Familiarity with mental illness and social distance from people with schizophrenia and major depression: testing a model using data from a representative population survey

Familiarity with mental illness and social distance from people with schizophrenia and major depression: testing a model using data from a representative population survey
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DOI:
10.1016/s0920-9964(03)00186-5
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发表时间:
2004-08-01
影响因子:
4.5
通讯作者:
Corrigan, PW
Corrigan, PW
中科院分区:
医学2区
文献类型:
--
作者:
Angermeyer, MC;Matschinger, H;Corrigan, PW

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目的:本研究的主要目的是探讨是否熟悉精神疾病和精神疾病的污名化态度之间的关系,这已经在以前的研究中观察到的样本的基础上社区大学生(Psychiatr. Serv. 52(2001)953),可以使用来自代表性人口调查的数据来复制。方法:2001年春,在德国进行了一项代表性调查(n=5025)。一个人,完全结构化的采访进行,开始介绍一个小插曲,描绘了一个人与精神分裂症或重度抑郁症。受访者被要求对评估熟悉程度、对恐惧感、恐惧感和社交距离的措施做出回应。通径分析与显式变量结构建模技术应用于测试在以前的研究中使用的模型。结果:尽管方法不同,但以前研究的大多数结果都是重复的。熟悉精神疾病的受访者不太可能相信精神分裂症或重度抑郁症患者是危险的。对邪恶的感知越弱,对这些人的恐惧就越少,这反过来又与更少的社会距离有关。熟悉的影响是有点普遍的:受访者谁报告是熟悉的精神疾病表达了不太强烈的愿望,社会距离。此外,感知的亲密度和社会距离之间也存在着相对较强的关系。结论:我们的研究结果完全支持这样一种观点,即增加公众对精神疾病的熟悉程度的社会变革方法将减少耻辱感。(C)2003 Elsevier B.V.保留所有权利。
Objectives: The main purpose of this study is to examine whether the relationship between familiarity with mental illness and stigmatizing attitudes about mental illness, which had been observed in a previous study based on a sample of community college students (Psychiatr. Serv. 52 (2001) 953), can be replicated using data from a representative population survey. Methods: In spring 2001, a representative survey was carried out in Germany (n=5025). A personal, fully structured interview was conducted which began with the presentation of a vignette depicting someone with either schizophrenia or major depression. Respondents were asked to respond to measures assessing familiarity, perception of dangerousness, fear, and social distance. Path analysis with manifest variable structural modeling techniques was applied to test the model used in the previous study. Results: Despite differences in methods, most findings of the previous study were replicated. Respondents who were familiar with mental illness were less likely to believe that people with schizophrenia or major depression are dangerous. Weaker perceptions of dangerousness corresponded closely with less fear of such people, which in turn was associated with less social distance. The effect of familiarity was somewhat pervasive: respondents who reported to be familiar with mental illness expressed a less strong desire for social distance. There is also a relatively strong relationship between perceived dangerousness and social distance. Conclusions: Our findings fully support the notion that approaches to social change which increase the public's familiarity with mental illness will decrease stigma. (C) 2003 Elsevier B.V. All rights reserved.