Marshall Tina, Solomon Phyllis, Steber Sara-Ann, Mannion Edie
Systems Evaluation Center, University of Maryland at Baltimore, MD, USA.
Psychiatr Q. 2003 Fall;74(3):223-36. doi: 10.1023/a:1024110403611.
The study examined mental health providers' and families' of adults with severe mental illness beliefs regarding the etiology of mental illness. A countywide sample of 87 providers and family members was collected over a course of six months as part of a consensus building process to institute family education. Beliefs regarding the biological basis of mental illness are not replacing family causation beliefs for providers and families. Instead, providers and families hold biological and family causation theories regarding the etiology of mental illness simultaneously. Providers with less family contact were more likely to believe that families may cause mental illness, when controlling for race, gender, education, and years working in mental health. Families with negative provider experience are also more likely to hold family causation beliefs, when controlling for race, gender, and education. Further research is needed to explore the effects of provider and family beliefs regarding the etiology of mental illness on provider-family contact and collaboration.
该研究调查了患有严重精神疾病的成年人的心理健康服务提供者和家庭成员对精神疾病病因的看法。作为开展家庭教育的共识建立过程的一部分,在六个月的时间里收集了一个全县范围内由87名服务提供者和家庭成员组成的样本。对于服务提供者和家庭成员来说,关于精神疾病生物学基础的看法并没有取代对家庭因果关系的看法。相反,服务提供者和家庭成员同时持有关于精神疾病病因的生物学和家庭因果关系理论。在控制了种族、性别、教育程度和从事心理健康工作的年限后,与家庭接触较少的服务提供者更有可能认为家庭可能导致精神疾病。在控制了种族、性别和教育程度后,有负面服务提供者经历的家庭也更有可能持有家庭因果关系的看法。需要进一步研究来探讨服务提供者和家庭对精神疾病病因的看法对服务提供者与家庭接触及合作的影响。