Using extended contact to improve physiological responses and behavior toward people with schizophrenia

Using extended contact to improve physiological responses and behavior toward people with schizophrenia
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利用长期接触来改善对精神分裂症患者的生理反应和行为

DOI:
10.1016/j.jesp.2013.06.009
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发表时间:
2014
影响因子:
3.5
通讯作者:
West K
West K
中科院分区:
心理学2区
文献类型:
--
作者:
West K

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扩展接触已被证明可以改善对一些外群体的外显和内隐态度,但尚未改善对精神健康状况的人。使用精神分裂症患者作为目标群体,这个实验是第一个证明延长接触可以减少外显偏见,缓冲未来互动的压力反应,改善非语言行为,并以目标群体成员可检测的方式提高互动质量。参与者观看了两个陌生人之间简短的积极互动的视频,其中一个他们被认为患有精神分裂症。对照组的参与者在没有被告知此人患有精神分裂症的情况下观看了相同的视频。然后,他们参加了一个社会互动与一个邦联,他们被引导相信有障碍。参与者的心血管和皮肤电活动在互动前立即进行监测。互动过程也被秘密记录下来,以便独立法官评估参与者的非语言行为。参与者还对每次互动的积极性进行了评分。在延长接触条件下的参与者报告了对精神分裂症患者更积极的态度,表现出更积极的非语言行为,并与邦联有更积极的互动。此外,就在互动之前,在延长接触条件下的参与者表现出较小的预期压力反应,反映在较小的变化,在此阶段的interbeat间隔和非特异性皮肤电导反应。总之,这些研究结果支持使用延长接触作为干预措施,可能会导致对严重精神健康障碍患者的态度和治疗的真正变化。
Extended contact has been shown to improve explicit and implicit attitudes toward a number of outgroups, but not yet toward people with mental health conditions. Using people with schizophrenia as the target group, this experiment is the first to demonstrate that extended contact can reduce explicit prejudice, buffer stress responses to future interactions, improve non-verbal behavior, and improve the quality of interactions in a manner detectable by the target group member. Participants watched a video of a brief, positive interaction between two strangers, one of whom they were led to believe had schizophrenia. Control participants watched the same video without being told that the person had schizophrenia. They then participated in a social interaction with a confederate whom they were led to believe had the disorder. Participants' cardiovascular and electrodermal activity were monitored immediately before the interaction. The interaction was also secretly recorded to allow independent judges to assess the participants' non-verbal behaviors. The confederate also rated the positivity of each interaction. Participants in the extended contact condition reported more positive attitudes toward people with schizophrenia, displayed more positive non-verbal behaviors, and had a more positive interaction with the confederate. Moreover, just prior to the interaction, participants in the extended contact condition displayed smaller anticipatory stress responses, as reflected in smaller changes in interbeat interval and non-specific skin conductance responses during this phase. Together, these findings support the use of the extended contact as an intervention that could lead to genuine changes in attitudes toward and treatment of people with severe mental health disorders.
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