-7; Freedy, J.R., Hobfoll, S.E., Stress inoculation for reduction of burnout: A conservation of resources approach (1994) Anxiety, Stress, and Coping: An International Journal, 6, pp. 211-325; Garman, A.N., Corrigan, P.W., Morris, S., Staff burnout and patient satisfaction: Evidence of relationships at the care unit level (2002) Journal of Occupational Health Psychology, 7, pp. 235-241; Geurts, S., Schaufeli, W., De Jonge, J., Burnout and intention to leave among mental health-care professionals: A social psychological approach (1998) Journal of Social and Clinical Psychology, 17, pp. 341-362; Hayes, S.C., Acceptance and Commitment Therapy, Relational Frame Theory, and the third wave of behavior therapy (2004) Behavior Therapy, 35, pp. 639-665; Hayes, S.C., Follette, V.M., Linehan, M.M., (2004) Mindfulness, Acceptance, and Relationship: Expanding the Cognitive Behavioral Tradition, , New York: The Guilford Press; Hayes, S.C., Jacobson, N.S., Follette, V.M., Dougher, M.J., (1994) Acceptance and Change: Content and Context in Psychotherapy, , Reno, NV: Context Press; Hayes, S.C., Niccolls, R., Masuda, A., Rye, A.K., Prejudice, terrorism, and behavior therapy (2002) Cognitive and Behavioral Practice, 9, pp. 296-301; Hayes, S.C., Strosahl, K.D., Wilson, K.G., (1999) Acceptance and Commitment Therapy: An Experiential Approach to Behavior Change, , New York: The Guilford Press; Kiselica, M.S., Maben, P., Locke, D.C., Do multicultural education and diversity appreciation training reduce prejudice among counseling trainees? (1999) Journal of Mental Health Counseling, 21, pp. 240-254; Lacoursiere, R.B., ""Burnout"" and substance user treatment: The phenomenon and the administrator-clinician's experience (2001) Substance Use and Misuse, 36, pp. 1839-1874; Langer, E.J., Fiske, S., Taylor, S.E., Chanowitz, B., Stigma, staring, and discomfort: A novel-stimulus hypothesis (1976) Journal of Experimental Social Psychology, 12, pp. 451-463; Linehan, M.M., Cochran, B.N., Mar, C.M., Levensky, E.R., Comtois, K.A., Therapeutic burnout among borderline personality disordered clients and their therapists: Development and evaluation of two adaptations of the Maslach Burnout Inventory (2000) Cognitive and Behavioral Practice, 7, pp. 329-337; Liu, H., (1997) Burnout and Organizational Commitment among Staff of Publicly Funded Substance User Treatment Program, , Doctoral Dissertation, University of Maryland, Baltimore; MacKinnon, D.P., (2003) Mediator and Moderator Methods, , November. Paper presented at the meeting of the Association for Advancement of Behavior Therapy, Boston, MA; MacKinnon, D.P., Lockwood, C.M., Hoffman, J.M., West, S.G., Sheets, V., A comparison of methods to test mediation and other intervening variable effects (2002) Psychological Methods, 7, pp. 83-104; Macrae, C.N., Bodenhausen, G.V., Milne, A.B., Jetten, J., Out of mind but back in sight: Stereotypes on the rebound (1994) Journal of Personality & Social Psychology, 67, pp. 808-817; Maslach, C., Jackson, S.E., Leiter, M.P., (1996) Maslach Burnout Inventory (3rd Ed.), , Palo Alto, CA: Consulting Psychologists Press; McLellan, A.T., Carise, D., Kleber, H.D., Can the national addiction treatment infrastructure support the public's demand for quality care? (2003) Journal of Substance Abuse Treatment, 25, pp. 117-121; Mehta, S., Farina, A., Is being ""sick"" really better? Effect of the disease view of mental disorder on stigma (1997) Journal of Social and Clinical Psychology, 16, pp. 405-419; (1980) Staff Burnout: Training Manual, , (National Institute on Drug Abuse Publication No. 80-00115). Washington, DC: Author; Paradis, F.E., Themes in the training of culturally effective psychotherapists (1981) Counselor Education and Supervision, 21, pp. 134-156; Parker, W.M., McDavis, R.J., An awareness experience: Toward counseling minorities (1989) Counselor Education and Supervision, 19, pp. 312-317; Penn, D.L., Kommana, S., Mansfield, M., Link, B.G., Dispelling the stigma of schizophrenia: II. The impact of information on dangerousness (1999) Schizophrenia Bulletin, 25, pp. 437-446; Penn, D.L., Martin, J., The stigma of severe mental illness: Some potential solutions for a recalcitrant problem (1998) Psychiatric Quarterly. Special Issue: New Frontiers in the Psychiatric Rehabilitation of Schizophrenia, 69, pp. 235-247; Rosenfield, S., Labeling mental illness: The effects of received services and perceived stigma on life satisfaction (1997) American Sociological Review, 62, pp. 660-672; Rudolph, J., Effects of a workshop on mental health practitioners' attitudes toward homosexuality and counseling effectiveness (1989) Journal of Counseling and Development, 68, pp. 81-85; Schaufeli, W.B., Maslach, C., Marek, T., (1993) Professional Burnout: Recent Developments in Theory and Research, , Philadelphia: Taylor and Francis; Sherman, M.D., Thelen, M.H., Distress and professional impairment among psychologists in clinical practice (1998) Professional Psychology: Research and Practice, 29, pp. 79-85; Shoptaw, S., Stein, J.A., Rawson, R.A., Burnout in substance abuse counselors: Impact of environment, attitudes, and clients with HIV (2000) Journal of Substance Abuse Treatment, 19, pp. 117-126; Smart, L., Wegner, D.M., Covering up what can't be seen: Concealable stigma and mental control (1999) Journal of Personality and Social Psychology, 77, pp. 474-486; Smart, L., Wegner, D.M., The hidden costs of hidden stigma (2000) The Social Psychology of Stigma, pp. 220-242. , T. F. Heatherton & R. E. Kleck (Eds.). New York: The Guilford Press; Taris, T.W., Peeters, M.C.W., Le Blanc, P.M., Schreurs, P.J.G., Schaufeli, W.B., From inequity to burnout: The role of job stress (2001) Journal of Occupational Health Psychology, 6, pp. 303-323; Taylor, S.M., Dear, M.J., Social community attitudes toward the mentally ill (1981) Schizophrenia Bulletin, 7, pp. 225-240; Titchener, E.B., (1916) A Text-book of Psychology, , New York: MacMillan; Dierendonck, D., Schaufeli, W.B., Buunk, B.P., The evaluation of an individual burnout intervention program: The role of inequity and social support (1998) Journal of Applied Psychology, 83, pp. 392-407; Zettle, R.D., Hayes, S.C., Dysfunctional control by client verbal behavior: The context of reason giving (1986) The Analysis of Verbal Behavior, 4, pp. 30-38","Hayes, S.C.; Department of Psychology/296, , Reno, NV 89557-0062, United States; email: hayes@unr.edu",,,Association for Advancement of Behavior Therapy,,,,,57894,,BHVTA,,English,Behav. Ther.,Article,Final,"All Open Access, Green",Scopus,2-s2.0-23044504751 "Tay S.-E.C., Pariyasami S.D.O., Ravindran K., Ali M.I.A., Rowsudeen M.T.",57214038108;6507086188;8292238900;8292239000;6506944868;,Nurse's attitudes toward people with mental illnesses in a psychiatric hospital in Singapore,2004,Journal of Psychosocial Nursing and Mental Health Services,42,10,,40,47,,23,10.3928/02793695-20041001-08,https://www.scopus.com/inward/record.uri?eid=2-s2.0-16544386198&doi=10.3928%2f02793695-20041001-08&partnerID=40&md5=008ebe7a0f52b012a4aaa7c4eaefe2fb,"Nursing Department, Institute of Mental Health, Woodbridge Hospital, Singapore, Singapore; Nursing Department, Institute of Mental Health, Woodbridge Hospital, 10 Buangkok View, Singapore 539747, Singapore","Tay, S.-E.C., Nursing Department, Institute of Mental Health, Woodbridge Hospital, Singapore, Singapore, Nursing Department, Institute of Mental Health, Woodbridge Hospital, 10 Buangkok View, Singapore 539747, Singapore; Pariyasami, S.D.O., Nursing Department, Institute of Mental Health, Woodbridge Hospital, Singapore, Singapore; Ravindran, K., Nursing Department, Institute of Mental Health, Woodbridge Hospital, Singapore, Singapore; Ali, M.I.A., Nursing Department, Institute of Mental Health, Woodbridge Hospital, Singapore, Singapore; Rowsudeen, M.T., Nursing Department, Institute of Mental Health, Woodbridge Hospital, Singapore, Singapore","A positive attitude toward people with mental illnesses is a necessary dimension of psychiatric nursing practice. Although studies have been conducted in Israel and Australia to examine the attitudes of nurses toward people with mental illnesses, no such study had been conducted in Singapore. This study explored the factors influencing nurses' attitudes toward and their involvement in caring for people with mental illnesses, and sought to establish the relevance and effects of mental health training on enhancing the nurses' positive attitudes. The study used a descriptive, self-administered questionnaire, which contained 24 statements scored on a Likert scale. Factors related to attitudes toward people with mental illnesses included age, professional qualification, years of psychiatric nursing experience, type of ward, and designation (i.e., position within the institution). The questionnaires were given to all of the local nurses working in a psychiatric hospital in Singapore, and 96% returned the questionnaires. Results showed that nurses with any of the following characteristics had a more positive attitude: age group of 31 to 50; professional qualification of advanced diploma in mental health nursing, nursing degree, or post-basic certificate; or more than 10 years of psychiatric nursing experience. In addition, nursing officers had a more positive attitude than staff nurses or assistant nurses, and nurses working in the short-stay wards had more positive attitudes than those working in the long-stay wards.",,"adult; age; article; clinical competence; demography; education; female; health personnel attitude; human; male; manpower; mental disease; mental health service; mental hospital; middle aged; nurse patient relationship; psychiatric nursing; questionnaire; Singapore; Adult; Age Factors; Attitude of Health Personnel; Clinical Competence; Demography; Female; Hospitals, Psychiatric; Humans; Male; Mental Disorders; Mental Health Services; Middle Aged; Nurse-Patient Relations; Psychiatric Nursing; Questionnaires; Singapore",,,,,,,,,,,,"Devine, P.G., Stereotypes and prejudice: Their automatic and controlled components (1989) Journal of Personality and Social Psychology, 56, pp. 5-18; Ewers, P., Bradshaw, T., McGovern, J., Ewers, B., Does training in psychosocial interventions reduce burnout rates in forensic nurses? (2002) Journal of Advanced Nursing, 37, pp. 470-476; Forchuk, C., People with enduring mental health problems described the importance of communication, continuity of care, and stigma (2002) Evidence-Based Nursing, 5 (3), p. 93; Jorm, A.F., Korten, A.E., Jacomb, P.A., Christensen, H., Henderson, S., Attitudes toward people with a mental disorder: A survey of the Australian public and health professionals (1999) Australian and New Zealand Journal of Psychiatry, 33, pp. 77-83; Lam, A., McMaster, R., Troup, C., A pilot study: Students' attitudes and interests in mental health nursing (1993) Australian Journal of Mental Health Nursing, 2, pp. 281-286; Mavundla, T.R., Uys, L.R., The attitudes of nurses toward mentally ill people in a general hospital setting in Durban (1997) Curationis, 20 (2), pp. 3-7; McLoughlan, J.K., Chalmers, J., Student nurses' attitude toward mental illness: Impact of education and exposure (1991) Australian Journal of Mental Health Nursing, 1 (4), pp. 12-17; Napoletano, M.A., Correlates of change in attitudes toward mental illness among vocational nursing students (1981) Psychological Reports, 49, pp. 147-150; Olade, R.A., Attitudes toward mental illness: A comparison of post-basic nursing students with science students (1979) Journal of Advanced Nursing, 4, pp. 39-46; Rogers, T.S., Kashima, Y., Nurses' responses to people with schizophrenia (1998) Journal of Advanced Nursing, 27, pp. 195-203; Stevens, J.A., Dulhunty, G.M., New South Wales nursing students' attitudes toward a career in mental health (1992) Australian Journal of Mental Health Nursing, 2, pp. 59-64; Weller, L., Grunes, S., Does contact with the mentally ill affect nurses' attitudes to mental illness? (1988) British Journal of Medical Psychology, 61 (PART 3), pp. 277-284","Tay, S.-E. C.; Nursing Department, 10 Buangkok View, Singapore 539747, Singapore; email: sim_eng_tay@imh.com.sg",,,Slack Incorporated,,,,,2793695,,,15543671,English,J. Psychosocial Nurs. Ment. Health Serv.,Article,Final,,Scopus,2-s2.0-16544386198 "Kloss J.D., Lisman S.A.",7003745032;6603813379;,"Clinician Attributions and Disease Model Perspectives of Mentally Ill, Chemically Addicted Patients: A Preliminary Investigation",2003,Substance Use and Misuse,38,14,,2097,2107,,15,10.1081/JA-120025127,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0345491853&doi=10.1081%2fJA-120025127&partnerID=40&md5=96b13143ce4860954fc0a98a37b67c28,"Department of Psychology, Drexel University, 3141 Chestnut St., Philadelphia, PA 19104, United States; State Univ. of New York Binghamton, Binghamton, NY, United States","Kloss, J.D., Department of Psychology, Drexel University, 3141 Chestnut St., Philadelphia, PA 19104, United States; Lisman, S.A., State Univ. of New York Binghamton, Binghamton, NY, United States","Brickman et al.'s (Brickman, P., Rabinowitz, V. C., Coates, D., Cohn, E., Kidder, L. (1982). Models of helping and coping. American Psychologist 37:364-384.) models of helping and coping provided a framework by which to compare clinicians' attributions of blame and control among several hypothetical patients. Sixty-one mental health clinicians (MHCs) and addiction clinicians (ACs)-mostly master's level clinicians and registered nurses-rated attributions toward vignettes that depicted individuals with schizophrenia, alcoholism, and mentally ill, chemically addicted (MICA) classifications in 1995. Results indicate that MHCs attributed more blame to MICA patients than did ACs, but did not differ on their attributions of control. MHCs' and ACs' attributions of blame and control were generally low, consistent with a medical model. However, the endorsement of a disease model of alcoholism did not significantly predict the amount of blame attributed by the clinicians. Implications for treatment planning for MICA patients are discussed.",Blame; Clinician attributions; Dual diagnosis; MICA (mentally ill chemically addicted); Responsibility,"adult; alcoholism; article; comparative study; controlled study; coping behavior; disease classification; disease model; doctor patient relation; drug dependence; female; human; male; mood; normal human; physician attitude; priority journal; problem solving; psychiatric diagnosis; questionnaire; responsibility; schizophrenia; treatment planning; Adaptation, Psychological; Adult; Alcoholism; Attitude of Health Personnel; Attitude to Health; Diagnosis, Dual (Psychiatry); Female; Humans; Male; Mental Health Services; Middle Aged; Models, Psychological; Problem Solving; Professional-Patient Relations; Questionnaires; Schizophrenia; Substance Abuse Treatment Centers",,,,,"University of Pennsylvania, Penn","Professor in the Department of Psychology at Drexel University. She holds a postdoctoral fellowship posi tion at the University of Pennsylvania. Her research and clinical interests are in health psychology. While she has maintained interest in addictive beha viors, her research program has evolved to include the relationship between stress and illness, as well as a specialty in behavioral sleep medicine.",,,,,,"Blum, T., Roman, P.M., Bennett, N., Public images of alcoholism: Data from a Georgia survey (1989) Journal of Studies on Alcohol, 50, pp. 5-14; Brickman, P., Rabinowitz, V.C., Coates, D., Cohn, E., Kidder, L., Models of helping and coping (1982) American Psychologist, 37, pp. 364-384; Carey, K., Research with dual diagnosis patients: Challenges and recommendations (1991) The Behavior Therapist, 14, pp. 5-8; Cunningham, J., Sobell, L., Sobell, M.B., Are disease and other conceptions of alcohol abuse related to beliefs about outcome and recovery? (1996) Journal of Applied Social Psychology, 28, pp. 773-780; Forman, R.F., Bovasso, G., Woody, G., Staff beliefs about addiction treatment (2001) Journal of Substance Abuse Treatment, 21, pp. 1-9; Humphreys, K., Greenbaum, M.A., Noke, J., Finney, J., Reliability, validity, and normative data for a short version of the understanding of alcoholism scale (1995) Psychology of Addictive Behaviors, 10, pp. 38-44; Jones, E.E., Nisbett, R.E., (1971) The Actor and the Observer: Divergent Perceptions of the Cases of Behavior, , Morristown, NJ: General Learning Press; McCrady, B., Alcoholics anonymous and behavior therapy: Can habits be treated as diseases? Can diseases be treated as habits? (1994) Journal of Consulting and Clinical Psychology, 62, pp. 1159-1166; Mechanic, D., McAlpine, D., Rosenfield, S., Davis, D., Effects of illness attribution and depression on the quality of life among persons with serious mental illness (1994) Social Science Medicine, 39, pp. 155-164; Milam, J.R., Ketcham, K., (1983) Under the Influence: A Guide to Myths and Realities of Alcoholism, , New York: Bantam Books; Moyers, T.B., Miller, W.R., Therapist conceptualizations of alcoholism: Measurement and implications for treatment decisions (1993) Psychology of Addictive Behaviors, 7, pp. 238-245; Mueser, K., Bellack, A., Blanchard, J., Comorbidity of schizophrenia and substance abuse: Implications for treatment (1992) Journal of Consulting and Clinical Psychology, 60, pp. 845-856; Osher, F., Kofoed, L., Treatment of patients with psychiatric and psychoactive substance abuse disorder (1989) Hospital and Community Psychiatry, 40, pp. 1025-1030; Schaler, J.A., The addiction belief scale (1995) International Journal of the Addictions, 30, pp. 117-134; Thombs, D.L., Osborn, C.J., A cluster analytic study of clinical orientations among chemical dependency counselors (2001) Journal of Counseling and Development, 79, pp. 450-448; Zweben, J., Dual diagnosis: Key issues for the 1990's (1993) Psychology of Addictive Behaviors, 7, pp. 163-172","Kloss, J.D.; Department of Psychology, 3141 Chestnut St., Philadelphia, PA 19104, United States; email: jdk29@drexel.edu",,,,,,,,10826084,,SUMIF,14677783,English,Subst. Use Misuse,Article,Final,"All Open Access, Green",Scopus,2-s2.0-0345491853 "Foster J.H., Onyeukwu C.",57223621739;7801368105;,The attitudes of forensic nurses to substance using service users,2003,Journal of Psychiatric and Mental Health Nursing,10,5,,578,584,,29,10.1046/j.1365-2850.2003.00663.x,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0141958680&doi=10.1046%2fj.1365-2850.2003.00663.x&partnerID=40&md5=a3e3ab4daaaaf9de79651d963de075a0,"Dept. of Health and Social Sciences, Middlesex University, Enfield Campus, Queensway, Enfield, Middlesex, United Kingdom; Mental Health Unit, Barnet, Enfield, United Kingdom; Haringay NHS Trust, Haringay, United Kingdom; Dept. of Health and Social Sciences, Middlesex University, Enfield Campus, Queensway, Enfield Middlesex EN3 4SF, United Kingdom","Foster, J.H., Dept. of Health and Social Sciences, Middlesex University, Enfield Campus, Queensway, Enfield, Middlesex, United Kingdom, Dept. of Health and Social Sciences, Middlesex University, Enfield Campus, Queensway, Enfield Middlesex EN3 4SF, United Kingdom; Onyeukwu, C., Mental Health Unit, Barnet, Enfield, United Kingdom, Haringay NHS Trust, Haringay, United Kingdom","There is now a body of research that has shown that the attitudes of nurses towards substance misuse in the mentally ill are generally suboptimal and this has an impact on the quality of nursing care provided. Despite this, to date there have been no published studies that have examined the attitudes of forensic nurses towards substance misusing forensic service users. Sixty-three multiethnic registered forensic psychiatric nurses based on an inpatient unit in outer London were surveyed using the Substance Abuse Attitude Survey (SAAS). This has five subscores: Treatment Intervention, Treatment Optimism, Permissiveness, Non-Moralism and Non-Stereotypes. Only Permissiveness scores were at an optimum level and equivalent to other community mental health workers. The Treatment Intervention and Treatment Optimism subscores were well below those of a multidisciplinary group of community mental health workers. Three other findings were of note. Firstly, women had higher Non-Moralism scores than men. Secondly, staff nurses had higher Non-Stereotypes scores than other grades. Finally, Black nurses had higher Treatment Optimism scores than non-Black colleagues. In conclusion, the attitudes of forensic nurses towards substance misuse in forensic clients are more suboptimal than other groups of community mental health workers. Our findings also indicate that gender, staff grading and ethnicity are associated with suboptimal scores.",Alcohol; Attitudes; Ethnicity; Forensic; Gender; Substance misuse,adult; article; controlled study; drug misuse; ethnology; female; forensic psychiatry; human; male; malpractice; mental health service; mental patient; normal human; nurse attitude; nursing; treatment outcome; Adult; Attitude of Health Personnel; Attitude to Health; Female; Forensic Psychiatry; Humans; Male; Middle Aged; Nurse-Patient Relations; Psychiatric Nursing; Questionnaires; Substance-Related Disorders,,,,,,,,,,,,"Browne, D., The black experience of mental health law (1996) Mental Health Matters - A Reader, pp. 196-204. , eds Heller, T., Reynolds, J., Gomm, R., Muston, R. & Pattison, S. Open University Press, Basingstoke; Carroll, J., Attitudes of prison nurse officers to drug misusers (1995) Nursing Times, 91, pp. 36-37; Chappel, J., Veach, T., Effects of a course on students attitudes towards substance abuse and its treatment (1987) Journal of Medical Education, 62, pp. 394-400; Chappel, J., Veach, T., Krug, R., The Substance Abuse Attitudes Survey: An instrument for measuring attitudes (1985) Journal of Studies on Alcohol, 46, pp. 48-52; Coid, J., Kahtan, N., Gault, S., Jarman, B., Ethnic differences in admissions to secure forensic psychiatry services (2000) British Journal of Psychiatry, 177, pp. 241-247; Crichton, J., Mental disorder and crime: Coincidence, correlation and cause (1999) Journal of Forensic Psychiatry, 10, pp. 659-677; Gerace, L., Hughes, T., Spunt, J., Improving nurses responses towards substance-misusing patients: A clinical evaluation project (1995) Archives of Psychiatric Nursing, 9, pp. 286-294; Gournay, K., Sandford, T., Johnson, S., Thornicroft, G., Dual diagnosis of severe mental health problems and substance abuse/dependence: A major priority for mental health nursing (1997) Journal of Psychiatric and Mental Nursing, 4, pp. 89-95; Greenwood, N., Chisholm, B., Burns, T., Harvey, K., Community mental health team case-loads and diagnosis case-mix (2000) Psychiatric Bulletin, 24, pp. 290-293; Griffiths, R., Pearson, B., (1988) Working with Drug Users, , Wildwood House, Hampshire; Hagemaster, J., Handley, S., Plumlee, A., Sullivan, E., Stanley, S., Developing educational programmes for nurses that meet today's addiction challenges (1993) Nurse Education Today, 13, pp. 421-425; Holland, M., Dual diagnosis-substance misuse and schizophrenia (2002) Psychosocial Intervention for People with Schizophrenia, pp. 189-204. , eds Harris, N., Williams, S. & Bradshaw, T., Palgrave Macmillan, Basingstoke; Howard, M., Chung, S., Nurses attitudes towards substance misusers I (2000) Substance Use and Misuse, 35, pp. 347-365; Isherwood, S., Brooke, D., Prevalence and severity of substance misuse amongst referrals to a local forensic service (2001) Journal of Forensic Psychiatry, 12, pp. 446-454; McKeown, M., Liebling, H., Staff perception of illicit drug use within a special hospital (1995) Journal of Psychiatric and Mental Nursing, 2, pp. 343-350; Murray, K., The use of beds in NHS medium secure in England (1996) Journal of Forensic Psychiatry, 7, pp. 504-524; Reinarman, C., Levine, H., Real opposition, real alternatives, reducing the harms of drug use and drug policy (1997) Crack in America: Demon Drugs Social Justice, pp. 345-366. , eds Reinarman, C. & Levine, H., University of California Press, Los Angeles, CA; Richmond, I., Foster, J.H., Mental health professionals moral attitudes towards people with co-morbid mental health and substance misuse problems (2003) Journal of Mental Health, 12, pp. 391-401; Sandford, J., Drug use is increasing (1995) Nursing Times, 9, pp. 16-17; Tarbuck, P., Thompson, T., Defining and treating challenging behaviour (1995) Nursing Standard, 9, pp. 30-33; Walsh, I., (1989) Attitudes among Nurses Towards Substance Abuse, , UMI, Ann Arbor, MI","Foster, J.H.; Dept. of Health and Social Sciences, Queensway, Enfield Middlesex EN3 4SF, United Kingdom; email: j.foster@mdx.ac.uk",,,,,,,,13510126,,JPMNE,12956637,English,J. Psychiatr. Ment. Health. Nurs.,Article,Final,,Scopus,2-s2.0-0141958680 "Markham D., Trower P.",7005566924;7004107266;,The effects of the psychiatric label 'borderline personality disorder' on nursing staff's perceptions and causal attributions for challenging behaviours,2003,British Journal of Clinical Psychology,42,3,,243,256,,108,10.1348/01446650360703366,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0142031163&doi=10.1348%2f01446650360703366&partnerID=40&md5=ee613ec1fd83456062405ce280ad0bbb,"Psychology Department, S. Warwickshire Primary Care Trust, St. Michael's Hospital, Warwick CV34 5QW, United Kingdom; South Birmingham MHT, Birmingham, United Kingdom; University of Birmingham, Birmingham, United Kingdom","Markham, D., Psychology Department, S. Warwickshire Primary Care Trust, St. Michael's Hospital, Warwick CV34 5QW, United Kingdom, University of Birmingham, Birmingham, United Kingdom; Trower, P., South Birmingham MHT, Birmingham, United Kingdom, University of Birmingham, Birmingham, United Kingdom","Objectives. The aim of the study was to investigate how the psychiatric label 'borderline personality disorder' (BPD) affected staffs perceptions and causal attributions about patients' behaviour. Methods and design. The study utilized a within-participants questionnaire methodology and participants comprised qualified mental health nursing staff. The questionnaire contained descriptions of challenging behaviour in which the patient was described with a diagnosis of depression, schizophrenia or BPD. Participants were asked to identify a likely cause of the behaviour and then on a Likert-type scale rate attributions of internality, stability, globality and controllability. In addition they recorded their level of sympathy with the patient and their optimism for change. Results. Patients with a label of BPD attracted more negative responses from staff than those with a label of schizophrenia, or depression. Causes of their negative behaviour were rated as more stable and they were thought to be more in control of the causes of the behaviour and the behaviour itself. Staff reported less sympathy and optimism towards patients with a diagnosis of BPD and rated their personal experiences as more negative than their experiences of working with patients with a diagnosis of depression or schizophrenia. Conclusions. Staff regard patients with a BPD label to be more in control of negative behaviour than patients with a label of schizophrenia or depression. In accord with Weiner's (1985) model, attributions of control were inversely related to staff sympathy. Addressing attributions of control may provide a means to modify staff sympathy towards patients with a diagnosis of BPD and counteract their negative experiences.",,article; attitude; borderline state; controlled study; depression; experience; female; health care personnel; human; male; mental health service; methodology; nurse patient relationship; nursing; nursing staff; patient attitude; perception; priority journal; psychiatry; psychological aspect; psychology; questionnaire; rating scale; schizophrenia; Attitude of Health Personnel; Borderline Personality Disorder; Depression; Female; Humans; Male; Nurse-Patient Relations; Psychiatric Nursing; Questionnaires; Schizophrenia; Schizophrenic Psychology,,,,,,,,,,,,"Adler, G., The psychotherapy of core borderline psychopathology (1993) American Psychotherapy, 47, pp. 194-205; Beck, A.T., Freeman, A.M., (1990) Cognitive Therapy of Personality Disorders, , New York: Guilford Press; Bentall, R.P., Kinderman, P., Kaney, S., The self, attributional processes and abnormal beliefs: Towards a model of persecutory delusions (1994) Behaviour Research and Therapy, 32, pp. 331-341; Berrios, G.E., European views on personality disorders: A conceptual history (1993) Comprehensive Psychiatry, 34, pp. 14-30; Blackburn, R., On moral judgements and personality disorders: The myth of psychopathic personality revisited (1988) British Journal of Psychiatry, 153, pp. 505-512; Breakey, W.R., Fischer, P.J., Nestadt, G., Romanoski, A., Stigma and stereotype: Homeless mentally ill persons (1992) Stigma and Mental Illness, pp. 97-112. , In P. J. Fink & A. Tasman (Eds.); Washington, DC: American Psychiatric Press; Brickman, P., Rabinowitz, V.C., Karuza Jr., J., Coates, D., Cohn, E., Kidder, L., Models of helping and coping (1982) American Psychologist, 37, pp. 368-384; Brody, E.M., Farber, B.A., The effects of therapist experience and patient diagnosis on countertransference (1996) Psychotherapy, 33, pp. 372-380; Burnham, D.L., The special-problem patient: Victim or agent of splitting? (1966) Psychiatry, 29, pp. 105-122; Dagnan, D., Trower, P., Smith, R., Care staff responses to people with learning disabilities and challenging behaviour: A cognitive-emotional analysis (1998) British Journal of Clinical Psychology, 37, pp. 59-68; Dawson, D.F., The therapeutic relationship (1996) Clinical Assessment and Management of Severe Personality Disorders, pp. 161-174. , In P. S. Links (Ed.); Washington, DC: American Psychiatric Press; (1999) Managing Dangerous People with Severe Personality Disorder: Proposals for Policy Development, , London: Department of Health/Home Office; Derksen, J., (1995) Personality Disorders: Clinical and Social Perspectives. Assessment and Treatment Based on DM-IV and ICD-10, , Chichester: Wiley; Dryden, W., (1990) Rational-Emotive Behavioural Counselling in Action, , London: Sage; Farina, A., Felner, R.D., Employment interviewer reactions to former mental patients (1973) Journal of Abnormal Psychology, 82, pp. 268-272; Fraser, K., Gallop, R., Nurses' confirming/disconfirming responses to patients diagnosed with borderline personality disorder (1993) Archives of Psychiatric Nursing, 7, pp. 336-341; Fredricks, J.C., Arenson, S.J., Physical attractiveness stereotype in causal attributions for socially undesirable behaviour (1992) Psychological Reports, 70, pp. 115-123; Gabbard, G.O., Patients who hate (1989) Psychiatry, 52, pp. 96-106; Gallop, R., Lancee, W.J., Garfinkel, P., How nursing staff respond to the label 'borderline personality disorder' (1989) Hospital and Community Psychiatry, 40, pp. 815-819; Gove, W.R., Labelling theory's explanation of mental illness: An update of recent evidence (1982) Deviant Behavior, 3, pp. 307-327; Gretarsson, S.J., Gelfand, D.M., Mothers' attributions regarding their children's social behaviour and personality characteristics (1988) Developmental Psychology, 24, pp. 264-269; Gunderson, J.G., Najavits, L.M., Leonhard, C., Sullivan, C.N., Sabo, A.N., Ontogeny of the therapeutic alliance in borderline patients (1997) Psychotherapy Research, 7, pp. 301-309; Heider, F., (1958) The Psychology of Interpersonal Relations, , New York: Wiley; Jackson, L.A., Sullivan, L.S., Hodge, C.N., Stereotype effects on attributions, predictions, and evaluations: No two social judgements are quite alike (1993) Journal of Personality and Social Psychology, 65, pp. 69-84; Kaney, S., Bentall, R.P., Persecutory delusions and attributional style (1989) British Journal of Medical Psychology, 62, pp. 191-198; Kelley, H.H., (1971) Attribution in Social Interaction, , New York: General Learning Press; Kruglanski, A.W., Causal explanation, teleological explanation: On radical particularism in attribution theory (1979) Journal of Personality and Social Psychology, 37, pp. 1447-1457; Layden, M.A., Newman, C.F., Freeman, A., Morse, S.B., (1993) Cognitive Therapy of Borderline Personality Disorder, , Boston: Allyn & Bacon; Lewis, G., Appleby, L., Personality disorder: The patients psychiatrists dislike (1988) British Journal of Psychiatry, 153, pp. 44-49; Linehan, M.M., (1993) Cognitive-Behavioral Treatment of Borderline Personality Disorder, , New York: Guilford Press; Link, B.G., Phelan, J.G., Labelling and stigma (1999) Handbook of Sociology of Mental Health, pp. 481-494. , In C. S. Aneshensel & J. C. Phelan (Eds.); New York: Kluwer Academic/Plenum; Main, T.F., The ailment (1957) British Journal of Medical Psychology, 30, pp. 129-145; Masterson, J.F., Psychotherapy of borderline and narcissistic disorders: Establishing a therapeutic alliance (a developmental, self and object relations approach) (1990) Journal of Personality Disorders, 4, pp. 182-191; Nathan, R., Scientific attitudes to 'difficult' patients (1999) British Journal of Psychiatry, 175, p. 87; Nunnally, J., (1961) Popular Conceptions of Mental Health: Their Development and Change, , New York: Holt, Rinehart & Wilson; Parker, I., Deconstruction and psychotherapy (1999) Deconstructing Psychotherapy, pp. 1-18. , In I. Parker (Ed.); London: Sage; Peterson, C., Maier, S.F., Seligman, M.E.P., (1993) Learned Helplessness: A Theory for the Age of Personal Control, , New York: Oxford University Press; Peterson, C., Semmel, A., Von Baeyer, C., Abramson, L.Y., Metalsky, G.I., Seligman, M.E.P., The Attributional Style Questionnaire (1982) Cognitive Therapy and Research, 6, pp. 287-299; Pilgrim, D., Disordered personalities and disordered concepts (2001) Journal of Mental Health, 10, pp. 253-265; Piner, K.E., Kahle, L.R., Adapting to the stigmatizing label of mental illness: Foregone but not forgotten (1984) Journal of Personality & Social Psychology, 47, pp. 805-811; Rabkin, J.G., Public attitudes towards mental illness: A review of the literature (1974) Schizophrenia Bulletin, 10, pp. 9-33; Russell, D.W., McAuley, E., Tarico, V., Measuring causal attributions for success and failure: A comparison of methodologies for assessing causal dimensions (1987) Journal of Personality and Social Psychology, 52, pp. 1248-1257; Scheff, T.J., The labelling theory of mental illness (1974) American Sociological Review, 39, pp. 444-452; Sharrock, R., Day, A., Qazi, F., Brewin, C.R., Explanations by professional care staff, optimism and helping behaviour: An application of attribution theory (1990) Psychological Medicine, 20, pp. 849-855; Socall, D.W., Holtgraves, T., Attitudes toward the mentally ill: The effects of label and beliefs (1992) Sociological Quarterly, 33, pp. 435-445; Spitzer, R.L., Endicott, J., Gibbon, M., Crossing the border into borderline personality and borderline schizophrenia (1979) Archives of General Psychiatry, 36, pp. 17-24; Stern, A., Psychoanalytic investigation of and therapy in the borderline group of neuroses (1938) Psychoanalytic Quarterly, 7, pp. 467-489; Stratton, P., Munton, A.G., Hanks, H.G.I., Heard, D., Davidson, C., (1988) Leeds Attributional Coding System Manual, , Leeds: Leeds University, LFTRC, Psychology Department; Weiner, B., A cognitive (attribution)-emotion-action model of motivated behaviour: An analysis of judgements of help-giving (1980) Journal of Personality and Social Psychology, 39, pp. 186-200; Weiner, B., An attributional theory of achievement motivation and emotion (1985) Psychological Review, 92, pp. 548-573; Weiner, B., Perry, R.P., Magnusson, J., An attributional analysis of reactions to stigmas (1988) Journal of Personality and Social Psychology, 55, pp. 738-748; Weissman, M.M., The epidemiology of personality disorders: A 1990 update (1993) Journal of Personality Disorders, 7 (SUPPL. 