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对抑郁症的污名化及其对寻求帮助意愿的影响。

Stigma about depression and its impact on help-seeking intentions.

作者信息

Barney Lisa J, Griffiths Kathleen M, Jorm Anthony F, Christensen Helen

机构信息

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

出版信息

Aust N Z J Psychiatry. 2006 Jan;40(1):51-4. doi: 10.1080/j.1440-1614.2006.01741.x.

Abstract

OBJECTIVE

Research has shown that people are reluctant to seek professional help for depression, especially from mental health professionals. This may be because of the impact of stigma which can involve people's own responses to depression and help-seeking (self stigma) as well as their perceptions of others' negative responses (perceived stigma). The aim of this article was to examine community help-seeking intentions and stigmatizing beliefs associated with depression.

METHOD

A total of 1,312 adults randomly sampled from the Australian community completed a questionnaire providing a depression vignette and measures of self- and perceived-stigmatizing responses, source-specific help-seeking intentions, current depressive symptoms and depression experience, and demographics.

RESULTS

Many people reported they would feel embarrassed about seeking help from professionals, and believed that other people would have a negative reaction to them if they sought such help. Some expected professionals to respond negatively to them. Responses varied according to the sources of professional help. Self-embarrassment and expectations that others would respond negatively predicted the likelihood of help-seeking from professional sources.

CONCLUSION

Self- and perceived-stigmatizing responses to help-seeking for depression are prevalent in the community and are associated with reluctance to seek professional help. Interventions should focus on minimizing expectations of negative responses from others and negative self-responses to help-seeking, and should target younger people.

摘要

目的

研究表明,人们不愿为抑郁症寻求专业帮助,尤其是向心理健康专业人员求助。这可能是由于耻辱感的影响,它可能涉及人们自身对抑郁症及寻求帮助的反应(自我耻辱感),以及他们对他人负面反应的认知(感知耻辱感)。本文旨在研究与抑郁症相关的社区求助意愿和耻辱观念。

方法

从澳大利亚社区随机抽取1312名成年人,他们完成了一份问卷,问卷提供了一个抑郁症案例,并测量了自我和感知的耻辱反应、特定来源的求助意愿、当前的抑郁症状和抑郁症经历以及人口统计学信息。

结果

许多人表示,他们会因向专业人员求助而感到尴尬,并认为如果他们寻求这种帮助,其他人会对他们有负面反应。一些人预计专业人员会对他们做出负面反应。根据专业帮助的来源不同,反应也有所不同。自我尴尬以及对他人会有负面反应的预期预示着从专业来源寻求帮助的可能性。

结论

社区中对寻求抑郁症帮助的自我和感知耻辱反应很普遍,并且与不愿寻求专业帮助有关。干预措施应侧重于尽量减少对他人负面反应的预期以及对寻求帮助的负面自我反应,并且应以年轻人为目标群体。

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