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Cross-cultural analysis of the stigmatising attitudes of psychiatrists across Europe and measurement invariance of the Opening Minds Stigma Scale for healthcare providers

Published online by Cambridge University Press:  01 September 2022

D. Ori ,
P. Szocsics ,
T. Molnar ,
S. Rozsa ,
M. Wallies ,
O. Kazakova ,
L. Bankovska-Motlova ,
S. Boivin ,
S. Raaj  and
I.M. Overgaard Ingeholm Klinkby
...Show all authors
D. Ori*
Affiliation:
Heim Pál National Pediatric Institute, Department Of Mental Health, Budapest, Hungary
P. Szocsics
Affiliation:
Semmelweis University, Department Of Psychiatry And Psychotherapy, Budapest, Hungary
T. Molnar
Affiliation:
Petz Aladar County Hospital, Department Of Psychiatry, Budapest, Hungary
S. Rozsa
Affiliation:
Károli Gáspár University of the Reformed Church, Department Of Health Psychology, Budapest, Hungary
M. Wallies
Affiliation:
Psychiatrische Klinik Clienia Littenheid, Psychiatrische Klinik Clienia Littenheid, Sirnach, Switzerland
O. Kazakova
Affiliation:
Psychiatric Clinic of Minsk City, Department Of Psychiatry, Minsk, Belarus
L. Bankovska-Motlova
Affiliation:
Charles University, 3rd Faculty Of Medicine, Prague, Czech Republic
S. Boivin
Affiliation:
EPSM Étienne Gourmelen, Epsm Étienne Gourmelen, Quimper, France
S. Raaj
Affiliation:
Mater University Hospita, Department Of Liasion Psychiatry, Dublin, Ireland
I.M. Overgaard Ingeholm Klinkby
Affiliation:
Psychiatry- Aalborg University Hospital, Research Unit For Child And Adolescent Psychiatry, Aalborg, Denmark
C. Cabacos
Affiliation:
Faculty of Medicine of University of Coimbra, Institute Of Psychological Medicine, Coimbra, Portugal
A.T. Pereira
Affiliation:
Faculty of Medicine of University of Coimbra, Institute Of Psychological Medicine, Coimbra, Portugal
S. Matheiken
Affiliation:
Pennine Care NHS Foundation Trust, Pennine Care Nhs Foundation Trust, Oldham, United Kingdom
S. Kakar
Affiliation:
Erasmus university, Erasmus University, Rotterdam, Netherlands
S. Greguras
Affiliation:
University Hospital Centre Zagreb, Department Of Psychiatry, Zagreb, Croatia
J. Maslak
Affiliation:
Institute for Mental Health, Institute For Mental Health, Belgrade, Serbia
N. Nechepurenko
Affiliation:
The Serbsky State Scientific Center for Social and Forensic Psychiatry, The Serbsky State Scientific Center For Social And Forensic Psychiatry, Moscow, Russian Federation
K. Kotsis
Affiliation:
University of Ioannina, Department Of Psychiatry, Ioannina, Greece
H. Yilmaz Kafali
Affiliation:
Ankara City Hospital Bilkent, Ankara City Hospital Bilkent, Ankara, Turkey
A. Mirkovic
Affiliation:
Children’s hospital Ljubljana, Children’s Hospital Ljubljana, Ljubljana, Slovenia
P. Rus Prelog
Affiliation:
University Psychiatric Clinic Ljubljana, University Psychiatric Clinic Ljubljana, Ljubljana, Slovenia
K. Bruna
Affiliation:
Psychiatric Hospital Gintermuiza, Psychiatric Hospital Gintermuiza, Jelgava, Latvia
K. Guevara
Affiliation:
Military Medical Academy, Department Of Psychiatry, Sofia, Bulgaria
R. Strumila
Affiliation:
Vilnius University, Psychiatric Clinic, Vilnius, Lithuania
S. Mörkl
Affiliation:
Medical University of Graz, Department Of Psychiatry And Psychotherapeutic Medicine, Graz, Austria
M. Abdulhakim
Affiliation:
Vrije Universiteit Brussel, Department Of Psychiatry, Brussels, Belgium
E.A. Carbone
Affiliation:
University Magna Graecia of Catanzaro, Department Of Psychiatry, Catanzaro, Italy
A. Panayi
Affiliation:
Freelancer, Freelancer, Nicosia, Cyprus
I. Ivanović
Affiliation:
Clinical Centre of Montenegro, Clinic For Psychiatry, Podgorica, Montenegro
E. Dashi
Affiliation:
Xhavit Gjata Hospital, Xhavit Gjata Hospital, Tirane, Albania
G. Grech
Affiliation:
Mount Carmel Hospital, Mount Carmel Hospital, Attard, Malta
M. Vircik
Affiliation:
Psychiatric Hospital Michalovce, Psychiatric Hospital Michalovce, Michalovce, Slovak Republic
F. Schuster
Affiliation:
Technischen Universität München, Klinikum Rechts Der Isar Der Technischen Universität München, Munich, Germany
J. Soler-Vidal
Affiliation:
Fidmag Research Foundation, Fidmag Research Foundation, Barcelona, Spain
E. Pomarol-Clotet
Affiliation:
Fidmag Research Foundation, Fidmag Research Foundation, Barcelona, Spain
G. Ahmadova
Affiliation:
City Hospital N15, , Department Of Psychiatry, Baku, Azerbaijan
A. Hargi
Affiliation:
University of Tartu, University Of Tartu, Tartu, Estonia
H. Kisand
Affiliation:
University of Tartu, University Of Tartu, Tartu, Estonia
N. Grinko
Affiliation:
Chernivtsi Reginal Mental Hospital, Chernivtsi Reginal Mental Hospital, Chernivtsi, Ukraine
Z. Gyorffy
Affiliation:
Semmelweis University, Institute Of Behavioural Sciences, Budapest, Hungary
*
*Corresponding author.

Abstract

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Introduction

Since the literature investigating the stigmatising attitudes of psychiatrists is scarce, this is the first study which examines the phenomena across Europe. The Opening Minds Stigma Scale for Health Care Providers (OMS-HC) is a widely used questionnaire to measure stigma in healthcare providers towards people with mental illness, although it has not been validated in many European countries.

Objectives

A cross-sectional, observational, multi-centre study was conducted in 32 European countries to investigate the attitudes towards patients among specialists and trainees in general adult and child psychiatry. In order to be able to compare stigma scores across cultures, we aimed to calculate measurement invariance.

Methods

An internet-based, anonymous survey was distributed in the participating countries, which was completed by n=4245 psychiatrists. The factor structure of the scale was investigated by using separate confirmatory factor analyses for each country. The cross-cultural validation was based on multigroup confirmatory factor analyses.

Results

When country data were analysed separately, the three dimensions of the OMS-HC were confirmed, and the bifactor model showed the best model fit. However, in some countries, a few items were found to be weak. The attitudes towards patients seemed favourable since stigma scores were less than half of the reachable maximum. Results allowed comparison to be made between stigma scores in different countries and subgroups.

Conclusions

This international cooperation has led to the cross-cultural validation of the OMS-HC on a large sample of practicing psychiatrists. The results will be useful in the evaluation of future anti-stigma interventions and will contribute to the knowledge of stigma.

Disclosure

No significant relationships.

Keywords

mental health related stigmameasurement invarianceattitudes of psychiatristscross-cultural analysis
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S205 - S206
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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