TY - JOUR
T1 - Types of stigma experienced by patients with mental illness and mental health nurses in Indonesia
T2 - a qualitative content analysis
AU - Subu, Muhammad Arsyad
AU - Wati, Del Fatma
AU - Netrida, Netrida
AU - Priscilla, Vetty
AU - Dias, Jacqueline Maria
AU - Abraham, Mini Sarah
AU - Slewa-Younan, Shameran
AU - Al-Yateem, Nabeel
N1 - Publisher Copyright:
© 2021, The Author(s).
PY - 2021/12
Y1 - 2021/12
N2 - BackgroundStigma
refers to the discrediting, devaluing, and shaming of a person because
of characteristics or attributes that they possess. Generally, stigma
leads to negative social experiences such as isolation, rejection,
marginalization, and discrimination. If related to a health condition
such as mental illness, stigma may affect a person’s illness and
treatment course, including access to appropriate and professional
medical treatment. Stigma has also been reported to affect patients’
families or relatives, along with professionals who work in mental
healthcare settings. Stigma is strongly influenced by cultural and
contextual value systems that differ over time and across contexts.
However, limited information is available on how types of stigma are
experienced by patients with mental illness and mental health nurses in
Indonesia.MethodWe
explored the stigma-related experiences of 15 nurses and 15 patients in
Indonesia. The study design and analysis of interview data were guided
by deductive (directed) content analysis.ResultsFive
themes emerged. Four themes were patient-related: personal/patients’
stigma, public/social stigma, family stigma, and employment stigma. The
fifth theme related to stigma toward healthcare professionals working
with patients with mental illnesses, which we categorized as
professional stigma.ConclusionsThis
study has achieved a deep understanding of the concept of stigma in the
Indonesian context. This understanding is a prerequisite for developing
appropriate interventions that address this phenomenon and thereby for
the development of mental health services in Indonesia. This study may
also be transferable to other countries that share similar cultural
backgrounds and adhere to traditional and religious value systems.
AB - BackgroundStigma
refers to the discrediting, devaluing, and shaming of a person because
of characteristics or attributes that they possess. Generally, stigma
leads to negative social experiences such as isolation, rejection,
marginalization, and discrimination. If related to a health condition
such as mental illness, stigma may affect a person’s illness and
treatment course, including access to appropriate and professional
medical treatment. Stigma has also been reported to affect patients’
families or relatives, along with professionals who work in mental
healthcare settings. Stigma is strongly influenced by cultural and
contextual value systems that differ over time and across contexts.
However, limited information is available on how types of stigma are
experienced by patients with mental illness and mental health nurses in
Indonesia.MethodWe
explored the stigma-related experiences of 15 nurses and 15 patients in
Indonesia. The study design and analysis of interview data were guided
by deductive (directed) content analysis.ResultsFive
themes emerged. Four themes were patient-related: personal/patients’
stigma, public/social stigma, family stigma, and employment stigma. The
fifth theme related to stigma toward healthcare professionals working
with patients with mental illnesses, which we categorized as
professional stigma.ConclusionsThis
study has achieved a deep understanding of the concept of stigma in the
Indonesian context. This understanding is a prerequisite for developing
appropriate interventions that address this phenomenon and thereby for
the development of mental health services in Indonesia. This study may
also be transferable to other countries that share similar cultural
backgrounds and adhere to traditional and religious value systems.
KW - Content analysis
KW - Indonesia
KW - Mental Health
KW - Qualitative study
KW - Stigma
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UR - http://www.scopus.com/inward/citedby.url?scp=85117611104&partnerID=8YFLogxK
U2 - 10.1186/s13033-021-00502-x
DO - 10.1186/s13033-021-00502-x
M3 - Article
C2 - 34663399
AN - SCOPUS:85117611104
VL - 15
SP - 1
EP - 12
JO - International Journal of Mental Health Systems
JF - International Journal of Mental Health Systems
SN - 1752-4458
IS - 1
M1 - 77
ER -