Stigma toward schizophrenia : do all psychiatrists behave the same? Latent profile analysis of a national sample of psychiatrists in Brazil

Loch, Alexandre Andrade; Guarniero, Francisco Bevilacqua; Lawson, Fabio Lorea; Hengartner, Michael Pascal; Rössler, Wulf; Gattaz, Wagner Farid; Wang, Yuan-Pang

doi:10.21256/zhaw-2775

Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-2775

Publication type:	Article in scientific journal
Type of review:	Open peer review
Title:	Stigma toward schizophrenia : do all psychiatrists behave the same? Latent profile analysis of a national sample of psychiatrists in Brazil
Authors:	Loch, Alexandre Andrade Guarniero, Francisco Bevilacqua Lawson, Fabio Lorea Hengartner, Michael Pascal Rössler, Wulf Gattaz, Wagner Farid Wang, Yuan-Pang
DOI:	10.21256/zhaw-2775 10.1186/1471-244X-13-92
Published in:	BMC Psychiatry
Volume(Issue):	13
Issue:	92
Issue Date:	2013
Publisher / Ed. Institution:	BioMed Central
ISSN:	1471-244X
Language:	English
Subjects:	Adult; Attitude of Health Personnel; Brazil; Female; Humans; Interviews as Topic; Male; Middle Aged; Prejudice; Psychiatry; Surveys and Questionnaires; Schizophrenia; Stereotyping
Subject (DDC):	616.89: Mental disorders, clinical psychology and psychiatry
Abstract:	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.
URI:	https://digitalcollection.zhaw.ch/handle/11475/15119
Fulltext version:	Published version
License (according to publishing contract):	CC BY 2.0: Attribution 2.0 Generic
Departement:	Applied Psychology
Organisational Unit:	Psychological Institute (PI)
Appears in collections:	Publikationen Angewandte Psychologie

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Loch, A. A., Guarniero, F. B., Lawson, F. L., Hengartner, M. P., Rössler, W., Gattaz, W. F., & Wang, Y.-P. (2013). Stigma toward schizophrenia : do all psychiatrists behave the same? Latent profile analysis of a national sample of psychiatrists in Brazil. BMC Psychiatry, 13(92). https://doi.org/10.21256/zhaw-2775

Loch, A.A. et al. (2013) ‘Stigma toward schizophrenia : do all psychiatrists behave the same? Latent profile analysis of a national sample of psychiatrists in Brazil’, BMC Psychiatry, 13(92). Available at: https://doi.org/10.21256/zhaw-2775.

A. A. Loch et al., “Stigma toward schizophrenia : do all psychiatrists behave the same? Latent profile analysis of a national sample of psychiatrists in Brazil,” BMC Psychiatry, vol. 13, no. 92, 2013, doi: 10.21256/zhaw-2775.

LOCH, Alexandre Andrade, Francisco Bevilacqua GUARNIERO, Fabio Lorea LAWSON, Michael Pascal HENGARTNER, Wulf RÖSSLER, Wagner Farid GATTAZ und Yuan-Pang WANG, 2013. Stigma toward schizophrenia : do all psychiatrists behave the same? Latent profile analysis of a national sample of psychiatrists in Brazil. BMC Psychiatry. 2013. Bd. 13, Nr. 92. DOI 10.21256/zhaw-2775

Loch, Alexandre Andrade, Francisco Bevilacqua Guarniero, Fabio Lorea Lawson, Michael Pascal Hengartner, Wulf Rössler, Wagner Farid Gattaz, and Yuan-Pang Wang. 2013. “Stigma toward Schizophrenia : Do All Psychiatrists Behave the Same? Latent Profile Analysis of a National Sample of Psychiatrists in Brazil.” BMC Psychiatry 13 (92). https://doi.org/10.21256/zhaw-2775.

Loch, Alexandre Andrade, et al. “Stigma toward Schizophrenia : Do All Psychiatrists Behave the Same? Latent Profile Analysis of a National Sample of Psychiatrists in Brazil.” BMC Psychiatry, vol. 13, no. 92, 2013, https://doi.org/10.21256/zhaw-2775.