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- UPA faz a diferença - Acções de sensibilização pró-saúde mental: resultados preliminares de acções de sensibilização pró-saúde mentalPublication . Campos, Luísa; Palha, Filipa; Dias, Pedro; Veiga, Elisa; Lima, Vânia Sousa; Costa, Natália; Duarte, Ana IsabelObjectivos: Este artigo apresenta os resultados preliminares da avaliação do impacto das acções de sensibilização pró-saúde mental, desenvolvidas no âmbito do projecto UPA Faz a Diferença, bem como das características psicométricas do “Questionário UPA faz a diferença”. Métodos: Partindo de uma amostra de 232 alunos (15 aos 18 anos) do ensino secundário, 121 alunos (grupo experimental - GE) participaram nas acções de sensibilização, constituídas por 2 sessões. Seguindo uma metodologia do tipo pré-pós, foi aplicado o “Questionário UPA” no GE, no início da 1ª sessão e final da 2ª; bem como no grupo de controlo (GC), nos mesmos momentos do GE. Resultados: Dos resultados preliminares (N=232 alunos; GE=121, GC=111), relativos aos scores globais de 2 secções do questionário, destaca-se: (1) o aumento mais expressivo de percepções positivas em relação a problemas de saúde mental (menos estigmatizantes) no GE e o aumento significativo das percepções de conhecimentos apenas no GE; bem como (2) os resultados satisfatórios de consistência interna nas secções percepções estigmatizantes e percepções de conhecimentos (alpha de Cronbach=0.75 e 0.92 respectivamente). Conclusões: Os resultados indicam que as acções de sensibilização parecem constituir uma intervenção efectiva no aumento da mental health literacy, bem como na diminuição das percepções estigmatizantes. Os níveis de consistência interna obtidos para as secções percepções estigmatizantes e percepções de conhecimentos do “Questionário UPA” são satisfatórios, apontando para a fidelidade destas duas secções.
- Finding space to mental health : promoting mental health in adolescents (12 to 14 year olds): preliminary results of the intervention's effectivenessPublication . Campos, Luísa; Dias, Pedro; Palha, Filipa; Duarte, Ana; Veiga, ElisaMental health and well-being are fundamental to our collective and individual ability as humans to think, to feel emotions, to form and maintain relationships, to study, to pursue leisure interests, to make day-to-day decisions and to enjoy a fulfilling life. A healthy adolescence is a prerequisite for a healthy adulthood. However, the current reality presents a concerning picture. The formation of individual and collective mental capital – especially in the earlier stages of life – is being held back by a range of avoidable risks to mental health (World Health Organization [WHO], 2013). Adolescents from Southern Europe (region that has been more severely hit by the financial crisis; e.g., Portugal) are pointed out as an extremely vulnerable group, as their mental health might easily be influenced by their parents’ economic difficulties and by the lack of social solidarity (European Parliament, 2012). Adolescents’ mental health promotion is regarded as a vital concern (WHO, 2005a, 2013). Interventions focused on mental health literacy promotion have revealed important advantages in preventing, recognising, early intervening and reducing stigma (Pinfold, Stuart, Thornicroft & Arboleda-Florez, 2005; Pinfold, Toulmin, Thornicroft, Huxley, Farmer & Graham, 2003; Schulze, Richter-Werling, Matschinger & Angermeyer, 2003; Stuart, 2006). Consistent with mental health promotion frameworks proffered by the World Health Organization (2005a), we must engage with young people in environments where they interact (Burns, 2011). Schools are implicitly one of the most important settings for promoting the mental health of adolescents (Barry, Clarke, Jenkins & Patel, 2013; WHO, 2001). The “Finding Space to Mental Health: Promoting mental health in adolescents (12- to 14 year olds)” project aims at increasing young people’s mental health literacy. During the first year, an assessment instrument – Mental Health Literacy questionnaire (MHLq) - and a two-day intervention were developed. The intervention is composed by 2 sessions at one-week intervals, lasting 90 minutes each. Sessions follow an interactive methodology, using group dynamics, music and videos and group discussions regarding participants’ emotional well-being. The study of the intervention’s effectiveness is conducted through a pretest-postest design using the MHLq in both an experimental group and a control group. This article presents the preliminary results regarding the effectiveness of the intervention aimed at enhancing mental health literacy in a sample of 100 Portuguese adolescents (12- to 14-year-olds). The postest showed students’ increased levels of knowledge and self-help strategies. These results suggest that the intervention developed appears to be adequate to the proposed goal, and they strengthen the belief that targeting young people in systematic and sustainable school-based intervention is a promising approach for the promotion of mental health literacy (Rickwood, Deane, Wilson & Ciarrichi, 2005; Schulze et al., 2003; WHO, 2010).
- Stigmatizing attitudes toward patients with psychiatric disorders among medical students and professionalsPublication . Oliveira, Ana Margarida; Machado, Daniel; Fonseca, João B.; Palha, Filipa; Moreira, Pedro S.; Sousa, Nuno; Morgado, PedroIntroduction: Stigma attached to mental health encompasses discrimination and exclusion of psychiatric patients and hinders their opportunities to have more productive and fulfilling lives. Moreover, stigma also exists among health professionals, and therefore, it hampers the provision of treatment and care and the promotion of mental well-being. This manuscript intends to assess and compare the levels of stigmatization toward patients with mental illness between medical students and doctors from different specialties. Methods: The Portuguese version of Attribution Questionnaire (AQ-27) was used to assess the attitudes of medical students (n = 203), non-psychiatry doctors (n = 121), and psychiatry specialists (n = 29) from the University of Minho and three hospitals in the region of Braga, Portugal (Hospital de Braga, Hospital Senhora da Oliveira, and Hospital de Fafe). Results: Psychiatrists were the group that displayed lower levels of stigmatizing attitudes in all the items of the AQ-27, followed by the students. The regression analyses revealed that professional group and presence of a relative with mental illness were the factors that have a significant impact on the levels of stigmatization. Conclusions: Mental illness stigma is widely spread in community and reaches not only general population but also health professionals. Psychiatrists presented lower levels of stigma compared with non-psychiatry physicians and medical students. We found that stigma is related with age and the presence of relatives with psychiatric disorders. These findings highlight the critical relevance of raising awareness on this topic and, therefore, break stereotypes to reduce the negative consequences of stigma.