A School-based Intervention to Reduce Stigma & Promote Mental-Health Service Use

描述（由申请人提供）：污名化的一个关键但研究不足的方面涉及污名化的态度和行为可能会从一代传递到下一代的可能性。我们回应RFA“关于污名的社会，文化，生物和心理机制的基本社会和行为研究的修订申请”（RFA-MD-13-005）”通过1）探索迄今为止尚未充分研究的污名机制，即父母向子女的代际传递，（2）结合研究与精神疾病和种族/民族污名/偏见有关的两种相应的传播形式。通过利用本修订版所适用的原始研究的特点-包括其多种族样本、对父母和子女的抽样以及其广泛的精神疾病污名措施-我们能够增加对种族/族裔污名/偏见的评估，从而创造能力，对污名/偏见的代际传递进行新的研究。具体而言，我们将能够评估这种代际影响是否真的发生，这种影响有多强，它们是如何发挥作用的，以及它们会产生什么后果。通过在原始研究的24个月随访中增加种族/民族偏见的措施，我们预计将获得超过370对父母/孩子的数据，使我们能够评估父母/孩子对种族/民族和精神疾病耻辱的关联。所获得的知识有助于制定政策和设计干预措施，鼓励传播非污名化态度，阻止传播污名化态度。

DESCRIPTION (provided by applicant): A critical but understudied aspect of stigma involves the possibility that stigmatizing attitudes and behaviors might be transmitted from one generation to the next. We respond to the RFA "Revision Applications for Basic Social and Behavioral Research on the Social, Cultural, Biological, and Psychological Mechanisms of Stigma" (RFA-MD-13-005)" by 1) exploring a heretofore understudied mechanism of stigma, the intergenerational transmission from parent to child, and 2) examining in combination two consequential forms of such transmission as they pertain to mental illness and race/ethnic stigma/prejudice. By capitalizing on features of the original study to which this revision applies - including its multi-ethnic sample, its sampling of both parents and children and its extensive battery of mental illness stigma measures -- we are able to add assessments of race/ethnic stigma/prejudice and thereby create the capacity to implement a novel study of the intergenerational transmission of stigma/prejudice. Specifically, we will be able to assess whether such intergenerational influences actually take place, how strong such influences are, how they work and what consequences they have. By adding measures of race/ethnic prejudice to the 24 month follow up of the original study we expect to obtain data on over 370 parent-/child pairs allowing us to evaluate parent/child associations for both race/ethnic and mental-illness stigma. The knowledge gained can help in the construction of policies and the design interventions that might encourage the transmission of non-stigmatizing attitudes and discourage the transmission of stigmatizing ones.