1), pp. 44-62","Markham, D.; Psychology Department, , Warwick CV34 5QW, United Kingdom",,,,,,,,1446657,,BJCPD,14565891,English,Br. J. Clin. Psychol.,Article,Final,,Scopus,2-s2.0-0142031163 "Colombo A., Bendelow G., Fulford B., Williams S.",57225790824;6603027009;6602391673;7404834670;,Evaluating the influence of implicit models of mental disorder on processes of shared decision making within community-based multi-disciplinary teams,2003,Social Science and Medicine,56,7,,1557,1570,,104,10.1016/S0277-9536(02)00156-9,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0037400304&doi=10.1016%2fS0277-9536%2802%2900156-9&partnerID=40&md5=2e96eb434c593c273c8984671f29181d,"Department of Sociology, University of Warwick, Coventry CV4 7AL, United Kingdom; Department of Philosophy, University of Warwick, Coventry CV4 7AL, United Kingdom","Colombo, A., Department of Sociology, University of Warwick, Coventry CV4 7AL, United Kingdom; Bendelow, G., Department of Sociology, University of Warwick, Coventry CV4 7AL, United Kingdom; Fulford, B., Department of Sociology, University of Warwick, Coventry CV4 7AL, United Kingdom, Department of Philosophy, University of Warwick, Coventry CV4 7AL, United Kingdom; Williams, S., Department of Sociology, University of Warwick, Coventry CV4 7AL, United Kingdom","This paper reports findings from a qualitative study concerning the influence of implicit models of mental disorder on shared decision making within community-based mental health teams. One-hundred participants representing five distinct multi-agency groups: psychiatrists, community psychiatric nurses, approved social workers, patients and informal carers operating within Leicestershire, England were interviewed using a standard case vignette describing a person whose behaviour suggests he may have schizophrenia. The results showed that each of the study's multi-agency groups implicitly supports a complex range of model dimensions regarding the nature of schizophrenia, the appropriateness of specific forms of treatment and care, and their respective rights and obligations towards each other. The influence of these implicit model patterns on processes of shared decision making are discussed through evaluating their contribution to our understanding of the power relationships existing between various practitioner groups (including informal carers), and between practitioners and patients during clinical encounters. © 2002 Elsevier Science Ltd. All rights reserved.",Community mental health; Decision making; UK,"mental health; article; caregiver; community mental health; decision making; evaluation; human; human relation; mental disease; model; nurse; patient; psychiatrist; schizophrenia; social worker; teamwork; United Kingdom; Attitude of Health Personnel; Caregivers; Community Mental Health Services; Decision Making; England; Humans; Interprofessional Relations; Mental Disorders; Models, Psychological; Patient Care Team; Patient Participation; Professional-Patient Relations; Psychiatric Nursing; Psychiatry; Qualitative Research; Schizophrenic Psychology; Sick Role; Social Work, Psychiatric",,,,,Nuffield Foundation,"The authors would like to thank the Nuffield Foundation for their generous financial support of this research project. We would also like to acknowledge the contribution of our research network to the development of this project. This network includes a range of practitioners (psychiatrists, nurses, social workers and support workers within the voluntary sector), academics involved in a range of mental health matters, and current service users.",,,,,,"Armstrong, D., The doctor-patient relationship: 1930-1980 (1982) The problem of medical knowledge: Examining the social construction of medicine, , P. Wright, & A. Treacher. Edinburgh: Edinburgh University Press; Becker, S., Silburn, R., (1999) We're in this together: Conversations with families in caring relationships, , London: Carers National Association; Bracken, P., Thomas, P., Home treatment in Bradford (1999) OpenMind, 95, pp. 11-14; Brockman, J., D'Arcy, C., Edmonds, L., Facts or artefacts? Changing public attitudes towards the mentally ill (1979) Social Science & Medicine, 13 A, pp. 673-682; Busfield, J., (1986) Managing madness: Changing ideas and practice, , London: Unwin Hyman; (1994) The Report of the Enquiry into the Care and Treatment of Christopher Clunis, , London: HMSO; Colombo, A., (1997) Understand mentally disordered offenders: A multi-agency perspective, , Aldershot: Ashgate; Cramer, D., (1998) Fundamental statistics for social research, , London: Routledge; (1999) National Service Framework for Mental Health: Modern Standards and Service Models, , www.doh.gov.uk/nsf/mentalhealth, London: Department of Health; (1999) Still Building Bridges: The Report of a National Inspection of Arrangements for the Integration of Care Programme Approach with Care Management, , London: Department of Health; De Vaus, D.A., (1998) Surveys in social research, , London: UCL Press Ltd; (1994) Diagnostic and Statistical Manual of Mental Disorders (4th Ed.), , Washington: American Psychiatric Association; Dunn, S., (1999) Creating accepting communities: Report of the mind inquiry into social exclusion and mental health problems, , London: MIND; Emerson, J.P., Behaviour in private places: Sustaining definitions of reality in gynaecological examinations (1987) Encounters between patients and doctors an anthology, , J.D. Stoeckle. Cambridge, MA: MIT Press; Fitzpatric, R., Lay concepts of illness (1984) The experience of illness, , R. Fitzpatrick, J. Hinton, S. Newman, G. Scambler, & J. Thompson. London: Tavistock; Flanagan, J.C., The critical clinical incident technique (1983) Psychological Bulletin, 51, pp. 327-358; Fulford, K.W.M., (1995) Moral theory and medical practice, , Cambridge: Cambridge University Press; Fulford, K.W.M., Mental illness, concepts of (1998) Encyclopaedia of applied ethics, 3, pp. 213-233. , Chadwick R. London: Academic Press; Giddens, A., (1975) Positivism and sociology, , London: Heinemann; Hall, P., Brockington, I.F., Levings, J., Murphy, C., A comparison of responses to the mentally ill in two communities (1993) British Journal of Psychiatry, 162, pp. 99-101; Helman, C., Feed a cold, starve a fever - Folk models of infection in and English suburban community and their relation to medical treatment (1978) Culture, Medicine and Psychiatry, 2, pp. 107-137; Lindow, V., (1996) User involvement: Community service users as consultants and trainers, , London: Department of Health; Lock, M., Models and practice in medicine. Menopause as syndrome or life transition (1982) Culture, Medicine and Psychiatry, 6 (3), pp. 261-280; Lupton, D., (1994) Medicine as culture, , London: Sage; Maseide, P., Possibly abusive, often benign and always necessary. On power and domination in medical practice (1991) Sociology of Health and Illness, 13 (4), pp. 545-561; May, C., Nursing work, nurses' knowledge and the subjectification of the patient (1992) Sociology of Health and Illness, 14 (4), pp. 472-487; Mechanic, D., (1979) Future issues in health care: Social policy and the rationing of medical services, , New York: The Free Press; Mishler, E.G., The struggle between the voice of medicine and the voice of the life world (1976) Perspectives in medical sociology, , P. Brown. Belmont, CA: Wordsworth; Parsons, T., (1951) The social system, , New York: Free Press; Rabkin, J., Public attitudes towards mental illness: A review of the literature (1974) Schizophrenia Bulletin, 10, pp. 8-33; Reed, J., Reynolds, J., (1996) Speaking our minds: An anthology, , London: Macmillan Press Ltd; Rogers, A., Pilgrim, D., (1996) Mental health policy in Britain: A critical introduction, , Basingstoke: Macmillan; Roskin, G., Carsen, M.L., Rabiner, C.J., Marell, S.K., Attitudes towards patients among different mental health professional groups (1988) Comprehensive Psychiatry, 29, pp. 188-194; Segall, A., Roberts, L.W., A comparative analysis of physician estimates and levels of medical knowledge among patients (1980) Sociology of Health and Illness, 2 (3), pp. 317-334; Siegler, M., Osmond, H., Models of madness (1966) British Journal of Psychiatry, 112, pp. 1193-1203; Silverman, D., (1987) Communication and medical practice: Social relations in the clinic, , London: Sage; Stein, H.F., (1990) American medicine and culture, , Colorado: Westview","Colombo, A.; Department of Sociology, , Coventry CV4 7AL, United Kingdom; email: a.colombo@coventry.ac.uk",,,,,,,,2779536,,SSMDE,12614705,English,Soc. Sci. Med.,Article,Final,,Scopus,2-s2.0-0037400304 "McKeown A., Matheson C., Bond C.",25936552400;7003292394;37058559900;,A qualitative study of GPs' attitudes to drug misusers and drug misuse services in primary care,2003,Family Practice,20,2,,120,125,,40,10.1093/fampra/20.2.120,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0037398429&doi=10.1093%2ffampra%2f20.2.120&partnerID=40&md5=fed1c6e053d1ac7f28cc2b9760ddf0d6,"Department of General Practice and Primary Care, Foresterhill Health Centre, University of Aberdeen, Westburn Road, Aberdeen, United Kingdom","McKeown, A., Department of General Practice and Primary Care, Foresterhill Health Centre, University of Aberdeen, Westburn Road, Aberdeen, United Kingdom; Matheson, C., Department of General Practice and Primary Care, Foresterhill Health Centre, University of Aberdeen, Westburn Road, Aberdeen, United Kingdom; Bond, C., Department of General Practice and Primary Care, Foresterhill Health Centre, University of Aberdeen, Westburn Road, Aberdeen, United Kingdom","Background. Due to a growing drug misuse problem in Scotland, GPs increasingly are being called upon to deal with and treat misusers. With the publication of government guidelines in 1999, debate on this subject has intensified, with some GPs questioning their role in the treatment of drug misuse. Objectives. This study explored, in depth, GPs' views and experiences of providing services for drug misusers such as methadone maintenance, use of guidelines and shared care schemes. Factors influencing their treatment of drug misusers were covered. Methods. Forty-eight semi-structured GP telephone interviews were conducted and their responses recorded, transcribed and analysed using qualitative content analysis. The sample was purposive and included a spread of individuals from varying age groups, levels of involvement with drug misuse and training, as well as gender and health board. Transcripts were validated with a 50% sample of interviewees, allowing them to correct any opinions they felt were not represented accurately. Results. GPs increasingly accept a role in the treatment of drug dependency, although a shared care model was preferred due to the workload implications of this patient group. A drawback of shared care was long waiting lists. Patient behaviour emerged as a strong theme influencing treatment, and safety concerns were evident. Views of methadone maintenance were mixed, and it was considered as the only real option available. Conclusion. Themes identified from the interviews reinforced the patterns of past research. GPs are becoming more confident and comfortable with misusers, and more positive towards methadone and methadone maintenance treatment, but still feel that they lack the necessary knowledge and skills.",Drug misuse; General practice; Qualitative; Shared care,"methadone; adult; article; clinical research; controlled study; drug abuse; drug dependence; drug dependence treatment; experience; female; gender; general practitioner; health service; human; interview; maintenance therapy; male; medical education; patient attitude; physician attitude; practice guideline; primary health care; qualitative analysis; safety; skill; telephone; theoretical model; validation process; workload; Adult; Attitude of Health Personnel; Female; Humans; Interviews; Male; Middle Aged; Physician's Role; Physician-Patient Relations; Physicians, Family; Primary Health Care; Scotland; Substance-Related Disorders",,"methadone, 1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3",,,,,,,,,,"Anderson, A., Frischer, M., Crime and Criminal Justice Research Findings No. 17: Drug Misuse in Scotland. Findings from 1993 and 1996 Scottish Crime Surveys (1997), The Scottish Office; Tackling Drugs in Scotland: Action in Partnership (1999), Scottish Office. Edinburgh: HMSO; Drug Misuse and Dependence-Guidelines on Clinical Management (1999), Department of Health. London: HMSO; McGillion, J., GPs' attitudes towards the treatment of drug misusers (2000) Br. J. Gen. Pract., 50, pp. 385-386; Tantam, D., Donmall, M., Webster, A., Strang, J., Do general practitioners and general psychiatrists want to look after drug misusers? Evaluation of a non-specialist treatment policy (1993) Br. J. Gen. Pract., 43, pp. 470-474; Matheson, C., Pitcairn, J., Bond, C.M., van Teijlingen, E., Ryan, M., General practice management of illicit drug users in Scotland: A national survey (2003) Addiction, 98, pp. 119-126; Pitcairn, J., Matheson, C., Bond, C.M., van Teijlingen, E., Ryan, M., Bate, A., An Exploration of the Factors Influencing Scottish General Practitioners Treatment Decision, Attitudes and Involvement with Illicit Drug Users Using Standard Survey Methods and Discrete Choice Modelling Ref K/OPR/2/2/D378. Report to CSO. Scottish Executive; Mason, J., Qualitative Researching (1996), London: Sage; Huxley, P., Davies, A., Survey of general practitioners' opinions on treatment of opiate users (1997) Br. Med. J., 314, pp. 1173-1174; Patton, M.Q., (1990) Qualitative Evaluation and Research Methods, pp. 277-287. , 2nd edn. London: Sage; Glanz, A., Taylor, C., Findings of a national survey of the role of GPs in the treatment of opiate misuse: Dealing with the opiate misuser (1986) Br. Med. J., 293, pp. 486-488; Farrell, M., Ward, J., Mattick, R., Fortnightly review: Methadone maintenance treatment in opiate dependence: A review (1994) Br. Med. J., 309, pp. 997-1001; Abed, R.T., Neira-Munoz, E., A survey of general practitioners' opinions and attitude to drug addicts and addiction (1990) Br. J. Addict, 85, pp. 131-136; Gabbay, M., Shiels, C., van der Bos, A., 'Turning the tide': Influencing GP attitudes to opiate misusers (2001), Personal correspondence",,,,,,,,,2632136,,,12651783,English,Fam. Pract.,Article,Final,"All Open Access, Bronze",Scopus,2-s2.0-0037398429 "Pinikahana J., Happell B., Carta B.",6701739512;35514251800;6507547604;,Mental health professionals' attitudes to drugs and substance abuse,2002,Nursing and Health Sciences,4,3,,57,62,,39,10.1046/j.1442-2018.2002.00104.x,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0036739554&doi=10.1046%2fj.1442-2018.2002.00104.x&partnerID=40&md5=3c021a8c6f9e03b2eff2a6a9badd27df,"Centre for Psychiatric Nursing Research and Practice, School of Postgraduate Nursing, University of Melbourne, Carlton, Vic., Australia; Substance Use and Mental Illness Treatment Team, Western Drug and Alcohol Service, Footscray, Vic., Australia; Centre for Psychiatric Nursing Research and Practice, School of Postgraduate Nursing, University of Melbourne, 1/723 Swanston Street, Carlton, Vic. 3010, Australia","Pinikahana, J., Centre for Psychiatric Nursing Research and Practice, School of Postgraduate Nursing, University of Melbourne, Carlton, Vic., Australia, Centre for Psychiatric Nursing Research and Practice, School of Postgraduate Nursing, University of Melbourne, 1/723 Swanston Street, Carlton, Vic. 3010, Australia; Happell, B., Centre for Psychiatric Nursing Research and Practice, School of Postgraduate Nursing, University of Melbourne, Carlton, Vic., Australia; Carta, B., Substance Use and Mental Illness Treatment Team, Western Drug and Alcohol Service, Footscray, Vic., Australia","The purpose of the present study was to investigate the mental health professionals' attitudes to drug and substance abuse in Victoria, Australia. The drug- and alcohol-related attitudes of clinicians were examined in order to develop a relevant training curriculum for clinicians. A questionnaire on knowledge, skills, attitudes and practises was distributed to mental health clinicians (n = 378) in Victoria. One hundred and seventy-three clinicians returned the questionnaire, giving an overall response rate of 46%. The survey results show that the attitude of mental health professionals to drug and substance abuse is generally a positive one. The majority of respondents held positive views on treatment interventions and they are optimistic that drug and alcohol dependence are treatable illnesses. A positive and more optimistic attitude towards treatment interventions should enable health professionals, particularly nurses, to provide the necessary care for those in need of medical care.",Alcohol; Attitudes; Drugs; Mental health professionals; Nurses; Substance abuse,adult; article; attitude; Australia; clinical practice; controlled study; drug abuse; education program; family counseling; female; group therapy; health practitioner; human; male; mental health; nurse attitude; occupational therapist; patient care; patient counseling; physician attitude; priority journal; psychiatrist; psychologist; questionnaire; skill; social worker; substance abuse; Adult; Alcoholism; Attitude of Health Personnel; Female; Humans; Male; Mental Health Services; Middle Aged; Social Values; Stereotyping; Substance-Related Disorders; Victoria,,,,,,,,,,,,"1998 National Drug Strategy, AIHW Household Survey 1998 (1999), Australian Institute of Health and Welfare. Canberra: AIHW; Bartek, J.K., Newton, N., Hawks, J.H., Nurse-identified problems in the management of alcoholic patients (1986) J. Stud. Alcohol, 49, pp. 63-70; Bell, K., Identifying the substance abuser in clinical practice (1992) Orthop. Nurs, 11, pp. 29-36; Carroll, J., The negative attitudes of some general nurses towards drug misusers (1995) Nurs. Standard, 9, pp. 36-38; Carroll, J., Attitudes to drug users according to staff grade (1996) Professional Nurse, 11, pp. 718-720; Cassetta, R.A., Understanding the primary care link to treating substance abuse (1994) Am. Nurse, 26, pp. 12-16; Chappel, J.N., Veach, T.L., Krug, R.S., The Substance Abuse Attitude Survey: An instrument for measuring attitudes (1985) J. Stud. Alcohol, 46, pp. 48-52; Corse, S.J., McHugh, M.K., Gordon, S.M., Enhancing provider effectiveness in treating pregnant women with addictions (1995) J. Subst. Abuse Treat, 12, pp. 3-12; Gerace, L.M., Hughes, T.L., Spunt, J., Improving nurses' responses towards substance misusing patients: A clinical evaluation project (1995) Arch. Psychiatr. Nurs, 9, pp. 286-294; Hagemaster, J., Handley, S., Plumlee, A., Sullivan, E., Stanley, S., Developing educational programmes for nurses that meet today's addiction challenges (1993) Nurse Educ. Today, 13, pp. 421-425; Moodley-Kunnie, T., Attitudes and perceptions of health professions toward substance use disorders and substance-dependent individuals (1988) Int. J. Addict, 23, pp. 469-475; Mueser, K.T., Bellack, A.S., Blanchard, J.I., Comorbidity of schizophrenia and substance abuse: Implications for treatment (1992) J. Consult. Clin. Psychol, 60, pp. 845-856; Murphy, S.A., The urgency of substance abuse education in schools of nursing (1989) J. Nurs. Educ, 28, pp. 247-251; Murphy, S.A., An empirically based substance abuse course for graduate students in nursing (1991) J. Nurs. Educ, 30, pp. 274-277; Novak, H., Petch, I., Drug and alcohol education in New South Wales: What do nurses want to learn? (1994) Drug Alcohol Rev, 13, pp. 185-193; Pols, R.G., Cape, M.P., Ashenden, R., Bush, R.A., (1993), (eds). Proceedings: National Workshop Evaluation of Tertiary Education and Training on Alcohol and Drug Education. Adelaide: National Centre for Education and Training on Addiction; Rassool, G.H., Nursing and substance misuse: Responding to the challenge (1993) J. Adv. Nurs, 18, pp. 1401-1407; Rassool, G.H., Oyefeso, N., The need for substance misuse education in health studies curriculum: A case for nursing education (1993) Nurse Educ. Today, 13, pp. 107-110; Riley, A.J., Perceived carer attitudes to alcohol dependent patients (1996) Nurs. Standard, 10, pp. 39-44; Roche, A.M., Michael, P., Campbell, J., Saunders, J.B., Substance abuse disorders, psychiatric trainees' knowledge, diagnostic skills and attitudes (1995) Aust. N.Z. J. Psychiatry, 29, pp. 645-652; Satterthwaite, H., Treating drug users in hospital wards (1990) Nurs. Standard, 5, pp. 33-35; Solari-Twadell, P.A., Recreational drugs, societal and professional issues (1991) Nurs. Clin. North Am, 26, pp. 499-509","Pinikahana, J.; Ctr. Psychiat. Nursing Res./Practice, 1/723 Swanston Street, Carlton, Vic. 3010, Australia; email: Jaya@unimelb.edu.au",,,,,,,,14410745,,NHSUA,12153402,English,Nurs. Health Sci.,Article,Final,,Scopus,2-s2.0-0036739554 "Chew-Graham C.A., Mullin S., May C.R., Hedley S., Cole H.",6701468194;7005389660;7201679264;23050058500;23049423200;,Managing depression in primary care: Another example of the inverse care law?,2002,Family Practice,19,6,,632,637,,72,10.1093/fampra/19.6.632,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0036900332&doi=10.1093%2ffampra%2f19.6.632&partnerID=40&md5=4ec6c323b374b3563ce3aa8914777f5c,"School of Primary Care, University of Manchester, Manchester M14 5NP, United Kingdom; University of Manchester, Manchester, United Kingdom; Centre for Health Services Research, University of Newcastle, NewCastle, United Kingdom","Chew-Graham, C.A., School of Primary Care, University of Manchester, Manchester M14 5NP, United Kingdom; Mullin, S., University of Manchester, Manchester, United Kingdom; May, C.R., Centre for Health Services Research, University of Newcastle, NewCastle, United Kingdom; Hedley, S., University of Manchester, Manchester, United Kingdom; Cole, H., University of Manchester, Manchester, United Kingdom","Background. Depression is a common problem, often being recurrent or becoming chronic. The National Service Framework for Mental Health (published by the Department of Health, 1999) states that people with depression should continue to be predominantly managed in primary care. There is much evidence that the detection and management of depression by GPs could be improved, but little work has focused on GPs' views of their work with depressed patients. Objectives. This was a qualitative study exploring GP attitudes to the management of patients with depression. Views of GPs in socio-economically deprived areas are compared with those serving more affluent populations. Methods. Semi-structured interviews were conducted with two groups of GPs in north-west England. One group of GPs (22) were practising in inner-city areas, and a second group (13) in suburban and semi-rural practices. All were Principals in practices that participated in under-graduate teaching. The interviews were audio-taped and subsequently transcribed verbatim. Analysis was by constant comparison until category saturation of each theme was achieved. Results. Subjects conceptualized depression as an everyday problem of practice, rather than as an objective diagnostic category. Thematic coding of their accounts suggests a tension between three kinds of views of depressed people: (i) That depression is a common and normal response to life events or change and that it reflects the medicalization of these conditions; (ii) That the label or diagnosis of depression offers a degree of secondary gain to both patients and doctors, particularly to those GPs practising in inner-city areas and (iii) That inner-city GPs experienced on-going management of depressed people as an interactional problem, in contrast to those GPs serving a less deprived population who saw depression as a treatable illness and as rewarding work for the GP. Conclusion. Depression is commonly presented to GPs who feel that the diagnosis often involves the separation of a normal reaction to environment and true illness. For those patients living in socio-economically deprived environments, the problems, and therefore the depression, are seen to be insoluble. This has an important implication for the construction of educational interventions around improving the recognition and treatment of depression in primary care: some doctors may be reluctant to recognize and respond to such patients in depth because of the much wider structural and social factors that we have suggested in this paper. That it is the doctors working with deprived populations who express these views, means that the 'Inverse care law' [Tudor Hart J. The inverse care Law. Lancet 1971; 1(7696): 405-412] operates in the management of depression.",Depression; Inverse care law; Primary care; Sick role,article; city; controlled study; depression; experience; general practice; general practitioner; human; interview; law; life event; medical education; physician attitude; primary medical care; qualitative analysis; rural area; self concept; social class; tape recorder; United Kingdom; urban area,,,,,,,,,,,,"A National Service Framework for Mental Health-modern standards and service models for mental health (1999), Department of Health. London: HMSO; Tudor Hart, J., The inverse care law (1971) Lancet, 1, pp. 405-412. , 7696; Blacker, C.V.R., Clare, A.W., The prevalence and treatment of depression in general practice (1988) Psychopharmacology, 95, pp. S14-S17; Angst, J., A regular review of the long term follow up of depression (1997) Br. Med. J., 315, pp. 1143-1146; Davidson, J.R.T., Meltzer-Brody, S.E., The under-recognition and under-treatment of depression: What is the breadth and depth of the problem? (1999) J. Clin. Psychiatry, 60 (SUPPL. 7), pp. 4-9; Anderson, I.M., Nutt, D.J., Deakin, J.F.W., Evidence-based guidelines for treating depressive disorders with antidepressants: A revision of the 1993 British Association for Psychopharmacology guidelines (2000) Psychopharmacology (Berl), 14, pp. 3-20; Murray, C.J.L., Lopez, A.D., Global mortality, disability, and the contribution of risk factors: Global burden of disease study (1997) Lancet, 349, pp. 1436-1442; Freeling, P., Tylee, A., Depression in General Practice (1992) Handbook of Affective Disorders, pp. 651-666. , Paykel ES (ed.). 2nd edn. Edinburgh: Churchill Livingstone; Hawley, C.J., Quick, S.J., Harding, M.J., Pattinson, H., Sivakumaran, T., A preliminary study to examine the adequacy of long-term treatment of depression and the extent of recovery in general practice (1997) Br. J. Gen. Pract., 47, pp. 233-234; Jackson, G., Kassianos, G., Kopple, S., Nutt, D., Tylee, A., Wilkinson, G., Depression: A guide to its recognition and management in general practice (2000) Guidelines-summarising Clinical Guidelines for Primary Care, 10, pp. 165-168; Rogers, A., May, C., Oliver, D., Experiencing depression, experiencing the depressed: Doctors' and patients' accounts (2001) J. Mental Health, 10, pp. 317-333; Howe, A., ""I know what to do, but it's not possible to do it""-GPs' perceptions of their ability to detect psychological distress (1996) Fam. Pract., 13, pp. 127-132; Thompson, C., Kinmonth, A.L., Stevens, L., Effects of a clinical-practice guideline and practice-based education on detection and outcome of depression in primary care: Hampshire Depression Project randomized controlled trial (2000) Lancet, 355, pp. 185-191; Kendrick, T., Why can't GPs follow guidelines on depression? (2000) Br. Med. J., 320, pp. 200-201; May, C., Dowrick, C., Richardson, M., The confidential patient: The social construction of therapeutic relationships in general practice (1996) Soc. Rev., 44, pp. 187-203; Strauss, A., Qualitative analysis for social scientists (1986), Cambridge: Cambridge University Press; Chew-Graham, C.A., May, C.R., Cole, H., Hedley, S., The burden of depression in primary care: A qualitative investigation of GPs constructs of depressed people in the inner city (2001) Pr. Care Psych., 6, pp. 137-141; Pilgrim, D., Bentall, R., The medicalisation of misery: A critical realist analysis of the concept of depression (1999) J. Mental Health, 8, pp. 261-274; Chew-Graham, C.A., May, C.R., Chronic low back pain in general practice: The challenge of the consultation (1999) Fam. Pract., 16, pp. 46-49; Seligman, M.E.P., Helplessness: On depression, development and death (1975), San Francisco: Freeman; Andersson, S., Troein, M., Lindberg, G., Conceptions of depressive disorder and its treatment among 17 Swedish GPs. A qualitative interview study (2001) Fam. Pract., 18, pp. 64-70; Nandy, S., Chalmers-Watson, C., Gantley, M., Underwood, M., Referral for minor mental illness: A qualitative study (2001) Br. J. Gen. Pract., 51, pp. 461-465; Armstrong, D., Bird, J., Fry, J., Armstrong, P., Perceptions of Psychological Problems in General Practice: A Comparison of GPs and Psychiatrists (1992) Fam. Pract., 9, pp. 173-176; Sartorius, N., International perspectives of psychiatric classifications (1988) Br. J. Psychiatry, (SUPPL. 1), pp. 9-14; Eachus, J., Williams, M., Chan, P., Deprivation and cause-specific morbidity: Evidence from the Somerset and Avon survey of health (1996) Br. Med. J., 312, pp. 287-292; Stirling, A.M., Wilson, P., McConnachie, A., Deprivation, psychological distress, and consultation length in general practice (2001) Br. J. Gen. Pract., 51, pp. 456-460; General medical practitioners' workload survey 1992/3 (1994), Doctors' and Dentists' Review Body. London: Final Analysis; Wilson, A., Consultation length in general practice: A review (1991) Br. J. Gen. Pract., 41, pp. 119-122; Andersson, S.O., Mattson, B., Length of consultations in general practice in Sweden: Views of doctors and patients (1989) Fam. Pract., 6, pp. 130-134","Chew-Graham, C.A.; School of Primary Care, Walmer St, Manchester M14 5NP, United Kingdom; email: cchew@man.ac.uk",,,Oxford University Press,,,,,2632136,,FAPRE,12429666,English,Fam. Pract.,Article,Final,"All Open Access, Bronze",Scopus,2-s2.0-0036900332 Hugo M.,57213244488;,Mental health professionals' attitudes towards people who have experienced a mental health disorder,2001,Journal of Psychiatric and Mental Health Nursing,8,5,,419,425,,112,10.1046/j.1351-0126.2001.00430.x,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0035496676&doi=10.1046%2fj.1351-0126.2001.00430.x&partnerID=40&md5=6e98cddf872802c544ce69bbc548874f,"N.-W. Adelaide Mental Health Service, Queen Elizabeth Hospital, 28 Woodville Road, Woodville, SA 5011, Australia","Hugo, M., N.-W. Adelaide Mental Health Service, Queen Elizabeth Hospital, 28 Woodville Road, Woodville, SA 5011, Australia","The aim of this study was to gain information about the attitudes of mental health professionals towards people who have experienced a mental illness. The study involved a survey of 266 mental health professionals employed in a range of mental health treatment settings. Respondents were administered a questionnaire based on one of two vignettes describing a person with schizophrenia or depression. Attitudes were represented as beliefs about prognosis and long-term outcomes in relation to the two vignettes. Professional groups were found to be less optimistic about prognosis, and less positive about likely long-term outcomes, when compared with the general public. Medical staff were less optimistic about outcomes than other professional groups, with mental health nurses generally most optimistic. Most professionals based their attitudes on their experiences of working with people with mental health problems.",Attitudes; Depression; Mental health nurses; Schizophrenia; Stigma,article; health personnel attitude; human; mental health service; mental patient; psychological aspect; Attitude of Health Personnel; Humans; Mental Health Services; Mentally Ill Persons,,,,,,,,,,,,"(1994) Diagnostic and Statistical Manual of Mental Disorders, 4th Edn., , American Psychiatric Association, Washington, DC; (1995) National Mental Health Policy, , Australian Government Publishing Service, Canberra; (1995) Community Attitudes Towards People with a Mental Illness. Update from the National Mental Health Strategy Community Awareness Program, pp. 1-2. , Commonwealth Department of Human Services and Health, Canberra; Jorm, A.F., Korten, A.E., Jacomb, P.A., Christensen, H., Henderson, S., Attitudes towards people with a mental disorder: A survey of the Australian public and health professionals (1999) Australian and New Zealand Journal of Psychiatry, 33, pp. 77-83; Link, B.F., Struening, E.L., Rahav, M., Phelan, J.C., Nuttbrock, L., On stigma and its consequences: Evidence from a longitudinal study of men with duel diagnosis of mental illness and substance abuse (1997) Journal of Health and Social Behaviour, 38, pp. 177-190; Pederson, A., Griffiths, B., Contos, N., Bishop, B., Walker, I., Attitudes towards Aboriginal Australians in city and country settings (2000) Australian Psychologist, 35, pp. 109-117; Rosen, A., Walter, G., Casey, D., Hocking, B., Combating psychiatric stigma: An overview of contemporary initiatives (2000) Australasian Psychiatry, 8, pp. 19-26; Shavitt, S., Operationalizing functional theories of attitudes (1989) Attitude Structure and Function, pp. 311-337. , (eds Pratkanis A.R., Breckler S.J. & Greenwald A.G.), Erlbaum, Hillsdale, NJ; Small, F., (1998) Attitudes of Health Professionals: Benchmark Survey, Draft Final Report, , Commonwealth Department of Health and Aged Care, Canberra; Walter, G., The attitude of health professionals towards carers and individuals with mental illness (1998) Australasian Psychiatry, 6, pp. 70-72","Hugo, M.; N.