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对精神疾病的污名化态度以及精神卫生服务资源的分配。

Stigmatizing attitudes about mental illness and allocation of resources to mental health services.

作者信息

Corrigan Patrick W, Watson Amy C, Warpinski Amy C, Gracia Gabriela

机构信息

University of Chicago Centre for Psychiatric, Tinley Park, IL 60477, USA.

出版信息

Community Ment Health J. 2004 Aug;40(4):297-307. doi: 10.1023/b:comh.0000035226.19939.76.

DOI:10.1023/b:comh.0000035226.19939.76
PMID:15453083
Abstract

This study tests a social psychological model (Skitka & Tetlock, 1992). Journal of Experimental Social Psychology, 28, 491-522; [1993]. Journal of Personality & Social Psychology, 65, 1205-1223 stating that policy maker decisions regarding the allocation of resources to mental health services are influenced by their attitudes towards people with mental illness and treatment efficacy. Fifty four individuals participated in a larger study of education about mental health stigma. Participants completed various measures of resource allocation preferences for mandated treatment and rehabilitation services, attributions about people with mental illness, and factors that influence allocation preferences including perceived treatment efficacy. Results showed significant attitudinal correlates with resource allocation preferences for mandated treatment, but no correlates to rehabilitation services. In particular, people who pity people with mental illness as well as those that endorse coercive and segregated treatments, were more likely to rate resource allocation to mandated care as important. Perceived treatment efficacy was also positively associated with resource allocation preferences for mandated treatment. A separate behavioral measure that involved donating money to NAMI was found to be inversely associated with blaming people for their mental illness and not being willing to help them. Implications of these findings on strategies that seek to increase resources for mental health programs are discussed.

摘要

本研究检验了一种社会心理学模型(斯基特卡和泰特洛克,1992年。《实验社会心理学杂志》,第28卷,第491 - 522页;[1993年]。《人格与社会心理学杂志》,第65卷,第1205 - 1223页),该模型指出政策制定者在决定向心理健康服务分配资源时,会受到他们对患有精神疾病的人的态度以及治疗效果的影响。54名个体参与了一项关于心理健康污名教育的更大规模研究。参与者完成了关于强制治疗和康复服务的资源分配偏好的各种测量、对患有精神疾病的人的归因,以及包括感知到的治疗效果在内的影响分配偏好的因素。结果显示,态度与强制治疗的资源分配偏好存在显著相关性,但与康复服务不存在相关性。特别是,同情患有精神疾病的人的人以及支持强制性和隔离性治疗的人,更有可能将资源分配给强制护理视为重要事项。感知到的治疗效果也与强制治疗的资源分配偏好呈正相关。一项单独的行为测量发现,向美国国家心理健康联盟捐款与因精神疾病而指责他人且不愿意帮助他们呈负相关。讨论了这些发现对旨在增加心理健康项目资源的策略的影响。

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本文引用的文献

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Target-specific stigma change: a strategy for impacting mental illness stigma.针对特定目标的污名改变:一种影响精神疾病污名的策略。
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An attribution model of public discrimination towards persons with mental illness.一种针对精神疾病患者的公众歧视归因模型。
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Challenging two mental illness stigmas: personal responsibility and dangerousness.挑战两种精神疾病污名:个人责任和危险性。
赞扬而非谴责:有军事性创伤的男性退伍军人的道德提升和耻辱感。
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Status of stigma on the health care workers related to COVID-19 at the first wave of the pandemic in Iran: A qualitative study.伊朗疫情第一波期间医护人员与新冠病毒相关的污名化状况:一项定性研究
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Predictors of the Public's Aversion to Patients Infected with COVID-19 in China: The Mediating Role of Negative Physiology.中国公众对新冠病毒感染患者的厌恶情绪预测因素:负面生理状态的中介作用
Healthcare (Basel). 2022 Sep 20;10(10):1813. doi: 10.3390/healthcare10101813.
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Public stigma profile toward mental disorders across different university degrees in the University of Valencia (Spain).西班牙巴伦西亚大学不同大学学位对精神障碍的公众污名特征
Front Psychiatry. 2022 Aug 12;13:951894. doi: 10.3389/fpsyt.2022.951894. eCollection 2022.
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Blended-eLearning Improves Alcohol Use Care in Kenya: Pragmatic Randomized Control Trial Results and Parallel Qualitative Study Implications.混合式电子学习改善肯尼亚的酒精使用护理:实用随机对照试验结果及平行定性研究启示
Int J Ment Health Addict. 2022;20(6):3410-3437. doi: 10.1007/s11469-022-00841-x. Epub 2022 Aug 12.
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The different faces of mental illness stigma: Systematic variation of stereotypes, prejudice and discrimination by type of illness.精神疾病污名的不同面貌:基于疾病类型的刻板印象、偏见和歧视的系统差异。
Scand J Psychol. 2022 Oct;63(5):545-554. doi: 10.1111/sjop.12833. Epub 2022 May 30.
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Stigma and Migraine: Developing Effective Interventions.耻辱感和偏头痛:制定有效的干预措施。
Curr Pain Headache Rep. 2021 Dec 6;25(11):75. doi: 10.1007/s11916-021-00982-z.
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