Corrigan Patrick W, Rowan David, Green Amy, Lundin Robert, River Philip, Uphoff-Wasowski Kyle, White Kurt, Kubiak Mary Anne
University of Chicago Center for Psychiatric Rehabilitation, Tinley Park, IL 60477, USA.
Schizophr Bull. 2002;28(2):293-309. doi: 10.1093/oxfordjournals.schbul.a006939.
Two stigmatizing attitudes related to dangerousness and personal responsibility may undermine the opportunities of persons with serious mental illness. This study set out to examine path models that explain how these attitudes lead to discriminatory behavior and to assess the impact of antistigma programs on components of personal responsibility and dangerousness models. Two hundred thirteen persons were randomly assigned to one of five antistigma conditions: education on personal responsibility, education on dangerousness, contact with a person with serious mental illness where personal responsibility is discussed, contact where dangerousness is discussed, or no change. Persons completed an attribution questionnaire (AQ) representing personal responsibility and dangerousness path models at pretest, posttest, and 1-week followup. They also completed tasks that represented helping behavior. Goodness of fit indexes from linear structural modeling were mixed for both models but suggested that fear of dangerousness was a key attitude leading to discriminatory behavior. Results also showed that subjects who had contact with persons with serious mental illness experienced greater changes than subjects in the education or control groups did on measures of attribution and helping behavior.
与危险性和个人责任相关的两种污名化态度可能会损害严重精神疾病患者的机会。本研究旨在检验解释这些态度如何导致歧视行为的路径模型，并评估反污名项目对个人责任和危险性模型组成部分的影响。213人被随机分配到五种反污名条件之一：个人责任教育、危险性教育、与讨论个人责任的严重精神疾病患者接触、讨论危险性的接触，或无变化。参与者在预测试、后测试和1周随访时完成了一份代表个人责任和危险性路径模型的归因问卷（AQ）。他们还完成了代表帮助行为的任务。线性结构模型的拟合优度指标在两种模型中好坏参半，但表明对危险性的恐惧是导致歧视行为的关键态度。结果还表明，与严重精神疾病患者接触的受试者在归因和帮助行为测量上的变化比教育组或对照组的受试者更大。
