Research Article
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Psikiyatri polikliniğine başvuran hastaların ruhsal bozukluk ve antidepresanlara yönelik inanç ve tutumları

Year 2019, Volume: 4 Issue: 3, 96 - 101, 31.12.2019

Erhan Akıncı Sema Buzrul Sonmez

https://doi.org/10.22391/fppc.613150

Abstract



Giriş: Bu araştırmada, genç
erişkin psikiyatri hastalarının, ruhsal hastalık ve antidepresan ilaçlara
ilişkin bilgi ve tutumlarının araştırılması ve ilişkili etmenlerin belirlenmesi
amaçlanmıştır.



Yöntem: Araştırma, psikiyatri
polikliniğine başvuran; DSM-5 kriterlerine göre uyum bozuklukları, depresyon
ve/veya anksiyete bozukluğu tanısı alan ve araştırma kriterlerini karşılayan 81
hasta ile yürütülmüştür. Veriler, araştırmacılar tarafından oluşturulan sosyo¬demografik
ve klinik özelliklerine yönelik bilgi formu, antidepresan ilaç kullanımına ait
bilgi ve tutumları değerlendirmeye yönelik form ve Ruhsal Hastalığa Yönelik
İnançlar Ölçeği (RHYİÖ) kullanılarak toplandı. Olguların hastalık şiddeti, Beck
Depresyon ve Beck Anksiyete Ölçekleri ile değerlendirildi.



Bulgular:  Çalışmamızda yaş gruplarına göre toplam puan
ortalamaları 26-32 yaş grubunda daha yüksekti. Ayrıca, daha önce klinik
başvurusu olmadan psikotrop ilaca kendi başlama öyküsü bulunan hastaların utanma
alt ölçeğinin puan ortalaması daha yüksek bulundu. Majör depresyonu olan
hastalarda RHYİÖ puanlarının daha yüksek olduğu saptandı. Doğrusal regresyon
analizinde yaş, eğitim, depresyon şiddeti ve antidepresanlara karşı tutumun
RHYİÖ puanları ile ilişkili etmenler olduğu görüldü



Sonuç: Bu çalışmada bazı sosyodemografik
değişkenlerin (yaş ve eğitim düzeyi), depresyon şiddetinin ve antidepresanlara
karşı tutumun ruhsal hastalıklara yönelik inançlar üzerinde etkili olabileceği
görüldü.



