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职业与社会经历:影响对精神分裂症患者态度的因素

Occupation and social experience: Factors influencing attitude towards people with schizophrenia.

作者信息

Ishige Naoko, Hayashi Naoki

机构信息

Department of Addictive Behavior Research, Tokyo Institute of Psychiatry, Tokyo, Japan.

出版信息

Psychiatry Clin Neurosci. 2005 Feb;59(1):89-95. doi: 10.1111/j.1440-1819.2005.01337.x.

Abstract

The purpose of the present study was to examine the role of occupation and social experience as factors determining the attitude of psychiatric care workers and other workers from various backgrounds toward people with schizophrenia. To measure the attitude of 786 subjects from six occupational groups toward people with schizophrenia, the evaluation scale applying semantic differential technique and the modified Social Rejection Scale were used, which assess two aspects of the attitude: affective acceptance and social distancing, respectively. The results of the two scales from the six groups were similar on the whole. Public health nurses showed the most accepting attitude in both scales. Psychiatric nurses and local welfare commissioners were the second and the third groups in affective acceptance, and the third and the second in socially accepting behavior, respectively. There was no significant difference in attitude among the rest of the groups (non-psychiatric care workers, professional probation officers and non-care workers). These results can be understood in terms of the workers' experience of contact with people with schizophrenia, and education and other support opportunities. The importance of positive contact experiences and the means for facilitation of an accepting attitude in psychiatric care workers and other workers need to be stressed.

摘要

本研究的目的是考察职业和社会经历作为决定精神科护理人员及其他来自不同背景的工作人员对精神分裂症患者态度的因素所起的作用。为了测量六个职业群体的786名受试者对精神分裂症患者的态度,使用了应用语义差异技术的评估量表和修订后的社会排斥量表,这两个量表分别评估态度的两个方面:情感接纳和社会距离。六个群体在这两个量表上的结果总体相似。公共卫生护士在两个量表上都表现出最接纳的态度。精神科护士和当地福利专员在情感接纳方面分别排第二和第三,在社会接纳行为方面分别排第三和第二。其余群体(非精神科护理人员、专业缓刑监督官和非护理人员)在态度上没有显著差异。这些结果可以从工作人员与精神分裂症患者的接触经历、教育及其他支持机会方面来理解。需要强调积极接触经历的重要性以及促进精神科护理人员和其他工作人员形成接纳态度的方法。

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