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Anticipated and experienced stigma and discrimination in the workplace among individuals with major depressive disorder in 35 countries: qualitative framework analysis of a mixed-method cross-sectional study

2024Journal article Open access
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dc.contributor.authorVan Bortel, Tine
dc.contributor.authorWickramasinghe, Nuwan Darshana
dc.contributor.authorTreacy, Samantha
dc.contributor.authorKhan, Nashi
dc.contributor.authorOuali, Uta
dc.contributor.authorSUMATHIPALA, ATHULA
dc.contributor.authorSvab, Vesna
dc.contributor.authorNader, Doaa
dc.contributor.authorKadri, Nadia
dc.contributor.authorMonteiro, Maria Fátima Jorge
dc.contributor.authorKnifton, Lee
dc.contributor.authorQuinn, Neil
dc.contributor.authorVan Audenhove, Chantal
dc.contributor.authorLasalvia, Antonio
dc.contributor.authorBonetto, Chiara
dc.contributor.authorThornicroft, Graham
dc.contributor.authorVan Dissel, Jaap
dc.contributor.authorBrouwers, Evelien
dc.date.accessioned2024-12-19T13:41:12Z
dc.date.available2024-12-19T13:41:12Z
dc.date.issued2024
dc.description.abstractABSTRACT: Objectives: Workplace stigmatisation and discrimination are significant barriers to accessing employment opportunities, reintegration and promotion in the workforce for people with mental illnesses in comparison to other disabilities. This paper presents qualitative evidence of anticipated and experienced workplace stigma and discrimination among individuals with major depressive disorder (MDD) in 35 countries, and how these experiences differ across countries based on their Human Development Index (HDI) level. Design: Mixed-method cross-sectional survey. Participants, setting and measures: The qualitative data were gathered as part of the combined European Union Anti-Stigma Programme European Network and global International Study of Discrimination and Stigma Outcomes for Depression studies examining stigma and discrimination among individuals with MDD across 35 countries. Anticipated and experienced stigma and discrimination were assessed using the Discrimination and Stigma Scale version 12 (DISC-12). This study used responses to the open-ended DISC-12 questions related to employment. Data were analysed using the framework analysis method. Results: The framework analysis of qualitative data of 141 participants identified 6 key 'frames' exploring (1) participants reported experiences of workplace stigma and discrimination; (2) impact of experienced workplace stigma and discrimination; (3) anticipated workplace stigma and discrimination; (4) ways of coping; (5) positive work experiences and (6) contextualisation of workplace stigma and discrimination. In general, participants from very high HDI countries reported higher levels of anticipated and experienced discrimination than other HDI groups (eg, less understanding and support, being more avoided/shunned, stopping themselves from looking for work because of expectation and fear of discrimination). Furthermore, participants from medium/low HDI countries were more likely to report positive workplace experiences. Conclusions: This study makes a significant contribution towards workplace stigma and discrimination among individuals with MDD, still an under-researched mental health diagnosis. These findings illuminate important relationships that may exist between countries/contexts and stigma and discrimination, identifying that individuals from very high HDI countries were more likely to report anticipated and experienced workplace discrimination.pt_PT
dc.description.versioninfo:eu-repo/semantics/acceptedVersionpt_PT
dc.identifier.citationVan Bortel, T., Wickramasinghe, N. D., Treacy, S., Khan, N., Ouali, U., Sumathipala, A., Svab, V., Nader, D., Kadri, N., Monteiro, M. F., Knifton, L., Quinn, N., Van Audenhove, C., Lasalvia, A., Bonetto, C., Thornicroft, G., Van Weeghel, J., & Brouwers, E. (2024). Anticipated and experienced stigma and discrimination in the workplace among individuals with major depressive disorder in 35 countries: Qualitative framework analysis of a mixed-method cross-sectional study. BMJ Open, 14(6). https://doi.org/10.1136/bmjopen-2023-077528pt_PT
dc.identifier.doi10.1136/bmjopen-2023-077528pt_PT
dc.identifier.issn20446055
dc.identifier.urihttp://hdl.handle.net/10400.12/10056
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherBMJ Publishing Grouppt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectDepression & mood disorderspt_PT
dc.subjectMental healthpt_PT
dc.subjectPublic healthpt_PT
dc.subjectQualitative researchpt_PT
dc.subjectSocial Interactionpt_PT
dc.subjectSurveys and questionnairespt_PT
dc.titleAnticipated and experienced stigma and discrimination in the workplace among individuals with major depressive disorder in 35 countries: qualitative framework analysis of a mixed-method cross-sectional studypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceUnited Kingdompt_PT
oaire.citation.issue6pt_PT
oaire.citation.startPagee077528pt_PT
oaire.citation.titleBMJ Openpt_PT
oaire.citation.volume14pt_PT
person.familyNameWickramasinghe
person.familyNameTreacy
person.familyNameOuali
person.familyNameSUMATHIPALA
person.familyNamekadri
person.familyNameJorge-Monteiro
person.familyNameQuinn
person.familyNameVan Audenhove
person.familyNameLasalvia
person.familyNameBonetto
person.familyNameThornicroft
person.familyNameVan Dissel
person.familyNameBrouwers
person.givenNameNuwan Darshana
person.givenNameSamantha
person.givenNameUta
person.givenNameATHULA
person.givenNamenadia
person.givenNameMaria Fátima
person.givenNameNeil
person.givenNameChantal
person.givenNameAntonio
person.givenNameChiara
person.givenNameGraham
person.givenNameJaap
person.givenNameEvelien
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person.identifier.scopus-author-id55326938000
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rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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