Stigma experienced by people with mental illness in South America: an integrative review
DOI:
https://doi.org/10.15649/cuidarte.2014Palabras clave:
Mental Illness, South America, StigmaResumen
- This integrative review brings studies that demonstrate the impact of stigma on the lives of people with mental ilness.
- This integrative review makes it possible to reflect on the impacts of stigma on people with mental illness.
- This integrative review can serve as a tool to envision future workshops and interventions aimed at reducing stigma in relation to people with mental ilness.
- This integrative review is a way of exposing how people with mental illness feel about the stigma experienced in South American cultures.
Introduction: People with mental illness are highly stigmatized by populations around the world and are perceived to be a burden on society. As a result of stigma, many people with mental illness are discriminated against, which leads to limited life opportunities. Given that beliefs about mental illness can vary based on culture, religion, nationality and ethnicity, it is important to understand the different types of mental illness-related stigma experienced around the world. Materials and Methods: Whittemore and Knafl’s (2005) methodology for integrative reviews was used to analyze 18 studies about lived experiences of mental illness-related stigma in South America. Results: Findings suggest that certain types of stigma in South America are based on gender and social norms, such as the social position of men and women in society. This leads to discrimination, isolation and violence from family, intimate partners, friends, society and health professionals. Employment is also limited for South Americans with mental illness. Other consequences, such a self-stigma, also impact the lives of people with mental illness in many South American contexts. Discussion: Family, friendship and social relationships, including health professionals, can involve processes that lead to the stigma experienced by people with mental illness. Conclusion: This integrative review highlights how mental illness related-stigma impacts individuals in South America.
How to cite this article: Raquel Helena Hernandez Fernandes, Bruna Sordi Carrara, Brenda Alice Andrade Vidigal, Arthur Luís Barbosa Martins, Sireesha Jennifer Bobbili, Carla Aparecida Arena Ventura. Stigma experienced by people with mental illness in South America: an integrative review. Revista Cuidarte. 2022; 13(2): e2014 http://dx.doi.org/10.15649/cuidarte.2014
Referencias
Corrigan PW, Wassel A. Understanding and influencing the stigma of mental illness. J Psychosoc Nurs Ment Health Serv. 2008;46 (1):42-8. https://doi.org/10.3928/02793695-20080101-04
Jorm AF, Griffiths KM. The public’s stigmatizing attitudes towards people with mental disorders: How important are biomedical conceptualizations? Acta Psychiatrica Scandinavica. 2008;118:315–321. https://doi.org/10.1111/j.1600-0447.2008.01251.x
Putman S. Mental illness: Diagnostic title or derogatory term? (Attitudes towards mental illness). Developing a learning resource for use within a clinical call centre. A systematic literature review on attitudes towards mental illness. Journal of Psychiatric & Mental Health Nursing. 2008;15:684–693. https://doi.org/10.1111/j.1365-2850.2008.01288.x
Goffman E. Estigma: notas sobre a manipulação da identidade deteriorada. Rio de Janeiro: Editora Guanabara. 1988.
Link BG, Phelan JG. Conceptualizing stigma. Annual Review Sociology. 2001; 27:363–85.
