The stigma of mental illness: Anticipation and attitudes among patients with epileptic, dissociative or somatoform pain disorder

The stigma of mental illness: Anticipation and attitudes among patients with epileptic, dissociative or somatoform pain disorder
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DOI:
10.1080/09540260701278879
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发表时间:
2007-04-01
影响因子:
2.8
通讯作者:
Aigner, M.
Aigner, M.
中科院分区:
医学4区
文献类型:
--
作者:
Freidl, M.;Spitzl, S. Piralic;Aigner, M.

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本研究的目的是调查101例连续住院和门诊的癫痫、分离性或躯体形式疼痛障碍患者(平均年龄:43 [ +/- 11]岁; 58%为女性)对预期精神疾病污名的态度。患者被管理的12个项目的修订版本的链接污名问卷。在所有101名患者中,近60%的人认为“大多数人”不会允许精神病患者“照顾他们的孩子”,“大多数年轻女性”会“不愿意与接受过精神病治疗的男性约会”,“大多数雇主会放弃”精神病患者的申请,而青睐另一名申请人。55%的受访者认为,“大多数人认为一个人谁是在精神病院”,超过一半的受访患者断言,一般人群认为精神病患者“不太聪明,不太值得信赖,他们的意见是不太认真的其他人”。性别、年龄和教育程度对总体结果没有影响。即使在癫痫和躯体形式/分离症状伴精神病合并症的患者中,精神病学也存在高度污名化。与患有癫痫或精神分裂症的患者相比,躯体形式疼痛患者对被污名化的恐惧更为明显,特别是在亲密的个人关系中。
The aim of this study was to survey the attitudes of 101 consecutive in- and out-patients with epileptic, dissociative or somatoform pain disorders (mean age: 43 [ +/- 11] years; 58% female) from either the Department of Psychiatry or Neurology toward anticipated mental illness stigma. The patients were administered a modified 12-item version of Links Stigma Questionnaire. Nearly 60% of all 101 patients believe that "most people" would not allow a mental patient "to take care of their children", "most young women" would be "reluctant to date a man" who has been treated for a mental illness and "most employers would pass over" the application of a psychiatric patient in favour of another applicant. Fifty five percent of the respondents assume that "most people think less of a person who has been in a mental hospital" and over a half of all patients interviewed assert that the general population thinks that psychiatric patients are "less intelligent, less trustworthy and that their opinion is taken less seriously by others". Gender, age and education had no influence on the overall results. There is a high stigmatisation concerning psychiatry even in patients with epilepsy and somatoform/dissociative symptoms with psychiatric comorbidity. Fear of being stigmatized is more pronounced among somatoform pain patients as compared to patients suffering from epileptic or dissocative disorders, with particular reference to close personal relationships.