The attitudes of general hospital doctors toward patients with comorbid mental illness.
OBJECTIVE
What are the attitudes of general hospital doctors toward patients with comorbid mental illness? Do certain characteristics of the health professional related to attitude valence to patients with comorbid mental illness?


METHODS
An anonymous questionnaire was sent out to a cohort of doctors working in three General Hospitals in South West London. The questionnaire included vignettes to assess the respondents' attitudes toward eight patients presenting with a physical compliant with different clinical histories, including depression, schizophrenia, personality disorder, diabetes, and criminal behavior.


RESULTS
A total of 52 participants completed the questionnaire; 40 females and 12 males. Across all domains, the most positive attitudes were held toward patients without a diagnosis of mental illness. The least positive attitudes were toward patients with schizophrenia, personality disorder, and those classified as "criminals," and negative attitudes relating to the unpredictability of patients was identified in these categories. There was no statistically significant difference in attitudes depending on age or level of training. However, female participants tended to endorse more positive attitudinal responses, most clearly toward patients with depression and heroin addiction.


CONCLUSIONS
Negative attitudes of doctors were identified toward certain mental illness diagnoses and are likely to contribute the physical health disparity between patients with and without a comorbid mental illness. This raises the question as to how these attitudes can be changed in order to improve the parity of physical health care between patient with and without mental illness.
South West London and St George's NHS Trust, Springfield Hospital, UK joanne.noblett@kcl.ac.uk.
Joanne E
JE
Noblett
South West London and St George's NHS Trust, Springfield Hospital, UK.
Robert
R
Lawrence
St George's University of London, Tooting, UK.
Jared G
JG
Smith
D000328:Adult; D000987:Antisocial Personality Disorder / Q000175:diagnosis / Q000523:psychology; D001291:Attitude of Health Personnel; D015331:Cohort Studies; D015897:Comorbidity; D057237:Criminals / Q000523:psychology; D003866:Depressive Disorder / Q000175:diagnosis / Q000523:psychology; D005260:Female; D006556:Heroin Dependence / Q000175:diagnosis / Q000523:psychology; D006769:Hospitals, General; D006801:Humans; D008131:London; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000523:psychology*; D010554:Personality Disorders / Q000175:diagnosis / Q000523:psychology; D010817:Physician-Patient Relations; D012559:Schizophrenia / Q000175:diagnosis; D012565:Schizophrenic Psychology; D012737:Sex Factors; D011795:Surveys and Questionnaires; D055815:Young Adult
Attitudes; doctors; gender; mental health; stigmatization