This Article Full Text (OnlineFirst PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Scopus Google Scholar Articles by Adams, E. F.M. Articles by White, R. J.E. PubMed PubMed Citation Articles by Adams, E. F.M. Articles by White, R. J.E. Social Bookmarking                         What's this?

What stops us from healing the healers: A survey of help-seeking behaviour, stigmatisation and depression within the medical profession

¹ Consultant Psychiatrist, Plymouth Teaching Primary Care Trust, Mount Gould Hospital, Plymouth, UK
² Consultant Child and Adolescent Psychiatrist, Devon Partnership Trust, Child and Family Guidance, Torbay Hospital Annexe, Torquay, UK
³ RDSU Co-ordinator, Royal Cornwall Hospitals Trust, Peninsula Research and Development Support Unit, Truro, UK
⁴ Consultant Psychiatrist in Addictions, Cornwall Partnership Trust, Cornwall Drugs and Alcohol Team, Redruth, UK

^* To whom correspondence should be addressed. E-mail: lizffc{at}btinternet.com..

	Abstract

Background: Doctors are poor at help-seeking, particularly for mental ill health; attitudes of colleagues reflecting stigmatisation may be important factors influencing decisions to seek support.

Aims: This article focuses on doctors’ attitudes to depression rather than mental illness in general. It seeks to determine the extent to which doctors perceive de-pression is stigmatised within the medical profession and whether the level of perceived stigma affects patterns of help-seeking behaviour.

Method: A postal survey was sent to 1488 General Practitioners and 152 psy-chiatrists in Devon and Cornwall. Questions assessed stigmatising attitudes to depression; help-seeking behaviour and barriers to help-seeking. Prevalence of self-reported depression and time off work was measured.

Results: The response rate was 76.6%. Doctors perceived that many of their pro-fession hold stigmatising views of depression. Some 46.2% of respondents reported that they had suffered an episode of depression. Help-seeking was significantly reduced in those with a history of depression. Barriers to help-seeking were reported as letting colleagues down (73.1%), confi dentiality (53.4%), letting patients down (51.9%) and career progression (15.7%). Gender and a history of depression significantly affected help-seeking behaviour and perceived stigmatisation. Higher levels of perceived stigma increased concerns about help-seeking and reduced help-seeking from own GP or colleagues.

Conclusion: Stigma associated with depression in doctors is endemic in the medical profession and the level of perceived stigma is related to reduced help-seeking behaviour. Efforts need to be made by the profession to reduce the stigma anticipated by those who become depressed, to enable appropriate help-seeking and support.

First published on July 17, 2009
International Journal of Social Psychiatry 2009, doi:10.1177/0020764008099123


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?