Evaluation of The Stigmatizing Attitude Towards Mental Illness Among A Group of Egyptian Nonpsychiatric Physicians

Background Stigmatizing attitudes toward persons had mental illness remain a major barrier to effective mental healthcare. While psychiatrists’ perspectives have been studied extensively, less attention has been paid to non-psychiatric physicians, whose attitudes significantly influence early detection and referral. Objective To evaluate stigmatizing attitudes toward mental illness among Egyptian nonpsychiatric physicians. Methods This cross-sectional research has been performed on a sample of non-psychiatric physicians in various Egyptian events and occasions, including the Mansoura University conference, the Ain Shams University conference, and the Alexandria University conference over the year 2023. Participants completed a socio-demographic questionnaire and the Mental Illness Clinicians’ Attitudes Scale (MICA-4). Results Graduation level and having a close relationship with someone with mental illness were significant predictors of total stigmatization scores (p < 0.001). Higher educational attainment was associated with lower stigma, while lack of personal contact with mental illness predicted higher stigma levels. Regression analyses across MICA-4 domains showed that educational level and close relation were consistent predictors for the knowledge, disclosure, and distinguishing domains (p < 0.01). Conclusion Despite generally moderate attitudes, non-psychiatric physicians displayed residual stigma toward mental illness. Targeted educational and contact-based interventions are essential to reduce stigmatizing beliefs and enhance collaboration in mental healthcare.