University College London, London, UK.
Psychopathology. 2012;45(1):29-41. doi: 10.1159/000325885. Epub 2011 Nov 28.
This study was concerned with investigating the mental health literacy of lay people in regard to the personality disorders.
223 participants responded to a questionnaire entitled 'eccentric people' which contained vignettes of 10 personality disorders which they rated as well as labelled.
Lay people recognize people with personality disorders as being unhappy, unsuccessful at work and as having poor personal relationships, but do not associate these problems with psychological causes. Rates of correct labelling were under 7% for 7/10 personality disorders. Cluster A (apart from paranoid) was commonly labelled as depression or as an autism spectrum disorder. Clusters B and C (apart from obsessive-compulsive) were commonly labelled as 'low self-esteem'. History of psychological education and illness were positively correlated with correct recognition of 70 and 60% of the personality disorders, respectively.
The mental health literacy of lay people in regard to the personality disorders is low. This raises concerns for health-seeking behaviour and diagnosis, as well as stigma and social neglect of people living with personality disorders. The question of cultural influences on the manifestation, diagnosis and recognition of mental illnesses, and the personality disorders in particular, is discussed.
本研究旨在调查一般民众对人格障碍的心理健康素养。
223 名参与者回答了一份名为“古怪的人”的问卷,问卷中包含了 10 种人格障碍的案例,他们对这些案例进行了评价和标签。
一般民众认为人格障碍患者不快乐、工作不成功且人际关系差,但他们并不将这些问题与心理原因联系起来。对于 10 种人格障碍中的 7 种,正确标签的比例低于 7%。除偏执型外的 A 群(分裂型)通常被贴上抑郁或自闭症谱系障碍的标签。B 群和 C 群(除强迫型外)通常被贴上“低自尊”的标签。心理教育史和疾病史与正确识别 70%和 60%的人格障碍分别呈正相关。
一般民众对人格障碍的心理健康素养较低。这引发了对寻求健康行为和诊断的关注,以及对人格障碍患者的污名化和社会忽视。讨论了文化对精神疾病,特别是人格障碍的表现、诊断和识别的影响。