-W. Adelaide Mental Health Service, 28 Woodville Road, Woodville, SA 5011, Australia",,,,,,,,13510126,,JPMNE,11882162,English,J. Psychiatr. Ment. Health. Nurs.,Article,Final,,Scopus,2-s2.0-0035496676 "Farmer R., Greenwood N.",57201521919;7005616698;,"General Practitioners' Management of Problem Drinkers - Attitudes, knowledge and practice",2001,"Drugs: Education, Prevention and Policy",8,2,,118,129,,15,,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0348238309&partnerID=40&md5=4eef773a59423540198628be6ee8c1b6,"Dept. Addictive Behaviour/P., St. Georges's Hospital, Medical School, Cranmer Terrace, Tooting, London SW17 0RE, United Kingdom; Department of Community Psychiatry, St. Georges's Hospital, Medical School, Cranmer Terrace, Tooting, London SW17 0RE, United Kingdom","Farmer, R., Dept. Addictive Behaviour/P., St. Georges's Hospital, Medical School, Cranmer Terrace, Tooting, London SW17 0RE, United Kingdom; Greenwood, N., Department of Community Psychiatry, St. Georges's Hospital, Medical School, Cranmer Terrace, Tooting, London SW17 0RE, United Kingdom","There is evidence that GPs frequently fail to identify problem drinkers and many are ambivalent about treating them. This study investigated GPs' perceptions of the numbers of their patients with alcohol problems; how they diagnose problem drinkers and their knowledge and attitudes; GPs' perceived roles and part in management. Fifty GPs were interviewed. Reported rates of detection and treatment of problem drinkers were lower than expected, and referral was the most popular management strategy. Screening occurred most frequently at registration or was opportunistic. When characterizing and diagnosing alcohol misuse, GPs emphasized social rather than health or psychological problems. They found it easier to broach the subject of alcohol misuse when there was objective evidence of damage to health. Knowledge of the local alcohol services was good. Although most considered general practice an appropriate place to treat problem drinkers and nearly all believed it was legitimate to inquire about patients' drinking, 70% said they would like more training. Most of the GPs found work with problem drinkers unrewarding, and 40% admitted to not liking drinkers. Complaints of lack of time were frequent. These findings indicate little change since the late 1980s. More GPs appear to be screening patients for problem drinking, but few are themselves treating those identified. GPs need more training and support to manage these patients in general practice but a more realistic appraisal may be required of what GPs themselves can provide.",,,,,,,,,,,,,,"Anderson, P., Managing alcohol problems in general practice (1985) British Medical Journal Clinical Research Education, 290, pp. 1873-1875; Anderson, P., Management of alcohol problems: The role of the general practitioner (1993) Alcohol & Alcoholism, 28, pp. 236-272; Anderson, P., Clement, S., The AAPPQ revisited: The measurement of general practitioners' attitudes to alcohol problems (1987) British Journal of Addiction, 82, pp. 753-759; Anderson, P., Scott, E., The effect of general practitioners' advice to heavy drinking men (1992) British Journal of Addiction, 87, pp. 891-900; Baker, R., Research in general practice (1993) British Journal of General Practice, 43, p. 307; Bryman, A., (1988) Quality and Quantity in Research, , London: Unwin Hyman; Buchan, C., Buckley, E.G., Deacon, G.L.S., Irvine, R., Ryan, M.P., Problem drinkers and their problems (1981) Journal of the Royal College of General Practitioners, 31, pp. 151-153; Cartwright, A., The attitudes of helping agents towards the alcoholic client: The influence of experience, support, training and self-esteem (1980) British Journal of Addiction, 75, pp. 413-431; Clement, S., The identification of alcohol related problems in general practice (1986) British Journal of Addiction, 81, pp. 257-264; (1996) Health of the Nation: A Progress Report, , 17th Report. House of Commons. London: The Stationery Office; Deehan, A., Templeton, L., Taylor, C., Drummond, C., Strang, J., Low detection rates, negative attitudes and the failure to meet the 'Health of the Nation' alcohol targets: Findings from a national survey of GPs in England and Wales (1998) Drug and Alcohol Review, 17, pp. 249-258; Deehan, A., Templeton, L., Taylor, C., Drummond, C., Strang, J., How do general practitioners manage alcohol-misusing patients? Results from a national survey of GPs in England and Wales (1998) Drug and Alcohol Review, 17, pp. 259-266; (1992) The Health of the Nation - A Strategy for Health in England, , London: HMSO; De Vaus, D.A., Administering questionnaires (1991) Surveys in Social Research, 3rd Edn., , D.A. De Vaus (Ed.), London: Allen & Unwin and UCL Press; (1978) The Pattern and Range of Services for Problem Drinkers, , Report by the Advisory Committee on Alcoholism. London: DHSS; Drummond, D., Thom, B., Brown, C., Edwards, G., Mullen, N., Specialist versus general practitioners' treatment of problem drinkers (1990) Lancet, 336 (8720), pp. 915-918; Farmer, R., Ghodse, A.H., Therapies for substance misuse (1993) Recent Advances in Clinical Psychiatry, 8, pp. 107-122. , K. Granville-Grossman (Ed.), London: Churchill Livingstone; Fisher, J., Keeley, K., Mason, R., Fisher, J., Physicians and alcoholics. Factors affecting attitudes of family-practice residents towards alcoholics (1975) Journal of Studies on Alcohol, 36, pp. 626-633; Guadagnoli, E., Cunningham, S., The effects of non-response and late response on a survey of physician attitudes (1989) Evaluation and the Health Professions, 12, pp. 318-328; Hannay, D., Usherwood, T., Platts, M., Workload of general practitioners before and after the new contract (1992) British Medical Journal, 304, pp. 615-618; McAvoy, B.R., Kaner, E.F.S., General practitioner postal surveys: A questionnaire too far? (1996) British Medical Journal, 313, pp. 732-733; Mowbray, A., Kessel, N., Alcoholism and the general practitioner (1986) British Journal of Psychiatry, 148, pp. 697-700; (1996) Letter to Chief Executives of Health Authorities FHSL (96) 35, GP Health Promotion, , Leeds: Department of Health; Reid, A., Webb, G., Hennrikus, D., Fatey, P., Detection of patients with high alcohol intake by general practitioners (1986) British Medical Journal, 293, pp. 735-737; Roche, A., Guray, C., Saunders, J., General practitioners' experiences of patients with drug and alcohol problems (1991) Social Science and Medicine, 33, pp. 1053-1061; Roche, A., Richard, G., Doctors' willingness to intervene in patients' drug and alcohol problems (1991) Social Science and Medicine, 33, pp. 1053-1061; Rowland, N., Maynard, A., Beveridge, A., Kennedy, P., Wintersgill, W., Doctors have no time for alcohol screening (1987) British Medical Journal, 295, pp. 95-96; Rush, B., Brennan, M., Is the health profile of problem drinkers different from that of other patients? (1990) Journal of Family Practice, 31, pp. 42-46; Shaw, S., Cartwright, A., Spratley, T., Harvey, J., (1978) Responding to Drinking Problems, , London, Croom Helm; Sibbald, B., Addington-Hall, J., Brenneman, D., Freeling, P., Telephone versus postal surveys of general practitioners: Methodological considerations (1994) British Journal of General Practice, 44, pp. 297-300; Stockwell, T., Bolt, E., Hooper, J., Detoxification from alcohol at home managed by general practitioners (1986) British Medical Journal Clinical Rescarch Education, 292 (6522), pp. 733-735; Stockwell, T., Clement, S., (1987) Community Alcohol Teams. A Review of Studies Evaluating Their Effectiveness with Special Reference to the Experience of Other Community Teams, , London: DHSS, HMSO; Strong, P.M., Doctors and dirty work - The case of the alcoholic (1980) Sociology of Health and Illness, 2, pp. 24-117; Thom, B., Tellez, C., A difficult business: Detecting and managing alcohol problems in general practice (1986) British Journal of General Practice, 33, pp. 769-771; Unnithan, S., Ritson, B., Strang, J., Organising treatment services for alcohol and drug misusers (1994) Seminars in Drug and Alcohol Misuse, pp. 223-238. , J. Chick & R. Cantewell (Ed.), London: Gaskell Publications; Vaillant, G., (1983) The Natural History of Alcoholism, , Cambridge, MA: Harvard University Press; Vaillant, G., What can long-term follow-up teach us about relapse and prevention of relapse in addiction? (1988) British Journal of Addiction, 83, pp. 1147-1157; Wallace, P., Butler, S., Haines, A., Randomised control trial of general practitioners' intervention in patients with excessive alcohol consumption (1988) British Medical Journal, 297, pp. 663-668; Wallace, P., Haines, A., The general practitioner and health promotion (1984) British Medical Journal, 289, pp. 534-536","Farmer, R.; Dept. Addictive Behaviour/P., Cranmer Terrace, Tooting, London SW17 0RE, United Kingdom",,,,,,,,9687637,,,,English,Drugs Educ. Prev. Policy,Article,Final,,Scopus,2-s2.0-0348238309 "Caldwell T.M., Jorm A.F.",7005338647;7102651196;,Mental health nurses' beliefs about likely outcomes for people with schizophrenia or depression: a comparison with the public and other healthcare professionals.,2001,The Australian and New Zealand journal of mental health nursing,10,1,,42,54,,78,10.1046/j.1440-0979.2001.00190.x,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0035292178&doi=10.1046%2fj.1440-0979.2001.00190.x&partnerID=40&md5=0c8a95cd06807dc6cd520ab9253c0434,"Centre for Mental Health Research, The Australian National UniversityAustralian Capital Territory, Australia","Caldwell, T.M., Centre for Mental Health Research, The Australian National UniversityAustralian Capital Territory, Australia; Jorm, A.F., Centre for Mental Health Research, The Australian National UniversityAustralian Capital Territory, Australia","This paper explores mental health nurses' beliefs about prognosis, long-term outcomes and discrimination in response to vignettes describing a person with either schizophrenia or depression. Mental health nurses were added to previous research describing the beliefs of professionals (psychiatrists, general practitioners and clinical psychologists) and the public. This study used a self- completion, postal survey procedure. Mental health nurses tended to be more negative than the community but more positive than the other professional groups (particularly the medical professions) about long-term outcomes and prognosis. Nurses were similar to the medical professional groups in believing that considerable discrimination occurs within the community. Given the potential impact on consumers and the public, all practitioners need to be aware of their own beliefs and those of their professional colleagues.",,"adult; article; attitude to health; Australia; clinical psychology; convalescence; defense mechanism; depression; education; female; general practitioner; health personnel attitude; human; male; middle aged; New Zealand; nursing; nursing methodology research; nursing staff; prognosis; psychiatric nursing; psychiatry; psychological aspect; public opinion; questionnaire; schizophrenia; social psychology; treatment outcome; Adult; Attitude of Health Personnel; Attitude to Health; Australia; Depressive Disorder; Female; Health Knowledge, Attitudes, Practice; Humans; Male; Middle Aged; Negativism; New Zealand; Nursing Methodology Research; Nursing Staff; Physicians, Family; Prejudice; Prognosis; Psychiatric Nursing; Psychiatry; Psychology, Clinical; Public Opinion; Questionnaires; Recovery of Function; Schizophrenia; Treatment Outcome; MLCS; MLOWN",,,,,,,,,,,,,"Caldwell, T.M.email: Tanya.Caldwell@anu.edu.au",,,,,,,,13243780,,,11421972,English,Aust N Z J Ment Health Nurs,Article,Final,,Scopus,2-s2.0-0035292178 "Meza E.E., Cunningham J.A., El-Guebaly N., Couper L.",6603699092;7402342187;7005377498;18834192800;,Alcoholism: Beliefs and attitudes among Canadian alcoholism treatment practitioners,2001,Canadian Journal of Psychiatry,46,2,,167,172,,12,10.1177/070674370104600209,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0035073206&doi=10.1177%2f070674370104600209&partnerID=40&md5=e5811a97c14ed692709144e8c8783ec1,"Addiction Research Foundation Division, Centre for Addiction and Mental Health, Toronto, Ont., Canada; Departments of Psychology and Public Health Sciences, University of Toronto, Toronto, Ont., Canada; Department of Psychiatry, University of Calgary, Calgary, Alta., Canada; Foothills Hospital Addiction Centre, Calgary, Alta., Canada; Research Analyst Program, Georgian College, Toronto, Ont., Canada","Meza, E.E., Addiction Research Foundation Division, Centre for Addiction and Mental Health, Toronto, Ont., Canada; Cunningham, J.A., Addiction Research Foundation Division, Centre for Addiction and Mental Health, Toronto, Ont., Canada, Departments of Psychology and Public Health Sciences, University of Toronto, Toronto, Ont., Canada; El-Guebaly, N., Department of Psychiatry, University of Calgary, Calgary, Alta., Canada, Foothills Hospital Addiction Centre, Calgary, Alta., Canada; Couper, L., Addiction Research Foundation Division, Centre for Addiction and Mental Health, Toronto, Ont., Canada, Research Analyst Program, Georgian College, Toronto, Ont., Canada","Objectives: To explore differences in views concerning adjunctive medications and theoretical orientation among Canadian practitioners from different professional backgrounds who treat alcoholism. Methods: A survey of clinicians from different disciplines was conducted by mail. The response rate was 56%: 95 drug and alcohol counsellors, 46 social workers, 81 nonpsychiatrist addiction physicians, and 74 addiction psychiatrists. The number of items in the questionnaire was reduced using principal component analysis. Group differences were explored using analysis of variance with Bonferroni correction and Scheffé's posthoc comparisons. Results: Physicians and nonphysicians differed in their views on the utility of medications in treating alcohol problems, the disease concept of alcohol problems, and the classification of alcohol abuse or dependence as psychiatric conditions. No group differences emerged on views regarding cognitive-behavioural treatment, pharmacological-only interventions, combined treatment, and recovery without treatment. Psychopathology in the alcoholic was significantly more likely to be considered as secondary to the use of alcohol by nonpsychiatrist physicians. Nonphysician practitioners viewed alcoholic behaviour as self-medication. Conclusions: Groups differed on questionnaire items concerning medication use and the disease concept of alcoholism. Agreement on several areas may facilitate bridging the gap across disciplines. The implications of these results are discussed.",Alcoholism; Dissemination; Pharmacotherapy; Therapist attitudes,calcium carbimide; disulfiram; naltrexone; serotonin uptake inhibitor; adult; alcoholism; article; Canada; counseling; female; human; major clinical study; male; physician attitude; social worker; statistical analysis,,"calcium carbimide, 156-62-7; disulfiram, 97-77-8; naltrexone, 16590-41-3, 16676-29-2",,,,,,,,,,"Meza, E., Kranzler, H.R., Closing the gap between alcoholism research and practice: The case for pharmacotherapy (1996) Psychiatr Serv, 47, pp. 917-920; Chick, J., Erickson, C.K., Conference summary: Consensus conference on alcohol dependence and the role of pharmacotherapy in its treatment (1996) Alcohol Clin Exp Res, 20, pp. 391-402; Kranzler, H.R., Anton, R.F., Implications of recent neuropsychopharmacologic research for understanding the etiology and development of alcoholism (1994) J Consult Clin Psychol, 62, pp. 1116-1126; Litten, R.Z., Allen, J.P., Pharmacotherapies for alcoholism: Promising agents and clinical issues (1991) Alcohol Clin Exp Res, 15, pp. 620-633; Litten, R.Z., Allen, J., Fertig, J., Pharmacotherapies for alcohol problems: A review of research with focus on developments since 1991 (1996) Alcohol Clin Exp Res, 20, pp. 859-876; Mason, B.E., Pharmacotherapy of alcoholism update (1996) Alcoholism Clinical and Experimental Research 20; Meyer, R.E., Prospects for a rational pharmacotherapy of alcoholism (1989) J Clin Psychiatry, 50, pp. 403-412; Naranjo, C.A., Sellers, E.M., (1992) Novel pharmacological interventions for alcoholism, , New York: Springer-Verlag; Schuckit, M.A., Recent developments in the pharmacotherapy of alcohol dependence (1996) J Consult Clin Psychol, 64, pp. 669-676; Soyka, M.E., (1996) Acamprosate in relapse prevention in alcoholism, , Berlin: Springer; O'Malley, S.S., Jaffe, A.J., Chang, G., Schottenfeld, R.S., Meyer, R.E., Rounsaville, B., Naltrexone and coping skills therapy for alcohol dependence. A controlled study (1992) Arch Gen Psychiatry, 49, pp. 881-887; Volpicelli, J.R., Alterman, A.I., Hayashida, M., O'Brien, C.P., Naltrexone in the treatment of alcohol dependence (1992) Arch Gen Psychiatry, 49, pp. 876-880; Mason, B.J., Kocsis, J.H., Ritvo, E.C., Cutler, R.B., A double-blind, placebo-controlled trial of desipramine for primary alcohol dependence stratified on the presence or absence of major depression (1996) JAMA, 275, pp. 761-767; Gorelick, D.A., Why do we need technology transfer in the substance abuse field? (1994) Substance Abuse, 15, pp. 5-7; Naranjo, C.A., Bremner, K.F., Dissemination of research results regarding the pharmacotherapy of substance abuse: Case examples and critical review (1996) Substance Abuse, 17, pp. 39-50; Morgenstern, J., McCrady, B.S., Curative factors in alcohol and drug treatment: Behavioral and disease model perspectives (1992) British Journal of Addictions, 87, pp. 901-912; Tabachnik, B.G., Fidell, L.S., (1989) Using multivariate statistics. 2nd ed., , New York: Harper & Row; Cronbach, L.J., Coefficient alpha and the internal structure of tests (1951) Psychometrika, 16, pp. 297-334; Morrison, D.F., (1990) Multivariate statistical methods, , New York: McGraw-Hill; Her, M., Rehm, J., (1998) The cost-effectiveness of the use of naltrexone in alcoholism treatment, ARF Research Document Series No. 139, , Toronto: Addiction Research Foundation; McCrady, B.S., Alcoholics Anonymous and behavior therapy: Can habits be treated as diseases? Can diseases be treated as habits? (1994) J Consult Clin Psychol, 62, pp. 1159-1166; Morgenstern, J., McCrady, B.S., Cognitive processes and change in disease-model treatment (1993), pp. 153-164. , McCrady BS, Miller WR, editors. Research on Alcoholics Anonymous: opportunities and alternatives. New Brunswick (NJ): Rutgers Center of Alcohol Studies; Leshner, A.I., Addiction is a brain disease, and it matters (1997) Science, 278, pp. 45-47; Carroll, K.M., Integrating psychotherapy and pharmacotherapy to improve drug abuse outcomes (1997) Addict Behav, 22, pp. 233-245; McLellan, A.T., Arndt, I.O., Metzger, D.S., Woody, G.E., O'Brien, C.P., The effects of psychosocial services in substance abuse treatment (1993) JAMA, 269, pp. 1953-1959; Sobell, L.C., Cunningham, J.A., Sobell, M.B., Recovery from alcohol problems with and without treatment: Prevalence in two population surveys (1996) Am J Public Health, 86, pp. 966-972; Cunningham, J.A., Resolution from alcohol problems with and without treatment: The effects of different problem criteria (1999) J Stud Alcohol, 60, pp. 463-466; Miller, S.I., Frances, R., Psychiatrists and the treatment of addictions: Perceptions and practices (1986) Am J Drug Alcohol Abuse, 12, pp. 187-197; Galanter, M., Bean-Bayog, M., Physician certification in alcohol and drug dependence (1988) JAMA, 259, p. 354; Galanter, M., Frances, R., Addiction psychiatry: Challenges for a new psychiatric subspecialty (1992) Hospital and Community Psychiatry, 43, pp. 1067-1068; Lehman, A.F., Myers, C.P., Thompson, J.W., Corty, G., Implications of mental and substance use disorders: A comparison of single and dual diagnosis patients (1993) J Nerv Ment Dis, 181, pp. 365-370; Ries, R., Mullen, M., Cox, G., Symptom severity and utilization of treatment resources among dually diagnosed patients (1994) Hospital and Community Psychiatry, 45, pp. 562-568; Khantzian, E.J., The self-medication hypothesis of addictive disorders: Focus on heroin and cocaine dependence (1985) Am J Psychiatry, 142, pp. 1259-1264; Khantzian, E.J., The self-medication hypothesis of substance use disorders: A reconsideration and recent applications (1997) Harvard Review of Psychiatry, 4, pp. 231-244","Cunningham, J.A.; Ctr. for Addiction and Mental Health, 33 Russell Street, Toronto, Ont. M5S 2S1, Canada; email: John_Cunningham@camh.net",,,Canadian Psychiatric Association,,,,,7067437,,CJPSD,11280087,English,Can. J. Psychiatry,Article,Final,"All Open Access, Bronze",Scopus,2-s2.0-0035073206 "Reid S., Whooley D., Crayford T., Hotopf M.",57213805865;6508001827;56635579900;7006045579;,Medically unexplained symptoms-GPs' attitudes towards their cause and management,2001,Family Practice,18,5,,519,523,,114,10.1093/fampra/18.5.519,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0034783032&doi=10.1093%2ffampra%2f18.5.519&partnerID=40&md5=678b10535469631ce554d451d01aaa25,"Academic Department of Psychological Medicine, Guy's King's and St. Thomas' School of Medicine, Institute of Psychiatry, London SE5 8AZ, United Kingdom; Department of General Practice and Primary Care, Guy's King's and St. Thomas' School of Medicine, London SE5 9PJ, United Kingdom; Bromley Health Authority, Bromley BR2 7EH, United Kingdom; Paterson Centre for Mental Health, St Mary's Hospital, London W2 1PD, United Kingdom","Reid, S., Academic Department of Psychological Medicine, Guy's King's and St. Thomas' School of Medicine, Institute of Psychiatry, London SE5 8AZ, United Kingdom, Paterson Centre for Mental Health, St Mary's Hospital, London W2 1PD, United Kingdom; Whooley, D., Department of General Practice and Primary Care, Guy's King's and St. Thomas' School of Medicine, London SE5 9PJ, United Kingdom; Crayford, T., Bromley Health Authority, Bromley BR2 7EH, United Kingdom; Hotopf, M., Academic Department of Psychological Medicine, Guy's King's and St. Thomas' School of Medicine, Institute of Psychiatry, London SE5 8AZ, United Kingdom","Background. Medically unexplained physical symptoms present one of the most common problems in modern medical practice but often prove difficult to manage. The central position of the GP in the care of patients with medically unexplained symptoms has been emphasized repeatedly, but little is known about the attitudes of GPs to this role. Understanding how GPs view these patients may inform the development of effective strategies for management. Objective. Our aim was to survey the attitudes of UK GPs towards medically unexplained symptoms (MUS) and somatization. Methods. A random sample of 400 GPs in the South Thames (West) region were surveyed using a postal questionnaire. Respondents' attitudes toward the cause and management of MUS were recorded. Results. A total of 284 completed questionnaires were returned (22 returned uncompleted), giving an adjusted response rate of 75%. Although it was broadly felt that patients with MUS are difficult to manage, most GPs felt that patients with MUS should be managed in primary care. Providing reassurance, counselling and acting as a 'gatekeeper' to prevent inappropriate investigations were considered important roles for GP management. A majority felt that patients with MUS have personality problems or psychiatric illness. Fewer than half of the respondents felt that there are effective treatments available for somatization. Conclusion. GPs consider the management of patients with MUS to be an important part of their workload, but there is a perception that effective management strategies are lacking. Psychiatrists need to offer greater support and training for GPs in this area of health care.",Family practice; Questionnaires; Somatoform disorders,adult; aged; article; attitude; clinical practice; controlled study; counseling; development; disease management; female; general practitioner; health survey; human; male; mental disease; patient care; perception; personality disorder; primary medical care; questionnaire; randomization; somatization; symptomatology; United Kingdom; workload,,,,,,,,,,,,"Kroenke, K., Mangelsdorff, A.D., Common symptoms in ambulatory care: Incidence, evaluation, therapy, and outcome (1989) Am J Med, 86, pp. 262-266; Bridges, K.W., Goldberg, D.P., Somatic presentation of DSM-III psychiatric disorders in primary care (1985) J Psychosomat Res, 29, pp. 563-569; Sharpe, M., Mayou, R., Bass, C., Concepts, theories, and terminology (1995) Treatment of Functional Somatic Symptoms, pp. 3-16. , Mayou R, Bass C, Sharpe M (eds). Oxford: Oxford University Press; Sharpe, M., Bass, C., Mayou, R., An overview of the treatment of functional somatic symptoms (1995) Treatment of Functional Somatic Symptoms, pp. 66-86. , Sharpe M, Bass C, Mayou R (eds). Oxford: Oxford University Press; (1996) Chronic Fatigue Syndrome: Report of a Joint Committee of the Royal Colleges of Physicians, Psychiatrists and General Practitioners, , Royal Colleges of Physicians and Psychiatrists and General Practitioners. London: Royal College of Physicians; Garcia-Campayo, J., Sanz-Carrillo, C., Yoldi-Elcid, A., Lopez-Aylon, R., Monton, C., Management of somatisers in primary care: Are family doctors motivated? (1998) Aus NZ J Psychiatry, 32, pp. 528-533; (1997), StataCorp. Stata Statistical Software: Release 5.0. (5). College Station (TX): Stata Corporation; Welton, M., Croft, P., Welton, J., General practitioners' use of aspirin in the secondary prevention of vascular events: Knowledge, attitudes, and current practice (1999) Br J Gen Prac, 49, pp. 607-610; Kendrick, T., Sibbald, B., Burns, T., Freeling, P., Role of general practitioners in the care of the long-term mentally ill patient (1991) Br Med J, 302, pp. 508-510; Wessely, S., The rise of counselling and the return of alienism (1996) Br Med J, 313, pp. 158-160; Kerwick, S., Jones, R., Mann, A., Goldberg, D., Mental health care training priorities in general practice (1997) Br J Gen Prac, 47, pp. 225-227; Reid, S., Wessely, S., Somatoform disorders (1999) Curr Opin Psychiatry, 12, pp. 163-168; Salmon, P., Peters, S., Stanley, I., Patients' perceptions of medical explanations for somatisation disorders: Qualitative analysis (1999) Br Med J, 318, pp. 372-376; Katon, W., Lin, E., Von Korff, M., Russo, J., Lipscomb, P., Bush, T., Somatization: A spectrum of severity (1991) Am J Psychiatry, 148, pp. 34-40","Reid, S.; Paterson Centre for Mental Health, , London W2 1PD, United Kingdom",,,Oxford University Press,,,,,2632136,,FAPRE,11604375,English,Fam. Pract.,Article,Final,"All Open Access, Bronze, Green",Scopus,2-s2.0-0034783032 "Kua J.H.K., Parker G., Lee C., Jorm A.F.",6701338973;55431712000;7410150184;7102651196;,Beliefs about outcomes for mental disorders: A comparative study of primary health practitioners and psychiatrists in Singapore,2000,Singapore Medical Journal,41,11,,542,547,,17,,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0034329161&partnerID=40&md5=67c01037a7efbab4dee856c061055252,"Department of Adult Psychiatry 3, Woodbridge Hosp./Inst. Mental Hlth., 10 Buangkok View, Singapore 539747, Singapore; School of Psychiatry, University of New South Wales (UNSW), Sydney, NSW, Australia; Psychiat. Epidemiol. Research Centre, Australian National University, Canberra, ACT, Australia","Kua, J.H.K., Department of Adult Psychiatry 3, Woodbridge Hosp./Inst. Mental Hlth., 10 Buangkok View, Singapore 539747, Singapore; Parker, G., School of Psychiatry, University of New South Wales (UNSW), Sydney, NSW, Australia; Lee, C., Department of Adult Psychiatry 3, Woodbridge Hosp./Inst. Mental Hlth., 10 Buangkok View, Singapore 539747, Singapore; Jorm, A.F., Psychiat. Epidemiol. Research Centre, Australian National University, Canberra, ACT, Australia","Objectives: To compare responses to a mental health literacy survey assessing the likely outcome of three major mental disorders by primary health practitioners (OPD doctors and GPs) and by psychiatrists in Singapore. Methods: We used two vignettes of Major Depression and Schizophrenia developed in an Australian study. In addition, a third vignette of Mania was developed locally and included.The respondents were required to choose one of the set of prognostic options if the patients received or did not receive professional help, to rate the likely impact of the disorder, and to assess the likelihood of the patient being discriminated against. Psychiatrists' responses were obtained by surveying staff at Woodbridge Hospital, while the primary health practitioners were required to respond to a postal survey. Results: The response rate for the psychiatrists was 70%(69/99), while the Primary health practitioners had an overall response rate of 38% (264/691).The response from OPDs being 51%(77/151) and that of the GPs being 35% (189/540).There was evidence of disorder specificity, with schizophrenia judged as having the worst outcome and depression the best outcome in response to treatment.There was also evidence of group specificity, with the psychiatrists most optimistic and the OPD doctors least optimistic about the outcome following professional intervention.The majority of both the primary health practitioners and the psychiatrists judged that patients would be discriminated against, more so for schizophrenia and mania than for depression. Compared to the OPD doctors, a lower percentage of GPs felt that the patients would be discriminated against. Conclusion: Primary health practitioners in Singapore hold more negative views than Singapore psychiatrists about the outcome of professional intervention for three major psychiatric disorders. This finding has implications for education and training for primary health practitioners as well as for treatment of psychiatric patients in the primary health setting.",Discrimination; Mental health literacy; Outcome; Primary health practitioners; Psychiatrists,"article; attitude to health; comparative study; education; general practitioner; health personnel attitude; human; mental disease; patient attitude; primary health care; prognosis; psychiatry; psychological aspect; questionnaire; Singapore; social psychology; treatment outcome; Attitude of Health Personnel; Health Knowledge, Attitudes, Practice; Humans; Medical Futility; Mental Disorders; Patient Acceptance of Health Care; Physicians, Family; Prejudice; Primary Health Care; Prognosis; Psychiatry; Questionnaires; Singapore; Treatment Outcome",,,,,,,,,,,,"Bhugra, D., Attitudes towards mental illness: A review of the literature (1989) Acta Psychiatrica Scandinavica, 80, pp. 1-12; Angermeyer, M.C., Matschinger, H., Social distance towards the mentally ill: Results of representative surveys in the Federal Republic of Germany (1997) Psychological Medicine, 27, pp. 131-141; O'Connor, T., Smith, P.B., The labelling of schizophrenics by professionals and laypersons (1987) British Journal of Clinical Psychology, 26, pp. 311-312; Jonn, A.F., Korten, A.E., Jacomb, P.A., Attitudes towards people with a mental disorder: A survey of the Australian public and health professionals (1999) Aust N Z J of Psychiatry, 33, pp. 77-83; Jorm, A.F., Korten, A.E., Jacomb, P.A., Christensen, H., Rodgers, B., Pollitt, P., ""Mental health literacy"": A survey of the public's ability to recognise mental disorders and their beliefs about the effectiveness of treatment (1997) Medical Journal of Australia, 166, pp. 182-186; Jorm, A.F., Korten, A.E., Jacomb, P.A., Helpfulness of interventions for mental disorders: Beliefs of health professionals compared with the general public (1997) British J of Psychiatry, 171, pp. 233-237; Jorm, A.F., Korten, A.E., Jacomb, P.A., Beliefs about the helpfulness of interventions for mental disorders: A comparison of general practitioners, psychiatrists and clinical psychologists (1997) Aust NZJ of Psychiatry, 31, pp. 844-851; Chen, H., Parker, G., Kua, J.H.K., Jorm, A.F., Loh, J., Mental Health Literacy in Singapore: a Comparative Survey of Psychiatrists and Primary Health Professions; Parker, G., Chen, H., Kua, J.H.K., Loh, J., Jorm, A.F., A comparative mental health literacy survey of psychiatrists and other mental health professionals in Singapore Aust N Z J of Psychiatry, , In press; Montgomery, S.A., New developments in the treatment of depression (1999) J Clin Psychiatry, 60 (14 SUPPL.), pp. 10-15. , discussion 31-5; Mulrow, C.D., Treatment of depression -newer pharmacotherapies (1998) Psychopharmaco Bull, 34 (4), pp. 409-795; Schatzberg, A.F., Antidepressant effectiveness in severe depression and melancholia (1999) J Clin Psychiatry, 60 (4 SUPPL.), pp. 14-21. , discussion 22; Remington, G., Chong, S.A., Convention versus novel antipsychotics: Changing concepts and clinical implications (1999) Journal of Psychiatry & Neuroscience, 24 (5), pp. 431-441; Kane, J., Honigfeld, G., Singer, J., Meltzer, H., Clozapine for treatment-resistant schizophrenia: A double-blind comparison with chlorpromazine (1988) Arch Gen Psychiatry, 45 (9), pp. 789-796; Andersson, C., Chakos, M., Mailman, R., Lieberman, J., Emerging roles for novel antipsychotic medications in the treatment of schizophrenia (1998) Psychiatr Clin North Am, 21 (1), pp. 151-179. , Mar; Awad, A.G., Voruganti, E.N., Quality of life and new antipsychotics in schizophrenia: Are patient better off? (1999) Int J Soc Psychiatry, 45 (4), pp. 268-275. , Winter; Sartorius, N., Uslun, T.B., Lecrubier, Y., Depression comorbid with anxiety: Results from the WHO study on psychological disorders in primary health care (1996) Br J Psychiatry, 168 (30 SUPPL.), pp. 38-43; Schwenk, T.E., Klinkman, M.S., Coyne, J.C., Depression in the Family Physician's Office: What the Psychiatrist needs to know: The Michigan Depression Project (1998) J Clin Psychiatry, 59 (20 SUPPL.), pp. 94-100; Coyne, J.C., Schwenk, T.L., Fechner-Bates, S., Nondetection of depression by primary care physicians reconsidered (1994) Gen Hosp Psychiatry, 16, pp. 267-276; Schulberg, H.C., Assessing depression in primary medical and psychiatric practice (1985) Arch Gen Psy, 42, pp. 1164-1170; Von Korff, M., Anxiety and depression in a primary care clinic -comparison of Diagnostic Interview Schedule, General Health Questionnaire and practitioners'assessments (1987) Arch of Gen Psy, 44, pp. 152-156; Orstein, S., Depression diagnosis and antidepressant use in primary care practices (2000) J Fam Pract, 49 (1), pp. 68-72. , Jan","Kua, J.H.K.; Department of Adult Psychiatry 3, 10 Buangkok View, Singapore 539747, Singapore",,,,,,,,375675,,SIMJA,11284613,English,Singapore