Psychiatric labels and other influences on young people's stigmatizing attitudes: Findings from an Australian national survey
Psychiatric labels and other influences on young people's stigmatizing attitudes: Findings from an Australian national survey
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DOI：
10.1016/j.jad.2012.12.015
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发表时间：
2013-06-01
影响因子：
6.6
通讯作者：
Jorm, Anthony Francis
中科院分区：
文献类型：
--
作者：
Yap, Marie Bee Hui;Reavley, Nicola;Jorm, Anthony Francis
背景：污名是青少年寻求精神障碍帮助的主要障碍。为了减少污名化和改善求助，需要更好地了解污名化对不同疾病的不同组成部分的影响。方法：2011年，对2522名15-25岁的澳大利亚人进行了全国样本的电话采访。参与者被展示了一个年轻人的小插曲，描绘了抑郁症，抑郁症与自杀念头，社交恐惧症，创伤后应激障碍或精神病。然后，他们被问到他们认为是错的人，暴露在自己和家人或朋友的心理健康问题，污名化的态度，和他们的意识beyondblue.Results：准确的精神病标签的精神疾病的小插曲和beyondblue的意识是最好的预测少污名化的态度，其次是暴露在家人或朋友的心理健康问题。跨小插曲，个人持有的心理健康问题作为一个弱点，而不是一种疾病的污名化的看法是最强烈的与这些predictors.Limitations：耻辱和标签进行了评估，参考一个小插曲的字符，并可能不反映实际的经验或行为。其他限制包括横截面设计和潜在的社会期望偏见的stigmake.Conclusions：研究结果表明，社区宣传活动（如蓝色以外），鼓励适当的密切接触，与其他受精神健康问题和改善准确的精神标签使用可能有潜力来对抗各个方面的耻辱，特别是个人信仰，精神疾病是一个弱点。(c)2012爱思唯尔有限公司版权所有。
Background: Stigma is a major impediment to help seeking for mental disorders by young people. To reduce stigma and improve help seeking, a better understanding of the influences on different components of stigma for different disorders is required.Methods: In 2011, a telephone interview was conducted with a national sample of 2522 Australians aged 15-25 years. Participants were presented with a vignette of a young person portraying either depression, depression with suicidal thoughts, social phobia, post-traumatic stress disorder or psychosis. They were then asked what they thought was wrong with the person, exposure to mental health problems in themselves and in family or friends, stigmatizing attitudes, and their awareness of beyondblue.Results: Accurate psychiatric labeling of the mental disorder presented in the vignette and beyondblue awareness were the best predictors of less stigmatizing attitudes, followed closely by exposure to family or friends with mental health problems. Across vignettes, the personally held stigmatizing perception of mental health problems as a weakness rather than an illness was most strongly associated with these predictors.Limitations: Stigma and labeling were assessed with reference to a vignette character and may not reflect actual experience or behaviors. Other limitations include the cross-sectional design and potential for social desirability bias in the stigma measure.Conclusions: Findings suggest that community awareness campaigns (such as those by beyond blue) that encourage appropriate close contact with others affected by mental health problems and improved accurate psychiatric label use may have potential to counter various aspects of stigma, especially personal beliefs that mental illness is a weakness. (c) 2012 Elsevier B.V. All rights reserved.