An exploratory cross-sectional study on the impact of education on perception of stigma by Chinese patients with schizophrenia.
An exploratory cross-sectional study on the impact of education on perception of stigma by Chinese patients with schizophrenia.
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DOI：
10.1186/s12913-016-1424-4
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发表时间：
2016-06-30
影响因子：
2.8
通讯作者：
Liu L
中科院分区：
文献类型：
--
作者：
Ren Z;Wang H;Feng B;Gu C;Ma Y;Chen H;Li B;Liu L
污名是一个跨社会和跨文化的重大问题，但很少有研究关注中国精神分裂症患者的污名感知。在当前的横断面研究中，我们试图评估中国精神分裂症门诊患者的内化污名的程度，并调查教育水平是否与污名的经验。采用简明精神病评定量表（BPRS）、阳性和阴性症状量表（PANSS）、临床总体印象-疾病严重程度量表（CGI-SI）和精神疾病污名量表（SSMI 2C）对门诊精神分裂症患者进行评定。根据受教育程度将患者分为高文化程度组和低文化程度组。133例受试者入选本研究。病程1个月~ 15年，平均4.32 ± 6.14年。他们的平均BPRS评分为19.87 ± 5.46，平均PANSS评分为44.11 ± 13.1，平均CGI-SI评分为2.22 ± 0.81。高学历组SSMI 2C评分（7.15 ± 0.98）分显著高于低学历组（5.75 ± 0.79，P < 0.05）。高文化程度组的第一领域平均得分（2.30 ± 0.76）与低文化程度组的第一领域平均得分（2.07 ± 0.78）比较，差异无统计学意义（P > 0.05）。高学历组的第二领域得分（2.42 ± 0.96）分显著高于低学历组（2.01 ± 0.79，P < 0.05）。高文化程度组的第三领域得分（2.43 ± 0.79）显著高于低文化程度组（1.67 ± 0.77，P < 0.05）。文化程度对精神分裂症患者的病耻感有影响，应加强对精神分裂症患者的心理健康教育，提高患者对精神分裂症的认识。
Stigma is a major issue across various society and cultures, and few studies focus on the perception of stigma by Chinese patients with schizophrenia. In the current cross-sectional study, we sought to assess the extent of internalized stigma among outpatients with schizophrenia in China and to investigate whether education level correlated with the experience of stigma. Outpatients with schizophrenia were evaluated using the brief psychosis rating scale (BPRS), the positive and negative syndrome scale (PANSS), the clinical global impression-severity of illness (CGI-SI) scale and the Stigma Scale for Mental Illness (SSMI 2C). Patients were categorized into the high education and low education group according to their educational levels. One hundred thirty-three subjects were included in the study. Their mean course of illness was 4.32 ± 6.14 years (range, 1 month to 15 years). Their mean BPRS score was 19.87 ± 5.46, their mean PANSS score was 44.11 ± 13.1, and their mean CGI-SI score was 2.22 ± 0.81. In addition, the mean SSMI 2C score of the high education group (7.15 ± 0.98) was markedly higher than that of the low education group (5.75 ± 0.79, P < 0.05). The mean domain I score of the high education group (2.30 ± 0.76) was comparable to that of the low education group (2.07 ± 0.78, P > 0.05). The mean domain II score of the high education group (2.42 ± 0.96) was markedly higher than that of the low education group (2.01 ± 0.79, P < 0.05). Moreover, the mean domain III score of the high education group (2.43 ± 0.79) was significantly higher than that of the low education group (1.67 ± 0.77, P < 0.05). Education level impacts on the perception of stigma by patients with schizophrenia and more psycho-education should be done to improve patients’ knowledge about schizophrenia.