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澳大利亚抑郁症认知与态度的变化:“走出忧郁”全国抑郁症倡议的影响

Changes in depression awareness and attitudes in Australia: the impact of beyondblue: the national depression initiative.

作者信息

Jorm Anthony F, Christensen Helen, Griffiths Kathleen M

机构信息

Centre for Mental Health Research, Australian National University, Canberra, Australian Capital Territory, Australia.

出版信息

Aust N Z J Psychiatry. 2006 Jan;40(1):42-6. doi: 10.1080/j.1440-1614.2006.01739.x.

Abstract

OBJECTIVE

To assess changes in depression awareness and attitudes in Australia and the effect that beyondblue: the national depression initiative has had on these.

METHOD

Data from national surveys of mental health literacy in 1995 and 2003-2004 were analysed to see if states and territories that funded beyondblue (the high-exposure states) had greater changes than those that did not (the low-exposure states). In both surveys, participants were shown a depression vignette and asked whether they themselves or family or friends had ever had a similar problem, whether they thought the person would be discriminated against, and questions about the likelihood of long-term positive and negative outcomes for the person. Participants were also assessed for symptoms of psychological distress in the past month.

RESULTS

There was an increase in the percentage of people who said that they or their family or friends had a problem like the person in the vignette. This increase was greater in the high-exposure states. However, there was no change in reports of current psychological distress, suggesting that there is greater depression awareness or openness rather than a real increase in symptoms. People in the high-exposure states also showed an increase in the belief that discrimination would occur. There was little change in beliefs about long-term outcomes, apart from people in high-exposure states believing that a depressed person would be more understanding of other people's feelings.

CONCLUSIONS

The data are consistent with beyondblue having had an effect on awareness of depression and of discrimination against depressed people.

摘要

目的

评估澳大利亚民众对抑郁症的认知和态度变化,以及“全国抑郁症防治计划:忧郁症倡议组织(beyondblue)”对此产生的影响。

方法

分析1995年以及2003 - 2004年全国心理健康素养调查的数据,以探究资助了“忧郁症倡议组织”的州和领地(高曝光州)是否比未资助的州和领地(低曝光州)有更大的变化。在两次调查中,向参与者展示一个抑郁症案例 vignette,并询问他们自己、家人或朋友是否曾有过类似问题,他们是否认为该患者会受到歧视,以及关于该患者长期积极和消极结果可能性的问题。还对参与者过去一个月的心理困扰症状进行了评估。

结果

表示自己或家人或朋友有类似案例中人物问题的人的比例有所增加。这种增加在高曝光州更为明显。然而,当前心理困扰的报告没有变化,这表明对抑郁症的认知或开放性有所提高,而非症状实际增加。高曝光州的人们也表现出认为会发生歧视的信念有所增加。除了高曝光州的人们认为抑郁症患者会更理解他人感受外,对长期结果的看法变化不大。

结论

数据表明“忧郁症倡议组织”对抑郁症认知以及对抑郁症患者的歧视观念产生了影响。

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