Stigmatization of schizophrenia as perceived by nurses, medical doctors, medical students and patients

Journal of Psychiatric and Mental Health Nursing

Volumn 18, Issue 7, 2011, Pages 576-585

  Serafini, G ^a,b   Pompili, M ^a,b,c   Haghighat, R ^e   Pucci, D ^a   Pastina, M ^a   Lester, D ^d   Angeletti, G ^a   Tatarelli, R ^a   Girardi, P ^a,b  

^a SAPIENZA UNIVERSITY OF ROME   (Italy)

^b Scientific Medical Research Center   (Italy)

^c MCLEAN HOSPITAL   (United States)

^d RICHARD STOCKTON COLLEGE OF NEW JERSEY   (United States)

^e NONE

Author keywords

Medical doctors; Medical students; Nurses; Psychiatric outpatients; Schizophrenia; Stigmatization

Indexed keywords

ADULT; ARTICLE; ATTITUDE TO HEALTH; DEFENSE MECHANISM; FEMALE; HEALTH PERSONNEL ATTITUDE; HUMAN; ITALY; MALE; MEDICAL STUDENT; MIDDLE AGED; NURSING STAFF; PATIENT ADVOCACY; PERCEPTION; PHYSICIAN; PSYCHOLOGICAL ASPECT; SCHIZOPHRENIA; SOCIAL PROBLEM; SOCIAL PSYCHOLOGY;

ADULT; ATTITUDE OF HEALTH PERSONNEL; ATTITUDE TO HEALTH; FEMALE; HUMANS; ITALY; MALE; MIDDLE AGED; NEGATIVISM; NURSING STAFF, HOSPITAL; PATIENT ADVOCACY; PHYSICIANS; SCHIZOPHRENIA; SOCIAL PERCEPTION; SOCIAL PROBLEMS; STEREOTYPING; STUDENTS, MEDICAL; YOUNG ADULT;

EID: 84860418081     PISSN: 13510126     EISSN: 13652850     Source Type: Journal    
DOI: 10.1111/j.1365-2850.2011.01706.x     Document Type: Article

References (58)

