Stigma and explanatory models among people with schizophrenia and their relatives in Vellore, South India
Stigma and explanatory models among people with schizophrenia and their relatives in Vellore, South India
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DOI：
10.1177/0020764006074538
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发表时间：
2007-07-01
影响因子：
7.5
通讯作者：
Jacob, K. S.
中科院分区：
文献类型：
--
作者：
Charles, Helen;Manoranjitham, S. D.;Jacob, K. S.
背景：与精神疾病相关的耻辱影响患者及其家人。关于精神分裂症的病因和治疗的不同信念在患者及其亲属中很常见。目的：研究患者及其亲属的耻辱感与疾病信念之间的关联。方法：使用标准工具评估印度南部韦洛尔的精神分裂症患者及其亲属对疾病和耻辱感的信念。结果：大多数患者及其亲属同时持有多种相互矛盾的疾病及其治疗模型。精神分裂症患者及其亲属的耻辱感与对精神疾病原因的特定信念有关。结论：信念可能会减轻或可能加剧耻辱感的影响。横断面研究设计排除了关于因果关系方向的明确结论。
Background: Stigma associated with mental illness affects patients and their families. Diverse beliefs about the cause and treatment of schizophrenia are common among patients and their relatives.Aim: To study the association between stigma and beliefs about illness in patients and their relatives.Method: Standard instruments were used to assess beliefs about illness and about stigma among patients with schizophrenia and relatives in Vellore, south India.Results: The majority of the patients and their relatives simultaneously held multiple and contradictory models of illness and its treatment. Stigma among patients with schizophrenia and their relatives is associated with specific beliefs about causes of mental illness.Conclusions: Beliefs may play a role in mitigating or may aggravate the effects of stigma. The cross-sectional study design precludes definitive conclusions on direction of the causal association.