Med. J.,Article,Final,,Scopus,2-s2.0-0034329161 "Dowrick C., Gask L., Perry R., Dixon C., Usherwood T.",56360697900;7006255491;7402423410;7101860491;7003366594;,Do general practitioners' attitudes towards depression predict their clinical behaviour?,2000,Psychological Medicine,30,2,,413,419,,68,10.1017/S0033291799001531,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0034053839&doi=10.1017%2fS0033291799001531&partnerID=40&md5=68e92d0a4a9c38099adfc3d42bd04140,"Department of Primary Care, University of Liverpool, Liverpool L69 3GB, United Kingdom","Dowrick, C., Department of Primary Care, University of Liverpool, Liverpool L69 3GB, United Kingdom; Gask, L.; Perry, R.; Dixon, C.; Usherwood, T.","Background. GPs' attitudes towards depression vary, as do their abilities to detect and manage it effectively. Associations between attitudes and clinical behaviour have not yet been demonstrated directly. We tested two hypotheses: (1) that questionnaire measures of GPs' confidence in identifying depression predict their ability to identify depression in their patients; and (2) that GPs who prefer antidepressants prescribe more than those who prefer psychotherapy. Methods. Forty GPs in Liverpool and Manchester completed the Depression Attitude Questionnaire (DAQ) and were asked for prescribing (PACT) information. Attender surveys using the General Health Questionnaire (GHQ-12), in combination with GP ratings of patients' psychological status, generated indices for GPs' case identification, bias and accuracy. We tested associations between these indices and the four DAQ components, in particular GPs' confidence in diagnosis, across a total of 1436 patients. We also compared the DAQ component on attitudes to treatment with relevant PACT data. Results. The DAQ assessment of GPs' ability to identify cases of depression bore no relationship to their observed ability, as measured by accuracy, bias, or identification indices. However, there were significant associations between observed diagnostic ability and: preference for psychotherapy; ease in managing depression; and, belief in successful treatment. PACT data were available for 26 (65%) GPs. There was an association between preference for antidepressants and prescription of SSRIs (rs 0.3981, P < 0.044), but not for overall antidepressant or tricyclic prescribing, or for dose of dothiepin. Conclusions. The DAQ measure of ease of identification is not valid when compared to actual clinical practice. The ability of GPs to identify depression may not be an independent variable, but may rather reflect other beliefs, attitudes and skills. This has considerable implications for educational interventions in primary care.",,antidepressant agent; article; clinical practice; controlled study; depression; diagnostic accuracy; general practitioner; human; medical education; physician attitude; prescription; psychotherapy; questionnaire; Adolescent; Adult; Aged; Antidepressive Agents; Attitude of Health Personnel; Clinical Competence; Depressive Disorder; England; Family Practice; Female; Humans; Male; Middle Aged; Psychotherapy; Referral and Consultation; Treatment Outcome,,Antidepressive Agents,,,,,,,,,,"Blacker, C., Clare, A., Depressive disorder in primary care (1987) British Journal of Psychiatry, 150, pp. 737-751; Boardman, A.P., The general health questionnaire and the detection of emotional disorder by general practitioners: A replicated study (1987) British Journal of Psyhiatry, 151, pp. 373-381; Botega, N., Silveira, G., General practitioners' attitudes towards depression: A study in primary care setting in Brazil (1996) International Journal of Social Psychiatry, 42, pp. 230-237; Botega, N., Blizard, R., Wilkinson, D.G., Mann, A., General practitioners and depression first use of the depression attitude questionnaire (1992) International Journal of Methods for Psychiatric Research, 4, pp. 169-180; (1996) British National Formulary, 32. , Pharmaceutical Press: London; Donoghue, J.M., Tylee, A., The treatment of depression: Prescribing patterns of antidepressants in primary care in the United Kingdom (1996) British Journal of Psychiatry, 168, pp. 164-168; Goldberg, D.P., Huxley, P., (1980) Mental Illness in the Community, , Tavistock: London; Goldberg, D.P., Jenkins, L., Millar, T., Faragher, E.B., The ability of trainee general practitioners to identify psychological distress among their patients (1993) Psychological Medicine, 23, pp. 185-193; Goldberg, D.P., Gater, R., Sarlorius, N., Üstün, T.B., Piccinelli, M., Gureje, O., Rutter, C., The validity of two versions of the GHQ in the WHO study of mental illness in general health care (1997) Psychological Medicine, 27, pp. 191-197; Kerr, M., Blizard, R., Mann, A., General practitioners and psychiatrists: Comparison of attitudes to depression using the depression attitude questionnaire (1995) British Journal of General Practice, 45, pp. 89-92; Marks, J.N., Goldberg, D.P., Hillier, V.F., Determinants of the ability of general practitioners to detect psychiatric illness (1979) Psychological Medicine, 9, pp. 337-353; Ormel, J., Tiemens, B., Recognition and treatment of mental illness in primary care. Towards a better understanding of a multifaceted problem (1995) General Hospital Psychiatry, 17, pp. 160-164; Paykel, E., Priest, R., Recognition and management of depression in general practice: Consensus statement (1992) British Medical Journal, 305, pp. 1198-1202; Ross, S., Moffat, K., McConnachie, A., Gordon, J., Wilson, P., Sex and attitude: A randomised vignette study of the management of depression by general practitioners (1999) British Journal of General Practice, 49, pp. 17-21","Dowrick, C.; Department of Primary Care, , Liverpool L69 3GB, United Kingdom",,,,,,,,332917,,PSMDC,10824661,English,Psychol. Med.,Article,Final,,Scopus,2-s2.0-0034053839 "McGillion J., Wanigaratne S., Feinmann C., Godden T., Byrne A.",6507614295;6602377702;7004520122;54885844900;7102233789;,GPs' attitudes towards the treatment of drug misusers,2000,British Journal of General Practice,50,454,,385,386,,34,,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0034011198&partnerID=40&md5=d33b9de9ecad9a1dac288671fe591db1,,"McGillion, J.; Wanigaratne, S.; Feinmann, C.; Godden, T.; Byrne, A.","General practitioners (GPs) are encouraged to play a major part in the care and treatment of drug users; however, many regularly encounter physical or verbal abuse and feel frustration, disappointment, and disillusionment when treating such patients. Furthermore, communication difficulties between doctor and patient and the advent of HIV serve to intensify these problems. In order to address these issues, a questionnaire survey was carried out to assess what proportion of GPs are commonly employed in the management of drug misusers, and to examine the attitudes towards, and knowledge of, the management of these patients. The results show that this group of GPs are concerned about drug misuse in their immediate geographic area and believe it should be detected in general practice. Despite this, fewer than half of the GPs felt they had adequate knowledge of the issues surrounding opiate misuse. This finding certainly raises the question of the availability of training and education in the area of drug misuse.",Drug misusers; General practitioners; GP attitudes; GP knowledge,"opiate; article; doctor patient relation; drug misuse; education; general practice; general practitioner; health care management; human; Human immunodeficiency virus infection; normal human; physician attitude; Attitude of Health Personnel; Education, Medical, Continuing; Humans; London; Physicians, Family; Substance-Related Disorders",,,,,,,,,,,,"Gerada, C., Orgel, M., Strang, J., Health clinics for problem drug misusers (1992) Health Trends, 24, pp. 68-69; (1999) Drug Misuse and Dependence - Guidelines on Clinical Management, , London: DHSS; Greenwood, J., Unpopular patients: Gps' attitudes to drug users (1992) Druglink, JULY-AUGUST, pp. 8-10; Godden, T., Byrne, A., Wanigaratne, S., Feinmann, C., Care and shared care of opiate misusers by general practitioners in inner London (1997) J Substance Misuse, 2, pp. 217-221; McKeganey, N., Shadowland: General practitioners and the treatment of opiate abusing patients (1988) Br J Addict, 83, pp. 373-386; Parsons, T., (1951) The Social System, , Gencoe, Illinois: Free Press; Martin, E., Training in substance abuse is lacking for GPs (1996) BMJ, 312, pp. 186-187; Lester, H., Bradley, C., Better attitudes can be formed by better training (1997) BMJ, 315, p. 602; (1998) Managing Drug Misuse in General Practice -special Issues, Special Precautions, , Dublin: St James's Hospital","McGillion, J.; University College London, London, United Kingdom",,,,,,,,9601643,,BJGPE,10897536,English,Br. J. Gen. Pract.,Article,Final,,Scopus,2-s2.0-0034011198 "Holleman M.C., Thornby J.I., Merrill J.M.",6602695248;7005262568;7202263469;,Substance abusers: Role of personal and professional role traits in caregivers' causal attributions,2000,Psychological Reports,86,2,,407,413,,4,10.2466/pr0.2000.86.2.407,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0034168156&doi=10.2466%2fpr0.2000.86.2.407&partnerID=40&md5=505bed78224aaeb7af779cb24481baa0,"Dept. of Fam. Pract. and Comm. Med., Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030-3498, United States","Holleman, M.C.; Thornby, J.I.; Merrill, J.M., Dept. of Fam. Pract. and Comm. Med., Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030-3498, United States","Substance abuse continues to be a major health problem compounded by caregivers' negative attitudes toward these patients. We investigated attributions 55 primary care physicians and 315 senior medical students make toward substance abusers. Half of both groups expressed negative causal attributions, with women slightly less negative than men. Mental models based on LISREL regression coefficients showed that higher negative attributions by both physicians and students were related to their increased authoritarianism and depressed mood. Medical students choosing careers in primary care specialties, including psychiatry, expressed a less negative attributional style toward substance abusers than those students entering nonprimary careers. Health professional educators may find that using attribution theory to redefine successful outcomes in management of substance abuse can result in better attitudes for caregivers.",,"addiction; adult; article; authority; caregiver; epidemiology; female; health personnel attitude; human; male; medical student; personality test; primary health care; psychological aspect; role playing; Adult; Attitude of Health Personnel; Authoritarianism; Caregivers; Causality; Female; Humans; Male; Personality Assessment; Primary Health Care; Role; Students, Medical; Substance-Related Disorders",,,,,,,,,,,,"Chappel, J.N., Educational approaches to prescribing practices and substance abuse (1991) Journal of Psychoactive Drugs, 23, pp. 359-363; Chappel, J.N., Schnoll, S.H., Physician attitudes: Effect on the treatment of chemically dependent patients (1977) Journal of the American Medical Association, 37, pp. 2318-2319; Cox, J.M., D'Angelo, L.J., Silber, T.J., Substance abuse and syphilis in urban adolescents: A new risk factor for an old disease (1992) Journal of Adolescent Health, 13, pp. 483-486; Deehan, A., Taylor, C., Strang, J., The general practitioner, the drug misuser, and the alcohol misuser: Major differences in general practitioner activity, therapeutic commitment, and ""shared care"" prognosis (1997) British Journal of General Practice, 47, pp. 705-709; Dourevitch, M.N., Alcebes, P., Wasserman, W.C., Arno, P.S., Cost effectiveness of directly observed chemoprophylaxis of tuberculosis among drug users at high risk for tuberculosis (1998) International Journal of Tuberculosis and Lung Disease, 2, pp. 520-553; Edlin, B.R., Irwin, K.L., Faruque, S., Mccoy, C.B., Word, C., Serrano, Y., Inciardi, J.A., Holmber, S.D., Intersecting epidemics: Crack cocaine use and HIV infection among inner-city young adults (1994) New England Journal of Medicine, 331, pp. 1422-1427; Fleming, M., Barry, K., Davis, A., Krop, S., Kahn, R., Rivo, M., Medical education about substance abuse: Changes in curriculum and faculty between 1976 and 1992 (1994) Academic Medicine, 69, pp. 392-399; Fox, K., Merrill, J.C., Chang, H.H., Califano J.A., Jr., Estimating the costs of substance abuse to the Medicaid hospital care program (1995) American Journal of Public Health, 85, pp. 48-54; French, M.T., Zarkin, G.A., Hartwell, T.D., Bray, J.W., Prevalence and consequences of smoking, alcohol use, and illicit drug use at five worksites (1995) Public Health Reports, 110, pp. 593-599; Friedmann, P.D., Saitz, R., Samet, J.H., Management of adults recovering from alcohol or other drug problems: Relapse prevention in primary care (1998) Journal of the American Medical Association, 279, pp. 1227-1231; Gerstein, D.R., Lewin, L.S., Treating drug problems (1990) New England Journal of Medicine, 323, pp. 844-848; Gopala, R., Santora, P., Stokes, E.J., Moore, R.D., Levine, D.M., Evaluation of a model curriculum on substance abuse at the Johns Hopkins University School of Medicine (1992) Academic Medicine, 67, pp. 260-266; Graham, A.W., Schultz, T.K., (1998) Principles of Addiction Medicine. (2nd Ed.), , Chevy Chase, MD: American Society of Addiction Medicine, Inc; Hopkins, T.B., Zarro, V.J., Mccarter, T.G., The adequacy of screening, documenting, and treating the diseases of substance abuse (1994) Journal of Addictive Diseases, 13, pp. 81-87; Kelly, H.H., Michela, J.L., Attribution theory and research (1980) Annual Review of Psychology, 31, pp. 457-501; Merrill, J.M., Laux, L.F., Lorimor, R.J., Thornby, J.I., Vallbona, C., Using applied attribution theory to improve caregivers' attitudes toward the elderly (1995) Journal of Clinical Geropsychology, 1, pp. 259-265; Merrill, J.M., Lorimor, R.J., Thornby, J.I., Vallbona, C., Medical manners: Medical students' perceptions of their own (1998) Southern Medical Journal, 91, pp. 256-260; Rush, B.R., Powell, L.Y., Crowe, T.G., Ellis, K., Early intervention for alcohol use: Family physicians' motivations and perceived barriers (1995) Canadian Medical Association Journal, 152, pp. 863-869; Silverman, N.S., Jenkin, B.K., Wu, C., Mcgillen, P., Knee, G., Hepatitis C virus in pregnancy: Seroprevalence and risk factors for infection (1993) American Journal of Obstetrics and Gynecology, 169, pp. 583-587; Wills, T.A., Perceptions of clients by professional helpers (1978) Psychological Bulletin, 85, p. 968","Merrill, J.M.; Dept. of Fam. Pract. and Comm. Med., One Baylor Plaza, Houston, TX 77030-3498, United States",,,Ammons Scientific Ltd,,,,,332941,,PYRTA,10840887,English,Psychol. Rep.,Article,Final,,Scopus,2-s2.0-0034168156 "Burns T., Greenwood N., Kendrick T., Garland C.",7201807176;7005616698;55987142200;7102620790;,Attitudes of general practitioners and community mental health team staff towards the locus of care for people with chronic psychotic disorders,2000,Primary Care Psychiatry,6,2,,67,71,,17,10.1185/135525700543253,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0033915455&doi=10.1185%2f135525700543253&partnerID=40&md5=1aaa4c8502b834d91a9032286bf649b4,"Department of Psychiatry, St George's Hospital Medical School, London, United Kingdom; Aldermoor Health Centre, University of Southampton, Southampton, United Kingdom; Department of Psychiatry, St George's Hospital Medical School, Jenner Wing, Cranmer Terrace, London SWI7 0RE, United Kingdom","Burns, T., Department of Psychiatry, St George's Hospital Medical School, London, United Kingdom, Department of Psychiatry, St George's Hospital Medical School, Jenner Wing, Cranmer Terrace, London SWI7 0RE, United Kingdom; Greenwood, N., Department of Psychiatry, St George's Hospital Medical School, London, United Kingdom; Kendrick, T., Aldermoor Health Centre, University of Southampton, Southampton, United Kingdom; Garland, C., Department of Psychiatry, St George's Hospital Medical School, London, United Kingdom","Shared care of the long-term mentally ill (LTMI) has long been advocated but little is known about the attitudes of general practitioners (GPs) and mental health workers (MHWs) towards the locus of care of these patients. In order to compare MHWs' and GPs' attitudes towards the care of patients with chronic psychosis, in 1998 52 GPs and 58 MHWs involved in a study which was conducted in three London boroughs about the locus of care for people with chronic psychotic disorders were asked to complete postal questionnaires. These questionnaires examined the issues of responsibility for both mental and physical care, difficulties in providing care and professional satisfaction. There was agreement that psychiatric teams should take overall responsibility for these patients, although in most cases 'care should be shared'. The results showed that the MHWs wanted GPs to take more responsibility for physical treatment than the GPs themselves wanted, that the GPs had mixed feelings about relapse monitoring and that the MHWs found patients with chronic psychosis more rewarding and less difficult to work with. A comparison with a 1991 study of GPs showed little change. However, despite recent adverse publicity, a higher proportion of the GPs in 1998 agreed that these patients are better off in the community. The GPs and MHWs generally agreed on the roles they should take in the management of patients with chronic psychosis but some important differences remain. Copyright (C) 2000 by LibraPharm Limited.",,article; community mental health; comparative study; general practitioner; human; mass medium; mental disease; mental health service; physician attitude; priority journal; psychosis; questionnaire; relapse; United Kingdom,,,,,,,,,,,,"Melzer, D., Hale, A.S., Malik, S.J., Hogman, G.A., Wood, S., Community care for patients with schizophrenia one year after hospital discharge (1991) BMJ, 303 (6809), pp. 1023-1026; Kendrick, T., Burns, T., Freeling, P., Sibbald, B., Provision of care to general practice patients with disabling long-term mental illness: A survey in 16 practices (1994) Br J Gen Pract, 44 (384), pp. 301-305; Nazareth, I., King, B., Controlled evaluation of management of schizophrenia in one general practice - A pilot study (1992) Family Pract, 9, pp. 171-172; (1993) Report of a Joint College Working Group. Shared Care of Patients with Mental Health Problems, , London: Royal College of General Practitioners; Kendrick, T., Sibbald, B., Burns, T., Freeling, P., Role of general practitioners in care of long term mentally ill patients (1991) BMJ, 302 (6775), pp. 508-510; Bindman, J., Johnson, S., Wright, S., Szmukler, G., Bebbington, P., Kuipers, E., Integration between primary and secondary services in the care of the severely mentally ill: Patients' and general practitioners' views (1997) Br J Psychiatr, 171, pp. 169-174; Kendrick, T., Burns, T., Freeling, P., Randomised controlled trial of teaching general practitioners to carry out structured assessments of their long term mentally ill patients (1995) BMJ, 311 (6997), pp. 93-98; Kendrick, T., Burns, T., Garland, C., Greenwood, N., Smith, P., Are specialist mental health services being targeted on the most needy patients? the effects of setting up special services in general practice (1999) Br J Gen Pract, 50, pp. 121-126; Wilkinson, D., Greer, S., Toone, B., Medical students' attitudes to psychiatry (1983) Psychol Med, 13, pp. 185-192; Burra, P., Kalin, R., Leichner, P., Waldron, J.J., Handforth, J.R., Jarrett, F.J., The ATP 30 - A scale for measuring medical students' attitudes to psychiatry (1982) Med Educ, 16 (1), pp. 31-38; Kendrick, T., Cardiovascular and respiratory risk factors and symptoms among general practice patients with long-term mental illness (1996) Br J Psychiatr, 169 (6), pp. 733-739","Burns, T.; Department of Psychiatry, Cranmer Terrace, London SW17 0RE, United Kingdom",,,Librapharm,,,,,13552570,,PCPSF,,English,Prim. Care Psychiatry,Article,Final,,Scopus,2-s2.0-0033915455 Williams K.,57212667237;,Attitudes of mental health professionals to co-morbidity between mental health problems and substance misuse,1999,Journal of Mental Health,8,6,,605,613,,21,10.1080/09638239917076,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0033386594&doi=10.1080%2f09638239917076&partnerID=40&md5=b6c05d72d2cd528220620882855562bf,"United Bristol Healthcare Trust, Barrow Hospital, Barrow Gurney, Bristol, United Kingdom; Avonmead, Southmead Hospital, Westbury-on-Trym, Bristol BS10 5NB, United Kingdom","Williams, K., United Bristol Healthcare Trust, Barrow Hospital, Barrow Gurney, Bristol, United Kingdom, Avonmead, Southmead Hospital, Westbury-on-Trym, Bristol BS10 5NB, United Kingdom","Mental health professionals are required to address the increasing problem of alcohol and substance misuse amongst the mentally ill (co-morbidity) at a time when services for this population are under review. A questionnaire addressing attitudes to co-morbidity and professional roles was sent to 189 mental health professionals in Bristol. Response rate was 67%. There were significant differences (by ANOVA) in attitudes between professional groups in all but one of the core areas appraised. Post-hoc analysis showed the attitudes of doctors and social workers to be significantly different from other professionals, and diametrically opposed. Occupational therapists and physiotherapists rated themselves as having less of a role in the management of co-morbidity than other disciplines. Mental health nurses differed from other professions (except doctors) only in their attitudes to drug screening. Psychologists indicated greater therapeutic optimism. Ninety-one per cent expressed a need for specialist training. The findings argue for a re-appraisal of the way in which multi-disciplinary teams are trained to deal with the problems of alcohol and drug misuse.",,alcohol; cannabis; narcotic agent; adult; alcoholism; article; attitude; drug abuse; female; health care personnel; human; male; mental disease; mental health service; normal human; physiotherapist; professional practice; psychologist; social worker,,"alcohol, 64-17-5; cannabis, 8001-45-4, 8063-14-7",,,,,,,,,,"Bien, T.H., Miller, W.R., Tonigan, J.S., Brief interventions for alcohol problems: A review (1993) Addiction, 88, pp. 315-336; Castledine, G., Don't drink and nurse: Alcohol abuse in nursing (1995) British Journal of Nursing, 4, p. 102; Chappel, J.N., Veach, T.J., Krug, R.S., The substance abuse attitude survey: An instrument for measuring attitudes (1985) Journal of Studies on Alcohol, 46, pp. 48-52; (1995) Project on Meeting the Education and Training Needs of Nurses, Midwives and Health Visitors of the Field of Substance Misuse, , London, ENB; Drake, R.E., Bartels, S.J., Teague, G.B., Noordsy, D.L., Clark, R.E., Treatment of substance misuse in severely mentally ill patients (1993) Journal of Nervous and Mental Disease, 181, pp. 606-611; Feigenbaum, J.C., Changes of senior Baccalaureate nursing students perceptions of individuals who are substance abusers (1995) Addictions Nursing, 7, pp. 90-95; Fiore, M.C., AHCPR smoking cessation guideline: A fundamental review (1997) Tobacco Control, 6 (SUPPL. 1), pp. S4-8; Gerace, L.M., Hughes, T.L., Spunt, J., Improving nurse's responses toward substance misusing patients: A clinical evaluation project (1995) Archives of Psychiatric Nursing, 9, pp. 286-294; Gamble, C., Midence, K., Schizophrenia family work: Mental health nurses delivering an innovative service (1994) Journal of Psychosocial Nursing & Mental Health Services, 32, pp. 13-16; Gossop, M., Green, L., Phillips, G., Bradley, B., Lapse, relapse and survival among opiate addicts after treatment - A prospective follow-up study (1989) British Journal of Psychiatry, 154, pp. 348-353; Gournay, K., New facts on schizophrenia (1995) Nursing Times, 91, pp. 32-33; Harrison, D., Chick, J., Trends in alcoholism among male doctors in Scotland (1994) Addiction, 89, pp. 1613-1617; Heather, N., Gilvarry, E., Addictions '98: 'Co-morbidity across the addictions' (1998) Addictive Behaviors, 23 (SPEC. ISSUE), p. 715; Johnson, S., Dual diagnosis of severe mental illness and substance misuse: A case for specialist services? (1997) British Journal of Psychiatry, 171, pp. 205-208; Miller, W.R., Andrews, N.R., Wilbourne, P., Bennett, M.E., A wealth of alternatives: Effective treatments for alcohol problems (1998) Treating Addictive Behaviours (2nd Edition), , W.R Miller & N. Heather (Eds.). New York: Plenum; Regier, D.A., Farmer, M.E., Rae, D.S., Locke, B.Z., Keith, S.J., Judd, L.L., Goodwin, F.K., Co-morbidity of mental disorders with alcohol and other substances: Results from the epidemiological catchment area (1990) Journal of the American Medical Association, 164, pp. 2511-2518; (1998) Keys to Engagement: Review of Care for People with Severe Mental Illness Who Are Hard to Engage with Services, , London: Sainsbury Centre; Sandford, T., Drug use is increasing (1995) Nursing Times, 9, p. 16; Weaver, T., Renton, A., Stimson, G., Tyrer, P., Severe mental illness and substance misuse (1999) British Medical Journal, 318, pp. 137-138","Williams, K.; Avonmead, , Westbury-on-Trym, Bristol BS10 5NB, United Kingdom",,,,,,,,9638237,,JMEHE,,English,J. Ment. Health,Article,Final,,Scopus,2-s2.0-0033386594 "Ogden J., Boden J., Caird R., Chor C., Flynn M., Hunt M., Khan K., Maclurg K., Swade S., Thapar V.",7201724673;20133293900;6603356057;57218948265;57201563551;57198344263;20134758900;8401338200;6504285161;20136110200;,'You're depressed'; 'No I'm not': GPs' and patients' different models of depression,1999,British Journal of General Practice,49,439,,123,124,,29,,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0032938073&partnerID=40&md5=382220ab6c8ccda9e1c4759211fe383b,"Department of General Practice, UMDS, London, United Kingdom; Department of General Practice, UMDS, London University, 5 Lambeth Walk, London SE11 6SP, United Kingdom","Ogden, J., Department of General Practice, UMDS, London, United Kingdom, Department of General Practice, UMDS, London University, 5 Lambeth Walk, London SE11 6SP, United Kingdom; Boden, J., Department of General Practice, UMDS, London, United Kingdom; Caird, R., Department of General Practice, UMDS, London, United Kingdom; Chor, C., Department of General Practice, UMDS, London, United Kingdom; Flynn, M., Department of General Practice, UMDS, London, United Kingdom; Hunt, M., Department of General Practice, UMDS, London, United Kingdom; Khan, K., Department of General Practice, UMDS, London, United Kingdom; Maclurg, K., Department of General Practice, UMDS, London, United Kingdom; Swade, S., Department of General Practice, UMDS, London, United Kingdom; Thapar, V., Department of General Practice, UMDS, London, United Kingdom","Questionnaires concerning models of depression were completed by 90 general practitioners (GPs) and 681 patients. GPs and patients held similar beliefs about the role of mood-related symptoms, psychological causes, and non-medical treatments. However, the GPs reported greater support for somatic symptoms, medical causes, and medical treatments. Therefore, GPs and patients report different models of depression, with GPs favouring a more medical perspective. In addition, the results illustrated a role for personal experience of depression. The implications for diagnosis, adherence, and a 'you are depressed; no I'm not' style of interaction are discussed.",Concordance; Depression; Diagnosis; Personal models,"adult; article; clinical feature; depression; doctor patient relation; experience; female; general practitioner; human; major clinical study; male; mood; patient attitude; physician attitude; psychology; questionnaire; Adult; Attitude of Health Personnel; Attitude to Health; Depressive Disorder; Family Practice; Female; Humans; Male; Physicians, Family",,,,,,,,,,,,"Goldberg, D.P., Blackwell, B., Psychiatric illness in general practice. A detailed study using a new method of case identification (1970) BMJ, 2, pp. 439-443; Johnson, D.A.W., Depression: Treatment compliance in general practice (1981) Acta Psychiatr Scand, 63, pp. 447-463; Tylee, A.T., Freeling, P., Kerry, S., Why do general practitioners recognise major depression in one woman patient yet miss it in another? (1993) Br J Gen Pract, 43, pp. 327-330; Pendleton, D., Schofield, T., Tate, P., Havelock, P., (1984) The Consultation: An Approach to Learning and Teaching, , Oxford: Oxford Medical Publications; Tuckett, D., Boulton, M., Olson, C., Williams, A., (1985) Meetings between Experts, , London: Tavistock Publications","Ogden, J.; Department of General Practice, 5 Lambeth Walk, London SE11 6SP, United Kingdom",,,,,,,,9601643,,BJGPE,10326265,English,Br. J. Gen. Pract.,Article,Final,,Scopus,2-s2.0-0032938073 "Jorm A.F., Korten A.E., Jacomb P.A., Christensen H., Henderson S.",7102651196;57208463558;7003649151;7401664450;57189900378;,Attitudes towards people with a mental disorder: A survey of the Australian public and health professionals,1999,Australian and New Zealand Journal of Psychiatry,33,1,,77,83,,247,10.1046/j.1440-1614.1999.00513.x,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0033061802&doi=10.1046%2fj.1440-1614.1999.00513.x&partnerID=40&md5=c8da83f2d402ee073f7cc5efda7db578,"NHMRC Psychiat. Epidemiol. Res. Ctr., Australian National University, Canberra, ACT 0200, Australia","Jorm, A.F., NHMRC Psychiat. Epidemiol. Res. Ctr., Australian National University, Canberra, ACT 0200, Australia; Korten, A.E., NHMRC Psychiat. Epidemiol. Res. Ctr., Australian National University, Canberra, ACT 0200, Australia; Jacomb, P.A., NHMRC Psychiat. Epidemiol. Res. Ctr., Australian National University, Canberra, ACT 0200, Australia; Christensen, H., NHMRC Psychiat. Epidemiol. Res. Ctr., Australian National University, Canberra, ACT 0200, Australia; Henderson, S., NHMRC Psychiat. Epidemiol. Res. Ctr., Australian National University, Canberra, ACT 0200, Australia","Objective: The aim of this paper was to compare the Australian public's attitudes towards people who have been treated for a mental disorder with the attitudes of general practitioners, psychiatrists and clinical psychologists. Method: The study involved a household survey of 2031 members of the Australian public and a postal survey of 872 general practitioners, 1128 psychiatrists and 454 clinical psychologists. Survey participants were presented with a vignette describing a person with schizophrenia or one with depression. They were asked opinions about the person's long-term outcome in various areas of life after receiving treatment. Participants were also asked whether they thought the person described would be discriminated against by others. Results: Both the public and professionals rated outcomes as poorer and discrimination as more likely for the person with schizophrenia than for the one with depression. The professionals made more negative ratings than the public, although the clinical psychologists had similar attitudes to the public about depression. Conclusions: Compared to the public, health professionals rate long-term outcomes more negatively and discrimination as more likely. It is possible that these more negative attitudes are realistic, being based on greater knowledge of mental disorders. However, professional attitudes may be biased by greater contact with patients who have chronic or recurrent disorders. Either way, health professionals need to be aware of the effects that their negative attitudes might have on patients and the public.",Attitudes; Depression; General practitioners; Psychiatrists; Psychologists; Schizophrenia; Stigma,article; attitude; Australia; chronic disease; clinical psychology; depression; doctor patient relation; general practitioner; health practitioner; household; human; mental disease; normal human; physician attitude; psychiatrist; psychologist; public opinion; questionnaire; recurrent disease; schizophrenia; treatment outcome; Empirical Approach; Mental Health; Survey; Adolescent; Adult; Aged; Attitude to Health; Australia; Female; Health Personnel; Humans; Male; Mental Disorders; Middle Aged; Public Opinion; Questionnaires; Retrospective Studies,,,,,,,,,,,,"(1995) National Mental Health Policy, , Canberra: Australian Government Publishing Service; (1997) Summary of National Mental Health Strategy Projects, , Canberra: Commonwealth Department of Health and Family Services; Walter, G., The attitude of health professionals towards carers and individuals with mental illness (1998) Australasian Psychiatry, 6, pp. 70-72; Walter, G., Rosen, A., Psychiatric stigma and the role of the psychiatrist (1997) Australasian Psychiatry, 5, pp. 72-74; Bhugra, D., Attitudes towards mental illness: A review of the literature (1989) Acta Psychiatrica Scandinavica, 80, pp. 1-12; Angermeyer, M.C., Matschinger, H., Social distance towards the mentally ill: Results of representative surveys in the Federal Republic of Germany (1997) Psychological Medicine, 27, pp. 131-141; Byrne, P., Psychiatric stigma: Past, passing and to come (1997) Journal of the Royal Society of Medicine, 90, pp. 618-621; O'Connor, T., Smith, P.B., The labelling of schizophrenics by professionals and lay-persons (1987) British Journal of Clinical Psychology, 26, pp. 311-312; Graves, G.D., Krupinski, J., Stoller, A., Harcourt, A., A survey of community attitudes towards mental illness (1971) Australian and New Zealand Journal of Psychiatry, 5, pp. 18-28; Sellick, K., Goodear, J., Community attitudes toward mental illness: The influence of contact and demographic variables (1985) Australian and New Zealand Journal of Psychiatry, 19, pp. 293-298; (1993) Community Attitudes Toward Mental Illness: Stage II Quantitative Research, , Sydney: Reark Research; Community attitudes towards people with a mental illness (1995) Update from the National Mental Health Strategy Community Awareness Program 1995, pp. 1-2. , Canberra: Commonwealth Department of Human Services and Health; (1991) Schizophrenia Australia Foundation Benchmark National Attitude Survey, , Sydney: Measurement and Consulting Services; Jorm, A.F., Korten, A.E., Jacomb, P.A., Christensen, H., Rodgers, B., Pollitt, P., 'mental health literacy': A survey of the public's ability to recognise mental disorders and their beliefs about the effectiveness of treatment (1997) Medical Journal of Australia, 166, pp. 182-186; Jorm, A.F., Korten, A.E., Jacomb, P.A., Helpfulness of interventions for mental disorders: Beliefs of health professionals compared with the general public (1997) British Journal of Psychiatry, 171, pp. 233-237; Jorm, A.F., Korten, A.E., Jacomb, P.A., Rodgers, B., Pollitt, P., Beliefs about the helpfulness of interventions for mental disorders: A comparison of general practitioners, psychiatrists and clinical psychologists (1997) Australian and New Zealand Journal of Psychiatry, 31, pp. 844-851; The ICD-10 classification of mental and behavioural disorders (1993) Diagnostic Criteria for Research, , Geneva: World Health Organization; (1994) Diagnostic and Statistical Manual of Mental Disorders. 