2015, Número 1
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Salud Mental 2015; 38 (1)
Estigma hacia los trastornos mentales: características e intervenciones
Mascayano TF, Lips CW, Mena PC, Manchego SC
Idioma: Español
Referencias bibliográficas: 54
Paginas: 53-58
Archivo PDF: 248.68 Kb.
RESUMEN
Los trastornos mentales en Latinoamérica son altamente prevalentes
y representan una carga significativa para usuarios y familiares. Dichos
individuos usualmente deben lidiar con el estigma que se asocia
al diagnóstico que reciben. El estigma hacia la enfermedad mental
provoca consecuencias negativas en los pacientes y sus familiares,
transformándose en la barrera principal para lograr su plena inclusión
social. Considerando lo anterior, el primer objetivo del presente
documento es analizar las principales características del estigma hacia
la enfermedad mental, y las variables psicológicas y/o sociales
con las que se ha asociado. En segundo lugar, se describen las estrategias
preponderantes para reducir los diferentes tipos de estigma.
Finalmente, se proponen abordajes para evaluar y reducir el estigma
en el contexto de Latinoamérica y el Caribe.
REFERENCIAS (EN ESTE ARTÍCULO)
Minoletti A, Galea S, Susser E. Community mental health services in Latin America for people with severe mental disorders. Public Health Rev 2013;34(2):1-23.
Yang L, Valencia E, Alvarado R, Link B et al. A theoretical and empirical framework for constructing culture-specific stigma instruments for Chile. Cad Saude Colet 2013;21(1):71-79.
Angermeyer M, Dietrich S. Public beliefs about and attitudes towards people with mental illness: a systematic review of population studies. Acta Psychiatr Scand 2006;113:163-179.
Peluso ETP, Blay SL. Public stigma and schizophrenia in São Paulo city. Rev Bras Psiquiatr 2011;33(2):130-136.
Leiderman E, Vazquez G, Berizzo C, Bonifacio A et al. Public knowledge, beliefs and attitudes towards patients with schizophrenia: Buenos Aires. Soc Psychiatry Psychiatr Epidemiol 2010;46(4):281-290.
Fresán A, Robles R, Cota M, Berlanga C et al. Actitudes de mujeres estudiantes de psicología hacia las personas con esquizofrenia: Relación con la percepción de agresividad y peligrosidad. Salud Mental 2012;35(3):215-223.
Chuaqui J. El estigma en la esquizofrenia. Cien Soc Online 2005;2(1):45- 66.
Vicente B, Kohn R, Saldivia S, Rioseco P et al. Patrones de uso de servicios entre adultos con problemas de salud mental en Chile. Rev Panam Salud Publica 2005;18(4/5):263-270.
Goffman I. Stigma, notes on the management of spoiled identity. New Jersey: Prentice Hall Englewood Cliffs; 1963.
Link B, Struening E, Cullen FT, Shrout P et al. A modified labeling theory approach to mental disorders: an empirical assessment. ASR 1989;53(3):400-423.
Yang L, Kleinman A, Link B, Phelan J et al. Culture and Stigma: Adding Moral Experience to Stigma Theory. Soc Sci Med 2007;64(7):1524-1535.
Corrigan PW, Shapiro JR. Measuring the impact of programs that challenge the public stigma of mental illness. Clin Psychol Rev 2012;30:907-922.
Muñóz M, Pérez Santos E, Crespo M, Guillén A. Estigma y enfermedad mental. Análisis del rechazo social que sufren las personas con enfermedad mental. Madrid: Ed. Complutense; 2009.
Ritsher J, Phelan J. Internalized stigma predicts erosion of morale among psychiatric outpatients. Psychiatry Res 2004;129(3):257-265.
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 group. Schizophr Res 2010;122:232-238.
West M, Yanos P, Smith S, Roe D et al. Prevalence of internalized stigma among persons with severe mental illness. SRA 2011;1(1):54-59.
Wong C, Davidson L, Anglin D, Link B et al. Stigma in families of individuals in early stages of psychotic illness: family stigma and early psychosis. Early Interv Psychiatry 2009;3(2):108-115.
Perlick DA, Miklowitz DJ, Link BG, Struening E et al. Perceived stigma and depression among caregivers of patients with bipolar disorder. Br J Psychiatry 2007;190:535-536.
El-Tantawy AMA, Raya YM, Zaki AMK. Depressive disorders among caregivers of schizophrenic patients in relation to burden of care and perceived stigma. Curr Psychiatry Rep 2010;17(3):15-25.
Struening EL, Perlick DA, Link BG, Hellman F et al. The extent to which caregivers believe most people devalue consumers and their families. Psychiatr Ser 2001;52:1633-1638.
Loch AA. Stigma and higher rates of psychiatric re-hospitalization: São Paulo public mental health system. Rev Bras Psiquiatr 2012;34:185-192.
Kingdon D, Sharma T, Hart D. What attitudes do psychiatrists hold towards people with mental illness? Psychiatr Bull 2004;28:401-406.
Browne D. Attitudes of mental health professionals toward mental illness. Massachusetts: Smith College School for Social Work; 2010.
Gray AJ. Stigma in psychiatry. J R Soc Med 2002;95(2):72-76.
Mehta N, Kassam A, Leese M, Butler G et al. Public attitudes towards people with mental illness in England and Scottland, 1994-2003. Br J Psychiatry 2009;194:278-284.
