Shared Research

拟议的研究的主要目标是制定文化上的具体措施，捕捉如何在不同的文化背景下经历精神疾病的耻辱。在世界范围内有效扩大心理健康干预措施的努力受到了当地污名化表现形式的阻碍，这些表现形式导致严重精神障碍患者治疗不足和社会孤立。目前还没有一种衡量工具，可以评估特定文化形式的成见，但这一工具十分必要，而且将极大地促进消除成见的系统努力。我们建议通过制定一个普遍的方法和具体的措施来填补这一空白。 与其他中心一样，我们将建立和评估一种用于三个国家的精神疾病耻辱感的衡量标准。 不同的文化背景（即三个受资助中心内的地点），可能适用于其他环境。侧重于对污名化进行文化上的具体评估，将有助于拉丁美洲中心的目标，促进在该地区实施社区精神保健。 这项工作的目的是：（a）从质量上审查污名的文化特有的关键领域;（B）使之具有可操作性 项目，以创建一个'文化特定'的耻辱模块，和（c）心理测量验证一个新的措施，结合'文化特定'和'普遍'方面的耻辱。

The principal goal of the proposed research is to develop culturally specific measures that capture how mental illness stigma is experienced in different cultural contexts. Efforts to effectively scale-up mental health interventions worldwide have been hampered by local manifestations of stigma that contribute to the under-treatment and social isolation of people with severe mental disorders. A measurement tool that assesses stigma in its culture-specific forms does not exist, is badly needed, and would greatly facilitate systematic efforts to combat stigma. We propose to fill this gap by developing a general approach and specific measures of culture specific stigma. Worthing with the other Hubs, we will constnjct and evaluate a measure of mental illness stigma for use in three diverse cultural contexts (i.e. sites within the three funded Hubs) that might be applied to other settings. Focusing on a culturally specific assessment of stigma will contribute to the aims of the Hub for Latin America by facilitating the implementation of community mental health care in this region. The aims of this work are (a) to examine qualitatively key culture-specific domains of stigma; (b) to operationalize Items to create a 'culture-specific' stigma module, and (c) to psychometrically validate a new measure that incorporates 'culture-specific' and 'universal' aspects of stigma.