Perceived dangerousness of children with mental health problems and support for coerced treatment
Perceived dangerousness of children with mental health problems and support for coerced treatment
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DOI：
10.1176/appi.ps.58.5.619
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发表时间：
2007-05-01
影响因子：
3.8
通讯作者：
McLeod, Jane D.
中科院分区：
文献类型：
--
作者：
Pescosolido, Bernice A.;Fettes, Danielle L.;McLeod, Jane D.
目的：本研究调查了公众对自我和他人受到伤害的可能性的看法，以及公众诉诸强制或法律手段以确保儿童受到待遇的意愿。方法：利用国家儿童耻辱研究 (NSS-C) 的数据（向 1,152 人提供了小插曲），研究人员比较了公众对患有注意力缺陷多动障碍 (ADHD)、重度抑郁症、哮喘和“日常问题”儿童的危险性的看法。多变量分析用于检查危险认知的预测因素以及支持对这些病症进行法律强制治疗的意愿。结果：与患有哮喘的儿童 (15%) 或患有“日常问题”的儿童 (13%) 相比，患有多动症的儿童和患有重度抑郁症的儿童（分别有 33% 和 81% 的样本）认为有可能或非常有可能对自己或他人造成危险。超过三分之一的样本（35%）愿意使用法律手段强迫患有抑郁症的儿童去看临床医生。然而，更多的人（42%）支持对患有哮喘的儿童进行强制治疗。此外，那些给孩子贴上“精神病”标签的人报告其可能遭受暴力的可能性大约是其两倍，支持强制治疗的可能性是其五倍。结论：许多美国人将儿童心理健康问题（尤其是抑郁症）与潜在的暴力联系起来，并支持法律规定的治疗。这些评估似乎反映了与精神疾病相关的耻辱以及公众对父母责任的担忧。
Objective: This study examined the public's beliefs regarding the potential for harm to self and others and the public's willingness to invoke coercive or legal means to ensure treatment of children. Methods: Using data from the National Stigma Study-Children (NSS-C), which presented vignettes to 1,152 individuals, the investigators compared public perceptions of the dangerousness of children with attention-deficit hyperactivity disorder (ADHD), major depression, asthma, and "daily troubles." Multivariate analyses were used to examine the predictors of perceptions of dangerousness and the willingness to support legally enforced treatment of these conditions. Results: Children with ADHD and children with major depression were perceived (by 33% and 81% of the sample, respectively) as somewhat likely or very likely to be dangerous to themselves or others, compared with children with asthma (15%) or those with "daily troubles" (13%). Over one-third of the sample (35%) were willing to use legal means to force children with depression to see a clinician. However, even more (42%) endorsed forced treatment for a child with asthma. Furthermore, individuals who labeled the child as "mentally ill" were approximately twice as likely to report a potential for violence and five times as likely to support forced treatment. Conclusions: Large numbers of people in the United States link children's mental health problems, particularly depression, to a potential for violence and support legally mandated treatment. These evaluations appear to reflect the stigma associated with mental illness and the public's concern for parental responsibility.