Shared Research

这项拟议研究的主要目标是开发文化上的具体措施，以捕捉精神疾病污名在不同文化背景下是如何经历的。在全球范围内有效扩大精神卫生干预措施的努力一直受到当地污名现象的阻碍，这种现象导致严重精神障碍患者得不到治疗和社会孤立。一种评估特定文化形式的污名的测量工具并不存在，也迫切需要，这将极大地促进打击污名的系统性努力。我们建议通过制定针对特定文化污名的一般方法和具体措施来填补这一空白。 与其他中心合作，我们将构建和评估精神疾病污名的衡量标准，用于三个 不同的文化背景(即三个受资助的中心内的地点)，可能适用于其他环境。将重点放在针对耻辱的具体文化评估上，将有助于促进在该区域实施社区精神保健，从而促进拉丁美洲中心的目标。 这项工作的目的是(A)定性地审查耻辱的关键文化特定领域；(B)使 建立“特定文化”污名模块的项目；以及(C)从心理测量学的角度验证一项新的措施，该措施结合了污名的“特定文化”和“普遍”两个方面。

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.