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Self-reported discriminatory and positive behaviours towards people with mental health problems: findings from an Australian national survey

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Abstract

Objective

The aim of the study was to explore self-reported avoidance, discrimination, and positive treatment by members of the public towards people with mental health problems.

Methods

In 2014, telephone interviews were carried out with 5220 Australians aged 18 +. Respondents were asked if they had known an adult with a mental health problem over the previous 12 months. If they had, they were asked further questions about the person’s age, gender, relationship to the respondent, and their mental health problem. Respondents were then asked if they had avoided, discriminated against or treated the person more positively and, if so, some details about what happened.

Results

19.9% of respondents reported avoiding someone with a mental health problem, with the most common reasons being difficulty tolerating the person’s behaviour and needing time out. However, respondents were more likely to report treating the person with mental health problems more positively (73.0%) than avoiding or discriminating against them (4.7%). The most common positive behaviours were non-specific support and maintaining or increasing contact. Avoidance was less likely from friends and those aged 60 +. Discrimination was more likely from family members and spouses and less likely from respondents aged 60 +. Positive treatment was more likely from people who had experienced a mental health problem.

Conclusions

This study provides insight into the reasons why people avoid others with mental health problems. The results can provide input into the design of anti-discrimination interventions and further empower people with mental health problems as they advocate for change in the area of discrimination.

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References

  1. Link BG, Struening EL, Rahav M, Phelan JC, Nuttbrock L (1997) On stigma and its consequences: evidence from a longitudinal study of men with dual diagnoses of mental illness and substance abuse. J Health Soc Behav 38(2):177–190

    Article  CAS  PubMed  Google Scholar 

  2. Brouwers EP, Mathijssen J, Van Bortel T, Knifton L, Wahlbeck K, Van Audenhove C, Kadri N, Chang C, Goud BR, Ballester D, Tofoli LF, Bello R, Jorge-Monteiro MF, Zaske H, Milacic I, Ucok A, Bonetto C, Lasalvia A, Thornicroft G, Van Weeghel J, Group* AIS (2016) Discrimination in the workplace, reported by people with major depressive disorder: a cross-sectional study in 35 countries. BMJ Open 6(2):e009961. https://doi.org/10.1136/bmjopen-2015-009961

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Corrigan P (2004) How stigma interferes with mental health care. Am Psychol 59(7):614–625

    Article  PubMed  Google Scholar 

  4. Wells JE, Robins LN, Bushnell JA, Jarosz D, Oakley-Browne MA (1994) Perceived barriers to care in St. Louis (USA) and Christchurch (NZ): reasons for not seeking professional help for psychological distress. Soc Psychiatry Psychiatr Epidemiol 29(4):155–164

    CAS  PubMed  Google Scholar 

  5. Angermeyer MC, Beck M, Dietrich S, Holzinger A (2004) The stigma of mental illness: patients’ anticipations and experiences. Int J Soc Psychiatry 50(2):153–162

    Article  PubMed  Google Scholar 

  6. Lasalvia A, Zoppei S, Van Bortel T, Bonetto C, Cristofalo D, Wahlbeck K, Bacle SV, Van Audenhove C, van Weeghel J, Reneses B, Germanavicius A, Economou M, Lanfredi M, Ando S, Sartorius N, Lopez-Ibor JJ, Thornicroft G (2013) Global pattern of experienced and anticipated discrimination reported by people with major depressive disorder: a cross-sectional survey. Lancet 381(9860):55–62. https://doi.org/10.1016/S0140-6736(12)61379-8

    Article  PubMed  Google Scholar 

  7. Thornicroft G, Brohan E, Rose D, Sartorius N, Leese M (2009) Global pattern of experienced and anticipated discrimination against people with schizophrenia: a cross-sectional survey. Lancet 373(9661):408–415. https://doi.org/10.1016/S0140-6736(08)61817-6

    Article  PubMed  Google Scholar 

  8. Wahl OF (1999) Mental health consumers’ experience of stigma. Schizophr Bull 25(3):467–478

    Article  CAS  PubMed  Google Scholar 

  9. Alonso J, Buron A, Bruffaerts R, He Y, Posada-Villa J, Lepine JP, Angermeyer MC, Levinson D, de Girolamo G, Tachimori H, Mneimneh ZN, Medina-Mora ME, Ormel J, Scott KM, Gureje O, Haro JM, Gluzman S, Lee S, Vilagut G, Kessler RC, Von Korff M, World Mental Health C (2008) Association of perceived stigma and mood and anxiety disorders: results from the World Mental Health Surveys. Acta Psychiatr Scand 118(4):305–314. https://doi.org/10.1111/j.1600-0447.2008.01241.x

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Baldwin ML, Marcus SC (2006) Perceived and measured stigma among workers with serious mental illness. Psychiatr Serv 57(3):388–392. https://doi.org/10.1176/appi.ps.57.3.388

    Article  PubMed  Google Scholar 

  11. Stuart H, Patten SB, Koller M, Modgill G, Liinamaa T (2014) Stigma in Canada: results from a rapid response survey. Can J Psychiatry Revue canadienne de psychiatrie 59(10 Suppl 1):S27–S33

    Article  PubMed  Google Scholar 

  12. Reavley NJ, Jorm AF (2015) Experiences of discrimination and positive treatment in people with mental health problems: Findings from an Australian national survey. Aust N Z J Psychiatry 49(10):906–913

