Understanding/Promoting Mental Health Literacy Based on Biological Explanations

基于生物学解释理解/促进心理健康素养

• 批准号: 8416000
• 负责人: WOO-KYOUNG AHN
• 金额: $ 41.63万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-08-12 至 2015-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8416000
• 关键词: Accounting; Adverse effects; Anxiety; Attitude; Behavior; Belief; Biological; Biological Factors; Brain; Brain Diseases; Chemicals; Classification; Client; Clinical; Data; Dimensions; Disease; Educational process of instructing; Empathy; Epigenetic Process; Feeling; General Population; Generalized Anxiety Disorder; Genes; Intervention; Knowledge; Measures; Mental Depression; Mental Health; Mental disorders; Mentally Ill Persons; Neurobiology; Neuronal Plasticity; Neurosciences; Patients; Pharmaceutical Preparations; Plant Roots; Population; Prejudice; Psychopathology; Psychotherapy; Reading; Reporting; Research; Schizophrenia; Signal Transduction; Social Distance; Social Phobia; Symptoms; Testing; base; clinical practice; clinically relevant; combat; depressive symptoms; health literacy; improved; innovation; novel; outcome forecast; prognostic; psychologic; psychosocial; research and development; treatment planning; trend

DESCRIPTION (provided by applicant). As clinical neuroscience rapidly progresses, mental disorders are increasingly explained in terms of biological mechanisms (e.g., depression is caused by chemical imbalances). The proposed project will examine (i) whether laypeople and practicing clinicians are open to such biological explanations, (ii) how biological explanations impact opinions about mental disorders among clinicians and those who display symptoms, and (iii) how negative effects of biological accounts can be reduced. (i) Is mental health literacy in state to readily accept new neurobiological accounts of mental disorders? Both laypeople and clinicians will read about patients and rate biological or non-biological causes with respect to convincingness, or usefulness in clinical practice. The proposed project will test preliminary data suggesting that biological accounts are more convincing when a mental disorder is already viewed as more biologically rooted (e.g., schizophrenia), but not when a disorder is considered to be more psychological (e.g., social phobia). Identifying such obstacles for improving mental health literacy among clinicians and laypeople is imperative in finding ways to effectively disseminate new biological explanations to them. (ii) What are the effects of biological accounts of mental disorders? Although biological attributions of mental disorders were initially thought to decrease prejudice against mental disorders by reducing the blame placed on patients, recent studies reported that biological accounts can make those with disorders appear more dangerous and unchangeable, leading to increased prejudice. Unlike previous studies, the proposed project will investigate the effects of biological attributions of mental disorders in clinicians and in people with mental disorder symptoms. For instance, the proposed project will validate alarming preliminary results indicating that when people with depressive symptoms attribute their symptoms to biological factors, they become more pessimistic about their prognoses and feelings of control over their symptoms. Also, preliminary results in practicing clinicians show that biological explanations can make them less empathetic toward hypothetical clients with mental disorders. These results highlight perils in blindly disseminating biological information. (iii) How can we combat negative effects of biological explanations in disseminating such information to the general public and clinicians? Recently, we found that providing treatability information was effective in reducing social distance when a mental disorder was described as caused by biological factors but not when caused by non- biological ones. The proposed project will further examine whether information on the efficacy of medications may be more effective in reducing prejudice against biologically rooted mental disorders, and information on efficacy of psychotherapy in reducing prejudice against non-biologically rooted ones. In addition, the proposed project will examine whether pessimistic prognoses associated with biological explanations could be reduced by teaching laypeople with depressive symptoms about neural plasticity (e.g., brains are malleable) and epigenetic (e.g., genes do not predetermine one's condition).

描述（由申请人提供）。随着临床神经科学的迅速发展，精神障碍越来越多地用生物学机制来解释（例如，抑郁症是由化学失衡引起的）。拟议的项目将检查(i)外行人和执业临床医生是否对这种生物学解释持开放态度，（ii）生物学解释如何影响临床医生和表现出症状的人对精神障碍的看法，以及（iii）如何减少生物学解释的负面影响。(i)精神卫生知识普及程度是否足以接受精神障碍的新的神经生物学解释？外行人和临床医生都会阅读有关患者的资料，并根据其在临床实践中的说服力或实用性对生物或非生物原因进行评分。拟议的项目将测试初步数据