title: Association between stigmatisation and experiences of evidence-based practice by psychiatric rehabilitation staff in Japan: a cross-sectional survey.
abstract: BACKGROUND
  Mental health professionals are one of the groups holding harmful stigmatisation towards people with mental illness.
  
  
  OBJECTIVE
  To investigate the association between the performance of evidence-based practice (EBP) and the staff's level of stigmatisation in Japan.
  
  
  METHODS
  The study enrolled 179 staff members in psychiatric day-care, psychiatric community outreach teams, and psychiatric rehabilitation teams at 14 psychiatric hospitals. The Positive Attitudes Scale (PAS), the Japanese-language version of the Social Distance Scale (SDSJ) and the Recovery Attitude Questionnaire (RAQ) were employed as outcome measures. Scores on each scale were compared between participants who performed EBPs and those who had never performed EBPs.
  
  
  RESULTS
  Approximately 40% of the staff engaged in at least assertive community treatment, supported employment or family psychoeducation. The staff who performed EBPs had significantly higher scores on PAS (MD, 7.09; 95% CIs, 4.09-10.09) and RAQ (MD, 1.30; 95% CIs, 0.36-2.25) but lower scores on SDSJ (MD, -2.41; 95% CIs, -3.50 to -1.32) than those who never performed EBPs. Multivariate analyses found that EBP experience was associated with a low level of staff stigmatisation after controlling for confounders.
  
  
  CONCLUSIONS
  The findings suggest that an individual EBP experience is associated with their reduced stigmatisation.
authors: Department of Psychiatric Rehabilitation, Institute of Mental Health, National Centre of Neurology and Psychiatry , Kodaira, Tokyo , Japan .
authors: Sosei
authors: S
authors: Yamaguchi
authors: Nobuyuki
authors: N
authors: Niekawa
authors: Keiko
authors: K
authors: Maida
authors: Rie
authors: R
authors: Chiba
authors: Maki
authors: M
authors: Umeda
authors: Shahir
authors: S
authors: Uddin
authors: Ayano
authors: A
authors: Taneda
authors: Junichiro
authors: J
authors: Ito
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D055317:Evidence-Based Practice; D005260:Female; D006778:Hospitals, Psychiatric; D006801:Humans; D007564:Japan; D008297:Male; D001523:Mental Disorders / Q000534:rehabilitation*; D011369:Professional-Patient Relations; D000067250:Psychiatric Rehabilitation; D057545:Social Stigma
keywords: Attitudes; evidence-based practice; professionals; social distance; stigma