Keywords

Mental hastalıklar inançlar tutumlar antidepresanlar

References

  • 1. Crisp AH, Gelder MG, Rix S, Meltzer HI, Rowlands OJ. Stigmatisation of people with mental illnesses. Br J Psychiatry. 2000; 177:4-7. https://doi.org/10.1192/bjp.177.1.4
  • 2. Byrne P. Psychiatric Stigma. BJPsych. 2001; 178:281-4. https://doi.org/10.1192/bjp.178.3.281
  • 3. Lazowski L, Koller M, Stuart H, Milev R. Stigma and Discrimination in People Suffering with a Mood Disorder: A Cross-Sectional Study. Depression Research and Treatment. 2012; 1-9. https://doi.org/10.1155/2012/724848
  • 4. Ellison N, Mason O, Scior K. Bipolar disorder and stigma: A systematic review of the literature. J Affect Disord. 2013; 151:805-20. https://doi.org/10.1016/j.jad.2013.08.014
  • 5. Henderson C, Evans-Lacko S, Thornicroft G. Mental illness stigma, help seeking, and public health programs. Am J Public Health. 2013; 103:777-80. https://doi.org/10.2105/AJPH.2012.301056
  • 6. Hamre P, Dahl AA, Malt UF. Public attitudes to the quality of psychiatric treatment, psychiatric patients, and prevalence of mental disorders. Nord J Psychiat. 1994; 48:275-81. https://doi.org/10.3109/08039489409078149
  • 7. Reynders A, Kerkhof AJ, Molenberghs G, Van Audenhove C. Attitudes and stigma in relation to help-seeking intentions for psychological problems in low and high suicide rate regions. Soc Psychiatry Psychiatr Epidemiol. 2014; 49:231-9. https://doi.org/10.1007/s00127-013-0745-4
  • 8. Jorm AF. Mental health literacy: Public knowledge and beliefs about mental disorders. Br J Psychiatry. 2000; 177:396-401. https://doi.org/10.1192/bjp.177.5.396
  • 9. Griffiths KM, Christensen H, Jorm AF. Mental health literacy as a function of remoteness of residence: an Australian national study. BMC Public Health. 2009; 9:92. https://doi.org/10.1186/1471-2458-9-92
  • 10. Angermeyer MC, Breier P, Dietrich S, Kenzine D, Matschinger H. Public attitudes toward psychiatric treatment. An international comparison. Soc Psychiatry Psychiatr Epidemiol. 2005; 40:855-64. https://doi.org/10.1007/s00127-005-0958-x
  • 11. Craven M, Bland R. Better practices in collaborative mental health care: An analysis of the evidence base. Can J Psychiatry. 2006; 51:7S-72S. https://www.ncbi.nlm.nih.gov/pubmed/16786824
  • 12. Beck AT. An inventory for measuring depression. Arch Gen Psychiatry. 1961; 4:561-71. https://doi.org/10.1001/archpsyc.1961.01710120031004
  • 13. Hisli N. Use of the Beck Depression Inventory with Turkish university students: reliability, validity and factor analysis. J Psychol. 1989; 7:3-13.
  • 14. Beck AT, Epstein N, Brown G, Ster RA. An Inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol. 1988; 56:893-7. https://doi.org/10.1037/0022-006X.56.6.893
  • 15. Ulusoy M, Sahin N, Erkman H. Turkish version of the beck anxiety ınventory: psychometric properties. J Cogn Psychother Int Q. 1998; 12:163-72.
  • 16. Hirai M, Clum GA. Development, reliability, and validity of the beliefs toward Mental Illness Scale. J Psychopathol Behav Assess. 2000; 22:221-36. https://doi.org/10.1023/A:1007548432472
  • 17. Bilge A, Cam O. [Validity and reliability of Beliefs towards Mental Illness Scale] (in Turkish). Anatolian J Psychiatry. 2008; 9:91-6.
  • 18. Ben-Noun L. Characterization of patients refusing professional psychiatric treatment in a primary care clinic. Isr J Psychiatry Relat Sci. 1996; 33:167-74. https://www.ncbi.nlm.nih.gov/pubmed/9009516
  • 19. Chakraborty K, Avasthi A, Kumar S, Grover S. Attitudes and beliefs of patients of first episode depression towards antidepressants and their adherence to treatment. Soc Psychiatry Psychiatr Epidemiol. 2009; 44:482-8. https://doi.org/10.1007/s00127-008-0468-0
  • 20. Vargas SM, Cabassa LJ, Nicasio A, De La Cruz AA, Jackson E, Rosario M, et al. Toward a cultural adaptation of pharmacotherapy: Latino views of depression and antidepressant therapy. Transcult Psychiatry. 2015; 52:244-73. https://doi.org/10.1177/1363461515574159
  • 21. De Las Cuevas C, Sanz EJ. Attitudes toward psychiatric drug treatment: the experience of being treated. Eur J Clin Pharmacol. 2007; 63:1063-1067. https://doi.org/10.1007/s00228-007-0358-5
  • 22. Taskın EO, Gurlek E, Deveci A, Ozmen E. [Attitudes of patients attending a psychiatric outpatient clinic towards depression] (in Turkish). Anatolian J Psychiatry. 2009; 10:100-8.
  • 23. Ozmen E, Ogel K, Aker T, Sagduyu A, Tamar D, Boratav C. Public opinions and beliefs about the treatment of depression in urban Turkey. Soc Psychiatry Psychiatr Epidemiol. 2005; 40;869-76. https://doi.org/10.1007/s00127-005-0985-x
  • 24. Gulec G, Yenilmez C, Ay F. [Patients' Who Admitted to Psychiatry Clinic in a Anatolian City Explanation Models for their Illness and Help-Seeking Behavior] (in Turkish). J Clin Psy. 2011; 14:131-42.
  • 25. Coppens E, Van Audenhove C, Scheerder G, Arensman E, Coffey C, Costa S, et al. Public attitudes toward depression and help-seeking in four European countries baseline survey prior to the OSPI-Europe intervention. J Affect Disord. 2013; 150:320-9. https://doi.org/10.1016/j.jad.2013.04.013
  • 26. ten Have M, de Graaf R, Ormel J, Vilagut G, Kovess V, Alonso J. Are attitudes towards mental health help-seeking associated with service use? Results from the European Study of Epidemiology of Mental Disorders. Soc Psychiat Epidemiol. 2010; 45:153-63. https://doi.org/10.1007/s00127-009-0050-4
  • 27. Robb C, Haley WE, Becker MA, Polivka LA, Chwa HJ. Attitudes towards mental health care in younger and older adults: similarities and differences. Aging & Mental Health. 2003; 7:142-52. https://doi.org/10.1080/1360786031000072321
  • 28. Corrigan PW, Watson AC. The Stigma of Psychiatric Disorders and the Gender, Ethnicity, and Education of the Perceiver. Community Mental Health Journal. 2007; 43:439-58. https://doi.org/10.1007/s10597-007-9084-9
  • 29. Riana AR, Osman CB, Ainsah O. Psychiatric morbidity and attitudes towards mental illness among patients attending primary care clinic of Hospital University Kebangsaan Malaysia. Malaysian J Psych. 2008; 17:30-43.
  • 30. Unal S, Hisar F, Celik B, Ozguven Z. [Beliefs of university students on mental illness] (in Turkish). Dusunen Adam: The Journal of Psychiatry and Neurological Sciences 2010; 23:145-50. https://doi.org/10.5350/DAJPN2010230301
  • 31. Jagdeo A, Cox BJ, Stein MB, Sareen J. Negative attitudes toward help seeking for mental illness in 2 population-based surveys from the United States and Canada. Can J Psychiatry. 2009; 54:757-66. https://doi.org/10.1177/070674370905401106
  • 32. Buizza C, Pioli R, Ponteri M, Vittorielli M, Corradi A, Minicuci N, Rossi G. Community attitudes towards mental illness and socio-demographic characteristics: an Italian study. Epidemiol Psichiatr Soc 2005; 14:154-62. https://doi.org/10.1017/S1121189X00006400
  • 33. Shulman N, Adams B. A comparison of Russian and British attitudes towards mental health problems in the community. Int J Soc Psychiatry. 2002; 48:266-78. https://doi.org/10.1177/002076402128783307
  • 34. Pyne JM, Kuc EJ, Schroeder PJ, Fortney JC, Edlund M, Sullivan G. Relationship between perceived stigma and depression severity. J Nerv Ment Dis. 2004; 192:278-83. https://doi.org/10.1097/01.nmd.0000120886.39886.a3
  • 35. Freidl M, Piralic Spitzl S, Aigner M. How depressive symptoms correlate with stigma perception of mental illness. Int Rev Psychiatry. 2008; 20:510-4. https://doi.org/10.1080/09540260802565422

