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Professionellas perspektiv på psykisk ohälsa: attributionsskillnader mellan läkare, psykologer och kuratorer kopplat till stigma mot psykiatriska diagnoser

Mattsson, Pontus LU and Ström, Tomas LU (2025) PSPR14 20252
Department of Psychology
Abstract (Swedish)
Vårdgivares förståelse av psykiatriska tillstånd har föreslagits hänga samman med deras stigma gentemot personer med sådana tillstånd. Detta stigma kan yttra sig genom förminskande beteenden, uteslutning från beslutsprocesser och försämrade terapeutiska relationer. Denna uppsats undersöker huruvida det finns en relation mellan psykiatrisk profession, attributionella ramverk och stigma gentemot personer som diagnostiserats med ADHD, ångestsyndrom och schizofreni. En tvärsnittsundersökning genomfördes där läkare, psykologer och kuratorer (n = 131) inom svensk vuxenpsykiatri skattade påståenden om dessa diagnoser via ett webbformulär. Preferens för attributionella ramverk mättes med en anpassad version av Maudsley Attitude Questionnaire (MAQ)... (More)
Vårdgivares förståelse av psykiatriska tillstånd har föreslagits hänga samman med deras stigma gentemot personer med sådana tillstånd. Detta stigma kan yttra sig genom förminskande beteenden, uteslutning från beslutsprocesser och försämrade terapeutiska relationer. Denna uppsats undersöker huruvida det finns en relation mellan psykiatrisk profession, attributionella ramverk och stigma gentemot personer som diagnostiserats med ADHD, ångestsyndrom och schizofreni. En tvärsnittsundersökning genomfördes där läkare, psykologer och kuratorer (n = 131) inom svensk vuxenpsykiatri skattade påståenden om dessa diagnoser via ett webbformulär. Preferens för attributionella ramverk mättes med en anpassad version av Maudsley Attitude Questionnaire (MAQ) och stigma med en modifierad variant av BIAS-map (Behaviors from intergroup affect and stereotypes). Skillnader i ramverkspreferenser mellan professioner analyserades med mixed ANOVA och samband mellan ramverk och stigma med multipla regressionsanalyser. Läkare uppvisade en signifikant preferens för biologiska förklaringsmodeller. Schizofreni var främst kopplat till biologiska förklaringar, ADHD till både biologiska samt kognitivt-beteendeinriktade modeller och ångestsyndrom till kognitivt-beteendeinriktade samt socialrealistiska ramverk. Sammanlagt förklarade ramverken en liten till medelstor del av variansen i olika former av stigma. Det biologiska ramverket var associerat med lägre tillskriven kompetens, det psykodynamiska ramverket med lägre grad av faciliterande samt högre grad av skadande beteenden och det socialrealistiska ramverket med lägre nivåer av skadande och högre nivåer av direkt faciliterande beteenden. Resultaten ligger delvis i linje med tidigare forskning och bidrar till förståelsen av hur förklaringsmodeller hos psykiatrisk personal relaterar till stigma mot specifika diagnoser. (Less)
Abstract
Mental health professionals’ understanding of psychiatric conditions has been proposed to relate to their stigma toward individuals with such diagnoses. Such stigma may manifest through dismissive behavior, exclusion from decision-making and weakened therapeutic relationships. This thesis investigates whether psychiatric profession, attributional frameworks, and stigma toward ADHD, anxiety disorders and schizophrenia are associated. A cross-sectional survey was conducted among physicians, psychologists, and social workers (n = 131) in Swedish adult psychiatry, who rated statements about these diagnoses via an online questionnaire. Preference for attributional frameworks was assessed using an adapted version of Maudsley Attitude... (More)
Mental health professionals’ understanding of psychiatric conditions has been proposed to relate to their stigma toward individuals with such diagnoses. Such stigma may manifest through dismissive behavior, exclusion from decision-making and weakened therapeutic relationships. This thesis investigates whether psychiatric profession, attributional frameworks, and stigma toward ADHD, anxiety disorders and schizophrenia are associated. A cross-sectional survey was conducted among physicians, psychologists, and social workers (n = 131) in Swedish adult psychiatry, who rated statements about these diagnoses via an online questionnaire. Preference for attributional frameworks was assessed using an adapted version of Maudsley Attitude Questionnaire (MAQ) and stigma using a modified version of BIAS-map (Behaviors from intergroup affect and stereotypes). Differences in framework preference between professions were examined with a mixed ANOVA and associations between frameworks and stigma with multiple regression analyses. Physicians showed significantly stronger endorsement of biological explanatory models. Schizophrenia was primarily linked to biological explanations, ADHD to both biological and cognitive-behavioral models and anxiety disorders to cognitive-behavioral and social-realist frameworks. Across diagnoses, attributional frameworks explained a small to moderate proportion of variance in different forms of stigma. The biological framework was associated with lower attributed competence, the psychodynamic framework with lower facilitative and higher harmful behavioral tendencies and the social-realist framework with lower harmful and higher directly facilitative behaviors. These findings partially align with previous research and contribute to understanding how explanatory models among psychiatric professionals relate to stigma toward specific diagnoses. (Less)
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author
Mattsson, Pontus LU and Ström, Tomas LU
supervisor
organization
course
PSPR14 20252
year
type
H1 - Master's Degree (One Year)
subject
keywords
psykiatriska vårdprofessioner, stereotype content model, biologiska förklaringar, kognitiva modeller, socialrealistiska perspektiv, mental health professionals, biological explanations, cognitive-behavioural models, social-realist perspectives
language
Swedish
id
9216395
date added to LUP
2026-01-07 09:32:16
date last changed
2026-01-07 09:32:16
@misc{9216395,
  abstract     = {{Mental health professionals’ understanding of psychiatric conditions has been proposed to relate to their stigma toward individuals with such diagnoses. Such stigma may manifest through dismissive behavior, exclusion from decision-making and weakened therapeutic relationships. This thesis investigates whether psychiatric profession, attributional frameworks, and stigma toward ADHD, anxiety disorders and schizophrenia are associated. A cross-sectional survey was conducted among physicians, psychologists, and social workers (n = 131) in Swedish adult psychiatry, who rated statements about these diagnoses via an online questionnaire. Preference for attributional frameworks was assessed using an adapted version of Maudsley Attitude Questionnaire (MAQ) and stigma using a modified version of BIAS-map (Behaviors from intergroup affect and stereotypes). Differences in framework preference between professions were examined with a mixed ANOVA and associations between frameworks and stigma with multiple regression analyses. Physicians showed significantly stronger endorsement of biological explanatory models. Schizophrenia was primarily linked to biological explanations, ADHD to both biological and cognitive-behavioral models and anxiety disorders to cognitive-behavioral and social-realist frameworks. Across diagnoses, attributional frameworks explained a small to moderate proportion of variance in different forms of stigma. The biological framework was associated with lower attributed competence, the psychodynamic framework with lower facilitative and higher harmful behavioral tendencies and the social-realist framework with lower harmful and higher directly facilitative behaviors. These findings partially align with previous research and contribute to understanding how explanatory models among psychiatric professionals relate to stigma toward specific diagnoses.}},
  author       = {{Mattsson, Pontus and Ström, Tomas}},
  language     = {{swe}},
  note         = {{Student Paper}},
  title        = {{Professionellas perspektiv på psykisk ohälsa: attributionsskillnader mellan läkare, psykologer och kuratorer kopplat till stigma mot psykiatriska diagnoser}},
  year         = {{2025}},
}