Dominant Cultural and Personal Stigma Beliefs and the Utilization of Mental Health Services: A Cross-National Comparison.
Dominant Cultural and Personal Stigma Beliefs and the Utilization of Mental Health Services: A Cross-National Comparison.
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DOI：
10.3389/fsoc.2019.00040
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发表时间：
2019
影响因子：
2.5
通讯作者：
Verhaeghe M
中科院分区：
文献类型：
--
作者：
Bracke P;Delaruelle K;Verhaeghe M
目的：耻辱对利用精神卫生服务的有害影响是一个公认的发现。然而，大多数研究只考虑耻辱的个人或相互作用方面。这一贡献区分了文化中关于耻辱感的主流信仰和个人关于耻辱感的个人信仰。我们假设两者都对心理健康领域的专业护理寻求有影响。方法：采用多层次研究设计，估计在28个欧洲国家（N = 24,881个人，Eurobarometer 248, 2005-2006），两种类型的耻辱信念对心理健康问题咨询一般和专业卫生专业人员的可能性的影响。结果：在污名化信念占主导地位的国家，寻求专业精神卫生专业人员帮助的可能性受到限制，个人在需要正式支持时不愿联系全科医生，无论他们自己的污名化信念如何。结论：本研究表明了耻感信念作为共同文化现象的重要性，以及个人耻感信念对寻求心理健康问题专业护理的可能性的重要性。因此，我们认为，由于方法论上的个人主义，大多数关于病耻感和寻求正规护理的研究都低估了病耻感信念的普遍影响。
Purpose: The detrimental impact of stigma on the utilization of mental health services is a well-established finding. Nevertheless, most studies consider only the personal or interactional dimensions of stigma. This contribution makes a distinction between the dominant beliefs about stigma within a culture and the personal beliefs of individuals with regard to stigma. We hypothesize that both have an impact on professional-care seeking within the field of mental health. Methods: A multi-level research design is used to estimate the effects of both types of stigma beliefs on the likelihood of consulting general and specialized health professionals about mental health problems in 28 European countries (N of individuals = 24,881, Eurobarometer 248, 2005–2006). Results: In countries where stigmatizing beliefs are dominant, the likelihood of seeking help from specialized mental health professionals is constrained, and individuals refrain from contacting general practitioners when in need of formal support, regardless of their own personal stigma beliefs. Conclusion: The present study signals the importance of stigma beliefs as shared cultural phenomena, and of personal stigma beliefs to the likelihood of seeking professional care for mental health problems. We therefore propose that most studies on stigma and formal-care seeking underestimate the pervasive effects of stigma beliefs, due to methodological individualism.
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