Beliefs and attitudes of psychiatric outpatients toward mental disorders and antidepressants

Year 2019, Volume: 4 Issue: 3, 96 - 101, 31.12.2019

Erhan Akıncı Sema Buzrul Sonmez

https://doi.org/10.22391/fppc.613150

Abstract

Introduction: The present
study aims to investigate a group of young adult psychiatric outpatients’
knowledge of and attitude toward mental disorder and antidepressants, and
determine the relevant factors affecting them.

Methods: The
study included 81 patients attending the psychiatric outpatient clinic,
diagnosed with adjustment disorders, depression and/or anxiety disorder based
on DSM-5 criteria, and met the research requirements. The data were collected
through an information form for sociodemographic and clinical characteristics,
a form to evaluate the knowledge of and attitudes toward the use of
antidepressants, and based on the Beliefs Toward Mental Illness Scale (BMI).
Severity of depression and anxiety was evaluated with Beck’s Depression
Inventory and Beck’s Anxiety Inventory.

Results: Regarding age
groups, individuals in the 26-32 age group had higher overall scores. The
patients with major depression were found to have higher BMI scores. The linear
regression analysis revealed that age, education, depression severity and
attitudes toward antidepressants were the factors associated with the overall
BMI scores

Conclusions: This study
suggests that some sociodemographic variables, i.e. (age and educational
statue), severity of depression and attitudes toward antidepressants are likely
influence the beliefs toward mental disorders.