4th Ed., , Washington, DC: American Psychiatric Association; Link, B.F., Struening, E.L., Rahav, M., Phelan, J.C., Nuttbrock, L., On stigma and its consequences: Evidence from a longitudinal study of men with dual diagnoses of mental illness and substance abuse (1997) Journal of Health and Social Behavior, 38, pp. 177-190","Jorm, A.F.; NHMRC Psychiat. Epidemiol. Res. Ctr., , Canberra, ACT 0200, Australia; email: Anthony.Jorn@anu.edu.au",,,,,,,,48674,,ANZPB,10197888,English,Aust. New Zealand J. Psychiatry,Article,Final,,Scopus,2-s2.0-0033061802 "Ross S., Moffat K., McConnachie A., Gordon J., Wilson P.",7401609899;7005214484;6701526254;7404624333;57203055015;,Sex and attitude: A randomized vignette study of the management of depression by general practitioners,1999,British Journal of General Practice,49,438,,17,21,,55,,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0032949656&partnerID=40&md5=dad185b73b56517b07d3d4f67bb4b40b,"Department of General Practice, University of Glasgow, Woodside Health Centre, Glasgow, United Kingdom; Health Promotion Department, Greater Glasgow Health Board, Glasgow, United Kingdom; Health Services Research Unit, University of Aberdeen, Foresterhill, Aberdeen AB25 2ZD, United Kingdom","Ross, S., Department of General Practice, University of Glasgow, Woodside Health Centre, Glasgow, United Kingdom, Health Services Research Unit, University of Aberdeen, Foresterhill, Aberdeen AB25 2ZD, United Kingdom; Moffat, K.; McConnachie, A.; Gordon, J., Health Promotion Department, Greater Glasgow Health Board, Glasgow, United Kingdom; Wilson, P.","Background. The management and detection of depression varies widely, and the causes of variation are incompletely understood. Aims. To describe and explain general practitioners' (GPs') current practice in the recognition and management of depression in young adults, their attitudes towards depression, and to investigate associations of GP characteristics and patient sex with management. Method. All GP principals in the Greater Glasgow Health Board were randomized to receive questionnaires with vignettes describing increasingly severe symptoms of depression in either male or female patients, and asked to indicate which clinical options they would be likely to take. The Depression Attitude Questionnaire was used to elicit GP attitudes. Results. As the severity of vignette symptoms increased, GPs responded by changing their prescribing and referral patterns. For the most severe vignette, the majority of GPs would prescribe drugs (76.4%) and refer the patient for further help (73.7%). Male and female patients were treated differently: GPs were less likely to ask female patients than male patients to attend a follow-up consultation (odds ratio [OR] = 0.55), and female GPs were less likely to refer female patients (OR = 0.33). GPs with a pessimistic view of depression, measured using the 'inevitable course of depression' attitude scale, were less willing to be actively involved in its treatment, being less likely to discuss a non-physical cause of symptoms (OR = 0.77) or to explore social factors in moderately severe cases (OR = 0.68). Conclusions. Accepting the limitations of the method, GPs appear to respond appropriately to increasingly severe symptoms of depression, although variation in management exists. Educational programmes should be developed with the aim of enhancing GP attitudes towards depression, and the effects on detection and management of depression should be rigorously evaluated.",Attitude; General practice; Management of depression; Sex; Vignette methodology,"antidepressant agent; article; consultation; depression; follow up; general practice; general practitioner; human; patient referral; physician attitude; questionnaire; sex difference; social aspect; symptom; Attitude of Health Personnel; Clinical Competence; Depression; Family Practice; Female; Humans; Male; Physician's Practice Patterns; Physicians, Family; Regression Analysis; Scotland; Sex Factors",,,,,,,,,,,,"Wright, A.F., Continuing to defeat depression (1995) Br J Gen Pract, 45, pp. 170-171; Blacker, C.V.R., Clare, A.W., Depressive disorders in primary care (1987) Br J Psychiatr, 150, pp. 737-751; Ormel, J., Koeter, M.W.J., Van Den Brink, W., Van Den Villige, G., Recognition, management, and course of anxiety and depression in general practice (1991) Arch Gen Psychiatr, 48, pp. 700-706; Lloyd, K.R., Jenkins, R., Mann, A., Long term outcome of patients with neurotic illness in general practice (1996) BMJ, 313, pp. 26-28; Whitehouse, C., Psychosocial illness management in general practice (1987) J R Coll Gen Pract, 37, pp. 112-115; Goldberg, D.P., Blackwell, B., Psychiatric illness in general practice (1970) BMJ, 2, pp. 439-443; Marks, J.N., Goldberg, D.P., Hillier, V.F., Determinants of the ability of general practitioners to detect psychiatric illness (1979) Psychol Med, 9, pp. 337-353; Howe, A., ""I know what to do, but it's not possible to do it"" - General practitioners' perceptions of their ability to detect psychological distress (1996) Fam Pract, 13, pp. 127-132; Boardman, A.P., The general health questionnaire and the detection of emotional disorder by general practitioners: A replicated study (1987) Br J Psychial, 151, pp. 373-381; Kerr, M., Blizard, R., Mann, A., General practitioners and psychiatrists: Comparison of attitudes to depression using the depression attitude questionnaire (1995) Br J Gen Pract, 45, pp. 89-92; Botega, N., Blizard, R., Wilkinson, G., Mann, A., General practitioners and depression - First use of the depression altitude questionnaire (1992) Int J Methods Psychiatric Res, 2, pp. 169-180; Dale, J., Middle-ton, H., Factors influencing general practitioners' management of psychosocial and physical problems: A study using case vignettes (1990) Br J Gen Pract, 40, pp. 284-288; McLoone, P., Suicide and deprivation in Scotland (1996) BMJ, 312, pp. 543-544; West, P., (1982) Reproducing Naturally Occurring Stories: Vignette's in Survey Research, , Glasgow: MRC Medical Sociology Research Unit; Zeger, S.L., Liang, K.-Y., Longitudinal data analysis for discrete and continuous outcomes (1986) J Biometrics, 42, pp. 121-130; Priest, R.G., A new initiative on depression (1991) Br J Gen Pract, 41, p. 487; Paykel, B.S., Priest, R.G., Recognition and management of depression in general practice: Consensus statement (1992) BMJ, 305, pp. 1198-1202; Kendrick, T., Prescribing antidepressants in general practice (1996) BMJ, 313, pp. 829-830; Williams, J.B.W., Spitzer, R.L., Linzer, M., Gender differences in depression in primary care (1995) Am J Obstet Gynaecol, 173, pp. 654-659; Wright, A.F., Psychological distress in a general practice: Outcomes and consultation rates (1988) J R Coll Gen Pract, 38, pp. 542-545; Cartwright, A., Professionals as responders: Variations in and effects of response rates to questionnaires (1978) BMJ, 2, pp. 1419-1421; MacDonald, P., Response rates in general practice studies (1993) Br J Gen Pract, 43, p. 484; McAvoy, B.R., Kaner, E.F.S., General practice postal surveys: A questionnaire too far (1996) BMJ, 313, pp. 732-733; Templeton, L., Deehan, A., Taylor, C., Surveying general practitioners: Does a low response rate matter? (1997) Br J Gen Pract, 47, pp. 91-94; Kerwick, S., Jones, R., Mann, A., Goldberg, D., Mental health training priorities in general practice (1997) Br J Gen Pract, 47, pp. 225-227; Cask, L., McGrath, G., Goldberg, D., Millar, T., Improving the psychiatric skills of established general practitioners: Evaluation of group teaching (1987) Med Educ, 21, pp. 362-368; Hannaford, P.C., Thompson, C., Simpson, M., Evaluation of an educational programme to improve the recognition of psychological illness by general practitioners (1996) Br J Gen Pract, 46, pp. 333-337; Howe, A., Detecting psychological distress: Can general practitioners improve their own performance? (1996) Br J Gen Pract, 46, pp. 407-410","Ross, S.; Health Services Research Unit, Foresterhill, Aberdeen AB25 2ZD, United Kingdom",,,,,,,,9601643,,BJGPE,10622010,English,Br. J. Gen. Pract.,Article,Final,,Scopus,2-s2.0-0032949656 "Sévigny R., Yang W., Zhang P., Marleau J.D., Yang Z., Su L., Li G., Xu D., Wang Y., Wang H.",6603314118;35274149500;55491609300;7003975443;55506461100;36865170600;55506892900;56299193300;8131659600;37092130800;,Attitudes toward the mentally ill in a sample of professionals working in a psychiatric hospital in Beijing (China),1999,International Journal of Social Psychiatry,45,1,,41,55,,44,10.1177/002076409904500106,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0344573777&doi=10.1177%2f002076409904500106&partnerID=40&md5=078fd81ee23ab367c4882df8ca37bc7b,"Department of Sociology, Université de Montréal, succursale Centreville, Montréal Que. H3C 3J7, Canada","Sévigny, R., Department of Sociology, Université de Montréal, succursale Centreville, Montréal Que. H3C 3J7, Canada; Yang, W.; Zhang, P.; Marleau, J.D.; Yang, Z.; Su, L.; Li, G.; Xu, D.; Wang, Y.; Wang, H.","The attitudes of psychiatric doctors and nurses toward the mentally ill in a large urban psychiatric hospital in China were compared using the Community Attitudes toward the Mentally Ill (CAMI). Data indicated that the attitude of professionals differed on 11 of the 40 questions of this instrument. Those questions are divided along 4 dimensions: authoritarianism, benevolence, social restrictiveness and rehabilitation in the community. Results showed that psychiatric doctors have a more liberal and positive attitude toward the mentally ill than psychiatric nurses, especially about their rehabilitation in the community. Factor analysis also indicated that nurses were more likely than doctors to attribute negative characteristics to the mentally ill. Some explanations are proposed to explain these differences.",,article; attitude; authority; China; factorial analysis; mental disease; mental hospital; nurse; physician attitude; questionnaire; rehabilitation,,,,,,,,,,,,"Baker, F., Schulberg, H., The development of a community mental health ideology scale (1967) Community Mental Health Journal, 3, pp. 216-225; Bhugra, D., Attitudes towards mental illness: A review of the literature (1989) Acta Psychiatrica Scandinavica, 80, pp. 1-12; Brockington, I.F., Hall, P., Levings, J., Murphy, C., The community's tolerance of the mentally ill (1993) British Journal of Psychiatry, 162, pp. 93-99; Chou, K.-L., Mak, K.-Y., Chung, P.-K., Ho, K., Attitudes towards mental patients in Hong Kong (1996) International Journal of Social Psychiatry, 42, pp. 213-219; Cohen, J., Struening, E.L., Opinions about mental illness in the personnel of two large mental health hospitals (1962) Journal of Abnormal and Social Psychology, 64, pp. 349-360; Cohen, J., Struening, E.L., Opinions about mental illness: Hospital differences in attitudes for eight occupational groups (1965) Psychological Reports, 17, pp. 25-26; Côté, J., Ouellet, L., Caron, M., (1992) Tolérance Face Aux Ressources Résidentielles: L'accueil du Public Face à L'intégration Sociale de Voisins Avec Un Problème de Sida, Alcoolisme et Toxicomanie, , Rapport de recherche. Module de recherche psychosociale, centre de recherche Université Robert-Giffard, Québec; Côté, J., Ouellet, L., Caron, M., (1993) Maladie Mentale et Réinsertion Sociale: Attitudes et Opinions des Membres et Intervenants du Réseau Hospitalier Psychiatrique, , Rapport de recherche. Module de recherche psychosociale, centre de recherche Université Robert-Giffard, Québec; Côté, J., Ouellet, L., Caron, M., (1993) Maladie Mentale et Réinsertion Sociale: Attitudes et Opinions des Membres et Intervenants du Réseau de la Santé et des Services Communautaires, , Rapport de recherche. Module de recherche psychosociale, centre de recherche Université Robert-Giffard, Québec; Dear, M.J., Taylor, S.M., (1982) Not on Our Street: Community Attitudes to Mental Health Care, , Pion eds; Dulac, G., Corin, E., Murphy, B.B.M., (1988) Les Attitudes du Public et al Désinstitutionnalisation, , Rapport de recherche, Centre hospitalier Douglas, Montréal; Kleinman, A., (1988) Rethinking Psychiatry: From Cultural Category to Personal Experience, , New York: The Free Press; Lee, S., Unity and hybridity: The transformation of mental health problems in Chinese society (1997) Transcultural Psychiatry; Lee, S., Kleinman, A., (1997) Mental Illness and Social Change in China, 5, pp. 43-46. , Harvard Review of Psychiatry; Leung, J.C.B., Nann, R.C., (1995) Authority and Benevolence: Social Welfare in China, , Hong Kong: The Chinese University Press, 198 p; Levine, D., A cross-national study of attitudes toward mental illness (1972) Journal of Abnormal Psychology, 80, pp. 111-114; Madianos, M.G., Madianou, D., Vlachonikolis, J., Stefanis, C.N., Attitudes towards mental illness in the Athens area: Implications for community mental health intervention (1987) Acta Psychiatrica Scandinavica, 75, pp. 158-165; Mahatane, J., Johnston, M., Unrealistic optimism and attitudes towards mental health (1989) British Journal of Clinical Psychology, 28, pp. 181-182; Nathan, A.J., Totalitarianism, authoritarianism, democracy: The case of China (1992) Asia: Case Studies in the Social Sciences. A Guide for Teaching, pp. 235-256. , (Ed. Cohen, M.L.). New York: Armonk; Oyefeso, A.O., Osinowo, H., Idemudia, E., Sex and propinquity as predictors of attitude towards the mentally ill among Nigerians (1989) Indian Journal of Behaviour, 13, pp. 27-32; Pearson, V., The Chinese equation in mental health policy and practice: Order plus control equal stability (1996) International Journal of Law and Psychiatry, 19, pp. 437-458; Pearson, V., Phillips, M.R., The social context of psychiatric rehabilitation in China (1994) The British Journal of Psychiatry, 165, pp. 11-18; Pearson, V., Yiu, M.-K., Public attitudes towards mental health facilities: A study in Hong Kong (1993) Social Work and Social Sciences Review, 4, pp. 59-82; Phillips, M.R., Strategies used by Chinese families coping with schizophrenia (1993) Chinese Families in the Post-Mao Era, pp. 277-306. , D. Davis & S. Harerell (Eds.). Los Angeles: University of California Press; Phillips, M.R., Pearson, V., Wang, R., Editor's introduction (1994) British Journal of Psychiatry, 165 (SUPPL. 24), pp. 9-10; Phillips, M.R., Pearson, V., Coping in Chinese communities: The need for a new research agenda (1996) The Handbook of Chinese Psychology, pp. 429-440. , M. Harris Bond (Eds.), Hong Kong: Oxford University Press; Pye, L.W., (1985) Asian Power and Politics: The Cultural Dimensions of Authority, , Cambridge (United States): The Belknap Press of Harvard University Press, 414 p; Rabkin, J.G., Opinions about mental illness: A review of the literature (1972) Psychological Bulletin, 77, pp. 153-171; Rahav, M., Struening, E.L., Andrews, H., Opinions on mental illness in Israel (1984) Social Science and Medicine, 19, pp. 1151-1158; Roskin, G., Carsen, M.L., Rabiner, C.J., Marell, S.K., Attitudes toward patients among different mental health professional groups (1988) Comprehensive Psychiatry, 29, pp. 188-194; Sévigny, R., Psychiatric practice in China: Some preliminary elements for further analysis (1992) Culture Health, 9, pp. 253-270; Sévigny, R., Yang, W., Zhang, P., Yang, Z., Su, L., Li, G., Su, D., Wang, H., The social rehabilitation of psychiatric patients in a Chinese urban area: The place of work and of the work unit (1997) Regional Meeting of the World Psychiatric Association, , Beijing, China, October; Shen, Y., (1980) Psychiatry Directory (in Chinese), , Beijing (China): Renmin Waisheng Chubanshe Chuban; Streiner, D.L., Figuring out factors: The use and misuse of factor analysis (1994) Canadian Journal of Psychiatry, 39, pp. 135-140; Taylor, S.M., Dear, M.J., Hall, G.B., Attitudes toward the mentally ill and reactions to mental health facilities (1979) Social Science and Medicine, 13 D, pp. 281-290; Taylor, S.M., Dear, M.J., Scaling community attitudes toward the mentally ill (1981) Schizophrenia Bulletin, 7, pp. 225-240; Tefft, B., Segall, A., Trute, B., (1988) Public Beliefs, Attitudes, and Behavioral Intentions Regarding the Mentally and Community Mental Health Services, , Rapport soumis au Services et Promotion de la santé, Gouvernement du Manitoba; Unschuld, P.U., (1985) Medicine in China: A History of Ideas, , Los Angeles: University of California Press; Wahl, O.F., Lefkowits, J.Y., Impact of a television film on attitudes toward mental illness (1989) American Journal of Community Psychology, 17, pp. 521-528; Wang, X., An integrated system of community services for rehabilitation of chronic psychiatric patients in Shenyang, China (1994) British Journal of Psychiatry, 165, pp. 80-88; Weng, Y.Z., Guo, G.Y., Chen, X.S., Introduction to psychiatry (1991) Psychiatric Nursing, , (Eds. Weng, Y.Z.), Beijing (China): Renmin Waisheng Chubanshe Chuban; Weng, Y., Sévigny, R., Yang, W., Yang, Z., (1996) Psychosocial Rehabilitation for Psychiatric Patients in China, , Unpublished paper; Wolff, G., Pathare, S., Craig, T., Leff, J., Public education for community care: A new approach (1996) British Journal of Psychiatry, 168, pp. 441-447; Wolff, G., Pathare, S., Craig, T., Leff, J., Community attitudes to mental illness (1996) British Journal of Psychiatry, 168, pp. 183-190; Yang, W.-Y., Li, G.-W., Wang, H.-Y., Su, L., Xu, D., Sévigny, R., Yang, Z.-Z., Psycho-social dimensions of mental patient rehabilitation (1996) Hui Long Guan, Beijing Conference on Psychiatric Practice, , Beijing, China","Sevigny, R.; Department of Sociology, CP 6128, succursale Centreville, Montreal, Que. H3C 3J7, Canada",,,Avenue Publishing Company,,,,,207640,,IJSPA,10443248,English,Int. J. Soc. Psychiatry,Article,Final,,Scopus,2-s2.0-0344573777 "Lawrie S.M., Martin K., McNeill G., Drife J., Chrystie P., Reid A., Wu P., Nammary S., Ball J.",7006525184;57213757340;57198275556;24443747000;57199350939;7202690824;19436928600;6504526556;57196939252;,General practitioners' attitudes to psychiatric and medical illness,1998,Psychological Medicine,28,6,,1463,1467,,61,10.1017/S0033291798007004,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0031796973&doi=10.1017%2fS0033291798007004&partnerID=40&md5=de4d15f74a4e55bef77a875b5a5858e3,"Department of Psychiatry, Royal Edinburgh Hospital, Edinburgh, United Kingdom; Department of Psychiatry, Royal Edinburgh Hospital, Edinburgh EH10 5HF, United Kingdom","Lawrie, S.M., Department of Psychiatry, Royal Edinburgh Hospital, Edinburgh, United Kingdom, Department of Psychiatry, Royal Edinburgh Hospital, Edinburgh EH10 5HF, United Kingdom; Martin, K., Department of Psychiatry, Royal Edinburgh Hospital, Edinburgh, United Kingdom; McNeill, G., Department of Psychiatry, Royal Edinburgh Hospital, Edinburgh, United Kingdom; Drife, J., Department of Psychiatry, Royal Edinburgh Hospital, Edinburgh, United Kingdom; Chrystie, P., Department of Psychiatry, Royal Edinburgh Hospital, Edinburgh, United Kingdom; Reid, A., Department of Psychiatry, Royal Edinburgh Hospital, Edinburgh, United Kingdom; Wu, P., Department of Psychiatry, Royal Edinburgh Hospital, Edinburgh, United Kingdom; Nammary, S., Department of Psychiatry, Royal Edinburgh Hospital, Edinburgh, United Kingdom; Ball, J., Department of Psychiatry, Royal Edinburgh Hospital, Edinburgh, United Kingdom","Background. General practitioners are increasingly involved in the care of patients with long-term psychiatric disorders. We have previously reported that general practitioners are less willing to treat patients with schizophrenia than those without such a diagnosis, but this may have been attributable to a reluctance to treat patients with any psychiatric or chronic illness. We, therefore, examined general practitioners' attitudes to patients with chronic psychiatric or medical illnesses. Methods. A random sample of 260 local general practitioners were each sent one of our case vignettes which were identical apart from mention of a previous diagnosis of schizophrenia, depression, diabetes or no illness. The general practitioners were asked to indicate their level of agreement with 13 attitudinal statements based on the vignette. Results. One hundred and sixty-six (66%) of the general practitioners responded to the case vignettes. Those responding to the vignette about the patient with schizophrenia were less happy to have that patient on their practice list and were more concerned about the risk of violence and the child's welfare. Those responding to the depression vignette were more likely to offer the patient antidepressants or counselling; and those who replied to the diabetes case were most likely to refer the patient to a hospital specialist. These differences were not attributable to the personal or practice characteristics of the general practitioners. Conclusions. Patients with schizophrenia arouse concerns in general practitioners that are not simply due to those patients suffering from a psychiatric or chronic illness. Our results suggest that some patients with schizophrenia may find it difficult to register with a general practitioner and receive the integrated community-based health care service they require. Psychiatrists should provide education and support to general practitioners who look after patients with schizophrenia.",,"antidepressant agent; adult; article; attitude; chronic disease; community care; depression; diabetes mellitus; education; general practitioner; human; medical care; medical specialist; mental disease; normal human; patient counseling; patient referral; psychiatrist; register; schizophrenia; Adult; Attitude of Health Personnel; Depressive Disorder; Diabetes Mellitus; Family Practice; Female; Humans; Male; Mental Disorders; Middle Aged; Physicians, Family; Referral and Consultation; Schizophrenic Psychology; Sick Role",,,,,,,,,,,,"Buchanan, A., Bhugra, D., Attitude of the medical profession to psychiatry (1992) Acta Psychiatrica Scandinavica, 85, pp. 1-5; Dasilva, L., Johnstone, E.C., A follow-up study of severe puerperal psychiatric illness (1981) British Journal of Psychiatry, 139, pp. 346-354; Finch, J., The vignette technique in survey research (1987) Sociology, 21, pp. 105-114; Hobbs, F.D.R., Violence in general practice: A survey of general practitioners' views (1991) British Medical Journal, 302, pp. 329-332; Kendrick, T., Burns, T., General practitioners and mentally ill people in the community: The GMSC's advice is over-defensive (1996) British Journal of General Practice, 46, pp. 586-1569; Kendrick, T., Sibbald, B., Burns, T., Freeling, P., Role of general practitioners in care of long term mentally ill patients (1991) British Medical Journal, 302, pp. 508-510; King, M.B., Management of patients with schizophrenia in general practice (1992) British Journal of General Practice, 42, pp. 310-311; Lawrie, S.M., Parsons, C., Patrick, J., Massen, J., Sussman, J., Cumming, D., Lewin, J., Pickup, S., A controlled trial of general practitioners' attitudes to patients with schizophrenia (1996) Health Bulletin (Edinburgh), 54, pp. 201-203; Nazareth, I., King, M., Davies, S., Care of schizophrenia in general practice: The general practitioner and the patient (1995) British Journal of General Practice, 45, pp. 343-347; Read, J., Baker, S., (1996) Not Just Sticks and Stones, , Mind: London; (1993) Joint Report: Shared Care of Patients with Mental Health Problems., , Royal College of General Practitioners: London; Wessely, S.C., Castle, D., Douglas, A.J., Taylor, P.J., The criminal careers of incident cases of schizophrenia (1994) Psychological Medicine, 24, pp. 483-502","Lawrie, S.M.; Department of Psychiatry, , Edinburgh EH10 5HF, United Kingdom",,,,,,,,332917,,PSMDC,9854287,English,Psychol. Med.,Article,Final,,Scopus,2-s2.0-0031796973 "McIntyre S.M., Schwartz R.C.",7004921767;7404171337;,Therapists' differential countertransference reactions toward clients with major depression or borderline personality disorder,1998,Journal of Clinical Psychology,54,7,,923,931,,56,10.1002/(SICI)1097-4679(199811)54:7<923::AID-JCLP6>3.0.CO;2-F,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0031767497&doi=10.1002%2f%28SICI%291097-4679%28199811%2954%3a7%3c923%3a%3aAID-JCLP6%3e3.0.CO%3b2-F&partnerID=40&md5=fa398cdc06116efa2da64a940eb4e396,"Charter Springs Behav. Health System; Department of Counseling, Idaho State University; 507 N.W. 19th Street, Gainesville, FL 32603, United States","McIntyre, S.M., Charter Springs Behav. Health System, Department of Counseling, Idaho State University, 507 N.W. 19th Street, Gainesville, FL 32603, United States; Schwartz, R.C., Department of Counseling, Idaho State University","The purpose of this study was to examine psychotherapists' differential countertransference reactions toward either clients diagnosed with either Major Depression or Borderline Personality Disorder. Specifically, psychotherapists' personal perceptions and emotional reactions to these clients were assessed utilizing the Impact Message Inventory and the Stress Appraisal Scale (N = 155). Direct feelings, action tendencies, cognitive attributions, and perceived anxiety were evaluated. Results indicated that clients with Borderline Personality Disorder are perceived as significantly more dominant and hostile, whereas clients with Major Depression were considered significantly more submissive, friendly, and salient. In addition, it was found that as clinicians' years of experience increased, degree of countertransference decreased. These results suggest that countertransference reactions can be measured empirically, that differential countertransference reactions are evoked toward clients manifesting different symptoms, and that awareness of countertransference may be important for positive therapeutic outcome.",,article; borderline state; cognition; counter transference; depression; emotion; medical practice; perception; psychotherapist; psychotherapy; rating scale; Adult; Borderline Personality Disorder; Countertransference (Psychology); Depressive Disorder; Female; Humans; Male; Psychotherapy,,,,,,,,,,,,"Adler, G., Hospital treatment of borderline patients (1973) American Journal of Psychiatry, 130, pp. 32-36; (1994) Diagnostic and Statistical Manual of Mental Disorders (4th Ed.), , Washington, DC: Author; Blanck, G., Blanck, R., (1979) Ego Psychology 11: Psychoanalytic Developmental Psychology, , New York: Columbia University Press; Carpenter, B.N., Suhr, P., Stress appraisal: Measurement and correlates (1988) Annual Meeting of the American Psychological Association, , August. Paper presented, Atlanta, GA; Cone, J.D., Foster, S.L., (1993) Dissertations and Theses from Start to Finish: Psychology and Related Fields, , Washington, DC: American Psychological Association; Cutler, R.L., Countertransference effects on psychotherapy (1958) Journal of Consulting Psychology, 22, pp. 349-356; Fenichel, O.M., (1945) The Psychoanalytic Theory of Neurosis, , New York: W.W. Norton; (1991) Mental Health Counselors Licensure Examination: Candidate Information Booklet, , Tallahassee, FL: Bureau of Examination Services; Frances, A.J., (1988) DSM-III Personality Disorders: Diagnosis and Treatment, , New York: Guilford Press; Frances, A.J., (1989) Depression: Diagnosis and Treatment, , New York: Guilford Press; Freud, S., Future prospects of psychoanalytic psychotherapy (1958) The Standard Edition of the Complete Psychological Works of Sigmund Freud, 11. , J. Strachey (Ed. and Trans.) London: Hogarth. (Original work published 1910); Freud, S., An outline of psychoanalysis (1938) Standard Edition, 23, pp. 144-207; Fromm-Reichman, F., (1950) Principles of Intensive Psychotherapy, , Chicago: University of Chicago Press; Hayes, J.A., Gelso, C.J., Effect of therapist-trainee's anxiety and empathy on counter-transference behavior (1991) Journal of Clinical Psychology, 47 (2), pp. 284-290; Heimann, P., On countertransference (1950) International Journal of Psychoanalysis, 31, pp. 81-84; Horwitz, L., Indications for group psychotherapy with borderline and narcissistic patients (1987) Bulletin of the Menninger Clinic, 51, pp. 248-260; Kernberg, O.F., Borderline personality organization (1967) Journal of the American Psychoanalytic Association, 15, pp. 641-685; Kernberg, O.F., (1975) Borderline Conditions and Pathological Narcissism, , New York: John Wiley & Sons; Kernberg, O.F., Some issues in the theory of hospital treatment (1981) Nordisk Tidsskrift for Loegeforen, 14, pp. 837-842; Kiesler, D.J., (1987) IMI: Manual for the Impact Message Inventory (Research Ed.), , Palo Alto, CA: Consulting Psychologists Press; Masterson, J.F., Klein, R., (1989) Psychotherapy of the Disorders of the Self, , New York: Brunner/Mazel; Mcwilliams, N., (1994) Psychoanalytic Diagnosis: Understanding Personality Structure in the Clinical Process, , New York: Guilford Press; Panken, S., Countertransference reevaluated (1981) Psychoanalytic Review, 68 (1), pp. 23-44; Peabody, S.A., Gelso, C.J., Countertransference and empathy: The complex relationship between two divergent concepts in counseling (1982) Journal of Counseling Psychology, 29, pp. 240-245; Robbins, S.B., Jolkovski, M.P., Managing countertransference feelings: An interactional model using awareness of feeling and theoretical framework (1987) Journal of Counseling Psychology, 22, pp. 358-363; Slakter, E., (1987) Countertransference, , Northvale, NJ: Jason Aronson; Van Wagoner, S.T., Gelso, C.J., Hayes, J.A., Diemer, R.A., Countertransference and the reputedly excellent therapist (1991) Psychotherapy, 28 (2), pp. 411-421; Watkins, C.E., Countertransference: Its impact on the counseling situation (1985) Journal of Counseling and Development, 63, pp. 356-359; Wetzel, J.W., (1984) Clinical Handbook of Depression, , New York: Gardner Press; Winnicott, D.W., (1949) Hate in the Countertransference, , New York: Basic Books; Yulis, S., Kiesler, D.J., Countertransference response as a function of therapist anxiety and content of patient talk (1968) Journal of Consulting and Clinical Psychology, 32, pp. 413-419","McIntyre, S.M.507 N.W. 19th Street, Gainesville, FL 32603, United States",,,,,,,,219762,,JCPYA,9811129,English,J. Clin. Psychol.,Article,Final,,Scopus,2-s2.0-0031767497 "Hayes J.A., Wall T.N.",7403555164;7101847010;,"What influences clinicians' responsibility attributions? The role of problem type, theoretical orientation, and client attribution",1998,Journal of Social and Clinical Psychology,17,1,,69,74,,10,10.1521/jscp.1998.17.1.69,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0039390658&doi=10.1521%2fjscp.1998.17.1.69&partnerID=40&md5=8a8464d340be590e12259a8c6431c939,"312 CEDAR Building, Dept. Counselor Educ., Counseling P., Pennsylvania State University, University Park, PA 16802, United States","Hayes, J.A., 312 CEDAR Building, Dept. Counselor Educ., Counseling P., Pennsylvania State University, University Park, PA 16802, United States; Wall, T.N.","Preliminary evidence suggests that therapy outcome is directly related to the similarity between client and therapist attributions of responsibility for clients' problems (Hayes, Wall, & Shea, 1998; Tracey, 1988). However, it is unclear what factors influence the formulation of clinicians' responsibility attributions (RAs), causing them to differ at times fron clients' RAs. This study investigated how problem type, theoretical orientation, and client RA might affect clinician RAs. After reading a vignette describing a woman with either bulimia or posttraumatic stress disorder (PTSD), 357 members of the American Psychological Association (147 women, 210 men) made RAs. The client with bulimia was viewed as more responsible for causing and solving her problem than the client with PTSD. Theoretical orientation was not a useful predictor of clinician RAs. Client RA did not affect clinicians' RAs.",,,,,,,,,,,,,,"Atkinson, D.R., Worthington, R.L., Dana, D.M., Good, G.E., Etiology beliefs, preferences for counseling orientations, and counseling effectiveness (1991) Journal of Counseling Psychology, 38, pp. 258-264; Brickman, P., Rabinowitz, V.C., Karuza, J., Coates, D., Cohn, E., Kidder, L., Models of helping and coping (1982) American Psychologist, 37, pp. 368-384; Corey, G., Corey, M.S., Callanan, P., (1988) Issues and Ethics in the Helping Professions, , Pacific Grove, CA: Brooks/Cole; Hayes, J.A., Wall, T.N., Shea, A., (1998) The Relationship of Attribution Congruence to Working Alliance and Psychotherapy Outcome, , Manuscript in preparation; Karuza, J., Zevon, M.A., Gleason, T.A., Karuza, C.M., Nash, L., Models of helping and coping, responsibility attributions, and well-being in community elderly and their helpers (1990) Psychology and Aging, 5, pp. 194-208; Lemkau, J.P., Bryant, F.B., Brickman, P., Client commitment to the helping relationship (1982) Basic Processes in Helping Relationships, pp. 187-207. , T. A. Wills (Ed.), New York: Academic Press; McCracken, J.E., Hayes, J.A., Dell, D., Attributions of responsibility for memory problems in older and younger adults (1997) Journal of Counseling and Development, 75, pp. 385-391; McGovern, M.P., Newman, F.L., Kopta, S.M., Metatheoretical assumptions and psychotherapy orientation: Clinician attributions of patients' problem causality and responsibility for treatment outcome (1986) Journal of Consulting and Clinical Psychology, 54, pp. 476-481; Sherrard, P.A.D., Batson, C.D., Client and counselor perception of the client's problem: An analysis of initial assessment based on attribution theory (1979) Journal of College Student Personnel, 20, pp. 14-23; Snyder, C.R., Shenkel, R.J., Schmidt, A., Effects of role perspective and client psychiatric history on locus of problem (1976) Journal of Consulting and Clinical Psychology, 44, pp. 467-472; Spitzer, R.L., Gibbon, M., Skodol, A.E., Williams, J.B.W., First, M.B., (1994) DSM-IV Case Book, , Washington, DC: American Psychiatric Press; Tracey, T.J., Relationship of responsibility attribution congruence to psychotherapy outcome (1988) Journal of Social and Clinical Psychology, 7, pp. 131-146; Worthington, R.L., (1995) Etiology Attributions, Causal