Can antistigma campaigns be improved? A test of the impact of biogenetic vs psychosocial causal explanations on implicit and explicit attitudes to schizophrenia
Can antistigma campaigns be improved? A test of the impact of biogenetic vs psychosocial causal explanations on implicit and explicit attitudes to schizophrenia
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DOI：
10.1093/schbul/sbm131
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发表时间：
2008-09-01
影响因子：
6.6
通讯作者：
Rief, Winfried
中科院分区：
文献类型：
--
作者：
Lincoln, Tania M.;Arens, Elisabeth;Rief, Winfried
反污名化运动一直在促进精神分裂症的医学观点。鉴于越来越多的研究发现生物遗传（BG）因果归因与污名化态度之间存在负相关，必须重新评估这种方法。本研究调查了不同的心理教育干预对精神分裂症的病因（BG和心理社会[PS]，与中性条件）和医学（n = 60）和心理学学生（n = 61）的污名化态度的影响。通过信息手册和录像介绍了信息。态度进行了评估之前和之后的干预措施的外显水平上使用的刻板印象问卷和社会距离量表，以及在一个内隐水平上，使用内隐联想测试。这两种教育干预措施产生了显着减少几个刻板印象的组成部分，这是不是在中性条件下的情况。BG干预降低了两组的责任归因。它还降低了医学生的刻板印象不可预测性/无能和社会距离，但增加了心理学学生对预后的负面看法。PS干预减少了医学生群体中普遍存在的刻板印象，以及社会距离。虽然有必要进一步研究反污名化的干预措施，但反污名化运动的建议是采取多层面和平衡的办法，这种办法适合目标群体，并提供更多的事实，挑战维持污名化的神话。
Antistigma campaigns have been promoting a medical view of schizophrenia. Given the growing body of research finding negative associations between biogenetic (BG) causal attributions and stigmatizing attitudes, this approach must be reappraised. The present study investigates the impact of different psychoeducational interventions on the etiology of schizophrenia (BG and psychosocial [PS], vs a neutral condition) and on stigmatizing attitudes in medical (n = 60) and psychology students (n = 61). Information was presented via information brochures and a video presentation. Attitudes were assessed before and after the interventions on an explicit level using the stereotype questionnaire and the Social Distance Scale as well as on an implicit level, using the Implicit Association Test. Both educational interventions produced a significant decrease in several stereotype components, which was not the case in the neutral condition. The BG intervention decreased the attribution of blame in both groups. It also decreased the stereotype unpredictability/incompetence and social distance in the medical students but increased the negative outlook on prognosis in the psychology students. The PS intervention reduced the widespread stereotype of dangerousness as well as social distance in the group of medical students. While further research into antistigma interventions is necessary, the proposal for antistigma campaigns is to take a multidimensional and balanced approach, which is adapted to target groups and provides additional facts that challenge the myths maintaining stigma.