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      Stigmatizing attitudes of tertiary hospital physicians towards people with mental disorders in Saudi Arabia

      research-article
      Author(s): , MD, , MD, , Medical Student, , MD, , MD
      Publication date (Print):
      Journal: Saudi Medical Journal
      Publisher: Saudi Medical Journal

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          Abstract

          Objectives:

          To measure stigma among doctors in one of the major specialized hospitals in Saudi Arabia.

          Methods:

          This cross-sectional study was conducted at King Abdullah Medical City, Jeddah, Saudi Arabia between October and November 2018. Eighty physicians were recruited in this study. The participants administered the sociodemographic questionnaire as well as the Mental Illness Clinicians’ Attitude 4th version (MICA 4).

          Results:

          The overall MICA score ranged between 31 and 61 with a mean±SD of 45.75±7.54. The highest reported score was among outpatient physicians (51.33±6.66), while the lowest score was among consultants/assistant consultants (43.17±7.82).

          Conclusion:

          The results of this study showed a relatively high MICA-4 score that could indicate a high stigmatizing attitude among physicians toward patients with mental illnesses compared with the other MICA-4 studies. Thus, training workshops could improve the attitudes in the short-term.

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          Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care.

          Marc De Hert, Christoph U. Correll, Julio Bobes … (2011)
          The lifespan of people with severe mental illness (SMI) is shorter compared to the general population. This excess mortality is mainly due to physical illness. We report prevalence rates of different physical illnesses as well as important individual lifestyle choices, side effects of psychotropic treatment and disparities in health care access, utilization and provision that contribute to these poor physical health outcomes. We searched MEDLINE (1966 - August 2010) combining the MeSH terms of schizophrenia, bipolar disorder and major depressive disorder with the different MeSH terms of general physical disease categories to select pertinent reviews and additional relevant studies through cross-referencing to identify prevalence figures and factors contributing to the excess morbidity and mortality rates. Nutritional and metabolic diseases, cardiovascular diseases, viral diseases, respiratory tract diseases, musculoskeletal diseases, sexual dysfunction, pregnancy complications, stomatognathic diseases, and possibly obesity-related cancers are, compared to the general population, more prevalent among people with SMI. It seems that lifestyle as well as treatment specific factors account for much of the increased risk for most of these physical diseases. Moreover, there is sufficient evidence that people with SMI are less likely to receive standard levels of care for most of these diseases. Lifestyle factors, relatively easy to measure, are barely considered for screening; baseline testing of numerous important physical parameters is insufficiently performed. Besides modifiable lifestyle factors and side effects of psychotropic medications, access to and quality of health care remains to be improved for individuals with SMI.
          Article 0 comments Cited 328 times – based on 0 reviews     Review now
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            Physical illness and schizophrenia: a review of the literature.

            M. Maj, S Leucht, N Sartorius … (2007)
            The lifespan of people with schizophrenia is shortened compared to the general population. We reviewed the literature on comorbid physical diseases in schizophrenia to provide a basis for initiatives to fight this unacceptable situation. We searched MEDLINE (1966 - May 2006) combining the MeSH term of schizophrenia with the 23 MeSH terms of general physical disease categories to identify relevant epidemiological studies. A total of 44 202 abstracts were screened. People with schizophrenia have higher prevalences of HIV infection and hepatitis, osteoporosis, altered pain sensitivity, sexual dysfunction, obstetric complications, cardiovascular diseases, overweight, diabetes, dental problems, and polydipsia than the general population. Rheumatoid arthritis and cancer may occur less frequently than in the general population. Eighty-six per cent of the studies came from industrialized countries limiting the generalizability of the findings. The increased frequency of physical diseases in schizophrenia might be on account of factors related to schizophrenia and its treatment, but undoubtedly also results from the unsatisfactory organization of health services, from the attitudes of medical doctors, and the social stigma ascribed to the schizophrenic patients.
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              'Diagnostic overshadowing': worse physical health care for people with mental illness.

              Simon. Jones, Louise Howard, Graham Thornicroft (2008)
              Article 0 comments Cited 118 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Saudi Med J
                Journal ID (iso-abbrev): Saudi Med J
                Title: Saudi Medical Journal
                Publisher: Saudi Medical Journal (Saudi Arabia )
                ISSN (Print): 0379-5284
                ISSN (Electronic): 1658-3175
                Publication date (Print): September 2019
                Volume: 40
                Issue: 9
                Pages: 936-942
                Affiliations
                [1] From the Neuroscience Department (Saad), King Abdullah Medical City Specialist Hospital, Makkah; Umm Al Qura University (Almatrafi, Ali); from the Medicine Department (Mansouri), King Abdulaziz Medical City; from King Abdulaziz University (Andijani), Jeddah, Kingdom of Saudi Arabia
                Author notes
                Address correspondence and reprint request to: Dr. Sami Y. Saad, Neuroscience Department, King Abdullah Medical City Specialist Hospital, Makkah, Kingdom of Saudi Arabia. E-mail: sami_yahya@ 123456hotmail.com
                Article
                Publisher ID: SaudiMedJ-40-936
                DOI: 10.15537/smj.2019.9.24510
                PMC ID: 6790487
                PubMed ID: 31522222
                SO-VID: 47c68ab2-b5fc-4dfc-8f42-2cbb9e85bb4f
                Copyright © Copyright: © Saudi Medical Journal
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial License (CC BY-NC), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 18 June 2019
                Date accepted : 20 August 2019
                Categories
                Subject: Original Article

                Data availability:

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