Dimensions, Responsibility Attributions, Treatment Strategy Recommendations and Theoretical Orientation, , Unpublished dissertation, University of California, Santa Barbara; Worthington, R.L., Atkinson, D.R., Counselors' responsibility and etiology attributions, theoretical orientation, and counseling strategies (1993) Journal of Counseling Psychology, 40, pp. 295-302","Hayes, J.A.; 312 CEDAR Building, , University Park, PA 16802, United States; email: jxh34@psuvm.psu.edu",,,Guilford Publications,,,,,7367236,,,,English,J. Soc. Clin. Psychol.,Article,Final,,Scopus,2-s2.0-0039390658 "Deehan A., Taylor C., Strang J.",6701511944;7404822545;7102963151;,"The general practitioner, the drug misuser, and the alcohol misuser: Major differences in general practitioner activity, therapeutic commitment, and 'shared care' proposals",1997,British Journal of General Practice,47,424,,705,709,,72,,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0030694631&partnerID=40&md5=d9e551084f240914daaacf780a161612,"Department of the Addictions; National Addiction Centre, London, United Kingdom; National Addiction Centre, 4 Windsor Walk, Denmark Hill, London SE5 8AF, United Kingdom","Deehan, A., National Addiction Centre, London, United Kingdom, National Addiction Centre, 4 Windsor Walk, Denmark Hill, London SE5 8AF, United Kingdom; Taylor, C., National Addiction Centre, London, United Kingdom; Strang, J., Department of the Addictions, National Addiction Centre, London, United Kingdom","Background. The primary care setting has been regarded in government policy and the scientific literature as an ideal setting for the work needed to meet the Health of the Nation drug and alcohol targets. Although studies have pointed to the negative attitudes held by general practitioners (GPs) towards alcohol- and drug-misusing patients, there has been no direct comparison of the work and attitudes of the GP towards these patients. Aim. To compare the work and attitudes of GPs towards alcohol- and drug-misusing patients. Method. All GPs in an outer London area (157 doctors) were surveyed, using an eight-page postal questionnaire, collecting clinical and attitudinal data alongside demographics and practice information. A response rate of 52% was achieved. Results. General practitioners reported working with only 3.5 patients drinking above recommended guidelines in the previous four working weeks, and even fewer drug-using patients (0.75). While they viewed the alcohol-misusing patients negatively, the drug misuser elicited substantially more negative attitudes. The primary care setting was seen as appropriate to work with the alcohol-misusing patient but not with drug users. Training and support from local services would encourage substantially more GPs to work with alcohol misusers but not with drug misusers. Conclusions. Our findings indicate that there are some cautious grounds for optimism that GPs are willing to work with alcohol misusers; however, with regard to drug misusers, we find a GP workforce that is only minimally involved with this group and would not be greatly encouraged by the provision of additional training, support, or incentives. The Health of the Nation targets are not being met, and GPs are not detecting adequate numbers of the patients at whom these targets are aimed. Emphasis has been placed on the role of primary care, but the real achievements that can be made require detection of the less severe drinkers and injecting drug misusers.",Alcoholism; Drug abuse; General practitioner; Health of the Nation; Targets,"alcohol abuse; article; drug abuse; general practitioner; government; physician attitude; policy; primary medical care; questionnaire; training; united kingdom; Adolescent; Adult; Alcoholism; Attitude of Health Personnel; Attitude to Health; Female; Humans; London; Male; Middle Aged; Physicians, Family; Salaries and Fringe Benefits; Social Support; Substance-Related Disorders",,,,,,,,,,,,"Wallace, P., Cutler, S., Haines, A., Randomised control trial of general practitioner intervention with excessive alcohol consumption (1988) BMJ, 297, pp. 663-668; Anderson, P., Managing alcohol problems in general practice (1985) BMJ, 290, pp. 1873-1875; (1992) The Health of the Nation: A Strategy for Health in England (Cm 1986), , London: HMSO; (1985) Misuse of Drugs. Fourth Report from the House of Commons Social Services Committee, , London: HMSO; (1984) Guidelines of Good Clinical Practice in the Treatment of Drug Misuse. Report of the Medical Working Group on Drug Dependence, , London: DHSS; (1988) AIDS and Drug Misuse. Part 1. Report by the Advisory Council on the Misuse of Drugs, , London: HMSO; Fullard, E., Fowler, G., Gray, M., Facilitating prevention in primary care (1984) BMJ, 289, pp. 1585-1587; Buchan, C., Buckley, E.G., Deacon, G.L.S., Problem drinkers and their problems (1981) J R Coll Gen Pract, 31, pp. 151-153; McLean, N.J., Sprately, T.A., Rake, M.O., (1986) Measuring the Impact Made by Specialist Services on the Usage of General Practitioners by Alcoholics, , London: Report to SE Thames Regional Health Authority; King, M., At risk drinking among general practice attenders: Prevalence, characteristics and alcohol-related problems (1986) Br J Psychiat, 148, pp. 533-540; Bucknall, A.B., Robertson, J.R., Foster, K., Medical facilities used by heroin users (1986) BMJ, 293, pp. 1215-1216; Glanz, A., Taylor, C., Findings of a national survey of the role of general practitioners in the treatment of opiate misuse: Extent of contact with opiate misusers (1986) BMJ, 293, pp. 427-430; McKeganey, N., Shadowland: General practitioners and the treatment of opiate abusing patients (1988) Br J Addiction, 83, pp. 373-386; Deehan, A., Templeton, L., Taylor, C., (1996) Do GPs Want to Work with Alcohol Misusers? Role Adequacy, Role Support and Role Legitimacy Revisited, , submitted for publication; (1991) National Census, , London: OPCS","Deehan, A.; National Addiction Centre, 4 Windsor Walk, Denmark Hill, London SE5 8AF, United Kingdom",,,,,,,,9601643,,BJGPE,9519515,English,BR. J. GEN. PRACT.,Article,Final,,Scopus,2-s2.0-0030694631 "Lawrie S.M., Parsons C., Patrick J., Masson S., Sussmann J., Cumming D., Lewin J., Pickup S.",7006525184;57197901407;57197338900;57198351916;6506759037;7102199576;12446503300;36947443400;,A controlled trial of general practitioners' attitudes to patients with schizophrenia.,1996,Health bulletin,54,3,,201,203,,29,,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0030137872&partnerID=40&md5=c80df75c278e3d2d293c97af9f4ed17d,"Edinburgh University Department of Psychiatry, Royal Edinburgh Hospital.","Lawrie, S.M., Edinburgh University Department of Psychiatry, Royal Edinburgh Hospital.; Parsons, C., Edinburgh University Department of Psychiatry, Royal Edinburgh Hospital.; Patrick, J., Edinburgh University Department of Psychiatry, Royal Edinburgh Hospital.; Masson, S., Edinburgh University Department of Psychiatry, Royal Edinburgh Hospital.; Sussmann, J., Edinburgh University Department of Psychiatry, Royal Edinburgh Hospital.; Cumming, D., Edinburgh University Department of Psychiatry, Royal Edinburgh Hospital.; Lewin, J., Edinburgh University Department of Psychiatry, Royal Edinburgh Hospital.; Pickup, S., Edinburgh University Department of Psychiatry, Royal Edinburgh Hospital.","OBJECTIVE: To examine general practitioners' attitudes to patients with schizophrenia. DESIGN: A random sample of primary care physicians were alternately sent a case vignette of a patient with or without schizophrenia, in an otherwise identical clinical abstract, and asked to indicate their level of agreement with fifteen statements based on it. SUBJECTS AND SETTING: A one-in-five sample of general practitioners who were identified from the Primary Care Services Register of Lothian Health Board. RESULTS: The median score for each statement was compared by the two-tailed Wilcoxon rank sum test. Doctors responding to the vignette of the patient with schizophrenia were significantly less willing to have the patient on their practice list, more likely to refer them to a specialist and more likely to think that they would be violent; whereas they did not think that they would take up any more time than the other patient. These impressions were no different between those who had or had not received work training in psychiatry. CONCLUSIONS: This controlled trial of primary care physicians' attitudes towards patients with schizophrenia amounts to an empirical demonstration of medical discrimination against the sufferers of this and potentially of other long term psychiatric disorders. Psychiatrists and general practitioners should share care in the management of schizophrenia and try to overcome the prejudices against such patients in an attempt to improve their overall clinical care.",,"article; clinical trial; controlled clinical trial; controlled study; Empirical Approach; general practitioner; health personnel attitude; human; Mental Health Therapies; nonparametric test; Professional Patient Relationship; randomized controlled trial; schizophrenia; United Kingdom; Empirical Approach; Mental Health Therapies; Professional Patient Relationship; Attitude of Health Personnel; Humans; Physicians, Family; Schizophrenia; Scotland; Statistics, Nonparametric",,,,,,,,,,,,,"Lawrie, S.M.",,,,,,,,3748014,,,8707562,English,Health Bull (Edinb),Article,Final,,Scopus,2-s2.0-0030137872 "Miller S.A., Davenport N.C.",57213258645;57201020081;,Increasing staff knowledge of and improving attitudes toward patients with borderline personality disorder,1996,Psychiatric Services,47,5,,533,535,,37,10.1176/ps.47.5.533,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0029985815&doi=10.1176%2fps.47.5.533&partnerID=40&md5=965f800c04751d8a44a3474088bf8bdd,"Akron General Medical Center, 400 Wabash Avenue, Akron, OH 44307, United States","Miller, S.A., Akron General Medical Center, 400 Wabash Avenue, Akron, OH 44307, United States, ; Davenport, N.C., Akron General Medical Center, 400 Wabash Avenue, Akron, OH 44307, United States, ",This study examined the effect of a self-instructional program on nurses' knowledge of and attitudes and behavioral intentions toward patients with borderline personality disorder. The sample consisted of registered nurses working on inpatient psychiatric units of general hospitals: 19 in the experimental group and 13 in the control group. The Questionnaire on Borderline Personality Disorder was administered before and after nurses completed the program. Significant postintervention differences in knowledge of and attitudes toward patients with the disorder were found between the experimental group and the control group. Self-instruction may improve nurses' care of patients with borderline personality disorder.,,article; borderline state; clinical education; education program; medical staff; mental health care; nursing; psychiatric diagnosis; scoring system; staff training,,,,,,,,,,,,"Lewis, G., Appleby, L., Personality disorder, the patients psychiatrists dislike (1988) British Journal of Psychiatry, 153, pp. 44-49; Gallop, R., Wynn, F., The difficult inpatient identification and response by staff (1987) Canadian Journal of Psychiatry, 32, pp. 211-215; Gallop, R., Lancee, W.J., Garfinkle, P., How nursing staff respond to the label ""borderline personality disorder."" (1989) Hospital and Community Psychiatry, 40, pp. 815-819; Fraser, K., Gallop, R., Nurse's confirming/disconfirming responses to patients diagnosed with borderline personality disorder (1993) Archives of Psychiatric Nursing, 7, pp. 336-341; Ajzen, I., Fishbein, M., (1975) Belief, Attitude, Intention, and Behavior An Introduction to Theory and Research, , Reading, Mass, Addison-Wesley; Tonneato, T., Binik, Y., The role of intentions, social norms, and attitudes in the performance of dental flossing. A test of the theory of reasoned action (1987) Journal of Applied Social Psychology, 17, pp. 593-803; Valois, P., Desharnais, R., Godin, G., A comparison of the Fishbein and Ajzen model and the Trandis attitudinal models for the prediction of exercise intention and behavior (1988) Journal of Behavioral Medicine, 11, pp. 459-472; Mullen, P.D., Hersey, J.C., Iverson, D.C., Health behavior models compared (1987) Social Science and Medicine, 24, pp. 973-981; Waltman, N.L., Attitudes, subjective norms, and behavioral intentions of nurses toward dying patients and their families (1990) Oncology Nurses Forum, 17, pp. 55-60","Miller, S.A.; Akron General Medical Center, 400 Wabash Avenue, Akron, OH 44307, United States",,,American Psychiatric Association,,,,,10752730,,PSSEF,8740499,English,PSYCHIATR. SERV.,Article,Final,,Scopus,2-s2.0-0029985815 "Botega N.J., Silveira G.M.",7003375961;6602698073;,General practitioners' attitudes towards depression: A study in primary care setting in Brazil,1996,International Journal of Social Psychiatry,42,3,,230,237,,34,10.1177/002076409604200307,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0029783949&doi=10.1177%2f002076409604200307&partnerID=40&md5=75fe542115a8499adff2faffb1ed79d0,"Department of Psychiatry, Universidade Estadual de Campinas, P.O. Box 6111, Campinas-SP, 13081-970, Brazil; Department of Psychiatry, Universidade Estadual de Campinas, Campinas-SP, Brazil","Botega, N.J., Department of Psychiatry, Universidade Estadual de Campinas, P.O. Box 6111, Campinas-SP, 13081-970, Brazil; Silveira, G.M., Department of Psychiatry, Universidade Estadual de Campinas, Campinas-SP, Brazil","A self-report instrument comprising twenty visual analogue scale statements about attitudes towards depression was sent to all 110 general practitioners working in primary health care centres in the city of Campinas, Brazil. The statements of the Depression Attitude Questionnaire (DAQ) cover three main areas: nature of depression, treatment preferences and professional reactions regarding depressed patients. Seventy-eight (71%) doctors returned the questionnaire. Forty-two percent of the doctors believe 'it is difficult to differentiate whether patients are presenting with unhappiness or a clinical depressive disorder that needs treatment'. Sixty-three percent believe that 'antidepressants usually produce a satisfactory result in the treatment of depressed patients in general practice'. However, most doctors would refer patients in need of antidepressants (66%) or psychotherapy (60%) to a specialist. They also view the treatment of depression as 'heavy going' (46%) and 'unrewarding' (57%). These findings suggest a need for further education of general practitioners on the nature, diagnosis and management of depressive disorders.",,antidepressant agent; article; Brazil; city; continuing education; controlled study; depression; general practitioner; human; normal human; patient referral; physician attitude; primary health care; psychotherapy; questionnaire; rating scale,,,,,,,,,,,,"Aitken, R.C.B., A growing edge of measurement of feelings (1969) Journal of the Royal Society of Medicine, 62, pp. 989-993; Blacker, C.V.R., Clare, A.W., Depressive disorders in primary care (1987) British Journal of Psychiatry, 150, pp. 737-751; Botega, N.J., Mann, A., Blizard, R., Wilkinson, G., General Practitioners and depression - First use of the depression attitude questionnaire (1992) International Journal of Methods in Psychiatric Research, 2, pp. 169-180; Braams, F.M., Duivenvoorden, H.J., Dokter, H.J., Trijsburg, R.W., Verhage, F., Relationship between general practitioners' attitudes and methods of dealing with psychosocial problems (1988) Family Practice, 5, pp. 5-11; Daniels, M.L., Linn, L.S., Ward, N., Leake, B., A study of physician preferences in the management of depression in the general medical setting (1986) General Hospital Psychiatry, 8, pp. 229-235; Freeling, P., Rao, B.M., Paykel, E.S., Sireling, L.I., Unrecognised depression in general practice (1985) British Medical Journal, 290, pp. 1880-1883; Froissard, G.D., Chauchat, J.H., Terra, J.L., Êtude de la démarche diagnostique: Proposition méthodologique pour saisir et tester les différences d'attitude - Application au diagnostic de la dépression (1985) L'Union Médicale du Canada, 114, pp. 884-892; Goldberg, D.P., Huxley, P., (1980) Mental Illness in the Community, , London: Tavistock Press; Howie, J.G.R., Diagnosis: The Achilles heel? (1972) Journal of the Royal College of General Practitioners, 22, pp. 310-315; Jenkins, R., Smeeton, N., Shepherd, M., Classification of mental disorders in primary care (1988) Psychological Medicine, (12 MONOGRAPH SUPPL.); Macdonald, A.J.D., Do general practitioners ""miss"" depression in the elderly patient? (1986) British Medical Journal, 292, pp. 1365-1367; Mann, A.H., Jenkins, R., Belsey, E., The twelve-month outcome of patients with neurotic illness in general practice (1981) Psychological Medicine, 11, pp. 535-550; Marks, J.N., Goldberg, D.P., Hillier, V.F., Determinants of the ability of general practitioners to detect psychiatric illness (1979) Psychological Medicine, 9, pp. 337-353; Oppenheim, A.N., (1992) Questionnaire Design, Interviewing and Attitude Measurement, , London: Pinter; Rapp, S.R., Davis, K.M., Geriatric depression: Physicians' knowledge, perceptions, and diagnostic practices (1989) The Gerontologist, 29, pp. 252-257; Silveira, G.M., Botega, N.J., Transtornos depressivos e atitudes do médico geral: Communicação preliminar (1995) Jornal Brasileiro de Psiqutatria, 44, pp. 395-401; Weissman, M.M., Kleinman, G.L., The chronic depressive in the community: Unrecognised and poorly treated (1977) Comprehensive Psychiatry, 18, pp. 523-532; Zung, W., Magill, M., Moore, J., George, D., Recognition and treatment of depression in a family medicine practice (1983) Journal of Clinical Psychiatry, 44, pp. 3-6","Botega, N.R.; Department of Psychiatry, PO Box 6111, Campinas-SP, 13081-970, Brazil",,,SAGE Publications Ltd,,,,,207640,,IJSPA,8889647,English,INT. J. SOC. PSYCHIATRY,Article,Final,,Scopus,2-s2.0-0029783949 "Kerr M., Blizard R., Mann A.",57203069307;35568298900;7201627833;,General practitioners and psychiatrists comparison of attitudes to depression using the depression attitude questionnaire,1995,British Journal of General Practice,45,391,,89,92,,47,,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0028929232&partnerID=40&md5=229a822176a0a027cdb3b08ec8be806b,"Department of Psychological Medicine, University Wales College of Medicine, Ely Hospital, Cowbridge Road West, Cardiff CF5 5XE, United Kingdom","Kerr, M., Department of Psychological Medicine, University Wales College of Medicine, Ely Hospital, Cowbridge Road West, Cardiff CF5 5XE, United Kingdom; Blizard, R., Department of Psychological Medicine, University Wales College of Medicine, Ely Hospital, Cowbridge Road West, Cardiff CF5 5XE, United Kingdom; Mann, A., Department of Psychological Medicine, University Wales College of Medicine, Ely Hospital, Cowbridge Road West, Cardiff CF5 5XE, United Kingdom","Background. Variation in the management of depression may be linked to doctors' attitudes to depression. Aim. A study was undertaken comparing the attitudes to depression between general practitioners and psychiatrists. Method. A sample of 74 general practitioners and 65 psychiatrists in Wales was surveyed by postal questionnaire. Attitudes were assessed by the depression attitude questionnaire and patient management was assessed by a questionnaire on prescribing practice. Results. General practitioners differed significantly from psychiatrists in attitudes, particularly in areas covering professional ease in dealing with patients with depression and identification of depression. Those general practitioners who reported use of low antidepressant doses were significantly more likely than general practitioners prescribing standard doses to believe in poychotherapeutic treatments. Users of short-term continuation therapy expressed a lack of therapeutic optimism and comfort in dealing with depressed patients. Conclusion. General practitioners and psychiatrists differ significantly in their attitudes to depression. The attitudes which vary among general practitioners reflect practice. The depression attitude questionnaire may prove useful in indicating how educational initiatives to improve primary care detection and management should be directed.",Comparative studies; Depression; Doctors' attitude; General practitioners; Management of disease; Psychiatrists,"antidepressant agent; article; depression; general practitioner; health care delivery; human; patient care; physician attitude; psychiatrist; psychotherapy; questionnaire; Attitude of Health Personnel; Comparative Study; Depressive Disorder; Human; Physician's Practice Patterns; Physicians, Family; Psychiatry; Questionnaires; Support, Non-U.S. Gov't",,,,,,,,,,,,,"Kerr, M.; Department of Psychological Medicine, Cowbridge Road West, Cardiff CF5 5XE, United Kingdom",,,,,,,,9601643,,BJGPE,7702889,English,BR. J. GEN. PRACT.,Article,Final,,Scopus,2-s2.0-0028929232 "Worthington R.L., Atkinson D.R.",7005650204;7202372330;,"Counselors' Responsibility and Etiology Attributions, Theoretical Orientations, and Counseling Strategies",1993,Journal of Counseling Psychology,40,3,,295,302,,13,10.1037/0022-0167.40.3.295,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0009915754&doi=10.1037%2f0022-0167.40.3.295&partnerID=40&md5=50f9dedbc94e923477eef8720cd84232,"Graduate School of Education, University of California, Santa Barbara, United States","Worthington, R.L., Graduate School of Education, University of California, Santa Barbara, United States; Atkinson, D.R., Graduate School of Education, University of California, Santa Barbara, United States","Psychologists at university counseling centers with internships approved by the American Psychological Association were surveyed to examine relationships between their theoretical orientations, counseling strategy recommendations, etiology attributions, and models of helping. Participants responded to 2 vignettes, one portraying a student with an adjustment disorder and the other portraying a student with an identity disorder. The majority of participants subscribed to the compensatory model of helping for the adjustment disorder, but participants were more evenly divided between the compensatory and moral models of helping for the identity disorder. Most participants attributed the cause of the adjustment disorder to specific trauma and the cause of the identity disorder to lack of self-understanding. Evidence that etiology attributions are more predictive of recommended counseling strategy than is theoretical orientation was found.",,,,,,,,,,,,,,"(1987) Diagnostic and statistical manual of mental disorders. 3rd ed., rev., , American Psychiatric Association, Author, Washington, DC; Atkinson, D.R., Worthington, R.L., Dana, D.M., Good, G.E., Etiology beliefs, preferences for counseling orientations, and counseling effectiveness (1991) Journal of Counseling Psychology, 38, pp. 258-264; Batson, C.D., Marz, B., Dispositional bias in trained therapists' diagnoses: Does it exist? (1979) Journal of Applied Social Psychology, 9, pp. 476-489; Brickman, P., Rabinowitz, V.C., Karuza, J., Coates, D., Cohn, E., Kidder, L., Models of helping and coping (1982) American Psychologist, 37, pp. 368-384; Collier, H.V., (1982) Counseling women: A guide for therapists, , Free Press, New York; Daws, P., The aetiology of mental disorder (1967) Bulletin of the British Psychological Society, 20, pp. 45-47; Foulks, E.F., Persons, J.B., Merkel, R.L., The effect of patients' beliefs about their illness on compliance in psychotherapy (1986) American Journal of Psychiatry, 143, pp. 340-344; Furman, B., Ahola, T., Adverse effects of psychotherapeutic beliefs: An application of attribution theory to the critical study of psychotherapy (1989) Family Systems Medicine, 7, pp. 183-195; Gallagher, B., The attitudes of psychiatrists toward etiological theories of schizophrenia (1977) Journal of Clinical Psychology, 33, pp. 99-104; Hutchins, D.E., Improving the counseling relationship (1984) Personnel and Guidance Journal, 62, pp. 572-575; Kedric, H.C. (1985). Attitudes toward the etiology of psychopathology in members of a fundamentalist Christian church. Dissertation Abstracts International, 47, 1703B (University Microfilms No. 86-14914); Luk, C.-L., Bond, M.H., Chinese lay beliefs about the causes and cures of psychological problems (1992) Journal of Social and Clinical Psychology, 11, pp. 140-150; Maloney, H.N., (1985) Theories of psychopathology [Mimeograph], , Fuller Theological Seminary, Pasadena, CA; Murdock, N.L., Fremont, S.K., Attributional influences in counselor decision making (1989) Journal of Counseling Psychology, 36, pp. 417-422; Narikiyo, T.A., Kameoka, V.A., Attributions of mental illness and judgments about help seeking among Japanese-American and White American students (1992) Journal of Counseling Psychology, 39, pp. 363-369; Parham, T.A., McDavis, R.J., Black men, an endangered species: Who's really pulling the trigger? (1987) Journal of Counseling and Development, 66, pp. 24-27; Rawlings, E., Carter, D., (1977) Psychotherapy for women: Treatment toward equality, , Charles C Thomas, Springfield, IL; Robertson, J., Fitzgerald, L.F., The (mis)treatment of men: Effects of client gender role and life-style on diagnosis and attribution of pathology (1990) Journal of Counseling Psychology, 37, pp. 3-9; Smith, D., Trends in counseling and psychotherapy (1982) American Psychologist, 37, pp. 802-809; Spitzer, R.L., Skodol, A.E., Gibbon, M., Williams, J.B.W., (1981) DSM-III case book, , American Psychiatric Association, Washington, DC; Young, R.A., Marks, S.E., Understanding attributional processes in cross-cultural counseling (1986) International Journal for the Advancement of Counselling, 9, pp. 319-330","Atkinson, D.R.; Graduate School of Education, , Santa Barbara, United States",,,,,,,,220167,,JLCPA,,English,J. Couns. Psychol.,Article,Final,,Scopus,2-s2.0-0009915754 Carroll J.,7402034699;,Attitudes of professionals to drug abusers.,1993,British journal of nursing (Mark Allen Publishing),2,14,,705,711,,24,10.12968/bjon.1993.2.14.705,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0027922336&doi=10.12968%2fbjon.1993.2.14.705&partnerID=40&md5=53b9dbea395ff09c43f1dc24ffca000e,,"Carroll, J.","Drug abusers are generally regarded as a demanding client group by health care professionals. The occupational background of health care professionals and their familiarity with drug users is likely to affect their emotional responses and attitudes. Professional carers who are more familiar with drug users, e.g. addiction counsellors and psychiatric nurses, tend to have a more positive attitude. Awareness of HIV infection may increase the fears and anxieties of professionals, resulting in a more negative attitude to drug users. Little research has been carried out into the attitudes of professional carers, particularly nurses, towards drug users. Attitudes of professional carers are very important in determining standards of care delivery and more research is needed into the effects of attitudes on the delivery of health care.",,"adult; article; female; health personnel attitude; human; Human immunodeficiency virus infection; male; middle aged; nursing; nursing staff; psychological aspect; questionnaire; social work; substance abuse; Adult; Attitude of Health Personnel; Female; HIV Seropositivity; Humans; Male; Middle Aged; Nursing Staff; Questionnaires; Social Work, Psychiatric; Substance Abuse, Intravenous",,,,,,,,,,,,,"Carroll, J.",,,,,,,,9660461,,,8364311,English,Br J Nurs,Article,Final,,Scopus,2-s2.0-0027922336 "Fraser K., Gallop R.",36867937700;57213101962;,Nurses' confirming/disconfirming responses to patients diagnosed with borderline personality disorder,1993,Archives of Psychiatric Nursing,7,6,,336,341,,77,10.1016/0883-9417(93)90051-W,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0027868128&doi=10.1016%2f0883-9417%2893%2990051-W&partnerID=40&md5=29e54d532056d924f9f84b98a659bd84,"Hamilton Psychiatric Hospital, Hamilton, Ont., Canada; Faculty of Nursing, University of Toronto, Toronto, Ont., Canada","Fraser, K., Hamilton Psychiatric Hospital, Hamilton, Ont., Canada, Faculty of Nursing, University of Toronto, Toronto, Ont., Canada; Gallop, R., Hamilton Psychiatric Hospital, Hamilton, Ont., Canada, Faculty of Nursing, University of Toronto, Toronto, Ont., Canada","This study examines whether in group situations, patients with borderline personality disorder (BPD) received less empathic verbal responses from nurses than non-BPD patients. Nurses' feelings toward specific diagnoses were also examined. Twenty patient groups were observed involving 17 nurse leaders and 164 patients. Responses by the nurse leaders were rated using Heineken's Confirmation/Disconfirmation Rating Instrument. The staff response portion of Colson's Hospital Treatment Rating Scale was used to determine nurses's feelings toward specific diagnoses. The study provides some initial evidence that in actual practice situations nurses respond to BPD patients in a less empathic manner than to patients with other diagnoses. © 1993.",,"article; attitude; borderline state; empathy; group therapy; human; mood disorder; nurse patient relationship; nursing; personality test; psychiatric department; psychological aspect; psychology; schizophrenia; Attitude of Health Personnel; Borderline Personality Disorder; Empathy; Human; Mood Disorders; Nurse-Patient Relations; Personality Assessment; Psychiatric Department, Hospital; Psychotherapy, Group; Schizophrenia; Schizophrenic Psychology",,,,,,,,,,,,"Adler, The borderline patient in the general hospital (1981) General Hospital Psychiatry, 3, pp. 297-301; Book, Sadavoy, Silver, Staff countertransference to borderline patients on an inpatient unit (1978) American Journal of Psychotherapy, 32, pp. 521-531; Burnham, The special-problem patient: Victim or agent of splitting? (1966) Psychiatry, 29, pp. 105-122; Carper, The ethics of caring (1979) Advances in Nursing Science, 1, pp. 11-19; Colson, Allen, Coyne, Deering, Jehl, Kearns, Spohn, Patterns of staff perceptions of difficult patients in a long-term psychiatric hospital (1985) Hospital and Community Psychiatry, 36, pp. 168-172; Colson, Allen, Coyne, Dexter, Jehl, Moyer, Spohn, An anatomy of countertransference: Staff reactions to difficult psychiatric hospital patients (1986) Hospital and Community Psychiatry, 37, pp. 923-928; Cornfield, Fielding, Impact of the threatening patient on ward communication (1980) American Journal of Psychiatry, 137, pp. 616-619; Gallop, The patient is splitting: Everyone knows and nothing changes (1985) Psychosocial Nursing, 23, pp. 6-10; Gallop, Wynn, The difficult inpatient: Identification and response by staff (1987) Canadian Journal of Psychiatry, 32, pp. 211-215; Gallop, Escaping borderline stereotypes (1988) Journal of Psychosocial Nursing, 26 (2), pp. 16-20; Gallop, Lancee, Garfinkel, How nursing staff respond to the label “Borderline Personality Disorder” (1989) Hospital and Community Psychiatry, 40 (8), pp. 815-819; Gallop, Lancee, Garfinkel, The empathic process and its mediators: A heuristic model (1990) Journal of Nervous and Mental Disease, 178, pp. 649-654; Groves, Taking care of the hateful patient (1978) New England Journal of Medicine, 298, pp. 883-887; Heineken, Disconfirmation in dysfunctional communication (1982) Nursing Research, 31 (4), pp. 211-213; Heineken, Communication and disconfirmation: A new way to teach communication skills (1984) Nurse Educator, pp. 33-42. , Spring; Kelly, May, Good and bad patients: A review of the literature and a theoretical critique (1982) Journal of Advanced Nursing, 7, pp. 147-156; Kuch, Sherman, Curry, The problem patient and the problem doctor, or do quacks make crocks? (1977) Journal of Family Practice, 5, pp. 647-653; Langer, Abelson, A patient by any other name … clinician group difference in labelling bias (1974) Journal of Consulting and Clinical Psychology, 42 (1), pp. 4-9; Leininger, Caring: A central focus of nursing and health care services (1980) Nursing and Health Care, 1 (3), pp. 135-143; Lewis, Appleby, Personality disorder: the patient psychiatrists dislike (1988) British Journal of Psychiatry, 153, pp. 44-49; Neill, The difficult patient: Identification and response (1979) Journal of Clinical Psychiatry, pp. 209-212. , May; Quitkin, Klein, Follow-up of treatment failure: Psychosis and character disorder (1967) American Journal of Psychiatry, 124, pp. 499-505; Racker, The meanings and uses of countertransference (1957) Psychoanalytic Quarterly, 26, pp. 303-357; Rogers, The necessary and sufficient conditions of therapeutic personality changes (1957) Journal of Consulting Psychology, 21, pp. 95-103; Sederer, Thorbeck, First do no harm: Short-term inpatient psychotherapy of the borderline patient (1986) Hospital and Community Psychiatry, 37, pp. 692-697; Simmons, Gender issues and borderline personality disorder: Why do females dominate the diagnosis? (1992) Archives of Psychiatric Nursing, 6 (4), pp. 219-223; Tansey, Burke, Projective identification and the empathic process (1985) Contemporary Psychoanalysis, , W.A.W. Institute, New York, NY","Fraser, K.; Hamilton Psychiatric Hospital, Hamilton, Ont., Canada",,,,,,,,8839417,,,8179357,English,Arch. Psychiatr. Nurs.,Article,Final,,Scopus,2-s2.0-0027868128 "Kuyken W., Brewin C.R., Power M.J., Furnham A.",6701734558;7006656085;35327890900;36045985300;,"Causal beliefs about depression in depressed patients, clinical psychologists and lay persons",1992,British Journal of Medical Psychology,65,3,,257,268,,60,10.1111/j.2044-8341.1992.tb01706.x,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0026756440&doi=10.1111%2fj.2044-8341.1992.tb01706.x&partnerID=40&md5=c8121ad77784ef70fe3b7c4ac0cf6f87,"Psychology Department, Institute of Psychiatry, De Crespigny Park, London, SE5 8AF, United Kingdom; MRC Social and Community Psychiatry Unit, Institute of Psychiatry, London, United Kingdom; Psychology Department, Royal Holloway and Bedford New College, Egham Hill, Surrey, United Kingdom; Psychology Department, University College London, United Kingdom","Kuyken, W., Psychology Department, Institute of Psychiatry, De Crespigny Park, London, SE5 8AF, United Kingdom; Brewin, C.R., MRC Social and Community Psychiatry Unit, Institute of Psychiatry, London, United Kingdom; Power, M.J., Psychology Department, Royal Holloway and Bedford New College, Egham Hill, Surrey, United Kingdom; Furnham, A., Psychology Department, University College London, United Kingdom","Non‐depressed lay persons have been shown to have extensive and accurate knowledge about depression (Rippere, 1977, 1980a, b, 1981a) that is underpinned by a structure that resembles current academic theories of the disorder (Furnham & Kuyken, 1991). In this study a semi‐structured interview schedule and a number of rating scales were used to determine and compare the nature and extent of depressed patients', clinical psychologists', and lay persons' beliefs about the causes of depression. We confirmed that depressed patients and non‐depressed lay persons alike have relatively extensive beliefs about the causes of depression which are comparable to those held by clinical psychologists. However, depressed patients tend to endorse biological explanations of the causes of depression to a greater extent than clinical psychologists. In contrast, clinical psychologists assign a more important causal role to unconscious processes and childhood vulnerability factors than do either depressed patients or non‐depressed lay controls. 