https://doi.org/10.1146/annurev.soc.27.1.363
Thornicroft G, Brohan E, Kassam A, Lewis-Holmes E. “Reducing stigma and discrimination: Candidate interventions”. International Journal of Mental Health Systems. 2008; 2:3. https://doi.org/10.1186/1752-4458-2-3
Corrigan P. How stigma interferes with mental health care. American Psychologist. 2004;59(7):614-625.http://dx.doi.org/10.1037/0003-066X.59.7.614
Corrigan P, Kerr A, Knudsen L. The stigma of mental illness: explanatory models and methods for change. Applied and Preventive Psychology. 2005; 11:179–90. https://doi.org/10.1016/j.appsy.2005.07.001
Livingston JD, Rossiter KR, Vedun-Jones SN. Forensic’ labelling: An empirical assessment of its effects on self-stigma for people with severe mental illness. Psychiatric Research. 2011;188 (1):115-122. https://doi.org/10.1016/j.psychres.2011.01.018
Fung KMT, Tsang HWH, Corrigan PW, Lam CS, Cheng WM. Measuring self-stigma of mental illness in China and its implications for recovery. International Journal of Social Psychiatric. 2007;53(5):408-418. https://doi.org/10.1177/0020764007078342
Karno M, Jenkins JH, De La Selva A, Santana F, Telles C, López S, et al. Expressed emotion and schizophrenic outcome among Mexican-American families. The Journal of Nervous and Mental Disease. 1987;175(3):143–151. https://doi.org/10.1097/00005053-198703000-00004
López SR, Nelson Hipke K, Polo AJ, Jenkins JH, Karno M, Snydre KS. Ethnicity, expressed emotion, attributions, and course of schizophrenia: Family warmth matters. Journal of Abnormal Psychology. 2004; 113:428–439. https://doi.org/10.1037/0021-843X.113.3.428
Whittemore R, Knafl K. The integrative review: Updated methodology. Journal of Advanced Nursing. 2005; 52:546–553. https://doi.org/10.1111/j.1365-2648.2005.03621.x
Briggs J. Reviewers’ Manual. Edition 2014. Retrieved from https://nursing.lsuhsc.edu/JBI/docs/ReviewersManuals/ReviewersManual.pdf
Cooper HM. Scientific guidelines for conducting integrative research reviews. Review of Educational Research. 1982;52(2):291–302. https://doi.org/10.3102/00346543052002291
Polit DF, Beck CT. Nursing research: Generating and assessing evidence for nursing practice (9th ed). 2012. Philadelphia, PA: Walters Kluwer Health/Lippincott, Williams, & Wilkins.
Ursi ES, Galvão CM. Prevenção de lesões de pele no perioperatório: revisão integrativa da literatura. Revista Latino-Americana de Enfermagem. 2006;14(1):124–131. https://doi.org/10.1590/S0104-11692006000100017.
Fernandes R, Sordi B, Vidigal B, Martins A, Bobbili S, Ventura C. Stigma experienced by people with mental illness in South America: an integrative review. Mendeley Data. 2022; Version 1. Available at: https://doi.org/10.17632/bz2f9s5sk2.1
Fineout-Overholt E, Williamson K, Gallagher-Ford L, Melnyk BM, Stillwell SB. Following the evidence: Planning for sustainable change. The American Journal of Nursing. 2011;111(1): 54–60. https://doi.org/10.1097/01.NAJ.0000393062.83761.c0
Wainberg ML, Cournos F, Wall MM, Pala AN, Mann CG, Pinto D, et al. Mental Illness Sexual Stigma: Implications for Health and Recovery. Psychiatric Rehabilitation Journal. 2016;39(2): 90-96. https://doi.org/10.1037/prj0000168
Robillard C. The gendered experience of stigmatization in severe and persistent mental illness in Lima, Peru. Social Science & Medicine. 2010;71(12):2178-2186. https://doi.org/10.1016/j.socscimed.2010.10.004
Nunes M, Torrenté M. Estigma e violências no trato com a loucura: narrativas de centros de atenção psicossocial Bahia e Sergipe. Rev Saúde Pública. 2009;43(1):101-108.
http://dx.doi.org/10.1590/S0034-89102009000800015
Elkington KS, McKinnon K, Mann CG, Collins PY, Leu CS, Wainberg ML. Perceived Mental Illness Stigma and HIV Risk Behaviors Among Adult Psychiatric Outpatients in Rio de Janeiro, Brazil. Community Ment Health J. 2010; 46:56-64. https://doi.org/10.1007/s10597-009-9209-4
Wagner LC, Torres-González F, Geidel AR, King MB. Existential questions in schizophrenia: perception of patients and caregivers. Rev Saúde Pública. 2011;45(2):401-8.
