Yoshii Hatsumi, Watanabe Yuichiro, Kitamura Hideaki, Nan Zhang, Akazawa Kouhei
Department of Medical Informatics and Statistics, Niigata University Graduate School of Medicine, 1-754 Asahimachi-dori, Chuo-ku, Niigata, Japan 951-8520.
BMC Res Notes. 2011 Dec 22;4:558. doi: 10.1186/1756-0500-4-558.
Stigma toward schizophrenia is a substantial barrier to accessing care and adhering to treatment. Provisions to combat stigma are important, but in Japan and other developed countries there are few such provisions in place that target parents of adolescents. The attitudes of parents are important to address as first schizophrenic episodes typically occur in adolescence. In overall efforts to develop an education program and provisions against stigma, here we examined the relationship between stigma toward schizophrenia and demographic characteristics of parents of junior and senior high school students in Japan. The specific hypothesis tested was that contact and communication with a person with schizophrenia would be important to reducing stigma. A questionnaire inquiring about respondent characteristics and which included a survey on stigma toward schizophrenia was completed by 2690 parents.
The demographic characteristics significantly associated with the Devaluation- Discrimination Measure were family income, occupation, presence of a neighbor with schizophrenia, and participation in welfare activities for people with mental illness (p < 0.05). The mean ± SD score was 32.74 ± 5.66 out of a maximum of 48 points on the Link Devaluation-Discrimination Measure.
Stigma toward schizophrenia among parents of junior and senior high school students was in fact significantly stronger among members of the general public who had had contact with individuals with schizophrenia. In addition, stigma was associated with family income.
对精神分裂症的污名化是获得治疗和坚持治疗的重大障碍。对抗污名化的措施很重要，但在日本和其他发达国家，针对青少年父母的此类措施很少。父母的态度对于解决这一问题很重要，因为精神分裂症的首次发作通常发生在青少年时期。在制定教育计划和抗污名化措施的总体努力中，我们在此研究了日本初中和高中学生父母对精神分裂症的污名化与人口统计学特征之间的关系。所检验的具体假设是，与精神分裂症患者的接触和交流会对减少污名化很重要。2690名家长完成了一份询问受访者特征并包括对精神分裂症污名化调查的问卷。
与贬低 - 歧视量表显著相关的人口统计学特征包括家庭收入、职业、有患精神分裂症的邻居以及参与针对精神疾病患者的福利活动（p < 0.05）。在林克贬低 - 歧视量表上，平均±标准差得分在满分48分中为32.74±5.66分。
事实上，在与精神分裂症患者有过接触的普通公众中，初中和高中学生父母对精神分裂症的污名化明显更强。此外，污名化与家庭收入有关。