1. American Psychiatric Association (2000) Diagnostic and Statistical Manual of Mental Disorders, 4th edn. Text Revision. American Psychiatric Association, Washington, DC.
2. An der Heiden W. & Häfner H. (2000) The epidemiology of onset and course of schizophrenia. European Archives of Psychiatry and Clinical Neuroscience 251, 239-246.
3. Angermeyer M.C., Beck M. & Matschinger H. (2003) Determinants of the public's preference for social distance from people with schizophrenia. Canadian Journal of Psychiatry 48, 663-668.
4. Arboleda-Florez J. (2003) Considerations on the stigma of mental illness. Canadian Journal of Psychiatry 48, 645-650.
5. Barak D. & Solomon Z. (2005) In the shadow of schizophrenia: a study of siblings' perceptions. The Israel Journal of Psychiatry and Related Sciences 42, 234-241.
6. Bennett L., Thirlaway K. & Murray A.J. (2008) The stigmatising implications of presenting schizophrenia as a genetic disease. Journal of Genetics Counsel 17, 550-559.
7. Biernat M. & Dovidio J.F. (2000) Stigma and stereotypes. In: The Social Psychology of Stigma (eds Heatherton, T.F., Kleck, R.E., Hebl, M.R., etal.), pp. 88-125. Guilford, New York.
8. Birchwood M., Mason R., MacMillan F., etal. (1993) Depression, demoralisation and control over psychotic illness: a comparison of depressed and non-depressed patients with a chronic psychosis. Psychological Medicine 23, 387-395.
9. Brockman J., D'Arcy C. & Edmons L. (1979) Facts or artefacts? Changing attitudes towards the mentally Ill. Social Science & Medicine 13A, 673-682.
10. Bryne P. (2000) Stigma of mental illness and ways of diminishing it. Advances in Psychiatric Treatment 6, 65-72.
11. Caqueo-Urízar A. & Gutiérrez-Maldonado J. (2006) Burden of care in families of patients with schizophrenia. Quality of Life Research 15, 719-724.
12. Conrad P. & Schneider J.W. (1980) Looking at levels of medicalization: a comment on Strong's critique of the thesis of medical imperialism. Social Science & Medicine 14A, 75-79.
13. Cooper A.E., Corrigan P.W. & Watson A.C. (2003) Mental illness stigma and care seeking. The Journal of Nervous and Mental Disease 191, 339-341.
14. Crisp A.H., Gelder M.G., Rix S., etal. (2000) Stigmatisation of people with mental illness. The British Journal of Psychiatry 177, 4-7.
15. Davis J.A. & Smith T.W. (1996) General Social Surveys, 1972-1996 [Cumulative File]. National Opinion Research Center, Chicago, IL; Inter-University Consortium for Political and Social Research, Ann Arbor, MI.
16. Dickerson F.B., Sommerville J., Origoni A.E., etal. (2002) Experiences of stigma among outpatients with schizophrenia. Schizophrenia Bulletin 28, 143-155.
17. Fink P.J. & Tasman A. (1993) Stigma and Mental Illness. American Psychiatric Press, Washington, DC.
18. Goffman E. (1963) Stigma: Notes of the Management of a Spoiled Identity. Prentice-Hall, Englewood Cliffs, NJ.
19. Goldberg J. & Schmidt L. (2001) Shyness, sociability and social dysfunction in schizophrenia. Schizophrenia Research 48, 343-349.
20. Golding S., Becker B., Sherman S., etal. (1975) The behavioural expectations scale: assessment of expectations for interaction with the mentally ill. Journal of Consulting and Clinical Psychology 43, 109.
21. Grausgruber A., Maise U., Katschnig H., etal. (2006) Patterns of social distance towards people suffering from schizophrenia in Austria: a comparison between the general public, relatives and mental health staff. Acta Psychiatrica Scandinavica 114, 146-147.
22. Haghighat R. (1997) Schizophrenia: breaking down the barriers. European Archives of Psychiatry and Clinical Neuroscience 247, 288-289.
23. Haghighat R. (2001a) A unitary theory of stigmatisation: pursuit of self-interest and routes to destigmatisation. The British Journal of Psychiatry 178, 207-215.
24. Haghighat R. (2001b) Towards a unitary theory of stigmatisation. The British Journal of Psychiatry 178, 378-379.
25. Haghighat R. (2005) The development of an instrument to measure stigmatisation: factor analysis and origin of stigmatisation. European Journal of Psychiatry 19, 144-154.
26. Herbert W. (2003) The politics of biology. Available at: (accessed 14 October 2005).
27. Jones I., Kent L., Moli P., etal. (2001) Clinical implications of psychiatric genetics in the new millennium nightmare or nirvana? Psychiatric Bulletin 25, 129-131.
28. Kent H. & Read J. (1998) Measuring consumer participation in mental health services: are attitudes related to professional orientation? The International Journal of Social Psychiatry 44, 295-310.
29. Link B.G., Cullen F.T., Struening E., etal. (1989) A modified labeling theory approach to mental disorders: an empirical assessment. American Sociological Review 54, 400-423.
