Freidl M, Spitzl S Piralic, Prause W, Zimprich F, Lehner-Baumgartner Eva, Baumgartner C, Aigner M
Department of Psychiatry and Psychotherapy, Clinical Division of Social Psychiatry, Medical University of Vienna, Vienna, Austria.
Int Rev Psychiatry. 2007 Apr;19(2):123-9. doi: 10.1080/09540260701278879.
The aim of this study was to survey the attitudes of 101 consecutive in- and out-patients with epileptic, dissociative or somatoform pain disorders (mean age: 43 [+/-11] years; 58% female) from either the Department of Psychiatry or Neurology toward anticipated mental illness stigma. The patients were administered a modified 12-item version of Links Stigma Questionnaire. Nearly 60% of all 101 patients believe that "most people" would not allow a mental patient "to take care of their children", "most young women" would be "reluctant to date a man" who has been treated for a mental illness and "most employers would pass over" the application of a psychiatric patient in favour of another applicant. Fifty five percent of the respondents assume that "most people think less of a person who has been in a mental hospital" and over a half of all patients interviewed assert that the general population thinks that psychiatric patients are "less intelligent, less trustworthy and that their opinion is taken less seriously by others". Gender, age and education had no influence on the overall results. There is a high stigmatisation concerning psychiatry even in patients with epilepsy and somatoform/dissociative symptoms with psychiatric comorbidity. Fear of being stigmatized is more pronounced among somatoform pain patients as compared to patients suffering from epileptic or dissocative disorders, with particular reference to close personal relationships.
本研究旨在调查来自精神科或神经科的101名连续性癫痫、分离性或躯体形式疼痛障碍患者（平均年龄：43 [±11]岁；58%为女性）对预期的精神疾病污名的态度。对这些患者进行了一份经过修改的包含12个条目的《林克斯污名问卷》。在全部101名患者中，近60%的人认为“大多数人”不会允许精神疾病患者“照顾他们的孩子”，“大多数年轻女性”会“不愿意和”曾接受过精神疾病治疗的男性“约会”，并且“大多数雇主会优先考虑”另一位求职者而不考虑精神疾病患者的求职申请。55%的受访者认为“大多数人看不起曾住院治疗精神疾病的人”，超过一半的受访患者称普通大众认为精神疾病患者“不太聪明、不太值得信赖，且其观点不被他人重视”。性别、年龄和教育程度对总体结果没有影响。即使在伴有精神疾病共病症状的癫痫和躯体形式/分离性症状患者中，对精神病学的污名化程度也很高。与癫痫或分离性障碍患者相比，躯体形式疼痛患者对被污名化的恐惧更为明显，尤其是在亲密的个人关系方面。