Keywords: Mental disorders, beliefs,
attitudes, antidepressants



Keywords

Mental disorders beliefs attitudes antidepressants

References

  • 1. Crisp AH, Gelder MG, Rix S, Meltzer HI, Rowlands OJ. Stigmatisation of people with mental illnesses. Br J Psychiatry. 2000; 177:4-7. https://doi.org/10.1192/bjp.177.1.4
  • 2. Byrne P. Psychiatric Stigma. BJPsych. 2001; 178:281-4. https://doi.org/10.1192/bjp.178.3.281
  • 3. Lazowski L, Koller M, Stuart H, Milev R. Stigma and Discrimination in People Suffering with a Mood Disorder: A Cross-Sectional Study. Depression Research and Treatment. 2012; 1-9. https://doi.org/10.1155/2012/724848
  • 4. Ellison N, Mason O, Scior K. Bipolar disorder and stigma: A systematic review of the literature. J Affect Disord. 2013; 151:805-20. https://doi.org/10.1016/j.jad.2013.08.014
  • 5. Henderson C, Evans-Lacko S, Thornicroft G. Mental illness stigma, help seeking, and public health programs. Am J Public Health. 2013; 103:777-80. https://doi.org/10.2105/AJPH.2012.301056
  • 6. Hamre P, Dahl AA, Malt UF. Public attitudes to the quality of psychiatric treatment, psychiatric patients, and prevalence of mental disorders. Nord J Psychiat. 1994; 48:275-81. https://doi.org/10.3109/08039489409078149
  • 7. Reynders A, Kerkhof AJ, Molenberghs G, Van Audenhove C. Attitudes and stigma in relation to help-seeking intentions for psychological problems in low and high suicide rate regions. Soc Psychiatry Psychiatr Epidemiol. 2014; 49:231-9. https://doi.org/10.1007/s00127-013-0745-4
  • 8. Jorm AF. Mental health literacy: Public knowledge and beliefs about mental disorders. Br J Psychiatry. 2000; 177:396-401. https://doi.org/10.1192/bjp.177.5.396
  • 9. Griffiths KM, Christensen H, Jorm AF. Mental health literacy as a function of remoteness of residence: an Australian national study. BMC Public Health. 2009; 9:92. https://doi.org/10.1186/1471-2458-9-92
  • 10. Angermeyer MC, Breier P, Dietrich S, Kenzine D, Matschinger H. Public attitudes toward psychiatric treatment. An international comparison. Soc Psychiatry Psychiatr Epidemiol. 2005; 40:855-64. https://doi.org/10.1007/s00127-005-0958-x
  • 11. Craven M, Bland R. Better practices in collaborative mental health care: An analysis of the evidence base. Can J Psychiatry. 2006; 51:7S-72S. https://www.ncbi.nlm.nih.gov/pubmed/16786824
  • 12. Beck AT. An inventory for measuring depression. Arch Gen Psychiatry. 1961; 4:561-71. https://doi.org/10.1001/archpsyc.1961.01710120031004
  • 13. Hisli N. Use of the Beck Depression Inventory with Turkish university students: reliability, validity and factor analysis. J Psychol. 1989; 7:3-13.
  • 14. Beck AT, Epstein N, Brown G, Ster RA. An Inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol. 1988; 56:893-7. https://doi.org/10.1037/0022-006X.56.6.893
  • 15. Ulusoy M, Sahin N, Erkman H. Turkish version of the beck anxiety ınventory: psychometric properties. J Cogn Psychother Int Q. 1998; 12:163-72.
  • 16. Hirai M, Clum GA. Development, reliability, and validity of the beliefs toward Mental Illness Scale. J Psychopathol Behav Assess. 2000; 22:221-36. https://doi.org/10.1023/A:1007548432472
  • 17. Bilge A, Cam O. [Validity and reliability of Beliefs towards Mental Illness Scale] (in Turkish). Anatolian J Psychiatry. 2008; 9:91-6.
  • 18. Ben-Noun L. Characterization of patients refusing professional psychiatric treatment in a primary care clinic. Isr J Psychiatry Relat Sci. 1996; 33:167-74. https://www.ncbi.nlm.nih.gov/pubmed/9009516
  • 19. Chakraborty K, Avasthi A, Kumar S, Grover S. Attitudes and beliefs of patients of first episode depression towards antidepressants and their adherence to treatment. Soc Psychiatry Psychiatr Epidemiol. 2009; 44:482-8. https://doi.org/10.1007/s00127-008-0468-0