Barke A, Nyarko S, Klecha D. The stigma of mental illness in Southern Ghana: attitudes of the urban population and patients’ views. Soc Psychiatry Psychiatr Epidemiol 2011;46(11):1191-1202.
Locke C. Public attitudes toward mental illness: An experimental design examining the media’s impact of crime on stigma. Dissertation for degree doctor of philosophy. Ohio: The Ohio State University; 2010.
Kumar D, Kumar P, Singh AR, Bhandari SS. Knowledge and attitude towards mental illness of key informants and general population: a comparative study. Dysphrenia 2012;3(1):57-64.
Feldman DB, Crandall CS. Dimensions of mental illness stigma: What about mental illness causes social rejection? J Soc Clin Psychol 2007;26(2):137-154.
Link BG, Phelan JC, Bresnahan M, Stueve A et al. Public conceptions of mental illness: labels, causes, dangerousness, and social distance. Am J Public Health 1999;89(9):1328-1333.
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. World psychiatry 2005;4(2):106.
Schomerus G, Matschinger H, Angermeyer MC. Preferences of the public regarding cutbacks in expenditure for patient care: are there indications of discrimination against those with mental disorders? Soc Psychiatry Psychiatr Epidemiol 2006;41:369-377.
Angermeyer MC, Holzinger A, Carta MG, Schomerus G. Biogenetic explanations and public acceptance of mental illness: systematic review of population studies. Br J Psychiatry 2011;199:367-372.
Schomerus G, Matschinger H, Angermeyer MC. Causal beliefs of the public and social acceptance of persons with mental illness: a comparative analysis of schizophrenia, depression and alcohol dependence. Psychol Med 2014;44(2):303.
Pescosolido BA, Martin JK, Long JS, Medina TR et al. “A disease like any other?” A decade of change in public reactions to schizophrenia, depression, and alcohol dependence. Am J Psych 2010;167(11):1321-1330.
Corrigan PW, Roe D, Tsang HW. Challenging the stigma of mental illness: lessons for therapists and advocates. New York: Wiley-Blakwell; 2011.
Joosten E, de Weert G, Sensky T, van der Staak C, de Jong C. Effect of shared decision-making on therapeutic alliance in addiction health care. Patient Prefer Adherence 2008;2(2):277-285.
Deegan P, Drake R. Shared decision making and medication management in the recovery process. Psychiatr Ser 2006;57(11):636-639.
Loh A, Leonhart R, Wills C, Simon D et al. The impact of patient participation on adherence and clinical outcome in primary care of depression. Patient Educ Couns 2007;65(1):69-78.
Swanson J, Swartz M, Elbogen E, Van Dorn R et al. Facilitated psychiatric advance directives: a randomized trial of an intervention to foster advance treatment planning among persons with severe mental illness. Am J Psychiatry 2006;163(11):1943-1951.
Gumley A, Karatzias A, Power K, Reilly J et al. Early intervention for relapse in schizophrenia: Impact of cognitive behavioural therapy on negative beliefs about psychosis and self-esteem. Br J Clin Psychol 2006;45(2):247-260.
MacInnes DL, Lewis MM. The evaluation of a short group programme to reduce self-stigma in people with serious and enduring mental health problems. J Psychiatr Mental Health Nurs 2008;15(1),59-65.
Heijnders M, Van Der Meij S. The fight against stigma: an overview of stigma-reduction strategies and interventions. Psychol Health Med 2006;11(3):353-363.
Perlick D, Nelson A, Mattias K, Selzer J et al. In our own voice-family companion: Reducing self-stigma of family members of persons with serious mental illness. Psichiatr Ser 2011;62(12):1456-1462.
Schulze B. Stigma and mental health professionals: A review of the evidence on an intricate relationship. Int Rev Psychiatry 2007;19:137-155.
Lauber C, Nordt C, Braunschweig C, Rössler W. Do mental health professionals stigmatize their patients? Acta Psychiatr Scand 2006;429(Suppl): 51-59.
Corrigan PW, River L, Lundin RK, Penn DL et al. Three strategies for changing attributions about severe mental illness. Schizophr Bull 2001;27:187-195.
Corrigan PW, Kerr A, Knudsen L. The stigma of mental illness: Explanatory models and methods for change. Appl Prev Psychol 2005;11(3):179-190.
Corrigan PW, Shapiro JR. Measuring the impact of programs that challenge the public stigma of mental illness. Clin Psychol Rev 2010;30(8):907-922.
Sartorius N. Stigma and discrimination because of schizophrenia: a summary of the WPA Global Program Against Stigma and Discrimination Because of Schizophrenia. World Psychiatry 2005;4(Suppl 1):11-15.
Link BG. It is time to change our cultural context. Invited commentary on... Evaluation of England’s time to change programme. Br J Psychiatry 2013;202(s55):s106-s107.
Rüsh N, Angermeyer M, Corrigan P. Mental illness stigma: Concepts, consequences, and initiatives to reduce stigma. Eur Psychiatry 2005;20:529-539.
Peluso ETP, Blay L. Community perception of mental disorders. A systematic review of Latin Amercan and Caribbean studies. Soc Psychiatry Psychiatr Epidemiol 2004;39:955-961.
Mora-Ríos J, Bautista-Aguilar N, Natera G, Pedersen D. Adaptación cultural de instrumentos de medida sobre estigma y enfermedad mental en la Ciudad de México. Salud Mental 2013;36(1):9-18.