Istanbul University Istanbul Medical Faculty, Department of Psychiatry, Turkey.
Acta Psychiatr Scand. 2012 Jan;125(1):77-83. doi: 10.1111/j.1600-0447.2011.01772.x. Epub 2011 Oct 24.
The aim of this study was to evaluate the level of anticipated discrimination in people with schizophrenia (n = 732) from 27 countries in the International Study of Discrimination and Stigma Outcomes (INDIGO).
Anticipated discrimination was assessed through four questions of Discrimination and Stigma Scale. Twenty-five individuals were identified at each site who were reasonably representative of all such treated cases within the local area.
Sixty-four per cent of the participants reported that they had stopped themselves from applying for work, training or education because of anticipated discrimination. Seventy-two per cent of them reported that they felt the need to conceal their diagnosis. Expecting to be avoided by others who know about their diagnosis was highly associated with decisions to conceal their diagnosis. Those who concealed their diagnosis were younger and more educated. The participants who perceived discrimination by others were more likely to stop themselves from looking for a close relationship. Anticipated discrimination in finding and keeping work was more common in the absence than in the presence of experienced discrimination, and the similar findings applied to intimate relationships.
This study shows that anticipated discrimination among people with schizophrenia is common, but is not necessarily associated with experienced discrimination.
本研究旨在评估来自 27 个国家的 732 名精神分裂症患者（n = 732）在国际歧视和耻辱结局研究（INDIGO）中预期歧视的程度。
通过歧视和耻辱量表的四个问题评估预期歧视。在每个地点确定了 25 名个人，他们在当地范围内合理地代表了所有此类治疗病例。
64%的参与者报告说，由于预期歧视，他们曾停止申请工作、培训或教育。72%的人报告说他们觉得有必要隐瞒自己的诊断。期望被了解他们诊断的人回避与隐瞒诊断的决定高度相关。那些隐瞒诊断的人更年轻，受教育程度更高。那些认为自己受到歧视的参与者更有可能阻止自己寻找亲密关系。在寻找和保持工作方面，预期歧视在没有经历过歧视的情况下比在存在歧视的情况下更为普遍，同样的发现也适用于亲密关系。
这项研究表明，精神分裂症患者中普遍存在预期歧视，但不一定与经历过的歧视有关。
