Attitudes towards mental illness in Malawi: a cross-sectional survey.
Attitudes towards mental illness in Malawi: a cross-sectional survey.
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DOI：
10.1186/1471-2458-12-541
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发表时间：
2012-07-23
影响因子：
4.5
通讯作者：
Krishnadas R
中科院分区：
文献类型：
--
作者：
Crabb J;Stewart RC;Kokota D;Masson N;Chabunya S;Krishnadas R
与精神疾病相关的耻辱和歧视与痛苦、残疾和贫困密切相关。为了保护精神障碍患者的权利并敏感地发展服务，至关重要的是要更准确地了解对精神疾病患者的耻辱的频率和性质。在撒哈拉以南的非洲，关于这个问题的研究很少。我们的研究旨在描述马拉维的耻辱程度。对马拉维布兰太尔一家综合医院精神卫生和非精神卫生相关诊所的患者和护理人员进行的横断面调查。参与者接受采访时使用了为“世界精神病学协会减少因精神分裂症而引起的耻辱和歧视计划”开发的调查问卷的改编版本。210名参与者参与了我们的研究。大多数人将精神障碍归因于酒精和非法药物滥用（95.7%）。紧随其后的是脑部疾病（92.8%）、附魔（82.8%）和心理创伤（76.1%）。在人口统计变量和单一问题回答之间发现了一些关联，但在污名化信念方面没有观察到一致的趋势。这些结果应该在现有研究的背景下谨慎解释。与国际文献相反，在我们的样本中，有精神疾病的直接个人经历似乎对污名化信念没有积极影响。我们的研究为撒哈拉以南非洲地区的人们最普遍地将精神疾病归因于酒精/非法药物使用和精神附身这一新兴现象提供了帮助。我们的工作进一步证明，对精神疾病的污名化是一个重要的全球健康和人权问题。
Stigma and discrimination associated with mental illness are strongly linked to suffering, disability and poverty. In order to protect the rights of those with mental disorders and to sensitively develop services, it is vital to gain a more accurate understanding of the frequency and nature of stigma against people with mental illness. Little research about this issue has been conducted in Sub- Saharan Africa. Our study aimed to describe levels of stigma in Malawi. A cross-sectional survey of patients and carers attending mental health and non-mental health related clinics in a general hospital in Blantyre, Malawi. Participants were interviewed using an adapted version of the questionnaire developed for the “World Psychiatric Association Program to Reduce Stigma and Discrimination Because of Schizophrenia”. 210 participants participated in our study. Most attributed mental disorder to alcohol and illicit drug abuse (95.7%). This was closely followed by brain disease (92.8%), spirit possession (82.8%) and psychological trauma (76.1%). There were some associations found between demographic variables and single question responses, however no consistent trends were observed in stigmatising beliefs. These results should be interpreted with caution and in the context of existing research. Contrary to the international literature, having direct personal experience of mental illness seemed to have no positive effect on stigmatising beliefs in our sample. Our study contributes to an emerging picture that individuals in Sub-Saharan Africa most commonly attribute mental illness to alcohol/ illicit drug use and spirit possession. Our work adds weight to the argument that stigma towards mental illness is an important global health and human rights issue.
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影响因子：
4.4
作者：
Shibre, T;Negash, A;Jacobsson, L
通讯作者：
Jacobsson, L
DOI：
10.1080/00048670801961115
发表时间：
2008-05-01
影响因子：
4.6
作者：
Adewuya, Ablodun O.;Makanjuola, Roger O. A.
通讯作者：
Makanjuola, Roger O. A.
影响因子：
4.4
作者：
Pinfold, V;Huxley, P;Graham, T
通讯作者：
Graham, T
影响因子：
10.5
作者：
Wolff, G;Pathare, S;Leff, A
通讯作者：
Leff, A
影响因子：
4.4
作者：
Barke, Antonia;Nyarko, Seth;Klecha, Dorothee
通讯作者：
Klecha, Dorothee