30. Link B.G., Struening E.L., Rahav M., etal. (1997) On stigma and its consequences: evidence from a longitudinal study of men with dual diagnoses of mental illness and substance abuse. Journal of Health and Social Behavivor 38, 177-190.
31. Link B., Phelan J., Bresnahan M., etal. (1999) Public conceptions of mental illness: labels, causes, dangerousness and social distance. American Journal of Public Health 89, 1328-1336.
32. Link B., Struening E., Nesse-Todd S., etal. (2001) Stigma as a barrier to recovery: the consequences of stigma for the self-esteem of people with mental illness. Psychiatric Services 52, 1621-1626.
33. Loftus C. (2004) Mental health stigmatisation: a report of the neuroscience initiative, pp. 222-225. Neuroscience Initiative.
34. Mahoney L. Mindview: genetics of schizophrenia 2002. Available at: (accessed 3 October 2005).
35. Mann C. & Himelien M. (2004) Factors associated with stigmatisation of persons with mental illness. Psychiatric Services 55, 185-187.
36. Matthias C., Angermeyer M. & Matschinger H. (2005) Causal beliefs and attitudes to people with Schizophrenia. The British Journal of Psychiatry 186, 331-334.
37. McDonald C. & Murphy K. (2003) The new genetics of schizophrenia. The Psychiatric clinics of North America 26, 41-63.
38. Minnesota Department of Health (2004) Chronic disease genomes project. Available at: (accessed 19 October 2005).
39. Mukherjee R., Fialho A., Wijetunge A., etal. (2002) The stigmatisation of psychiatric illness: the attitudes of medical students and doctors in a London teaching hospital. Psychiatric Bulletin 26, 178-181.
40. Ostman M. & Kjellin L. (2002) Stigma by association: psychological factors in relatives of people with mental illness. The British Journal of Psychiatry 181, 494-498.
41. Papadimitriou G.N. & Dikeos D.G. (2003) How does recent knowledge on the heredity of schizophrenia affect genetic counselling? Current Psychiatry Reports 5, 239-240.
42. Pescosolido B.A., Martin J.K., Link B.G., etal. (2000) Americans' Views of Mental Health and Illness at Century's End: Continuity and Change. Public Report on the Macarthur Mental Health Module, 1996 General Social Survey. Indiana Consortium of Mental Health Services Research, Indiana University, Bloomington, IN; The Joseph P. Mailman School of Public Health, Columbia University, New York, NY.
43. Phelan J. (2002) Genetic basis of mental illness - a cure for stigma? Trends in Neurosciences 25, 430-431.
44. Phelan J., Yang L. & Cruz-Rojas M. (2006) Effects of attributing serious mental illnesses to genetic causes on orientations to treatment. Psychiatric Services 57, 382-387.
45. Pompili M., Girardi P., Ruberto A., etal. (2004a) Toward a new prevention of suicide in schizophrenia. The World Journal of Biological Psychiatry 5, 201-210.
46. Ponizovsky A., Grinshpoon A., Sasson R., etal. (2003) Knowledge and attitudes about mental disorders among principals of adult education schools. The Israel Journal of Psychiatry and Related Sciences 40, 283-289.
47. Rodeghier M. (1996) Survey with Confidence: A Practical Guide to Survey Research Using SPSS. SPSS Inc, Chicago.
48. Sarbin T.R. & Mancuso J.C. (1970) Failure of a moral enterprise: attitudes of the public towards mental illness. Journal of Consulting and Clinical Psychology 35, 159-173.
49. Sartorius N. (1998) Stigma: what can psychiatrists do about it? Lancet 352, 1058-1059.
50. Sartorius N. (2007) Stigma and mental health. Lancet 370, 810-811.
51. Sheehan D.V., Lecrubier Y., Sheehan K.H., etal. (1998) The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. The Journal of Clinical Psychiatry 59 (Suppl. 20), 22-33; quiz 34-57.
52. Staurt H. (2003) Stigma and the daily news: evaluation of a newspaper intervention. Canadian Journal of Psychiatry 48, 651-656.
53. Stuart H. (2008) Fighting the stigma caused by mental disorders: past perspectives, present activities, and future directions. World Psychiatry 7, 185-188.
54. Stuart H. & Arboleda-Florez J. (2001) Community attitudes toward people with schizophrenia. Canadian Journal of Psychiatry 46, 245-255.
55. Thomson A., Stuart H., Bland R., etal. (2002) Attitudes about schizophrenia from the pilot site of the WPA worldwide campaign against the stigma of schizophrenia. Social Psychiatry and Psychiatric Epidemiology 37, 475-482.
56. Thornicroft G. (2006) Shunned: Discrimination against People with Illness. Oxford University Press, Oxford.
57. Thornicroft G., Rose D., Kassam A., etal. (2007) Stigma: ignorance, prejudice, or discrimination? The British Journal of Psychiatry 190, 192-193.
58. Tooth B., Kalyanasundaram V., Glover H., etal. (2003) Factors consumers identify as important to recover from schizophrenia. Australasian Psychiatry 11, s70-s77.