  • 20. Vargas SM, Cabassa LJ, Nicasio A, De La Cruz AA, Jackson E, Rosario M, et al. Toward a cultural adaptation of pharmacotherapy: Latino views of depression and antidepressant therapy. Transcult Psychiatry. 2015; 52:244-73. https://doi.org/10.1177/1363461515574159
  • 21. De Las Cuevas C, Sanz EJ. Attitudes toward psychiatric drug treatment: the experience of being treated. Eur J Clin Pharmacol. 2007; 63:1063-1067. https://doi.org/10.1007/s00228-007-0358-5
  • 22. Taskın EO, Gurlek E, Deveci A, Ozmen E. [Attitudes of patients attending a psychiatric outpatient clinic towards depression] (in Turkish). Anatolian J Psychiatry. 2009; 10:100-8.
  • 23. Ozmen E, Ogel K, Aker T, Sagduyu A, Tamar D, Boratav C. Public opinions and beliefs about the treatment of depression in urban Turkey. Soc Psychiatry Psychiatr Epidemiol. 2005; 40;869-76. https://doi.org/10.1007/s00127-005-0985-x
  • 24. Gulec G, Yenilmez C, Ay F. [Patients' Who Admitted to Psychiatry Clinic in a Anatolian City Explanation Models for their Illness and Help-Seeking Behavior] (in Turkish). J Clin Psy. 2011; 14:131-42.
  • 25. Coppens E, Van Audenhove C, Scheerder G, Arensman E, Coffey C, Costa S, et al. Public attitudes toward depression and help-seeking in four European countries baseline survey prior to the OSPI-Europe intervention. J Affect Disord. 2013; 150:320-9. https://doi.org/10.1016/j.jad.2013.04.013
  • 26. ten Have M, de Graaf R, Ormel J, Vilagut G, Kovess V, Alonso J. Are attitudes towards mental health help-seeking associated with service use? Results from the European Study of Epidemiology of Mental Disorders. Soc Psychiat Epidemiol. 2010; 45:153-63. https://doi.org/10.1007/s00127-009-0050-4
  • 27. Robb C, Haley WE, Becker MA, Polivka LA, Chwa HJ. Attitudes towards mental health care in younger and older adults: similarities and differences. Aging & Mental Health. 2003; 7:142-52. https://doi.org/10.1080/1360786031000072321
  • 28. Corrigan PW, Watson AC. The Stigma of Psychiatric Disorders and the Gender, Ethnicity, and Education of the Perceiver. Community Mental Health Journal. 2007; 43:439-58. https://doi.org/10.1007/s10597-007-9084-9
  • 29. Riana AR, Osman CB, Ainsah O. Psychiatric morbidity and attitudes towards mental illness among patients attending primary care clinic of Hospital University Kebangsaan Malaysia. Malaysian J Psych. 2008; 17:30-43.
  • 30. Unal S, Hisar F, Celik B, Ozguven Z. [Beliefs of university students on mental illness] (in Turkish). Dusunen Adam: The Journal of Psychiatry and Neurological Sciences 2010; 23:145-50. https://doi.org/10.5350/DAJPN2010230301
  • 31. Jagdeo A, Cox BJ, Stein MB, Sareen J. Negative attitudes toward help seeking for mental illness in 2 population-based surveys from the United States and Canada. Can J Psychiatry. 2009; 54:757-66. https://doi.org/10.1177/070674370905401106
  • 32. Buizza C, Pioli R, Ponteri M, Vittorielli M, Corradi A, Minicuci N, Rossi G. Community attitudes towards mental illness and socio-demographic characteristics: an Italian study. Epidemiol Psichiatr Soc 2005; 14:154-62. https://doi.org/10.1017/S1121189X00006400
  • 33. Shulman N, Adams B. A comparison of Russian and British attitudes towards mental health problems in the community. Int J Soc Psychiatry. 2002; 48:266-78. https://doi.org/10.1177/002076402128783307
  • 34. Pyne JM, Kuc EJ, Schroeder PJ, Fortney JC, Edlund M, Sullivan G. Relationship between perceived stigma and depression severity. J Nerv Ment Dis. 2004; 192:278-83. https://doi.org/10.1097/01.nmd.0000120886.39886.a3
  • 35. Freidl M, Piralic Spitzl S, Aigner M. How depressive symptoms correlate with stigma perception of mental illness. Int Rev Psychiatry. 2008; 20:510-4. https://doi.org/10.1080/09540260802565422
There are 35 citations in total.

