Estigma en personas con enfermedad mental desde el punto de vista de estudiantes de Grado de Enfermería y Fisioterapia

  1. Ana Navea Martín
  2. Laura Visiers Jiménez
  3. David Peña Otero
  4. Ana María Recio Vivas
Revista:
Metas de enfermería

ISSN: 1138-7262

Año de publicación: 2019

Volumen: 22

Número: 9

Páginas: 16-26

Tipo: Artículo

Otras publicaciones en: Metas de enfermería

Resumen

Objective: to describe the perception by Health Sciences students of persons with mental health problems, and to identify the factors associated with said attributions. Method: a descriptive cross-sectional study conducted on 2018. The sample included Nursing and Physical Therapy students from the Centro Universitario de Ciencias de la Salud San Rafael-Nebrija from Madrid (Spain). Identification variables of the study subject were collected, and the AQ-27 Attribution Questionnaire was used, which consists of 27 items and nine factors informing about Blame, Anger, Pity, Dangerousness, Fear, Help, Segregation, Coercion and Avoidance. Univariate and bivariate analyses were carried out. Results: the study included the participation of 262 Health Sciences students: 67.8% (n= 177) from Nursing and 32.2% (n= 84) from Physical Therapy; 77.4% (n= 202) were female. There was an 18-to-45-year-old age range; 9.3% had mental health training, 9.9% had working experience in the area, 23.3% presented a family background with mental health disorders, and 7% had a personal background. The highest mean values (standard deviation) were present in the following factors: “help” with 7.66 (1.37), “coercion” with 6.56 (1.62), and “pity” with 6.51 (1.36). The lowest values (p≤ 0.05) were found in “anger” with 3.41 (1.79) and “blame” with 2.50 (1.35). Statistically significant differences were found in Anger and Help in terms of the type of degree; in Segregation in terms of previous training in Mental Health; and in Dangerousness, Fear, Help, Segregation and Avoidance in terms of personal mental health background. Conclusions: Health Sciences students stood out in the Help, Pity and Coercion dimensions, and obtained lower values in Anger and Blame. Previous training in mental health had impact on the Segregation factor. The presence of personal background in mental health had impact on these factors: Fear, Dangerousness, Help, Segregation and Avoidance.

Referencias bibliográficas

  • Asamblea Mundial de la Salud. Carga mundial de trastornos mentales y necesidad de que el sector de la salud y el sector social respondan de modo integral y coordinado a escala de país: informe de la Secretaría. Organización Mundial de la Salud, A65/10 [internet]; 2012 [citado 10 oct 2019]. Disponible en: http://www.who.int/iris/handle/10665/85966
  • Retolaza A. Salud Mental y Atención Primaria. Madrid: Grupo 5; 2013.
  • Navea A. Enfermería psiquiátrica comunitaria. En: Galiana J (ed.). Enfermería Psiquiátrica. Barcelona: Elsevier; 2016.
  • Moragriega A. Rehabilitación e integración psicosocial. En: Galiana J (ed.). Enfermería psiquiátrica. Barcelona: Elsevier; 2016.
  • Vaquero C, Escudero MA, Cebolledo M, Ureña E, Saiz J. Enfermedad mental, estigma y jóvenes. Un estudio cualitativo. Rehabilitación psicosocial. 2014;11(2):1-8.
  • Ministros de Sanidad de los Estados Miembros en la Región Europea de la OMS. Declaración Europea de Salud Mental; 2005.
  • Dirección General de Hospitales. Plan Estratégico de Salud Mental 2010-2014 [internet]. Madrid: Consejería de Sanidad de la Comunidad de Madrid; 2014. [citado 10 oct 2019]. Disponible en: www.madrid.org/bvirtual/BVCM009851.pdf.
  • Muñoz M, Pérez E, Crespo M, Guillén AI. Estigma y enfermedad mental: análisis del rechazo social que sufren las personas con enfermedad mental. Madrid: Universidad Complutense; 2009.
  • Corrigan P, Markowitz FE, Watson A, Rowan D, Kubiak MA. An attribution model of public discrimination towards persons with mental illness. J Health Soc Behav. 2003; 44(2):162-79.
  • Muñoz M, Guillén AI, Pérez-Santos E, Corrigan PW. A structural equation modeling study of the Spanish Mental Illness Stigma Attribution Questionnaire (AQ-27-E). Am J Orthopsychiatry. 2015; 85(3):243-9.
  • Rhodes MK, Schutt MS, Langham GW, Bilotta DE. The journey to nursing professionalism: a learner-centered approach. Nurs Educ Perspect. 2012; 33(1):27-9.
  • Bolívar-Paredes E, Villanueva-Ruska A. Validación y confiabilidad del Cuestionario AQ-27 de actitudes estigmatizadoras hacia pacientes con esquizofrenia en un Hospital General-2015. Revista de Neuro-Psiquiatría. 2017; 80(3):165-71.
  • Corrigan PW, Watson AC, Warpinski AC, Gracia G. Stigmatizing attitudes about mental illness and allocation of resources to mental health services. Community Ment Health J. 2004; 40(4):297-307.
  • Pingani L, Forghieri M, Ferrari S, Ben-Zeev D, Artoni P, Mazzi F, et al. Stigma and discrimination toward mental illness: Translation and validation of the Italian version of the Attribution Questionnaire-27 (AQ-27-I). Social Psychiatry and Psychiatric Epidemiology: The International Journal for Research in Social and Genetic Epidemiology and Mental Health Services. 2012; 47(6):993-9.
  • Al-Darmaki F, Thomas J, Yaaqeib S. Mental Health Beliefs Amongst Emirati Female College Students. Community Ment Health J. 2016; 52(2):233-8.
  • Geerling DM, Saunders SM. College students’ perceptions of individuals with anorexia nervosa: irritation and admiration. J Ment Health. 2015; 24(2):83-7.
  • Ballester Arnal R, Gil MD, Giménez C, Ruiz E. Actitudes y conductas sexuales de riesgo para la infección por VIH/sida en jóvenes españoles. Revista de Psicopatología y Psicología clínica. 2009; 14(3):181-91.
  • Ferrer Pérez VA, Bosch Fiol E, Ramis Palmer MC, Torres Espinosa G, Navarro Guzmán C. La violencia contra las mujeres en la pareja: creencias y actitudes en estudiantes universitarios/as. Psicothema. 2006; 18(3):359-66.
  • Vezzoli R, Archiati L, Buizza C, Pasqualetti P, Rossi G, Pioli R. Attitude towards psychiatric patients: a pilot study in a northern Italian town. European Psychiatry. 2001; 16:451-8.
  • Siles J, Cibanal L, Vizcaya-Moreno MF, Solano-Ruiz M, García E, Gabaldón EM. De la custodia a los cuidados: una perspectiva histórica de la Enfermería en salud mental. Cultura de los cuidados. 2001; 9:27-33.