Adewuya Abiodun O, Oguntade Ayotunde A
Dept. of Psychiatry, Lagos State University, College of Medicine, Ikeja, Lagos, Nigeria,
Soc Psychiatry Psychiatr Epidemiol. 2007 Nov;42(11):931-6. doi: 10.1007/s00127-007-0246-4. Epub 2007 Aug 24.
It had been suggested that those more knowledgeable about mental illness are less likely to endorse negative or stigmatizing attitudes. This study aimed to evaluate the attitude of doctors in Nigeria towards the mentally ill.
Medical doctors (n = 312) from eight selected health institutions in Nigeria completed various questionnaires on knowledge and attitude towards people with mental illness.
Beliefs in supernatural causes were prevalent. The mentally ill were perceived as dangerous and their prognosis perceived as poor. High social distance was found amongst 64.1% and the associated factors include not having a family member/friend with mental illness (OR 7.12, 95% CI 3.71-13.65), age less than 45 years (OR 2.33, 95% CI 1.23-4.40), less than 10 years of clinical experience (OR 6.75, 95% CI 3.86-11.82) and female sex (OR 4.98, 95% CI 2.70-9.18).
Culturally enshrined beliefs about mental illness were prevalent among Nigerian doctors. A review of medical curriculum is needed and the present anti-stigma campaigns should start from the doctors.
有人认为，对精神疾病了解更多的人不太可能认可负面或污名化态度。本研究旨在评估尼日利亚医生对精神疾病患者的态度。
来自尼日利亚八家选定医疗机构的312名医生完成了关于对精神疾病患者的知识和态度的各种问卷。
认为精神疾病由超自然原因导致的观念很普遍。精神疾病患者被视为危险人物，且其预后被认为很差。64.1%的人表现出很高的社会距离，相关因素包括没有患有精神疾病的家庭成员/朋友（比值比7.12，95%置信区间3.71 - 13.65）、年龄小于45岁（比值比2.33，95%置信区间1.23 - 4.40）、临床经验少于10年（比值比6.75，95%置信区间3.86 - 11.82）以及女性（比值比4.98，95%置信区间2.70 - 9.18）。
在尼日利亚医生中，关于精神疾病的文化固有观念很普遍。需要对医学课程进行审查，当前的反污名化运动应从医生开始。