https://doi.org/10.1590/S0034-89102011000200019
Oliveira RM, Facina PCBR, Júnior ACS. A realidade de viver com esquizofrenia. Revista Brasileira de Enfermagem 2012;65(2):309-316. https://doi.org/10.1590/S0034-71672012000200017
Vedana KGG, Silva DRA, Miasso AI, Zanetti ACG, Borges TL. The Meaning of Stigma for People with Mental Disorders in Brazil. Issues in Mental Health Nursing. 2017;38(12): 1022-1029, 2017. https://doi.org/10.1080/01612840.2017.1346013
Onocko-Campos RT, Passos E, Palombini AL, Santos DVD, Stefanello S, Gonçalves LLM, et al. A Gestão Autônoma da Medicação: uma intervenção analisadora de serviços em saúde mental. Ciência & Saúde Coletiva. 2013;18(10). https://doi.org/10.1590/S1413-81232013001000013
Pinheiro OG, Spink MJP. Discursive Practices and Democratic Participation: Negotiating Language Use in Mental Health Services. Journal of Health Psychology 2004;9(1):55-71. https://doi.org/10.1177/1359105304036102
Souza LV, Santos MA. Transtorno Alimentar e Construção de Si no Relacionamento Profissional-Usuário. Psicologia & Sociedade 2014;26(2):506-516. http://dx.doi.org/10.1590/S0102-71822014000200026
Cavero V, Diez-Canseco F, Toyama M, Salcedo GF, Ipince A, Araya R, et al. Provision of mental health care within primary care in Peru: A qualitative study exploring the perspectives of psychologists, primary health care providers, and patients. Wellcome Open Research. 2018;3(9). https://doi.org/10.12688/wellcomeopenres.13746.2
Gasparini D, Hildebrandt LM, Van der Sand ICP, Leite MT, Piovesan SMS, Terra MG. Mental Illness in the view of psychotic individuals: their lines and graphic representations. R. pesq.: cuid. Fundam. 2013;5(1):3421-31. https://www.ssoar.info/ssoar/handle/document/33183
Moreira V, Melo AK. Minha Doença é Invisível!: Revisitando o Estigma de ser Doente Mental. Interação em Psicologia. 2008;12(2):307-314. http://dx.doi.org/10.5380/psi.v12i2.7289
Batista e Silva BM. Do paciente ao causo: uma etnografia com egressos de internação psiquiátrica. Ciênc. saúde coletiva. 2015;20(2):353-362. https://doi.org/10.1590/1413-81232015202.20362013
Mascayano F, Toso-Salman J, Ruiz B, Warman K, Escalona AJ, Alvarado R, et al. What matters most: stigma towards severe mental disorders in Chile, a theory-driven, qualitative approach. Revista de la Faculdad de Ciencias Médicas. 2015;73(3):250-260. https://www.researchgate.net/publication/320946870_What_matters_most'_stigma_towards_severe_mental_disorders_in_Chile_a_theory-driven_qualitative_approach
Brouwers EPM, Mathijssen J, Van Bortel T, Knifton L, Wahlbeck K, Van Audenhove C, et al. Discrimination in the workplace, reported by people with major depressive disorder: a cross-sectional study in 35 countries. BMJ Open 2016; 6: e009961. https://doi.org/10.1136/bmjopen-2015-009961
Han M, Diwan S, Sun K. Exploring caregiving-related experiences among Chinese Americanand European American Family caregivers of persons with mental illness. Transcultural Psychiatry. 2019;56(3):491–509. https://doi.org/10.1177/1363461519827690
Volz PM, Tomasi E, Bruck NRV, Saes MO, Nunes BP, Duro SMS, et al. A inclusão social pelo trabalho no processo de minimização do estigma social pela doença. Saúde Soc. 2015;24(3):877-886. https://doi.org/10.1590/S0104-12902015130040
Chaudhry T, Chen SH. Mental Illness Stigmas in South Asian Americans: A Cross-Cultural Investigation. Asian American Journal of Psychology. 2019;10(2): 154–165. https://psycnet.apa.org/record/2018-64894-001
Vázquez GH, Kapczinski F, Magalhães PV, Córdoba R, Lopez Jaramillo C, Rosa AR, et al. Stigma and functioning in patients with bipolar disorder. Journal of Affective Disorders. 2011; 130:323-327. https://doi.org/10.1016/j.jad.2010.10.012
Setti VPC, Loch AA, Modelll A, Rocca CC, Hungerbuehler I, van de Blit MT, et al. Disclosing the diagnosis of schizophrenia: A pilot study of the ‘Coming Out Proud’ intervention. International Journal of Social Psychiatry. 2019;65(3):244-250. https://doi.org/10.1177/0020764019840057
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