Effects of labeling and interpersonal contact upon attitudes towards schizophrenia: implications for reducing mental illness stigma in urban China.
Effects of labeling and interpersonal contact upon attitudes towards schizophrenia: implications for reducing mental illness stigma in urban China.
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DOI：
10.1007/s00127-011-0452-y
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发表时间：
2012-09
影响因子：
4.4
通讯作者：
Phillips, Michael R.
中科院分区：
文献类型：
--
作者：
Yang, Lawrence H.;Lo, Graciete;WonPat-Borja, Ahtoy J.;Singla, Daisy R.;Link, Bruce G.;Phillips, Michael R.
由于精神疾病的污名导致中国精神分裂症患者的预后较差，因此找到减少公众污名的策略势在必行。目前尚不清楚诊断标签和与不同求助来源的接触是增加还是减少了中国的公众污名。此外，在这种情况下，先前的个人接触是否会减少耻辱仍未得到解决。增进对这些过程的理解可能有助于减少污名的战略。我们对160名中国北方城市社区的受访者进行了一次实验，随机分配四个标签条件中的一个给受访者，以评估他们与精神病患者之间的社会距离。正如预期的那样，被给予“非精神病、土著标签”+“外行求助”条件的受访者认可了最小的社交距离。出乎意料的是，标签上标有“精神病诊断标签”+“外行求助”的情况引发了最大的社交距离。与西方研究不同，个人接触并不独立地减少社区的耻辱。然而，与所有其他标签条件相比，与其他所有标签条件相比，先前接触在标签条件下更大程度地减少了社会距离，其中标签条件是“非精神、土著标签”+“业外求助”。结果表明，文化习语确实提供了一些防止污名的保护，但仅限于已经熟悉精神疾病是什么的受访者。我们的发现是，描述未经治疗的精神病的情况招致了最多的污名，而在中国身上，人们相对较好地看待“已治疗的精神病”的情况，这表明，在中国城市，改善获得精神卫生服务的机会有可能通过标签机制减少公众的污名。
As mental illness stigma contributes to poor outcomes for schizophrenia in China, locating strategies to reduce public stigma is imperative. It is currently unknown whether diagnostic labeling and contact with different help-seeking sources increase or decrease public stigma in China. Further, it remains unresolved whether prior personal contact acts to reduce stigma in this context. Advancing understanding of these processes may facilitate stigma-reduction strategies. We administered an experimental vignette randomly assigning one of four labeling conditions to respondents to assess social distance towards a psychotic vignette individual in a sample of 160 Northern, urban Chinese community respondents. As expected, respondents given a “non-psychiatric, indigenous label” + “lay help-seeking” condition endorsed the least social distance. Unexpectedly, the labeling condition with a “psychiatric diagnostic label” + “lay help-seeking” condition elicited the greatest social distance. Unlike Western studies, personal contact did not independently decrease community stigma. However, prior contact reduced social distance to a greater extent in the labeling condition with a “non-psychiatric, indigenous label” + “lay help-seeking” condition when compared with all other labeling conditions. The results indicate that cultural idioms do provide some protection from stigma, but only among respondents who are already familiar with what mental illness is. Our finding that the condition that depicted untreated psychosis elicited the greatest amount of stigma, while the “treated psychosis” condition was viewed relatively benignly in China, suggests that improved access to mental health services in urban China has the potential to decrease public stigma via labeling mechanisms.
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影响因子：
4.4
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通讯作者：
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