Details

Primary Language English
Subjects Psychiatry
Journal Section Original Research
Authors

Erhan Akıncı 0000-0003-3331-8165

Sema Buzrul Sonmez 0000-0002-0317-444X

Publication Date December 31, 2019
Submission Date August 29, 2019
Acceptance Date November 17, 2019
Published in Issue Year 2019Volume: 4 Issue: 3

Cite

APA Akıncı, E., & Buzrul Sonmez, S. (2019). Beliefs and attitudes of psychiatric outpatients toward mental disorders and antidepressants. Family Practice and Palliative Care, 4(3), 96-101. https://doi.org/10.22391/fppc.613150
AMA Akıncı E, Buzrul Sonmez S. Beliefs and attitudes of psychiatric outpatients toward mental disorders and antidepressants. Fam Pract Palliat Care. December 2019;4(3):96-101. doi:10.22391/fppc.613150
Chicago Akıncı, Erhan, and Sema Buzrul Sonmez. “Beliefs and Attitudes of Psychiatric Outpatients Toward Mental Disorders and Antidepressants”. Family Practice and Palliative Care 4, no. 3 (December 2019): 96-101. https://doi.org/10.22391/fppc.613150.
EndNote Akıncı E, Buzrul Sonmez S (December 1, 2019) Beliefs and attitudes of psychiatric outpatients toward mental disorders and antidepressants. Family Practice and Palliative Care 4 3 96–101.
IEEE E. Akıncı and S. Buzrul Sonmez, “Beliefs and attitudes of psychiatric outpatients toward mental disorders and antidepressants”, Fam Pract Palliat Care, vol. 4, no. 3, pp. 96–101, 2019, doi: 10.22391/fppc.613150.
ISNAD Akıncı, Erhan - Buzrul Sonmez, Sema. “Beliefs and Attitudes of Psychiatric Outpatients Toward Mental Disorders and Antidepressants”. Family Practice and Palliative Care 4/3 (December 2019), 96-101. https://doi.org/10.22391/fppc.613150.
JAMA Akıncı E, Buzrul Sonmez S. Beliefs and attitudes of psychiatric outpatients toward mental disorders and antidepressants. Fam Pract Palliat Care. 2019;4:96–101.
MLA Akıncı, Erhan and Sema Buzrul Sonmez. “Beliefs and Attitudes of Psychiatric Outpatients Toward Mental Disorders and Antidepressants”. Family Practice and Palliative Care, vol. 4, no. 3, 2019, pp. 96-101, doi:10.22391/fppc.613150.
Vancouver Akıncı E, Buzrul Sonmez S. Beliefs and attitudes of psychiatric outpatients toward mental disorders and antidepressants. Fam Pract Palliat Care. 2019;4(3):96-101.

Family Practice and Palliative Care       ISSN 2458-8865       E-ISSN 2459-1505