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马来西亚城乡马来人对抑郁症的公众认知和信念。

Public knowledge and beliefs about depression among urban and rural Malays in Malaysia.

机构信息

Department of Psychology, University of Westminster, London, UK.

出版信息

Int J Soc Psychiatry. 2010 Sep;56(5):480-96. doi: 10.1177/0020764008101639. Epub 2009 Aug 3.

DOI:10.1177/0020764008101639
PMID:19651692
Abstract

BACKGROUND

This study examined knowledge and beliefs about depression among Malaysian Malays varying in socioeconomic status.

METHODS

A total of 153 urban and 189 rural participants completed a questionnaire in which they had to identify two cases of depression and rate a series of items about the causes and best treatments for depression.

RESULTS

Results showed that urban participants were more likely to use psychiatric labels ('depression') for the two vignettes, whereas rural participants tended to use more generic terms ('emotional stress').

CONCLUSION

Principal components analysis (PCA) showed that beliefs about the causes of depression factored into five components, of which stressful life events was most strongly endorsed by both groups. PCA of treatment items revealed four stable components, of which religious factors were most strongly endorsed. There were also a number of significant between-group differences in the endorsement of these factors (eta(p) (2) = .03-.11), with rural participants generally rating supernatural and religious factors more strongly than urban Malays. These results are discussed in relation to mental health literacy programmes in Malaysia.

摘要

背景

本研究考察了不同社会经济地位的马来西亚马来人对抑郁症的知识和信念。

方法

共有 153 名城市参与者和 189 名农村参与者完成了一份问卷,他们必须识别两个抑郁症病例,并对一系列关于抑郁症的原因和最佳治疗方法的项目进行评分。

结果

结果表明,城市参与者更有可能使用精神病学标签(“抑郁症”)来描述这两个案例,而农村参与者则更倾向于使用更通用的术语(“情绪压力”)。

结论

主成分分析(PCA)显示,对抑郁症原因的信念可以分为五个因素,其中生活压力事件在两组中得到最强烈的支持。对治疗项目的 PCA 揭示了四个稳定的因素,其中宗教因素得到最强烈的支持。在这些因素的认可方面,也存在一些显著的组间差异(eta(p) (2) =.03-.11),农村参与者普遍比城市马来人更强烈地评价超自然和宗教因素。这些结果与马来西亚的心理健康素养计划有关。

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