    Article  PubMed  Google Scholar 

  13. Reavley NJ, Morgan AJ, Jorm AF (2016) Discrimination and positive treatment towards people with mental health problems in workplace and education settings: Findings from an Australian national survey. Stigma Health. http://dx.doi.org/10.1037/sah0000059

  14. Franklin K (2000) Antigay behaviours among young adults: prevalence, patterns and motivators in a noncriminal population. J Interpers Violence 15(4):339–362

    Article  Google Scholar 

  15. Huic A, Jelic M, Kamenov Z (2015) What predicts the willingness of heterosexual persons to behave in a positive or negative manner towards homosexual persons? Criminol Soc Integr J 23(2):110–141

    Google Scholar 

  16. Rey AM, Gibson PR (1997) Beyond high school: heterosexuals’ self-reported anti-gay/lesbian behaviors and attitudes. J Gay Lesbian Soc Serv 7(4):65–84

    Article  Google Scholar 

  17. Morgan AJ, Reavley NJ, Jorm AF, Beatson R (2016) Experiences of discrimination and positive treatment from health professionals: A national survey of adults with mental health problems. Aust N Z J Psychiatry 50(8):754–762. https://doi.org/10.1177/0004867416655605

    Article  PubMed  Google Scholar 

  18. Morgan AJ, Reavley NJ, Jorm AF, Beatson R (2017) Discrimination and support from friends and family members experienced by people with mental health problems: findings from an Australian national survey. Soc Psychiatry Psychiatr Epidemiol 52(11):1395–1403

    Article  PubMed  Google Scholar 

  19. Australian Bureau of Statistics (2014) Estimated resident population March 2014. Australian Bureau of Statistics, Canberra

    Google Scholar 

  20. Australian Bureau of Statistics (2014) ABS Census 2011 Table Builder. Australian Bureau of Statistics. http://www.abs.gov.au/websitedbs/censushome.nsf/home/tablebuilder?opendocument&navpos=240. Accessed 25 June 2017

  21. Australian Communication and Media Authority (2014) Communications report 2013–14. Australian Communication and Media Authority, Canberra

    Google Scholar 

  22. Crowe M, Inder M, Porter R (2015) Conducting qualitative research in mental health: Thematic and content analyses. Aust N Z J Psychiatry 49(7):616–623. https://doi.org/10.1177/0004867415582053

    Article  PubMed  Google Scholar 

  23. Henderson C, Thornicroft G (2013) Evaluation of the Time to Change programme in England 2008–2011. Br J Psychiatry Suppl 55:s45–s48. https://doi.org/10.1192/bjp.bp.112.112896

    Article  PubMed  Google Scholar 

  24. Thornicroft C, Wyllie A, Thornicroft G, Mehta N (2014) Impact of the “Like Minds, Like Mine” anti-stigma and discrimination campaign in New Zealand on anticipated and experienced discrimination. Aust N Z J Psychiatry 48(4):360–370. https://doi.org/10.1177/0004867413512687

    Article  PubMed  Google Scholar 

  25. Perlick DA, Berk L, Kaczynski R, Gonzalez J, Link B, Dixon L, Grier S, Miklowitz DJ (2016) Caregiver burden as a predictor of depression among family and friends who provide care for persons with bipolar disorder. Bipolar Disord 18(2):183–191. https://doi.org/10.1111/bdi.12379

    Article  PubMed  Google Scholar 

  26. Steele A, Maruyama N, Galynker I (2010) Psychiatric symptoms in caregivers of patients with bipolar disorder: a review. J Affect Disord 121(1–2):10–21. https://doi.org/10.1016/j.jad.2009.04.020

    Article  PubMed  Google Scholar 

  27. Rossetto A, Jorm AF, Reavley NJ (2014) Quality of helping behaviours of members of the public towards a person with a mental illness: a descriptive analysis of data from an Australian national survey. Ann Gen Psychiatry 13(1):2

    Article  PubMed  PubMed Central  Google Scholar 

  28. Reavley NJ, Jorm AF (2012) Public recognition of mental disorders and beliefs about treatment: changes in Australia over 16 years. Br J Psychiatry 200:419–425

    Article  PubMed  Google Scholar 

  29. Jorm AF, Oh E (2009) Desire for social distance from people with mental disorders. Aust N Z J Psychiatry 43(3):183–200. https://doi.org/10.1080/00048670802653349

    Article  PubMed  Google Scholar 

  30. Henderson C, Evans-Lacko S, Flach C, Thornicroft G (2012) Responses to mental health stigma questions: the importance of social desirability and data collection method. Can J Psychiatry Revue canadienne de psychiatrie 57(3):152–160. https://doi.org/10.1177/070674371205700304

    Article  PubMed  Google Scholar 

  31. Curtin R, Presser S, Singer E (2005) Changes in telephone survey non-response over the past quarter century. Public Opin Q 69:87–98

    Article  Google Scholar 

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Correspondence to Nicola J. Reavley.

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Funding

The study was funded by the National Health and Medical Research Council.

Conflict of interest

The author(s) declare that they have no competing interests

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Reavley, N.J., Morgan, A.J., Rossetto, A. et al. Self-reported discriminatory and positive behaviours towards people with mental health problems: findings from an Australian national survey. Soc Psychiatry Psychiatr Epidemiol 53, 289–298 (2018). https://doi.org/10.1007/s00127-017-1454-1

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  • DOI: https://doi.org/10.1007/s00127-017-1454-1

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