Conceptions of mental illness: attitudes of mental health professionals and the general public.

Conceptions of mental illness: attitudes of mental health professionals and the general public.
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DOI:
10.1176/appi.ps.201300136
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发表时间:
2014-04-01
期刊:
Psychiatric services (Washington, D.C.)
影响因子:
--
通讯作者:
Link BG
Link BG
中科院分区:
其他
文献类型:
--
作者:
Stuber JP;Rocha A;Christian A;Link BG

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作者比较了美国公众和心理健康专业人员对心理健康问题患者的能力和感知的忠诚度以及与他们保持社交距离的愿望的态度。与消极态度和社会距离的愿望有关的因素也进行了研究。2006年一般社会调查(GSS)和2009年精神卫生专业人员研究中纳入了描述符合DSM-IV重度抑郁症和精神分裂症标准的个人的小插曲,并对响应进行了连续比较(GSS,N=397对抑郁小插曲的响应,N=373对精神分裂症小插曲的响应; 731名精神卫生专业人员对两个小插曲都做出了响应)。回归分析研究人口和供应商的特点是否与感知能力和感知的小插曲性格的不和谐,并与受访者的社会距离的愿望。与美国公众相比,精神卫生专业人员对有精神健康问题的人有更积极的态度。然而,部分服务提供者对精神分裂症患者的责任感的概念以及服务提供者希望在工作和个人情况下与客户保持社会距离的想法令人担忧。年龄较小,自我认同为非西班牙裔白色,是女性,至少有四年的大学学位,熟悉精神疾病,以及某些职称和多年的心理健康领域的经验,预示着更多的积极概念。虽然心理健康专业人员比一般公众对有心理健康问题的人持更积极的态度,但两组人都存在强烈的刻板印象,特别是关于精神分裂症。这项研究确定了几个人口统计学和供应商的特点,可以告知在这两个群体的干预策略。
The authors compared attitudes of the U.S. general public and of mental health professionals about the competence and perceived dangerousness of people with mental health problems and the desire for social distance from them. Factors related to negative attitudes and the desire for social distance also were examined. Vignettes describing individuals meeting DSM-IV criteria for major depression and schizophrenia were included in the 2006 General Social Survey (GSS) and a 2009 study of mental health professionals, and responses were descriptively compared (GSS, N=397 responses to depression vignette, N=373 responses to schizophrenia vignette; 731 mental health professionals responded to both vignettes). Regression analyses examined whether demographic and provider characteristics were associated with perceptions of less competence and perceived dangerousness of the vignette character and with respondents’ desire for social distance. Compared with the American public, mental health professionals had significantly more positive attitudes toward people with mental health problems. However, some providers’ conceptions about the dangerousness of people with schizophrenia and provider desire for social distance from clients in work and personal situations were concerning. Younger age, self-identifying as non-Hispanic white, being female, having at least a four-year college degree, being familiar with mental illness, and certain job titles and more years of experience in the mental health field were predictive of more positive conceptions. Although mental health professionals held more positive attitudes than the general public about people with mental health problems, strong stereotypes persisted in both groups, especially concerning schizophrenia. This study identified several demographic and provider characteristics that can inform intervention strategies in both groups.
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发表时间: 1997-05-01
期刊: SOCIAL PROBLEMS
影响因子: 3.2
作者:
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通讯作者: Wenzel, S
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发表时间: 2010-11
期刊: The American journal of psychiatry
影响因子: --
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发表时间: 1996-11-01
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作者:
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