Assessing Change in Mental Illness Stigma Over A Decade

评估十年来精神疾病耻辱的变化

• 批准号: 6964190
• 负责人: Bernice A. Pescosolido
• 金额: $ 31.96万
• 依托单位: TRUSTEES OF INDIANA UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-07-27 至 2007-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6964190
• 关键词: attitude; behavioral /social science research tag; clinical research; health care service utilization; health services research tag; human subject; interview; longitudinal human study; mental disorders; mental health services; prejudice; psychosocial separation; public opinion; social model

DESCRIPTION (provided by applicant): The barriers to treatment and recovery associated with the stigma surrounding mental illness are widely acknowledged by clients, families, providers, and policy-makers. Indeed, the last decade has seen concerns for understanding the impacts of stigma move to the center of discussions among and between research, policy and advocacy groups. Central to the current application is the question of whether the increased interest and effort devoted to Ml stigma has had an effect on the manner in which the public views persons suffering from mental health problems. In particular, we aim to: 1) Conduct a 10-year follow up of the nationally representative 1996 General Social Survey (GSS) study, "Problems in Modern Living" Module that examined stigma toward adults with mental illness and substance abuse problems; 2) Test a set of hypotheses on aggregate changes in stigma levels drawn from earlier research on prejudice & discrimination (i.e., race-based prejudice and discrimination) that have documented a liberalization in intolerant attitudes; and 3) Extend the GSS to provide data to test a theoretical model, the Etiology and Effects of Stigma (EES) Model that synthesizes ideas from past research on stigma in an attempt to provide a scientific foundation for further efforts to reduce stigma. As such, this proposal responds to calls to integrate mental health services research with social and behavioral science (PA-99-073), to explore the social and cultural dimensions of health (PA-02-043), and to provide a foundation for new intervention efforts (PA-04-112).

描述（由申请人提供）：治疗和康复的障碍与围绕精神疾病的耻辱相关，被客户、家庭、提供者和决策者广泛承认。事实上，在过去十年中，对理解耻辱影响的关注已经成为研究、政策和倡导团体之间讨论的中心。当前适用的核心问题是，对Ml污名的日益关注和努力是否对公众看待患有精神健康问题的人的方式产生了影响。具体而言，我们的目标是：1)对具有全国代表性的1996年综合社会调查（GSS）研究“现代生活中的问题”模块进行为期10年的随访，该模块研究了对患有精神疾病和药物滥用问题的成年人的耻辱；2)从早期关于偏见和歧视（即基于种族的偏见和歧视）的研究中得出的一组关于耻辱水平总体变化的假设，这些研究记录了不宽容态度的自由化；3)扩展GSS以提供数据来检验一个理论模型，即病耻感的病因学和效应（EES）模型，该模型综合了过去对病耻感的研究思想，试图为进一步减少病耻感提供科学基础。因此，本提案回应了将心理健康服务研究与社会和行为科学相结合的呼吁（PA-99-073），探索健康的社会和文化维度（PA-02-043），并为新的干预工作提供基础（PA-04-112）。