Evidence map›Paper›PMID 31888942›Full record

Observational studyBMJ open2019

Resilience and associative stigma among mental health professionals in a tertiary psychiatric hospital: a cross-sectional study in Singapore.

Sherilyn Chang, Louisa Picco, Edimansyah Abdin, Qi Yuan, Siow Ann Chong, Mythily Subramaniam

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Sherilyn ChangResearch Division, Institute of Mental Health, Singapore, Singapore sherilyn_sh_chang@imh.com.sg.ORCID 0000-0001-9716-4543
Louisa PiccoResearch Division, Institute of Mental Health, Singapore, Singapore.
Edimansyah AbdinResearch Division, Institute of Mental Health, Singapore, Singapore.
Qi YuanResearch Division, Institute of Mental Health, Singapore, Singapore.
Siow Ann ChongResearch Division, Institute of Mental Health, Singapore, Singapore.
Mythily SubramaniamResearch Division, Institute of Mental Health, Singapore, Singapore.
Institute of Mental Health · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe mental health profession exposes healthcare workers to unique stressors such as associative stigma (stigmatisation that is extended from the stigmatised patients to psychiatric professionals and is based on affiliation with an individual with mental illness). Enhancing resilience, or the ability to 'bounce back' from adversity, is found to be useful in reducing occupational stress and its negative effects. In view of the high burnout rates reported among mental health professionals, this study aimed to examine resilience in this group of professionals and to explore the association between resilience and associative stigma.

designObservational study-cross-sectional design.

settingTertiary psychiatry hospital in Singapore.

participantsThe study was conducted among 470 mental health professionals (doctors, nurses and allied health professionals) working in the hospital. MEASURES: Resilience was assessed using the Brief Resilience Scale (BRS) and participants completed questionnaires that examined associative stigma. Participants provided their sociodemographic information, length of service, and information on whether they knew of a close friend or family member who had a mental illness.

resultsMean resilience score for the overall sample was 3.59 (SD=0.64). Older age (β=0.012, 95% CI 0.004 to 0.019, p=0.003) and having known a family member or close friend with a mental illness (β=0.155, 95% CI 0.019 to 0.290, p=0.025) predicted higher BRS score. Associative stigma remained significantly associated with resilience score after controlling for sociodemographic factors whereby higher associative stigma predicted lower resilience scores.

conclusionThe present finding suggests that resilience building programmes among mental health workers should target those of the younger age group, and that addressing the issue of associative stigma is essential.

Indexed as

Hospitals, PsychiatricMental HealthResilience, PsychologicalSocial StigmaTertiary Care CentersAdultAllied Health PersonnelCross-Sectional StudiesFemaleHumansMaleOccupational StressPersonnel, HospitalPhysiciansPsychiatric NursingSingaporeassociative stigmaBrief Resilience Scalemental healthresilience

Identifiers

PMID31888942
PMCPMC6937006
OpenAlexW2998326478

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.