Uçok Alp, Soygür Haldun, Atakli Cem, Kuşcu Kemal, Sartorius Norman, Duman Zekiye Cetinkaya, Polat Aslihan, Erkoç Sahap
Department of Psychiatry, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Psychiatry Clin Neurosci. 2006 Aug;60(4):439-43. doi: 10.1111/j.1440-1819.2006.01529.x.
The aim of this study was to examine the views and attitudes of general practitioners (GP) with respect to schizophrenia, and the changes in their attitudes after antistigma education. A total of 106 GPs working in 71 health institutions were included in the study. A questionnaire of 16 items, focussing on doctors' views and attitudes towards schizophrenia, was applied. Questions were about the views and attitudes of doctors towards general myths related to schizophrenia. Doctors were asked to select one of two responses: 'I agree' or 'I disagree', for statements such as 'schizophrenic patients cannot work' and 'schizophrenic patients are aggressive and dangerous'. After completing the questionnaire, all the GPs were given a single session of antistigma education. The questionnaire was repeated 3 months after training meetings in a subsample of 54 GPs which represented the whole sample in terms of gender, age, and years in medical practice. The authors found statistically significant, positive changes on five items out of the 16 items in the post-test survey when compared to attitudes before training, including items about the treatability of schizophrenia, harmfulness and untrustworthiness of schizophrenic patients. The authors' findings suggest that one antistigma education session, supported by the distribution of related documents, can improve GPs attitudes towards schizophrenia.
本研究的目的是调查全科医生(GP)对精神分裂症的看法和态度,以及他们在接受反污名化教育后的态度变化。共有106名在71家医疗机构工作的全科医生参与了该研究。应用了一份包含16个条目的问卷,重点关注医生对精神分裂症的看法和态度。问题涉及医生对与精神分裂症相关的普遍误解的看法和态度。对于诸如“精神分裂症患者无法工作”和“精神分裂症患者具有攻击性且危险”等陈述,要求医生从“我同意”或“我不同意”两种回答中选择其一。完成问卷后,所有全科医生都接受了一次反污名化教育。在54名全科医生的子样本中,于培训会议3个月后再次进行了问卷调查,该子样本在性别、年龄和行医年限方面代表了整个样本。与培训前的态度相比,作者发现在测试后调查中,16个条目中有5个条目出现了具有统计学意义的积极变化,包括有关精神分裂症可治疗性、精神分裂症患者的有害性和不可信赖性的条目。作者的研究结果表明,一次反污名化教育课程,辅以相关文件的分发,可以改善全科医生对精神分裂症的态度。