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Evaluating antistigma program against mental disorder

评估针对精神障碍的反耻辱计划

基本信息

批准号：
15500366
负责人：
TANAKA Goro
金额：
$ 1.22万
依托单位：
Nagasaki University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2003
资助国家：
日本
起止时间：
2003 至 2004
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-15500366/
关键词：
people with mental disorder stigma evaluation research

项目摘要

This study attempted to identify forms of stigma against individuals with mental disorders and to evaluate the effectiveness of lectures in reducing such stigma. Subjects comprised 2,632 people living in the area covered by the K health center in N prefecture.Factor analysis of the Mental Disorder Prejudice Scale (1,211 valid responses) identified three factors : "Rejection" ; "Peculiarity" ; and "Human rights alienation". Regression analysis revealed that age, welfare activities, an active problem-solving attitude, lecture attendance, and previous contact exerted independent effects with respect to "Rejection". These results suggest the importance of disseminating accurate information and creating more opportunities for people to have meaningful interactions with people with mental disorders in dispelling stigma.Although administrative bodies such as community health centers have implemented various awareness campaigns to promote community understanding of mental health and to reduce … More the stigma associated with mental illness and disorder, there have been few reports that have quantitatively analyzed the effects of these campaigns in Japan. Therefore, this study was conducted for the purpose of developing the evaluative "Mental Illness and Disorder Understanding Seale(MIDUS)" for awareness campaigns and assessing its reliability and validity. A survey was conducted on 1004 community residents using a self-administered questionnaire. An assessment of the reliability and validity of the scale was then conducted. The Cronbach a coefficient of the MIDUS was 0.78, thus indicating adequate reliability. Factor analysis of the MIDUS revealed three factors : "Treatability of illness", "Efficacy of medication" and "Social recognition of illness".In addition, a significant correlation was observed between the MIDUS and existing scales, and fixed criterion-based validity was demonstrated. The MIDUS utilizes items worded in the form of affirmative expressions so as to avoid promoting new bias. It was confirmed to be both reliable and valid, thereby suggesting its usefulness as an evaluative scale of awareness campaigns.The World Psychiatric Association promotes global anti-stigma programs. However, evaluation research is crucial to developing effective programs. The present study examined the effects of a lecture on mental health on public attitudes towards mental illness. Subjects were recruited from individuals employed by private companies and the government. Attitudes towards mental illness were measured using the Mental Illness and Disorder Understanding Scale developed by the authors and the Scale of Negative Attitudes Towards the Independence of People with Mental Disorders. Test scores obtained before and after the lecture were compared. The results demonstrated that scores on both scales improved significantly. The present study suggests the effectiveness of this type of educational program in reducing stigma attached to mental illness and disorder. Less

这项研究试图找出针对精神障碍患者的耻辱的形式，并评估讲座在减少这种耻辱方面的有效性。受试者包括居住在N县K保健中心覆盖地区的2632人。精神障碍偏见量表(1211份有效回复)的因素分析确定了三个因素：“拒绝”、“特性”和“人权疏远”。回归分析显示，年龄、福利活动、积极解决问题的态度、听课次数和既往接触对“拒绝”有独立的影响。这些结果表明，传播准确的信息和创造更多的机会，让人们与精神障碍患者进行有意义的互动，以消除耻辱。尽管社区卫生中心等行政机构开展了各种提高认识的活动，以促进社区对精神健康的了解，并减少…除了与精神疾病和精神障碍相关的耻辱之外，很少有报告对这些运动在日本的影响进行量化分析。因此，本研究的目的是编制用于宣传活动的评价性《精神疾病与障碍理解量表》，并对其信度和效度进行评估。采用自填式问卷对1004名社区居民进行调查。然后对该量表的信度和效度进行了评估。MIDUS的Cronbach a系数为0.78，具有较好的信度。对MIDUS的因素分析表明，MIDUS有三个因素：疾病的可治性、药物的疗效和社会对疾病的认可度。此外，MIDUS与现有量表之间存在显著的相关，并证明了固定标准的效度。MIDUS使用以肯定表达形式表述的项目，以避免促进新的偏见。它被证实是可靠和有效的，因此表明它作为一种意识运动的评估尺度是有用的。世界精神病学协会促进全球反耻辱计划。然而，评估研究对于开发有效的项目至关重要。本研究调查了一场关于精神健康的讲座对公众对精神疾病态度的影响。受试者是从受雇于私营公司和政府的个人中招募的。对精神疾病的态度使用作者开发的精神疾病和精神障碍理解量表和精神障碍患者对独立的消极态度量表进行测量。对讲座前后的考试成绩进行比较。结果表明，两个量表的得分都有显著提高。目前的研究表明，这种类型的教育计划在减少与精神疾病和精神障碍有关的耻辱方面是有效的。较少