Cambios en la percepción del estigma en personas con trastorno mental grave
- Eva L. Díaz Hernández 1
- Pedro R. Brito Brito 2
- Alfonso M. García Hernández 2
- 1 Unidad de Salud Mental Comunitaria de San Cristóbal de la Laguna, Servicio Canario de Salud, España
- 2 Departamento de Enfermería, Facultad de Ciencias de la Salud, Miembro del Grupo de Investigación Cuidados al Final de la Vida (CUFINVIDA), Universidad de La Laguna (España)
ISSN: 1697-5529
Año de publicación: 2021
Número: 17
Páginas: 66-71
Tipo: Artículo
Otras publicaciones en: Majorensis: Revista Electrónica de Ciencia y Tecnología
Resumen
Objective: To find out how people with severe mental disorder (SMD) who attend mental health services perceive stigma. Material and Method: Qualitative phenomenological study, with convenience and purposive sampling. An interview was developed, of which 3 questions were related to social rejection and stigma. A focus group of 5 people and 16 individual interviews were conducted with people with TMG. The interviews were audio-recorded, transcribed verbatim, coded and analysed with the support of N-vivo software. Results: The majority of participants reported suffering or having suffered social rejection and stigma as a result of having a mental illness. When analysing their strategies to combat stigma, we found that some protect themselves by hiding or denying the mental illness and isolating themselves, others maintain a passive attitude, while a few make it visible. Participants express that structural stigma is not as present in the mental health services they attend, such as mental health units, psychosocial rehabilitation resources, day centres or occupational workshops. Conclusions: Despite efforts to combat stigma at the institutional level, discrimination and social rejection are present and are demonstrated by the strategies used to defend themselves, such as hiding or denial of mental illness, isolation, social avoidance, passive attitude or denial of stigma and only a few make their illness visible and try to be understood and accepted by others.
Referencias bibliográficas
- Alonso J, Buron A, Rojas-Farreras S, et al. Perceived stigma among individuals with common mental disorders. Journal of Affective Disorders, 2009; 118(1-3):180-186.
- Buechter R, Pieper D, Ueffing E, et al. Interventions to reduce experiences of stigma and discrimination of people with mental illness and their caregivers (Protocol). Cochrane Database Of Systematic Reviews, 2013; 2:1-14.
- Byrne P. Stigma of mental illness and ways of diminishing it. Advances in Psychiatric Treatment. 2000; 6:65– 72.
- Corrigan PW, Morris SB, Michaels PJ, et al. Challenging the public stigma of mental illness: A meta-analysis of outcome studies. Psychiatric Services, 2012; 63(10):963-973.
- Corrigan PW, Penn DL. Lessons from social psychology on discrediting psychiatric stigma. The American Psychologis, 1999; 54(9):765-776.
- Corrigan PW, River LP, Lundin RK, et al. Three strategies for changing attributions about severe mental illness. Schizophrenia Bulletin, 2001; 27(2):187-195.
- Henderson C, Evans-Lacko S, Thornicroft G. Mental illness stigma, help seeking, public health programs. American Journal of Public Health, 2013; 103(5):777-780.
- Kaminski P, Harty C. From stigma to strategy. Nursing Standard, 1999; 13(38):36- 40.
- Ley 39/2006, de 14 de diciembre, de Promoción de la Autonomía Personal y Atención a las personas en situación de dependencia. BOE núm. 299, Jefatura del Estado, de 15 de diciembre de 2006.
- Moloney P. La salud mental y el estigma en Europa. En Mens Project Policy Papers, 2018; 75-87.
- Muñoz M, Pérez E, Crespo M, et al. Estigma y enfermedad mental: análisis del rechazo social que sufren las personas con enfermedad mental. Editorial Complutense, S. A., 2009.
- Pettigrew TF, Tropp LR. A meta-analytic test of intergroup contact theory. Journal of Personality and Social Psychology, 2005; 90(5):751-783.
- Pinfold V, Thornicroft G, Huxley P, et al. Active ingredients in anti-stigma programmes in mental health. International Review of Psychiatry, 2005; 17(2):123-131.
- Servicio Canario de Salud. Plan de Salud Mental de Canarias 2019-2023. SCS; 2019. Disponible en https://www3.gobiernodecanarias.org/sanidad/scs/contenidoGenerico.jsp?idDocument=d2141dc6-496c-11e9-910b-f705e6f363c5yidCarpeta=0428f5bb8968-11dd-b7e9-158e12a49309
- Watson AC, Corrigan P, Larson JE, et al. Self-Stigma in People with Mental Illness. Schizophrenia Bulletin, 2007; 33(6):1312–1318.
- World Health Organization. Plan de acción sobre salud mental 2013-2020. WHO; 2013. Disponible en https://apps.who.int/iris/bitstream/handle/10665/97488/9789243506029_spa.pdf