Estigma de las personas con enfermedades mentales en Suramérica: revisión integrativa

Authors

DOI:

https://doi.org/10.15649/cuidarte.2014

Keywords:

Trastorno Mental, América del Sur, Estigma

Abstract

Introducción: Las personas con trastornos mentales están muy estigmatizadas por poblaciones de todo el mundo y son vistas como una carga para la sociedad. Muchas personas con trastornos mentales son discriminadas, lo que genera oportunidades de vida limitadas. Dado que las creencias sobre los trastornos mentales pueden variar según la cultura, la religión, la nacionalidad y la etnia, es importante comprender los diferentes tipos de estigma relacionados con el trastorno mental que se experimentan en todo el mundo. Materiales y Métodos: Se utilizó la metodología de Whittemore y Knafl (2005) para revisiones integrativas para analizar 18 estudios sobre experiencias vividas de estigma relacionado con el trastorno mental en América del Sur. Resultados: Los resultados sugieren que ciertos tipos de estigma en América del Sur. se basan en normas sociales y de género, como la posición social de hombres y mujeres en la sociedad. Esto conduce a la discriminación, el aislamiento y la violencia por parte de la familia, la pareja íntima, los amigos, la sociedad y los profesionales de la salud. El empleo también es limitado para los sudamericanos con trastornos mentales. Otras consecuencias, como el autoestigma, también afectan la vida de las personas con trastornos mentales en muchos contextos sudamericanos. Discusión: Las relaciones familiares, de amistad y sociales, incluidos los profesionales de la salud, pueden involucrar procesos que conducen al estigma vivido por las personas con trastornos mentales. Conclusión: Esta revisión integradora destaca cómo el estigma relacionado con el trastorno mental afecta a las personas en América del Sur.

Como citar este artículo: 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

Author Biographies

Raquel Helena Hernandez Fernandes, University of São Paulo at Ribeirão Preto College of Nursing

University of São Paulo at Ribeirão Preto College of Nursing, São Paulo, Brasil.

Bruna Sordi Carrara, University of São Paulo at Ribeirão Preto College of Nursing, São Paulo

University of São Paulo at Ribeirão Preto College of Nursing, São Paulo, Brasil.

Brenda Alice Andrade Vidigal, University of São Paulo at Ribeirão Preto College of Nursing

University of São Paulo at Ribeirão Preto College of Nursing, São Paulo, Brasil.

Arthur Luís Barbosa Martins, University of São Paulo at Ribeirão Preto College of Nursing

University of São Paulo at Ribeirão Preto College of Nursing, São Paulo, Brasil.

Sireesha Jennifer Bobbili, University of Toronto

University of Toronto, Toronto, Canada.

Carla Aparecida Arena Ventura, University of São Paulo at Ribeirão Preto College of Nursing

University of São Paulo at Ribeirão Preto College of Nursing, São Paulo, Brasil

References

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

Downloads

Published

2022-05-06

How to Cite

1.
Hernandez Fernandes RH, Sordi Carrara B, Andrade Vidigal BA, Barbosa Martins AL, Bobbili SJ, Arena Ventura CA. Estigma de las personas con enfermedades mentales en Suramérica: revisión integrativa. Revista Cuidarte [Internet]. 2022 May 6 [cited 2024 Nov. 22];13(2). Available from: https://revistas.udes.edu.co/cuidarte/article/view/2014

Altmetrics

Downloads

Download data is not yet available.