Perception of stigma among family members of individuals with schizophrenia and major affective disorders in rural Ethiopia
Perception of stigma among family members of individuals with schizophrenia and major affective disorders in rural Ethiopia
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DOI：
10.1007/s001270170048
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发表时间：
2001-06-01
影响因子：
4.4
通讯作者：
Jacobsson, L
中科院分区：
文献类型：
--
作者：
Shibre, T;Negash, A;Jacobsson, L
背景西方世界的许多研究报告了精神疾病患者的污名化及其负面后果，但很少有研究涉及传统农村社会的问题。本研究旨在估计埃塞俄比亚农村地区精神病患者亲属所感知的污名化程度和社会人口分布。方法：共178名亲属的个人被诊断为患有精神分裂症或重大情感障碍，在以社区为基础的调查进行了采访，使用家庭访谈时间表。结果如下：大约75%的受访者认为，由于家庭中存在精神疾病，他们受到了侮辱或经历了某种侮辱，42%的人担心受到不同的待遇，37%的人希望隐瞒亲属生病的事实。来自老年组（45岁以上）和城市居民的人更有可能将耻辱视为一个主要问题，但社会人口群体之间的差异很小。27%的人将疾病归因于超自然力量，65%的人建议祈祷作为处理问题的首选方法。结论：污名化是一个普遍的问题，社会人口群体之间或精神障碍类型之间几乎没有差异。对原因的看法与专业人士所持的看法不同。在规划干预措施时，必须考虑到民众的信仰和态度。
Background. Many studies from the Western world have reported on stigmatisation of people with mental illnesses and its negative consequences, but few studies have addressed the issue in traditional rural societies. The present study aimed to estimate the extent and socio-demographic distribution of stigma as perceived by relatives of mentally ill individuals in rural Ethiopia. Method: A total of 178 relatives of individuals who were diagnosed as suffering from schizophrenia or major affective disorders in a community-based survey were interviewed using the Family Interview Schedule. Results: About 75 % of the respondents perceived that they were stigmatised or had experienced some sort of stigma due to the presence of mental illness in the family, 42% were worried about being treated differently and 37 % wanted to conceal the fact that a relative was ill. Those from the older age group (45+) and urban residents were more likely to perceive stigma as a major problem, but otherwise differences were few between socio-demographic groups. The illness was attributed to supernatural forces by 27 % and praying was suggested as a preferred method to deal with the problem by 65 %. Conclusion: Stigma was found to be a common problem, with few differences between socio-demographic groups or between types of mental disorder. Beliefs about causes differ from those held by professionals. Popular beliefs and attitudes must be taken into account when planning for intervention.