Influence of contact with schizophrenia on implicit attitudes towards schizophrenia patients held by clinical residents.
Influence of contact with schizophrenia on implicit attitudes towards schizophrenia patients held by clinical residents.
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DOI：
10.1186/1471-244x-12-205
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发表时间：
2012-11-22
期刊：
影响因子：
4.4
通讯作者：
Okubo Y
中科院分区：
文献类型：
--
作者：
Omori A;Tateno A;Ideno T;Takahashi H;Kawashima Y;Takemura K;Okubo Y
精神分裂症患者及其家属深受污名化影响之苦。尽管已经做出了许多努力来消除偏见和耻辱，但即使在医疗专业人员中，它们仍然普遍存在，并且很少有人知道与精神分裂症患者的接触如何影响他们对精神分裂症的态度。我们评估了精神分裂症的日语术语重新命名对临床住院医师的影响，并通过比较精神病学一个月临床培训期前后对精神分裂症的态度，评估了与精神分裂症患者接触对精神分裂症态度的影响。51名临床住院医师参加了研究。他们对精神分裂症的态度进行了两次评估，在精神病学临床培训之前和一个月后，使用内隐联想测验（IAT）以及Link的贬值歧视量表。在临床训练之前，精神分裂症的旧术语“Seishin-Bunretsu-Byo”比精神分裂症的新术语“Togo-Shitcho-Sho”更符合罪犯。然而，与我们的预期完全相反，经过临床训练后，新术语变得比旧术语更符合罪犯。Link量表与IAT效应之间无显著相关。重新命名精神分裂症的日语术语仍然减少了临床住院医师对精神分裂症的负面印象。然而，与精神分裂症患者的接触意外地改变了临床居民对精神分裂症的负面态度。我们的研究结果可能有助于理解精神分裂症的负面态度的形成，并有助于制定适当的精神病学临床培训，以减少对精神分裂症的偏见和污名。
Patients with schizophrenia and their families have suffered greatly from stigmatizing effects. Although many efforts have been made to eradicate both prejudice and stigma, they still prevail even among medical professionals, and little is known about how contact with schizophrenia patients affects their attitudes towards schizophrenia. We assessed the impact of the renaming of the Japanese term for schizophrenia on clinical residents and also evaluated the influence of contact with schizophrenia patients on attitudes toward schizophrenia by comparing the attitudes toward schizophrenia before and after a one-month clinical training period in psychiatry. Fifty-one clinical residents participated. Their attitudes toward schizophrenia were assessed twice, before and one month after clinical training in psychiatry using the Implicit Association Test (IAT) as well as Link’s devaluation-discrimination scale. The old term for schizophrenia, “Seishin-Bunretsu-Byo”, was more congruent with criminal than the new term for schizophrenia, “Togo-Shitcho-Sho”, before clinical training. However, quite opposite to our expectation, after clinical training the new term had become even more congruent with criminal than the old term. There was no significant correlation between Link's scale and IAT effect. Renaming the Japanese term for schizophrenia still reduced the negative images of schizophrenia among clinical residents. However, contact with schizophrenia patients unexpectedly changed clinical residents’ attitudes towards schizophrenia negatively. Our results might contribute to an understanding of the formation of negative attitudes about schizophrenia and assist in developing appropriate clinical training in psychiatry that could reduce prejudice and stigma concerning schizophrenia.