1992 The British Psychological Society",,"adult; article; attitude; clinical article; comprehension; controlled study; depression; female; human; interview; male; normal human; psychologist; rating scale; theory; Adjustment Disorders; Adult; Attitude of Health Personnel; Depressive Disorder; Female; Human; Male; Psychology, Clinical; Psychotherapy; Support, Non-U.S. Gov't",,,,,,,,,,,,,"Kuyken, W.; Psychology Department, De Crespigny Park, London, SE5 8AF, United Kingdom",,,,,,,,71129,,,1390360,English,Br. J. Med. Psychol.,Article,Final,,Scopus,2-s2.0-0026756440 "ROCHE A.M., GURAY C., SAUNDERS J.B.",7202465097;56422399900;7402341830;,General practitioners' experiences of patients with drug and alcohol problems,1991,British Journal of Addiction,86,3,,263,275,,79,10.1111/j.1360-0443.1991.tb01779.x,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0026101536&doi=10.1111%2fj.1360-0443.1991.tb01779.x&partnerID=40&md5=9c15b505c836745be883cbc937317edf,"New South Wales Medical Education Project on Alcohol and Other Drugs, Centre for Drug and Alcohol Studies, Royal Prince Alfred Hospital, Camperdown, Sydney, New South Wales, 2050, Australia","ROCHE, A.M., New South Wales Medical Education Project on Alcohol and Other Drugs, Centre for Drug and Alcohol Studies, Royal Prince Alfred Hospital, Camperdown, Sydney, New South Wales, 2050, Australia; GURAY, C., New South Wales Medical Education Project on Alcohol and Other Drugs, Centre for Drug and Alcohol Studies, Royal Prince Alfred Hospital, Camperdown, Sydney, New South Wales, 2050, Australia; SAUNDERS, J.B., New South Wales Medical Education Project on Alcohol and Other Drugs, Centre for Drug and Alcohol Studies, Royal Prince Alfred Hospital, Camperdown, Sydney, New South Wales, 2050, Australia","Convergent focus groups, a qualitative research methodology, were used to determine what general practitioners considered to be the main obstacles and disincentives to the effective management of persons with drug and alcohol problems. Seven groups were conducted, involving 44 general practitioners whose practices were based in representative parts of metropolitan Sydney and a rural area of New South Wales. The study revealed that most doctors are not as threatened, resistant or pessimistic about drug and alcohol intervention as much of the previous work in the area would suggest. However, they held different views according to the drug in question. General practitioners were more sympathetic to patients with alcohol problems but only some agreed that it was a legitimate area for medical involvement and one in which they were prepared to become involved. The prescribing and use of minor tranquillisers was widely tolerated and perceived to present few problems for individuals or the community. Opiate users, by contrast, were least favoured, with hostility expressed by most towards them. A provisional typology of general practitioners was developed with three distinct groupings (‘interactive problem‐solvers’, ‘traditionalist healers’ and ‘technologists’), according to the model of medical practice assumed. This scheme, whilst not definitive, provides a structure for targeting general practitioners for medical education and has implications for tailoring medical training programs at both the undergraduate and postgraduate levels. General issues relating to the development of typologies are discussed. Copyright © 1991, Wiley Blackwell. All rights reserved",,"alcohol; opiate; alcoholism; article; doctor patient relation; drug abuse; general practice; hostility; human; priority journal; Adult; Alcoholism; Family Practice; Female; Human; Male; New South Wales; Physician's Role; Physician-Patient Relations; Substance-Related Disorders; Support, Non-U.S. Gov't",,"alcohol, 64-17-5; opiate, 53663-61-9, 8002-76-4, 8008-60-4",,,,,,,,,,"(1986) Alcohol—A Balanced View, , London, Royal College of General Practitioners; (1987) The Medical Consequences of Alcohol Abuse. A Great and Growing Evil, , London, Tavistock; (1986) Alcohol—Our Favourite Drug, , London, Tavistock; (1987) Drug Scences. A Report on Drugs and Drug Dependence, , London, The Royal College of Psychiatrists; Sanson‐Fisher, R.W., Webb, G.R., Reid, A.L.A., The role of the medical practitioner as a agent for disease prevention (1986) Better Health Commission: Looking Forward to Better Health, 3, pp. 201-212; Calnan, M.W., Johnson, B.M., Influencing health behaviour: how significant is the general practitioner (1983) Health Education Journal, 42, pp. 39-45; (1989) Perceptions and Patterns of Drug Use, , Canberra, Australia, Department of Community Services and Health with the National Campaign Against Drug Abuse; (1987) Is There a Safe Level of Daily Consumption of Alcohol for Men and Women, , R. G. Pols, D. V. Hawks, (Eds), Canberra, Australian Government Publishing Service; Burns, F.H., Hanratty, S.J., Reznik, R., Saunders, J.B., (1987), Prevalence of ‘At Risk’ drinkers presenting at general medical settings (Hong Kong, Proceedings of the 9th International Conference INFGO); Reid, A.L.A., Webb, G.R., Hennrikus, D., Fahey, P.P., Sanson‐Fisher, R.W., Detection of patients with alcohol intake by general practitioners (1986) British Medical Journal, 293, pp. 735-737; Flaherty, J.A., Flaherty, E.G., Medical students' performance in reporting alcohol related problems (1983) Journal of Studies on Alcohol, 44, pp. 1083-1087; Anderson, P., Managing alcohol problems in general practice (1985) British Medical Journal, 290, pp. 1873-1875; Kinney, J., Price, T.P.R., Bergen, B.J., Impediments to alcohol education (1984) Journal of Studies on Alcohol, 45, pp. 453-459; Wechsler, H., Rohman, M., Future care‐givers' views on alcoholism treatment (1982) Journal of Studies on Alcohol, 43, pp. 939-955; Glanz, A., Findings of a national survey of the role of general practitioners in the treatment of opiate misuse: views on treatment British Medical Journal, 293, pp. 543-545; Thom, B., Tellez, C., A difficult business: detecting and managing alcohol problems in general practice (1986) British Journal of Addiction, 81, pp. 405-418; Mckegany, N., Shadowland: general practitioners and the treatment of opiate‐abusing patients (1988) British Journal of Addiction, 83, pp. 373-386; Roche, A.M., Drug and alcohol professional education–alternative research strategies: focus groups (1990) Drug Education Journal of Australia, 4, pp. 25-31; Conrad, P., Qualitative research on chronic illness: a commentary on method and conceptual development (1990) Social Science and Medicine, 30, pp. 1257-1263; Porter, C.J., Potenza, A., Alternative methodologies for early childhood research (1983) Advances in Early Education and Day Care, 3, pp. 155-186; Roche, A.M., Richard, G.P., (1990), A model for predicting general practitioners' preparedness to intervene; Szasz, T.S., Hollender, M.H., A contribution to the philosophy of medicine (1956) Archives of Internal Medicine, 97, pp. 585-592; Calnan, M., Images of general practice: the perceptions of general practitioners (1988) Social Science and Medicine, 27, pp. 579-586; Mechanic, D., Practice orientation among general medical practitioners in England and Wales (1970) Medical Care, 8, pp. 15-25; Bryne, P., Long, B.E.L., (1976) Doctors Talking to Patients, , London, HMSO; Bucks, R.S., Williams, A., Whitfield, J., Routh, D.A., Towards a typology of general practitioners' attitudes to general practice (1990) Social Science and Medicine, 30, pp. 537-547; Goldstein, M.S., Sutherland, C., Jaffe, D., Wilson, J., Holistic physicians and family practitioners: similarities, differences and implications for health policy (1988) Social Science and Medicine, 26, pp. 853-861; Sparr, L.F., Gordon, G.H., Hickham, D.H., Girard, D.E., The doctor‐patient relationship during medical internship: the evolution of dissatisfaction (1988) Social Science and Medicine, 26, pp. 1095-1101; Aiach, P., Cebe, D., Broclain, D., What cancer tells us about general practice. Birth of a hypothesis (1990) Social Science and Medicine, 30, pp. 1241-1246; Pendleton, D., Doctor‐patient communication: a review (1983) Doctor‐Patient Communication, , D. Pendleton, J. Hasler, (Eds), London, Academic Press; Clement, S., The identification of alcohol‐related problems by general practitioners (1986) British Journal of Addiction, 81, pp. 257-264; Abed, R.T., Neira‐Munoz, E., A survey of general practitioners' opinions and attitudes to drug addicts and addiction (1990) British Journal of Addiction, 85, pp. 131-136; Bauman, A., Mant, A., Middleton, L., Macker‐Tich, M., Jane, E., Do general practitioners promote health: a needs assessment (1989) Medical Journal of Australia, 151, pp. 262-268; Gottlieb, N.H., Mullen, P.D., McAlister, A.L., Patients' substance abuse and the primary care physician: patterns of practice (1987) Addictive Behaviors, 12, pp. 23-24; Gladstone, W., Webster, I.W., Rotem, A., An initiative for teaching about alcohol and other drugs in Australian medical schools (1987) Medical Journal of Australia, 147, pp. 339-341; Brewster, J.M., (1989), The role of physicians in alcohol problems: the view of Canadian medical schools. Paper presented at The First annual Meeting of the Canadian Society on Alcohol and Other Drugs, Calgary, Alberta, 22–24 October; Lewis, D.C., Niven, R.G., Czechowicz, D., Trumble, J.G., A review of medical education in alcohol and other drug abuse (1987) Journal of the American Medical Association, 257, pp. 2945-2948; Glass, I.B., Undergraduate training in substance abuse in the United Kingdom (1989) British Journal of Addiction, 84, pp. 197-202","ROCHE, A.M.; New South Wales Medical Education Project on Alcohol and Other Drugs, Camperdown, Sydney, New South Wales, 2050, Australia",,,,,,,,9520481,,,2025689,English,Br. J. Addict.,Article,Final,,Scopus,2-s2.0-0026101536 "Kahle D.B., White R.M.",57213242647;57199008010;,"Attitudes toward alcoholism among psychologists and marriage, family and child counselors",1991,Journal of Studies on Alcohol,52,4,,321,324,,8,10.15288/jsa.1991.52.321,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0026094841&doi=10.15288%2fjsa.1991.52.321&partnerID=40&md5=bf4af55fcc0ca9deab6849cd12bd7101,"36 Stratford Court, Pleasant Hill, CA 94523, United States","Kahle, D.B., 36 Stratford Court, Pleasant Hill, CA 94523, United States; White, R.M., 36 Stratford Court, Pleasant Hill, CA 94523, United States","This study examines the attitudes of 589 randomly chosen licensed California psychologists and marriage, family and child counselors toward alcoholism. Their anonymous replies revealed that the two professional groups were relatively homogeneous in nature. The majority of each subscribed to the disease concept of alcoholism, recognized the importance of abstinence in problem resolution and as a treatment goal, rejected insight as a prerequisite of sobriety, believed in a positive prognosis and were extremely willing to be involved in the treatment of alcoholics. Negative attitudes toward alcoholics were expressed with respect to attribution of responsibility and a persistence of stigmatization of the alcoholic.",,adult; alcoholism; article; attitude; counseling; female; human; male; psychologist; United States,,,,,,,,,,,,,,,,,,,,,0096882X,,JSALD,1875704,English,J. STUD. ALCOHOL,Article,Final,,Scopus,2-s2.0-0026094841 "Dale J., Middleton H.",7201678930;57196802840;,Factors influencing general practitioners' management of psychosocial and physical problems: a study using case vignettes,1990,British Journal of General Practice,40,336,,284,288,,11,,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0025690520&partnerID=40&md5=7273a63541ea8fe9d4099407e022aff3,"Department of General Practice Studies, King's College School of Medicine and Dentistry, London SE5 8RX, United Kingdom","Dale, J., Department of General Practice Studies, King's College School of Medicine and Dentistry, London SE5 8RX, United Kingdom; Middleton, H., Department of General Practice Studies, King's College School of Medicine and Dentistry, London SE5 8RX, United Kingdom",[No abstract available],,"article; general practitioner; health care management; psychosocial care; psychosocial disorder; united kingdom; Adult; Aged; Attitude of Health Personnel; Female; Human; Male; Middle Age; Physicians, Family; Psychotic Disorders; Social Conditions; Support, Non-U.S. Gov't",,,,,,,,,,,,,United Kingdom,,,,,,,,9601643,,BJGPE,2081064,English,BR. J. GEN. PRACT.,Article,Final,,Scopus,2-s2.0-0025690520 Hartmann P.M.,57216078294;,A pilot study of a modified Balint group using cognitive approaches to physician atittudes about somatoform disorder patients,1989,International Journal of Psychosomatics,36,4-Jan,,86,89,,13,,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0024951817&partnerID=40&md5=a7a58c42bb7d71f6e35c9c0f4e3cd3ee,"Department of Family Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, United States","Hartmann, P.M., Department of Family Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, United States","This is a pilot study of the use of cognitive therapy theories and techniques in a time-limited Balint group of family physicians with a focus on the care of the somatoform disorders. Family physicians often find these patients difficult and unpleasant to treat. Physicians in the group were compared with other family physicians in a pre and post test of attitudes towards patients with somatoform disorders. In addition, the beliefs of the physicians were elicited. After the 13 session Balint group was completed, attitudes of the family physicians in the group improved so that they were less likely to feel that somatizing patients take up too much of their time (p < 0.05). Underlying beliefs about somatoform disorder patients were identified in the group and subsequently modified. This study suggests that a time-limited cognitive therapy Balint group, focusing on somatoform disorder patients, results in improved attitudes toward the care of these patients.",,"adult; article; attitude; clinical article; cognitive therapy; general practitioner; human; psychological aspect; somatization; Attitude of Health Personnel; Cognitive Therapy; Female; Human; Male; Physicians, Family; Pilot Projects; Psychoanalytic Therapy; Somatoform Disorders",,,,,,,,,,,,,United States,,,,,,,,8848297,,IJOPE,2599789,English,INT. J. PSYCHOSOM.,Article,Final,,Scopus,2-s2.0-0024951817 "Gallop R., Lancee W.J., Garfinkel P.",57213101962;6701508273;7005719981;,How nursing staff respond to the label 'borderline personality disorder',1989,Hospital and Community Psychiatry,40,8,,815,819,,98,10.1176/ps.40.8.815,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0024396266&doi=10.1176%2fps.40.8.815&partnerID=40&md5=eeec01319907c0af3597f20f9010229c,"Department of Psychiatry, Toronto Hospital, Toronto, Ont. M5G 2C4, Canada","Gallop, R., Department of Psychiatry, Toronto Hospital, Toronto, Ont. M5G 2C4, Canada; Lancee, W.J., Department of Psychiatry, Toronto Hospital, Toronto, Ont. M5G 2C4, Canada; Garfinkel, P., Department of Psychiatry, Toronto Hospital, Toronto, Ont. M5G 2C4, Canada",The influence of the diagnostic labels 'schizophrenia' and 'borderline personality disorder' on the expressed empathy of psychiatric nursing staff was assessed by examining nurses' written responses to a series of hypothetical patient statements. Respondents were more likely to demonstrate affective involvement in response to the schizophrenic patients' statements and were more likely to offer belittling or contradicting responses to the statements of patients with borderline personality disorder. The results corroborate increasing concerns that the diagnosis of borderline personality disorder has become a pejorative label for difficult patients and suggest that staff may provide stereotypic responses and less emphatic care to borderline patients than to other patients.,,adult; attitude; borderline state; clinical article; empathy; human; normal human; nursing staff; personality disorder; psychological aspect; stereotypy,,,,,,,,,,,,,,,,,,,,,221597,,HSCPA,2759571,English,HOSP. COMMUNITY PSYCHIATRY,Article,Final,,Scopus,2-s2.0-0024396266 "Weller L., Grunes S.",7005621265;6504153817;,Does contact with the mentally ill affect nurses; attitudes to mental illness?,1988,British Journal of Medical Psychology,61,3,,277,284,,37,10.1111/j.2044-8341.1988.tb02789.x,https://www.scopus.com/inward/record.uri?eid=2-s2.0-84985480387&doi=10.1111%2fj.2044-8341.1988.tb02789.x&partnerID=40&md5=2e4c60487ec549095f054ca3daae4c99,"Department of Sociology, Bar-Ilan University, Ramat Gan, 52 100, Israel","Weller, L., Department of Sociology, Bar-Ilan University, Ramat Gan, 52 100, Israel; Grunes, S., Department of Sociology, Bar-Ilan University, Ramat Gan, 52 100, Israel","This study examines the effects of contact on nurses' attitudes towards psychiatric patients. Three groups of nurses with differing degrees of contact answered the Attitude towards Mental Illness (AMI) questionnaire. No differences were found among the three groups. Practical nurses, nurses with less experience and religious nurses held more positive attitudes 1988 The British Psychological Society",,,,,,,,,,,,,,,"Weller, L.; Department of Sociology, , Ramat Gan, 52 100, Israel",,,,,,,,71129,,,3179250,English,Br. J. Med. Psychol.,Article,Final,,Scopus,2-s2.0-84985480387 "Roskin G., Carsen M.L., Rabiner C.J., Marell S.K.",6602127068;6507076724;7003486118;6506090017;,Attitudes toward patients among different mental health professional groups,1988,Comprehensive Psychiatry,29,2,,188,194,,15,10.1016/0010-440X(88)90013-2,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0023932130&doi=10.1016%2f0010-440X%2888%2990013-2&partnerID=40&md5=58dda188c1de88d7fa4a46df621e895f,"Department of Psychiatry, Hillside Hospital, Glen Oaks, NY, United States; the Four Winds Hospital, Katonah, NY, United States; the Mesa Vista Hospital, San Diego, United States; the Department of Psychology, St Thomas Aquinas College, Sparkill, NY, United States","Roskin, G., Department of Psychiatry, Hillside Hospital, Glen Oaks, NY, United States, the Four Winds Hospital, Katonah, NY, United States, the Mesa Vista Hospital, San Diego, United States, the Department of Psychology, St Thomas Aquinas College, Sparkill, NY, United States; Carsen, M.L., Department of Psychiatry, Hillside Hospital, Glen Oaks, NY, United States, the Four Winds Hospital, Katonah, NY, United States, the Mesa Vista Hospital, San Diego, United States, the Department of Psychology, St Thomas Aquinas College, Sparkill, NY, United States; Rabiner, C.J., Department of Psychiatry, Hillside Hospital, Glen Oaks, NY, United States, the Four Winds Hospital, Katonah, NY, United States, the Mesa Vista Hospital, San Diego, United States, the Department of Psychology, St Thomas Aquinas College, Sparkill, NY, United States; Marell, S.K., Department of Psychiatry, Hillside Hospital, Glen Oaks, NY, United States, the Four Winds Hospital, Katonah, NY, United States, the Mesa Vista Hospital, San Diego, United States, the Department of Psychology, St Thomas Aquinas College, Sparkill, NY, United States","Attitudes toward patients and attitudes toward the etiology and treatment of illness were compared among psychiatrists, psychologists, psychiatric social workers, and nurses. One way analyses of variance yielded highly significant differences (P < .0001) among these groups. Ramifications of these findings are discussed in terms of the impact of these attitudes on treatment ideology, clinical decision-making, and quality and comprehensiveness of patient care. © 1988.",,adult; attitude; decision making; human; mental health; normal human; psychiatrist; psychological aspect; psychologist; social worker; Attitude of Health Personnel; Disease; Human; Physician-Patient Relations; Psychiatric Nursing; Psychiatry; Psychology; Social Work,,,,,,,,,,,,"Roskin, Carsen, Rabiner, Attitudes toward patients (1986) J. Psychiatr Educ, 10, pp. 40-49; Cohen, Struening, Opinions about mental illness in the personnel of two large mental hospitals (1962) J Abnorm Soc Psychol, 64, pp. 349-360; Cohen, Struening, Opinions about mental illness Mental hospital occupational profiles and profile clusters (1963) Psychological Reports, 12, pp. 111-124; Dixon, Courses on psychology and student's attitudes toward mental illness (1967) Psychol Rep, 29, p. 50; Eagle, Marcos, Cancro, Medical students' attitudinal changes associated with the psychiatric clerkship (1979) J Psychiatr Educ, 3, pp. 180-188; Gilbert, Levinson, “Custodialism” and “humanism” in mental hospital structure and staff ideology (1957) The Patient and the Mental Hospital, , M Greenblatt, DJ Levinson, RH Williams, Free Press, Glencoe, IL; Hicks, Spaner, Attitude change as a function of mental hospital experience (1962) J Abnorm Soc Psychol, 65, pp. 112-120; Holmes, (1968) Changes in attitudes about mental illness, , Center for Community Research, New York, (Mimeo); Markham, Can a behavioral science course change medical students' attitudes? (1979) J Psychiatr Educ, 3, pp. 44-54; O'Mahony, An investigation of change in medical students' conceptualizations of psychiatric patients due to a short training course in psychiatry (1979) J Med Educ, 13, pp. 103-110; Faust, Miner, The empiricist and his new clothes: DSM-III in perspective (1986) Am J Psychiatry, 143, pp. 962-967","Roskin, G.; Department of Psychiatry, Hillside Hospital, Glen Oaks, NY, United States",,,,,,,,0010440X,,COPYA,3370970,English,Compr. Psychiatry,Article,Final,,Scopus,2-s2.0-0023932130 "Lewis G., Appleby L.",7402636617;35232443000;,Personality disorder: The patients psychiatrists dislike,1988,British Journal of Psychiatry,153,JULY,,44,49,,295,10.1192/bjp.153.1.44,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0023915305&doi=10.1192%2fbjp.153.1.44&partnerID=40&md5=440e35fcac1f2aa528cd1975271ffc03,"General Practice Research Unit, Institute of Psychiatry, London SE5 8AF, United Kingdom","Lewis, G., General Practice Research Unit, Institute of Psychiatry, London SE5 8AF, United Kingdom; Appleby, L., General Practice Research Unit, Institute of Psychiatry, London SE5 8AF, United Kingdom","A sample of psychiatrists was asked to read a case vignette and indicate likely management and attitudes to the patient on a number of semantic-differential scales. Patients given a previous diagnosis of personality disorder (PD) were seen as more difficult and less deserving of care compared with control subjects who were not. The PD cases were regarded as manipulative, attention-seeking, annoying, and in control of their suicidal urges and debts. PD therefore appears to be an enduring pejorative judgement rather than a clinical diagnosis. It is proposed that the concept be abandoned.",,adult; attitude; clinical article; human; personality disorder; psychiatrist,,,,,,,,,,,,,,,,,,,,,71250,,BJPYA,3224249,English,BR. J. PSYCHIATRY,Article,Final,,Scopus,2-s2.0-0023915305 "Bander K.W., Goldman D.S., Schwartz M.A., Rabinowitz E., English J.T.",6602692610;7202137946;56325335300;36891839200;7202807143;,Survey of attitudes among three specialties in a teaching hospital toward alcoholics,1987,Journal of Medical Education,62,1,,17,24,,22,10.1097/00001888-198701000-00003,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0023204770&doi=10.1097%2f00001888-198701000-00003&partnerID=40&md5=fb23d4ceca7823ed9b508dbf67624547,"Department of Psychiatry, St. Vincent’s Hospital and Medical Center of New York, New York City, United States","Bander, K.W., Department of Psychiatry, St. Vincent’s Hospital and Medical Center of New York, New York City, United States; Goldman, D.S., Department of Psychiatry, St. Vincent’s Hospital and Medical Center of New York, New York City, United States; Schwartz, M.A., Department of Psychiatry, St. Vincent’s Hospital and Medical Center of New York, New York City, United States; Rabinowitz, E., Department of Psychiatry, St. Vincent’s Hospital and Medical Center of New York, New York City, United States; English, J.T., Department of Psychiatry, St. Vincent’s Hospital and Medical Center of New York, New York City, United States","Although physicians are typically “gatekeepers” for the diagnosis and treatment of alcoholism, a lack of specific alcoholism training and negative attitudes toward alcoholics can establish formidable barriers to recognition and treatment of the condition. In the study reported here, the authors examined differences in attitudes toward and knowledge and treatment of alcoholism among physicians in three specialties. A questionnaire pertaining to alcoholism and alcoholics was mailed to 385 internists, surgeons, and psychiatrists at a teaching hospital. Half received a version concerning male alcoholics, and half received one concerning female alcoholics; the versions were identical except for the gender of the alcoholic referred to in the questionnaire. Fifty-three percent returned the questionnaire, and their responses showed that these physicians viewed male and female alcoholics similarly. Overall, the respondents considered them treatable but maintained negative perceptions of their personalities. The psychiatrists held the most positive views of the treatability of alcoholism and the most negative views of alcoholics’ personalities, whereas the surgeons held the most positive views of alcoholics’ personalities and the most negative views of treatability. The internists, surgeons, and psychiatrists reported significant differences in the adequacy of their education on alcoholism, in their methods of handling alcoholics, and in their desire to learn about alcoholism. These findings are discussed in terms of continuing education in alcoholism treatment for physicians. © 1987 Association of American Medical Colleges.",,"alcoholism; attitude; central nervous system; education; geographic distribution; human; medical education; normal human; physician; postgraduate education; priority journal; psychological aspect; short survey; Alcoholism; Attitude of Health Personnel; Female; Hospitals, Teaching; Humans; Male; Personality",,,,,,,,,,,,"Alcoholism Education for Physicians: An Overview (1979) Alcohol Health Res. World, 3, pp. 2-9. , Spring; Hanlon, M.J., A Review of the Recent Literature Relating to the Training of Medical Students in Alcoholism (1985) J. Med. Educ., 60, pp. 618-626; Moore, R.A., Medical Management of Acute Alcoholism (1969) I. M. J., 135, pp. 42-46. , January; Moore, R.A., The Prevalence of Alcoholism in a Community General Hospital (1971) Am. J. Psychiatry, 128, pp. 130-131; Barcha, R., Stewart, M.A., Gruze, S.B., The Prevalence of Alcoholism among General Hospital Medical Ward Patients (1968) Am. J. Psychiatry, 125, pp. 133-136; Schuckit, M.A., (1979) Drug and Alcohol Abuse: A Clinical Guide to Diagnosis and Treatment, , New York: Plenum Press; McIntosh, I.D., Alcohol-Related Disabilities in General Hospital Patients: A Critical Assessment of the Evidence (1982) Int. J. Addict., 17, pp. 609-639; Chappel, J.N., Schnoll, S.H., Physician Attitudes: Effect in the Treatment of Chemically Dependent Patients (1977) J.A.M.A., 237, pp. 2318-2319; Franks, L., A New Attack on Alcoholism (1985) New York Times Magazine, pp. 46-50. , October 20; Chaftez, M.E., Research in the Alcohol Clinic and Around-the Clock Psychiatric Services of the Massachusetts General Hospital (1968) Am. J. Psychiatry, 124, pp. 1674-1679; Morse, R.M., Mitchell, M.M., Martin, M.A., Physician Attitudes Toward Alcoholism: A Positive Trend? (1977) Currents in Alcoholism, 2, pp. 207-232. , Psychiatric, Psychological, Social Epidemiological Studies. F. Seixas (Ed.). New York: Grune Stratton; Beckman, L., Alcoholism Problems in Women: An Overview (1976) Alcoholism Problems in Women and Children, pp. 65-96. , M. Greenblatt and M. A. Schuckit (Eds.). New York: Grune Stratton; Vannicelli, M., Treatment Outcome of Alcoholic Women: The State of the Art in Relation to Sex Bias and Expectancy Effects (1984) Alcohol Problems in Women: Antecedents, Consequences and Intervention, pp. 369-412. , S. Wilsnack and L. J. Beckman (Eds.). New York: Guilford Press; Sudman, S., Bradburn, N., Improving Mailed Questionnaire Design (1984) Making Effective Use of Medical Questionnaires, pp. 33-47. , D. Lockhart (Ed.). San Francisco, California: Jossey-Bass; Rabinowitz, E., Alcoholism Consultation and Liaison in a General Hospital (1983) Bull. N.Y. Acad. Med., 59, pp. 229-244",,,,,,,,,222577,,,3795240,English,J. Med. Educ.,Article,Final,"All Open Access, Bronze",Scopus,2-s2.0-0023204770 Eker D.,6602996052;,Attitudes of Turkish and American Clinicians and Turkish Psychology Students Toward Mental Patients,1985,International Journal of Social Psychiatry,31,3,,223,229,,15,10.1177/002076408503100309,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0021971359&doi=10.1177%2f002076408503100309&partnerID=40&md5=995dd842a0a4f9ebeb4c70bb307eb2f1,"Middle East Technical University, Turkey","Eker, D., Middle East Technical University, Turkey","A comparative study of Turkish and American clinicians and first and fourth year Turkish psychology undergraduates was carried out. The respondents' attitudes about the “behavior of a mental patient” were assessed through a semantic differential task. Statistical comparisons showed that the four groups were very similar to each other although there were some significant differences. The possibilities of Western influence, similar groups selecting the fields of psychiatry and psychology, and psychology students forming a special well-informed group were discussed. A need for further research to clarify the findings was pointed out. Attitudes of Turkish and American Clinicians and Turkish Psychology Students Toward Mental Patients. © 1985, Sage Publications. All rights reserved.",,"adult; attitude; central nervous system; human; medical student; mental disease; normal human; psychological aspect; Attitude of Health Personnel; Comparative Study; Cross-Cultural Comparison; Female; Human; Male; Mental Disorders; Psychiatry; Psychology; Semantic Differential; Social Work; Students, Health Occupations; Turkey; United States",,,,,,,,,,,,"Beigel, A., Communiy mental health care in developing countries (1983) American Journal of Psychiatry, 140, pp. 1491-1492; Eker, D., Diagnosis of and conceptions about mental dissorders among Turkish and American clinicians (Doctoral dissertation (1981) Dissertation Abstracts International, 42. , University of Florida (University Microfilms No. 81-24,424); Harding, T.W., Busnellow, E., Climent, C.E., Diop, M.B., El-Hakim, A., Giel, R., Ibrahim, H.H.A., Wig, N.N., The WHO collaborative study on strategies for extending mental health care, III: Evaluative design and illustrative results American Jouurnal of Psychiatry, 140, pp. 1481-1485. , d'Arrigo; Jaffe, Y., Maoz, B., Avram, L., Mental hospital experience, classroom instruction and change in conceptions and attitudes towards mental illness. Biritish (1979) Journal of Medical Psychology, 52, pp. 253-258; Murthy, R.S., Wig, N.N., The WHO collaborative study on strategies for extending mental health care, IV: A training approach to enhancing the availibility of mental health manpower in a developing country (1983) American Journal of Psychiatry, 140, pp. 1486-1490; Nunally, J.C., (1961) Popular conceptions of mental health: Their development and change, , New York: Holt, Rinehart & Winston; Rabkin, J.G., Opinions about mental illness: A review of the literature (1972) Psychological Bulletin, 77, pp. 153-171; Rabkin, J.G., Public attitudes: New research directions (1981) Hospital and Community Psychiatry, 32, pp. 157-159; Sartorius, N., Harding, T.W., The WHO collaborative study on strategies for extending mental health care, I: The genesis of the study (1983) American Journal of Psychiatry, 140. , 1479-1473","Eker, D.; Middle East Technical UniversityTurkey",,,,,,,,207640,,,4044157,English,Int. J. Soc. Psychiatry,Article,Final,,Scopus,2-s2.0-0021971359 "Potamianos G., Winter D., Duffy S.W., Gorman D.M., Peters T.J.",7004521827;7201377514;57224835870;7202607601;55675982000;,"The perception of problem drinkers by general hospital staff, general practitioners and alcoholic patients",1985,Alcohol,2,4,,563,566,,18,10.1016/0741-8329(85)90081-3,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0021930518&doi=10.1016%2f0741-8329%2885%2990081-3&partnerID=40&md5=e2b685c386e651ff981a2c117827ffee,"Alcoholism Research Group, Divisions of Clinical Cell Biology and Statistics, Computing MRC Clinical Research Centre, Watford Road, Harrow, Middlesex, United Kingdom; Psychology Department, Napsbury Hospital, Nr. St. Albans, Herts., United Kingdom","Potamianos, G., Alcoholism Research Group, Divisions of Clinical Cell Biology and Statistics, Computing MRC Clinical Research Centre, Watford Road, Harrow, Middlesex, United Kingdom; Winter, D., Psychology Department, Napsbury Hospital, Nr. St. Albans, Herts., United Kingdom; Duffy, S.W., Alcoholism Research Group, Divisions of Clinical Cell Biology and Statistics, Computing MRC Clinical Research Centre, Watford Road, Harrow, Middlesex, United Kingdom; Gorman, D.M., Alcoholism Research Group, Divisions of Clinical Cell Biology and Statistics, Computing MRC Clinical Research Centre, Watford Road, Harrow, Middlesex, United Kingdom; Peters, T.J., Alcoholism Research Group, Divisions of Clinical Cell Biology and Statistics, Computing MRC Clinical Research Centre, Watford Road, Harrow, Middlesex, United Kingdom","A sample of 275 subjects (general hospital staff, general practitioners and alcoholic patients) was investigated regarding their perception of problem-drinkers. A set of semantic differential scales was used, and subjects were asked to evaluate the concepts of ""problem drinker,"" ""self"" and ""ideal self."" Psychological distance was measured in terms of bipolar personality constructs between each of the above concepts. Significant differences were found between the groups in terms of concept evaluation and psychological distance. The implications of these findings for both research and treatment are discussed. © 1985.",Alcoholism; Concept evaluation; Human studies; Psychological distance,"alcoholism; attitude; distance; environment; etiology; human; patient; perception; physician; preliminary communication; psychological aspect; psychology; theoretical study; Alcoholism; Attitude of Health Personnel; Family Practice; Hospitals, General; Humans; Medical Staff, Hospital; Nursing Staff, Hospital; Self Concept; Semantic Differential",,,,,,,,,,,,"Cartwright, The attitudes of helping agents towards the alcoholic client: The influence of experience, support, training, and self-esteem (1980) Br J Addict, 75, pp. 413-431; Gill, (1978) Design and Analysis of Experiments, 2. , Iowa State U.P, Ames; Hoy, The meaning of alcoholism for alcoholics a repertory grid study (1973) British Journal of Social and Clinical Psychology, 12, pp. 98-99; Hoy, Some findings concerning beliefs about alcoholism (1973) British Journal of Medical Psychology, 50, pp. 227-235; McCartney, O'Donnell, The perception of drinking roles by recovery problem drinkers (1981) Psychol Med, 11, pp. 747-754; Mendelson, Physicians' attitudes towards alcoholic patients (1964) Arch Gen Psychiatry, 11, pp. 392-399; Mogar, Staff attitudes towards the alcoholic patient (1969) Arch Gen Psychiatry, 21, pp. 449-454; Potamianos, Gorman, Duffy, Peters, Severity of alcohol dependence in a general hospital sample of problem-drinkers (1984) Clin Sci, 67, pp. 16-17; Potamianos, Gorman, Peters, Attitudes and treatment expectancies of patients and general hospital staff in relation to alcoholism (1985) Br J Med Psychol, 58, pp. 63-66; Powell, Mueller, Schwedffeger, Attitude changes of general hospital personnel following an alcoholism training program (1974) Psychol Rep, 34, pp. 461-462; Wolf, Chafetz, Blanc, Hill, Social factors in the diagnosis of alcoholism (1965) Q J Stud Alcohol, 26, pp. 72-79","Potamianos, G.; Alcoholism Research Group, Divisions of Clinical Cell Biology and Statistics, Computing MRC Clinical Research Centre, Watford Road, Harrow, Middlesex, United Kingdom",,,,,,,,7418329,,ALCOE,4026980,English,Alcohol,Article,Final,,Scopus,2-s2.0-0021930518 Calicchia J.P.,6507304495;,"Differential perceptions of psychiatrists, psychologists, and social workers toward the ex‐mental patient",1981,Journal of Community Psychology,9,4,,361,366,,3,10.1002/1520-6629(198110)9:4<361::AID-JCOP2290090415>3.0.CO;2-D,https://www.scopus.com/inward/record.uri?eid=2-s2.0-84986437145&doi=10.1002%2f1520-6629%28198110%299%3a4%3c361%3a%3aAID-JCOP2290090415%3e3.0.CO%3b2-D&partnerID=40&md5=ef643af7bcbe8cd7420436a7c450d91e,"New York Institute of Technology, United States","Calicchia, J.P., New York Institute of Technology, United States","Attitudes held toward the ex‐mental patient by psychiatrists, psychologists, and social workers were compared on five dimensions: perceived worth, dangerousness, effectiveness, comprehensibility, and desirability. Data analyses revealed not only that the professionals, collectively, held a negative attitude, but that significant group, dimension, and interaction effects existed. Psychologists displayed the most benign attitude, followed by social workers, and then by psychiatrists, whose perceptions were generally the most negative. While each group evidenced significant inconsistency in their dimensional responses, the rejection factor was the most discriminative. The implications of these findings on the community integration of the ex‐mental patient were discussed. Copyright © 1981 Wiley Periodicals, Inc., A Wiley Company",,,,,,,,,,,,,,"Calicchia, J.P., (1981), The ex‐mental patient as perceived by mental health professionals. Paper presented at the meeting of the Eastern Psychological Association, New York, April; Brockman, J., Darcy, C., Correlates of attitudinal social distance toward the mentally ill: A review and resurvey (1978) Social Psychiatry, 13, pp. 69-77; Franchia, J., Canale, D., Cambria, E., Sheppard, C., Merlis, S., The effect of increased information upon community perception of the ex‐mental patient (1975) Journal of Psychology, 9, pp. 271-275; Craig, Anne, E., Hyatt, Barbara, A., Chronicity in mental illness: A theory of role change (1978) Perspectives in Psychiatric Care, 16, pp. 139-144; Morrison, J.K., Attitudes of community gatekeepers and psychiatric social workers toward mental illness (1979) Journal of Community Psychology, 7, pp. 147-150; Morrison, J.K., Hanson, G.D., Clinical psychologists in the vanguard: Current attitudes toward mental illness (1978) Professional Psychology, 9, pp. 240-248; Pines, A., Maslach, C., Characteristics of staff burnout in mental health settings (1978) Hospital and Community Psychiatry, 29, pp. 233-237","Calicchia, J.P.10 Center Drive, Syosset, New York, 11791, United States",,,,,,,,904392,,,,English,J. Community Psychol.,Article,Final,,Scopus,2-s2.0-84986437145 Calicchia J.P.,6507304495;,Attitudinal comparison of mental health and non-mental health professionals toward ex-mental patients,1981,Journal of Psychology: Interdisciplinary and Applied,108,1,,35,41,,11,10.1080/00223980.1981.9915243,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0019571778&doi=10.1080%2f00223980.1981.9915243&partnerID=40&md5=dc2de4c9fd59697b05d2c915cd180da0,"New York Institute of Technology, United States","Calicchia, J.P., New York Institute of Technology, United States","Attitudes held by mental health professionals toward ex-mental patients were compared to those held by mental health students and non-mental health professionals on five dimensions. A 3 X 5 unweighted mean analysis of covariance with repeated measures revealed that Ss collectively held a negative attitude toward the ex-mental patient and significant group, dimension, and interaction effects. While the non-mental health professionals showed the most negative attitude, perceiving the ex-mental patient as quite dangerous and very undesirable, both mental health groups also evidenced negative views. Mental health students viewed ex-mental patients as acceptable and worthy but somewhat unpredictable, incomprehensible and ineffectual; professionals considered them to be understandable yet somewhat unpredictable and worthless but, more importantly, as very ineffectual and undesirable. © 1981 Taylor & Francis Group, LLC.",,article; attitude; group psychology; human; mental disease; mental health service; psychological aspect; social adaptation; Attitude of Health Personnel; Community Mental Health Services; Human; Mental Disorders; Social Adjustment; Social Distance,,,,,,,,,,,,"Brockman, J., Darcy, C., Correlates of attitudinal social distance toward the mentally ill: A review and resurvey (1978) Soc. Psychiat., 13, pp. 69-77; Fisher, J.C., Mason, R.L., Keeley, K.A., Fisher, J.V., Physicians and alcoholics: The effects of medical training on attitude toward alcoholics (1975) J. Stud. on Alcohol., 36, pp. 949-955; Franchia, J., Canale, D., Cambria, E., Ruest, E., Sheppard, C., Public views of ex-mental patients: A note in perceived dangerousness and unpredictability (1976) Psychol. Rep., 38, pp. 495-598; Franchia, J., Canale, D., Cambria, E., Ruest, E., Sheppard, C., Merlis, S., The effect of increase information upon community perception of the ex-mental patient (1975) J. Psychol., 91, pp. 271-275; Morrison, J.K., Hanson, G.D., Clinical psychologist in the vanguard: Current attitudes toward mental illness (1978) Profess. Psychol., 9, pp. 240-248; Morrison, J.K., Hanson, G.D., Attitudes of community gatekeepers and psychiatric social workers toward mental illness (1979) J. Commun. Psychol., 7, pp. 147-150; Pines, A., Maslach, C., Characteristics of staff burnout in mental health settings (1978) Hosp. & Commun. Psychiat., 29, pp. 233-237; Siassi, I., Spiro, H.R., Crocette, G., The social acceptance of the ex-mental patient (1973) Commun. Ment. Health J., 9, pp. 231-241; Trute, B., Loewen, A., Public attitude toward the mentally ill as a function of prior personal experience (1978) Soc. Psychiat., 13, pp. 79-84","Calicchia, J.P.; New York Institute of TechnologyUnited States",,,,,,,,223980,,,7241404,English,J. Psychol. Interdiscip. Appl.,Article,Final,,Scopus,2-s2.0-0019571778 "Morrison J.K., Smith J.E., Fentiman J.R., Madrazo‐Peterson R., Boyagian P.S.",7403196642;7410178335;6504179252;16477647500;57191084029;,Attitudes of community gatekeepers and psychiatric social workers toward mental illness,1979,Journal of Community Psychology,7,2,,147,150,,2,10.1002/1520-6629(197904)7:2<147::AID-JCOP2290070208>3.0.CO;2-M,https://www.scopus.com/inward/record.uri?eid=2-s2.0-84986464704&doi=10.1002%2f1520-6629%28197904%297%3a2%3c147%3a%3aAID-JCOP2290070208%3e3.0.CO%3b2-M&partnerID=40&md5=b65367b9d3cb05f5c07846c8013ea033,"Capital District Psychiatic Center, Albany, New York, United States","Morrison, J.K., Capital District Psychiatic Center, Albany, New York, United States; Smith, J.E., Capital District Psychiatic Center, Albany, New York, United States; Fentiman, J.R., Capital District Psychiatic Center, Albany, New York, United States; Madrazo‐Peterson, R., Capital District Psychiatic Center, Albany, New York, United States; Boyagian, P.S., Capital District Psychiatic Center, Albany, New York, United States",[No abstract available],,,,,,,,,,,,,,"Blaney, P.H., Implications of the medical model and its alternatives (1975) American Journal of Psychiatry, 132, pp. 911-914; Coie, J.D., Costanzo, P.R., Cox, G., Behavioral determinants of mental illness concerns: A comparison of “gatekeeper” professions (1975) Journal of Consulting and Clinical Psychology, 43, pp. 626-636; Ennis, B.J., (1972) Prisoners of psychiatry, , New York, Avon Books; Gurin, G., Veroff, J., Feld, S., (1960) Americans view their mental health, , New York, Basic Books; Mackey, R.A., Personal concepts of the mentally ill among caregiving groups (1969) Mental Hygiene, 53, pp. 245-252; Morrison, J.K., Demythologizing mental patients' attitudes toward mental illness: An empirical study (1976) Journal of Community Psychology, 4, pp. 181-185; (1979) A consumer approach to community psychology, , Morrison, J. K., Chicago, Nelson‐Hall; Morrison, J.K., Nevid, J.S., The attitudes of mental patients and mental health professionals about mental illness (1976) Psychological Reports, 38, pp. 565-566; Morrison, J.K., Teta, D.C., Increase of positive self‐attributions by means of demythologizing seminars (1977) Journal of Clinical Psychology, 33, pp. 1128-1131; Morrison, J.K., Yablonovitz, H., Harris, M., Nevid, J.S., The attitudes of nursing students and others about mental illness (1976) Journal of Psychiatric Nursing and Mental Health Services, 14, pp. 17-19; Rabkin, J.G., Opinions about mental illness: A review of the literature (1972) Psychological Bulletin, 77, pp. 153-171; Szasz, T., (1961) The myth of mental illness, , New York, Hoeber‐Harper; Torrey, E.F., (1974) The death of psychiatry, , Philadelphia, Chilton Book Co","Morrison, J.K.678 Troy-Schenectady Road, Latham, New York, 12110, United States",,,,,,,,904392,,,,English,J. Community Psychol.,Article,Final,,Scopus,2-s2.0-84986464704 "Morrison J.K., Hanson G.D.",7403196642;57217395353;,Clinical psychologist in the vanguard: Current attitudes toward mental illness,1978,Professional Psychology: Research and Practice,9,2,,240,248,,8,10.1037/0735-7028.9.2.240,https://www.scopus.com/inward/record.uri?eid=2-s2.0-70350319713&doi=10.1037%2f0735-7028.9.2.240&partnerID=40&md5=492391d4ff4b6fa0356bd5b000d3212a,Albany Medical Coll,"Morrison, J.K., Albany Medical Coll; Hanson, G.D.","To determine the current degree of acceptance of an antimedical approach to mental illness, a survey was conducted of attitudes toward mental illness among various mental health professionals (20 psychiatrists, 23 psychiatric nurses, 16 psychologists, and 25 social workers) and mental patients (41 outpatients with a history of psychiatric hospitalization and 20 outpatients with no similar history) in a community mental health center. Responding to 6 statements reflecting attitudes toward the traditional medical model, clinical psychologists showed greater acceptance of the antimedical paradigm than did psychiatrists, psychiatric social workers, psychiatric nurses, and psychiatric outpatients. Several explanations are offered as to why clinical psychologists appear to be in the vanguard of those adopting a critical, antimedical stance within the clinical arena. (32 ref) (PsycINFO Database Record (c) 2006 APA, all rights reserved). © 1978 American Psychological Association.","attitudes toward mental illness, psychiatrists &; psychiatric nurses &; psychiatric patients; psychologists &; social workers &",,,,,,,,,,,,,,"Morrison, J.K.; Albany Medical Coll",,,,,,,,7357028,,,,English,Prof. Psychol. Res. Pract.,Article,Final,,Scopus,2-s2.0-70350319713 "Berg L., Nutting P., Shorr G., Miller S., Helmick E.",35830899200;35590533900;6602333765;35473457100;6603333764;,Patient Care and Health Provider Attitudes in Alaska,1978,International Journal of Social Psychiatry,24,4,,276,280,,,10.1177/002076407802400408,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0018255618&doi=10.1177%2f002076407802400408&partnerID=40&md5=1677b92c13b33d381f8d09b549d5d7ae,"Office of Research and Development, Indian Health Service, Tucson, Arizona, United States; Psychiatry Cleveland Metropolitan General Hospital, Cleveland, Ohio, United States; Mental Health Evaluation Project, Alaskan Native Health Board, United States","Berg, L., Office of Research and Development, Indian Health Service, Tucson, Arizona, United States; Nutting, P., Office of Research and Development, Indian Health Service, Tucson, Arizona, United States; Shorr, G., Office of Research and Development, Indian Health Service, Tucson, Arizona, United States; Miller, S., Psychiatry Cleveland Metropolitan General Hospital, Cleveland, Ohio, United States; Helmick, E., Mental Health Evaluation Project, Alaskan Native Health Board, United States","As part of an overall evaluation of the Alaska Health System's response to the problem of alcoholism, the attitudes of all levels of health providers toward mental health problems were examined. The evaluation instrument was the Opinions About Mental Illness Scale developed by Cohen and Struening. Health workers from physicians to paraprofessional aides were tested and the results scored and compared. Results were examined in relation to geography, discipline and other factors. They were then considered in relation to such things as treatment outcome, selection of workers and possible training programmes. © 1978, Sage Publications. All rights reserved.",,alcoholism; central nervous system; epidemiology; major clinical study; mental health; psychological aspect; therapy; Alaska; Alcoholism; Attitude of Health Personnel; Humans; Mental Disorders,,,,,,,,,,,,"Office of Systems Development, Alaska Area Native Health Service, Anchorage, Alaska ; Efron, V., Keller, M., Gurioli, C., Statistics on Consumption of Alcohol and on Alcoholism (1972) Rutgers Center of Alcohol Studies, , New Brunswick, New Jersey; Alaska Native Health Board (1973) Evaluation of Alcoholism Treatment Services in the State of Alaska, September. , Anchorage, Alaska; Miller, Sheldon, I., Alcoholism: A State-Wide Programme Evaluation (1974) American Journal of Psychiatry, February. , et al; Lawton, M.P., Studies on the Psychiatric Aide (1964) Mental Hospitals, 15 September, pp. 512-515; Ellsworth, R.B., A Behavioural Study of Staff Attitudes in Mental Illness (1965) Journal of Abnormal and Social Psychology, 70 June, pp. 194-200; Cohen, J., Struening, E.L., Opinions about Mental Illness in the Personnel of Two Large Mental Hospitals (1962) Journal of Abnormal and Social Psychology, 64 (5), pp. 349-360; Struening, Elmer, L., Cohen, J., Factorial Invariance and Other Psychometric Characteristics of Five Opinions about Mental Illness Factors (1963) Educational and Psychological Measurement, XXIII (2); Abramowitz, J., Berg, L., A Four Year Study of the Utilisation of Dental Assistants with Expanded Functions (1973) Journal of American Dental Association, 87 September, pp. 623-635; Nutting, P.A., Shorr, G., Berg, L.E., An Effective Field-Based Approach to Prevention of Infant Gastroenteritis (1973) Sells EMCRO Quarterly Report, Office of Research and Development, October. , Tucson, Arizona; Gelfand, S., Ullman, L.P., Changes in Attitudes about Mental Illness Associated with Psychiatric Clerkship Training (1961) American Journal of Social Psychology, 7 (3)",,,,,,,,,207640,,,744713,English,Int. J. Soc. Psychiatry,Article,Final,,Scopus,2-s2.0-0018255618 "Gutierrez J.L.A., Saiz Ruiz J.",55057668000;7005856286;,A comparative study of the psychiatric nurses' attitudes towards mental patients,1978,International Journal of Social Psychiatry,24,1,,47,52,,7,10.1177/002076407802400108,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0018095518&doi=10.1177%2f002076407802400108&partnerID=40&md5=6ca81f05ce751b2de871084c4b592ce6,"Department of Psychiatry and Medical Psychology, Medical School, Hospital Clínico, Madrid, Spain","Gutierrez, J.L.A., Department of Psychiatry and Medical Psychology, Medical School, Hospital Clínico, Madrid, Spain; Saiz Ruiz, J., Department of Psychiatry and Medical Psychology, Medical School, Hospital Clínico, Madrid, Spain","THE aim of the present study is to analyse the effect of professional training on the psychiatric nurse's tolerance of mental disorders. We have used as samples two clearly-differentiated population groups : university students (N=328) and psychiatric nurses (N=50). The testing instruments were a semantic differential test and questionnaires on the subjects of aetiological factors, prognosis of mental disorders and social distance. We have found that while in an aetiological context the attitudes of both nurses and the students towards mental disorders are practi cally the same, attitudes towards prognosis and treatment seem greatly changed in those who possess psychiatric training and experience. Psychiatric nurses are not free from prejudice in respect of mental disorders. © 1978, Sage Publications. All rights reserved.",,"adult; attitude; central nervous system; mental patient; normal human; nurse; training; Adult; Attitude of Health Personnel; Comparative Study; Education, Nursing, Baccalaureate; Female; Human; Male; Mental Disorders; Nurse-Patient Relations; Psychiatric Nursing; Social Distance; Spain; Students; Universities",,,,,,,,,,,,"Ayuso Gutierrez, J.L., Actitudes hacia la Psiquiatria de los médicos de un hospital general (1973) Actas Luso-Españiolas de neurología y Psiquiatría, 1, pp. 347-357; Ayuso Gutierrez, J.L., Calve Perez, A., Social status and attitudes towards mental disorders (1974), Paper read at the International Congress of Social Psychiatry Athens; Borgadus, E.S., (1928) Immigration and race attitudes, , Boston, Heath; Orley, J.H., Leff, J.P., Effect of psychiatric education on attitudes to illness among the Ganda (1972) British Journal of Psychiatry, 121, pp. 137-141; Osgood, C.E., Suci, G.J., Tannenbaum, P.H., (1965) The measurement of meaning, , Urbana: University of Illinois Press",,,,,,,,,207640,,,649278,English,Int. J. Soc. Psychiatry,Article,Final,,Scopus,2-s2.0-0018095518 "Morrison J.K., Schwartz M.P., Holdridge-Crane S.",7403196642;57199182906;6507437459;,Differential attitudes of community agencies toward mental illness: a new dilemma for the psychiatric nurse.,1977,Journal of psychiatric nursing and mental health services,15,7,,25,29,,1,,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0017510917&partnerID=40&md5=279b2afbab35dd461b737717e040b18d,,"Morrison, J.K.; Schwartz, M.P.; Holdridge-Crane, S.",[No abstract available],,article; attitude; human; mental disease; mental health service; nursing; Attitude; Community Mental Health Services; Human; Mental Disorders; Psychiatric Nursing,,,,,,,,,,,,,"Morrison, J.K.",,,,,,,,3605973,,,196074,English,J Psychiatr Nurs Ment Health Serv,Article,Final,,Scopus,2-s2.0-0017510917 "Morrison J.K., Yablonovitz H., Harris M.R., Nevid J.S.",7403196642;6506168587;57220828367;6603928552;,The attitudes of nursing students and others about mental illness.,1976,Journal of psychiatric nursing and mental health services,14,4,,17,19,,8,,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0016945192&partnerID=40&md5=aa0f6f956b3f802f6543b52837ef8bc2,,"Morrison, J.K.; Yablonovitz, H.; Harris, M.R.; Nevid, J.S.","Student nurses tend to report somewhat moderate attitudes toward mental illness in that they appear to be less radical than psychology students, but less conservative than teacher-students in education. The student nurses' attitudes are similar to those of psychiatric residents, but more radical than psychiatric nurses.",,"article; attitude; comparative study; human; medical personnel; medical student; mental disease; nursing; psychiatry; psychology; teaching; Attitude of Health Personnel; Comparative Study; Human; Mental Disorders; Psychiatric Nursing; Psychiatry; Psychology; Students, Health Occupations; Students, Medical; Students, Nursing; Teaching",,,,,,,,,,,,,"Morrison, J.K.",,,,,,,,3605973,,,177762,English,J Psychiatr Nurs Ment Health Serv,Article,Final,,Scopus,2-s2.0-0016945192 "Morrison J.K., Nevid J.S.",7403196642;6603928552;,Attitudes of mental patients and mental health professionals about mental illness.,1976,Psychological reports,38,2,,565,566,,11,10.2466/pr0.1976.38.2.565,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0016949218&doi=10.2466%2fpr0.1976.38.2.565&partnerID=40&md5=4351cd4de8266ea4a25ae55f6292073f,,"Morrison, J.K.; Nevid, J.S.",[No abstract available],,"article; attitude; clinical psychology; health personnel attitude; human; mental disease; psychiatric nursing; psychiatry; social work; Attitude; Attitude of Health Personnel; Humans; Mental Disorders; Psychiatric Nursing; Psychiatry; Psychology, Clinical; Social Work, Psychiatric",,,,,,,,,,,,,"Morrison, J.K.",,,,,,,,332941,,,1265187,English,Psychol Rep,Article,Final,,Scopus,2-s2.0-0016949218 Kahn A.M.,7402404962;,Relationship between nurses’ opinions about mental illness and experience,1976,Nursing Research,25,2,,136,139,,7,10.1097/00006199-197603000-00014,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0016930370&doi=10.1097%2f00006199-197603000-00014&partnerID=40&md5=977a93709556ae9f619d5de579d62f2a,"State University Hayward, Hayward, CA, United States","Kahn, A.M., State University Hayward, Hayward, CA, United States","To enamine the effect of long-term experience on a psyehtatric ward on nurses opinions about mental illness. experimental groups of nursing students (N = H) and experienced psychiatric nurses (N=S) and a control group of medical surgical nurses (N = S) were compared along the five dimensions of the Opinions about Mental Illness Scale. The medical surgical and psyehtatric nurses were matched for age and education. The experienced psyehtatric nurses were tound to hold significantly more authoritarian opinions about mental illness: they adhered less to a belief in interpersonal enology than the other two groups. Compared to the nursing students, the psyehtatric nurses held significantly more soctally restrictive opinions about mental illness; thev adhered less to current mental health ideology. However. age could not be ruled out as a variable in the latter two opinions, Factors which may contribute to opinion change in psychiatric nurses are discussed. © Lippincott-Raven Publishers.",,"adult; age; article; attitude; authority; general hospital; human; human relation; medical personnel; mental disease; nursing; psychiatric department; psychologic test; Adult; Age Factors; Attitude of Health Personnel; Authoritarianism; Hospitals, General; Human; Interpersonal Relations; Mental Disorders; Psychiatric Department, Hospital; Psychiatric Nursing; Psychological Tests; Students, Nursing",,,,,,,,,,,,,"Kahn, A.M.; State University Hayward, Hayward, CA, United States",,,,,,,,296562,,,1045243,English,Nurs. Res.,Article,Final,,Scopus,2-s2.0-0016930370 "Morrison J.K., Becker R.E.",7403196642;57190993938;,Seminar‐induced change in a community psychiatric team's reported attitudes toward “mental illness”,1975,Journal of Community Psychology,3,3,,281,284,,15,10.1002/1520-6629(197507)3:3<281::AID-JCOP2290030312>3.0.CO;2-Y,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0016522463&doi=10.1002%2f1520-6629%28197507%293%3a3%3c281%3a%3aAID-JCOP2290030312%3e3.0.CO%3b2-Y&partnerID=40&md5=0160fc42b4ba5e5ad76f524c2b9f7dea,"Capital District Psychiatric Center Albany, New York, United States","Morrison, J.K., Capital District Psychiatric Center Albany, New York, United States; Becker, R.E., Capital District Psychiatric Center Albany, New York, United States",[No abstract available],,"article; attitude; continuing education; female; human; male; mental disease; patient care; psychiatry; psychological aspect; Attitude of Health Personnel; Attitude to Health; Education, Continuing; Female; Human; Male; Mental Disorders; Patient Care Team; Psychiatry",,,,,,,,,,,,"Braginsky, B., Braginsky, D., Ring, K., (1969) Methods in Madness, , New York, Holt, Rinehart and Winston; Brown, P., (1973) Radical Psychology, , New York, Harper and Row; Costin, F., Kerr, W.D., The effects of an abnormal psychology course on students' attitudes toward mental illness (1962) J. Educ. Psychol, 53, pp. 214-218; Dixon, C.R., Courses on psychology and students' attitudes toward mental illness (1967) Psychol. Rep., 29, p. 50; Graham, C., Jr., Effects of introductory and abnormal psychology courses on students' attitudes toward mental illness (1968) Psychological Reports, 22, p. 448; Gulo, E.E., Fraser, W., Student attitudes toward mental illness (1967) College Student Survey, 3, pp. 61-63; Hicks, J.J., Spaner, F.E., Attitude change as a function of mental hospital experience (1962) J. abn. soc. Psychol., 65, pp. 112-120; (1961) Action For Mental Health, , New York, Basic Books; Laing, R.D., (1972) The Politics of the Family and Other Essays, , New York, Vintage Books; Long, R.S., Changing attitudes through “remotivation” (1963) Journal of Clinical Psychology, 19, pp. 338-341; Kanfer, F.F., Phillips, J.S., (1970) Learning Foundations of Behavior Therapy, , New York, Wiley; Mischel, W., (1968) Personality and Assessment, , New York, Wiley; Mischel, W., On the empirical dilemmas of psychodynamic approaches: Issues and alternatives (1973) Journal of Abnormal Psychology, 82, pp. 335-344; Morrison, J.K., (1975), Demythologizing mental patients' attitudes toward mental illness: An empirical study; Morrison, J.K., Nevid, J.S., (1975), The attitudes of mental patients and mental health professionals about mental illness; Quay, L.C., Bartlett, C.J., Wrightsman, L.S., Jr., Catron, D., Attitude change in attendant employees (1961) The Journal of Social Psychology, 55, pp. 27-31; Sarbin, T.T., Mancuso, J.C., Failure of a moral enterprise: Attitudes of the public towards mental illness (1970) J. consult. clin. Psychol., 35, pp. 157-173; Scheff, T.J., (1966) Being Mentally Ill: A Sociological Theory, , Chicago, Aldine; Szasz, T., (1961) The Myth of Mental Illness, , New York, Hoeber‐Harper; Szasz, T., (1971) The Manufacture of Madness, , New York, Delta","Morrison, J.K.; Capital District Psychiatric Center Albany, New York, United States",,,,,,,,904392,,,10237956,English,J. Community Psychol.,Article,Final,,Scopus,2-s2.0-0016522463 Robinson I.D.,7202157513;,Registered and student psychiatric nurses' opinions about mental illness,1973,New Zealand Medical Journal,77,491,,235,238,,,,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0015849778&partnerID=40&md5=d45a1765bc168428a458e5d0904356ed,"Oakley Hosp. Ment. Hlth Res. Found., Oakley Hosp., Auckland, New Zealand","Robinson, I.D., Oakley Hosp. Ment. Hlth Res. Found., Oakley Hosp., Auckland, New Zealand","An experiment investigating opinions about mental illness and mental patients was performed on a sample of 129 nurses at a large psychiatric hospital using a five factor attitude scale, Opinions About Mental Illness. Analysis of sex and nursing subgroups (ward sister or ward charge, staff and student nurse) revealed that sex differences contributed less than 2% of the variance. Differences between subgroups were significant, with ward sisters and ward charges scoring higher on factors of authoritarianism, benevolence and social restrictiveness, than either staff or student nurses. The latter subgroups also scored lower on the remaining factors of mental hygiene ideology and interpersonal aetiology. It was concluded that in the absence of inservice training, differences in nursing education between the older ward sisters and ward charges, and the younger staff and student nurses accounted for the differing attitudes.",,"attitude; economic aspect; major clinical study; mental disease; mental health center; mental hospital; mental patient; nurse; personality; sex; sex difference; Attitude of Health Personnel; Authoritarianism; Human; Interpersonal Relations; Mental Disorders; Mental Health; Nursing, Supervisory; Psychiatric Nursing; Sex Factors; Social Conformity; Students, Nursing",,,,,,,,,,,,,New Zealand,,,,,,,,288446,,NZMJA,4517466,English,NEW ZEALAND MED. J.,Article,Final,,Scopus,2-s2.0-0015849778 Bailey M.B.,7401639548;,Attitudes toward alcoholism before and after a training program for social caseworkers.,1970,Quarterly journal of studies on alcohol,31,3,,669,683,,37,,https://www.scopus.com/inward/record.uri?eid=2-s2.0-0014847652&partnerID=40&md5=479920bef42fb192543bbf5763de69ac,,"Bailey, M.B.",[No abstract available],,alcoholism; article; attitude; drinking behavior; education; female; human; male; marriage; morality; social work; Alcohol Drinking; Alcoholism; Attitude of Health Personnel; Drinking Behavior; Female; Human; Inservice Training; Male; Marriage; Morals; Social Work,,,,,,,,,,,,,"Bailey, M.B.",,,,,,,,335649,,,5458475,English,Q J Stud Alcohol,Article,Final,,Scopus,2-s2.0-0014847652 "Wright F.H., Klein R.A.",35101241000;25954468600;,Attitudes of hospital personnel and the community regarding mental illness,1966,Journal of Counseling Psychology,13,1,,106,107,,13,10.1037/h0023033,https://www.scopus.com/inward/record.uri?eid=2-s2.0-9644301994&doi=10.1037%2fh0023033&partnerID=40&md5=b806aefcc7c66c27cc4e4e8027e48e78,"Community Relations Service, Washington, D.C, United States","Wright, F.H., Community Relations Service, Washington, D.C, United States; Klein, R.A., Community Relations Service, Washington, D.C, United States","100 residents of Gulfport, Mississippi, were compared with 179 employees of the Gulfport VA Hospital regarding attitudes toward mental illness as measured by the Wright Mental Illness Questionnaire, Form I. Results of this study combined with those of an earlier study indicate that formal education and training and also experience with mental illness in an open hospital type community can have a powerful, favorable effect on attitudes. (PsycINFO Database Record (c) 2006 APA, all rights reserved). © 1966 American Psychological Association.","ATTITUDE, MENTAL ILLNESS, HOSPITAL PERSONNEL & COMMUNITY; COMMUNITY, & HOSPITAL PERSONNEL ATTITUDES TOWARD MENTAL ILLNESS; MENTAL DISORDER, ATTITUDES OF HOSPITAL PERSONNEL & COMMUNITY",,,,,,,,,,,,,"Cohen, J., Struening, E.L., Opinions about mental illness in the personnel of two large mental hospitals (1962) J. abnorm. soc. Psychol., 64, pp. 349-360; Nagan, P.S., (1961) Medical almanac, p. 383. , W. B. Saunders Company, Philadelphia; Wright, F.H., Shrader, R.R., Influence of open and closed mental hospitals on attitudes in the United States and Britain (1965) J. counsel. Psychol., 12, pp. 372-378","Wright, F.H.; Community Relations Service, Washington, D.C, United States",,,,,,,,220167,,JLCPA,,English,J. Couns. Psychol.,Article,Final,,Scopus,2-s2.0-9644301994 "Manis M., Houts P.S., Blake J.B.",6701752146;57225762683;25955220100;,Beliefs about mental illness as a functon of psychiatric status and psychiatric hospitalization,1963,Journal of Abnormal and Social Psychology,67,3,,226,233,,13,10.1037/h0044439,https://www.scopus.com/inward/record.uri?eid=2-s2.0-78651161851&doi=10.1037%2fh0044439&partnerID=40&md5=130317a6b6efec28017ced0eaacb737e,U. Michigan,"Manis, M., U. Michigan; Houts, P.S.; Blake, J.B.","Beliefs about mental illness were assessed among psychiatric inpatients at a VA hospital, the mental health staff responsible for their treatment, and a group of medical and surgical (control) patients. Results indicated that: (a) Psychiatric and nonpsychiatric patients generally hold similar opinions regarding mental illness. Severely disturbed psychiatric patients, however, view mental illness in more moralistic terms than do ""normals."" (b) Psychiatric hospitalization is generally accompanied by a change in the patient's beliefs concerning mental illness, toward those held by the staff. (c) Psychiatric patients whose beliefs about mental illness are most strikingly influenced by the staff tend to respond most favorably to treatment, as measured by length of hospital stay and gains in self-esteem during the 1st month of treatment. (PsycINFO Database Record (c) 2006 APA, all rights reserved). © 1963 American Psychological Association.","ABNORMAL PSYCHOLOGY; MENTAL DISORDER, BELIEFS ABOUT, OF PSYCHIATRIC PATIENTS; PSYCHIATRIC PATIENT, BELIEFS ABOUT MENTAL ILLNESS OF","article; depression; doctor patient relation; education; HOSPITAL MEDICAL STAFF; hospitalization; intelligence; medical staff; mental disease; mental hospital; Minnesota Multiphasic Personality Inventory; NEUROSES, OBSESSIVE COMPULSIVE; obsessive compulsive disorder; paranoia; paranoid psychosis; personality; schizophrenia; sex; DEPRESSION; EDUCATION; HOSPITAL MEDICAL STAFF; HOSPITALIZATION; HOSPITALS, PSYCHIATRIC; INTELLIGENCE; MENTAL DISORDERS; MMPI; NEUROSES, OBSESSIVE COMPULSIVE; PARANOIA; PERSONALITY; PHYSICIAN-PATIENT RELATIONS; SCHIZOPHRENIA; SEX; Depression; Education; Hospitalization; Hospitals, Psychiatric; Intelligence; Medical Staff, Hospital; Mental Disorders; MMPI; Obsessive-Compulsive Disorder; Paranoid Disorders; Personality; Physician-Patient Relations; Schizophrenia; Sex",,,,,,,,,,,,,"Manis, M.",,,,,,,,0096851X,,,14050819,English,,Article,Final,,Scopus,2-s2.0-78651161851