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对心理健康污名问题的回应:社会期望和数据收集方法的重要性。

Responses to mental health stigma questions: the importance of social desirability and data collection method.

机构信息

Health Service and Population Research Department P029, Institute of Psychiatry, King's College London, London, England.

出版信息

Can J Psychiatry. 2012 Mar;57(3):152-60. doi: 10.1177/070674371205700304.

Abstract

OBJECTIVE

To evaluate the impact on the general public of England's Time to Change program to reduce mental health-related stigma and discrimination using newly developed measures of knowledge and intended behaviour regarding people with mental health problems, and an established attitudes scale, and to investigate whether social desirability affects responses to the new measures and test whether this varies according to data collection method.

METHOD

The Mental Health Knowledge Schedule (MAKS) and Reported and Intended Behaviour Scale (RIBS) were administered together with the 13-item version of the Marlowe-Crowne Social Desirability Scale to 2 samples (each n = 196) drawn from the Time to Change mass media campaign target group; one group was interviewed face to face, while the other completed the measures as an online survey.

RESULTS

After controlling for other covariates, interaction terms between collection method and social desirability were positive for each instrument. The social desirability score was associated with the RIBS score in the face-to-face group only (β = 0.35, 95% CI 0.14 to 0.57), but not with the MAKS score in either group; however, MAKS scores were more likely to be positive when data were collected face to face (β = 1.53, 95% CI 0.74 to 2.32).

CONCLUSIONS

Behavioural intentions toward people with mental health problems may be better assessed using online self-complete methods than in-person interviews. The effect of face-to-face interviewing on knowledge requires further investigation.

摘要

目的

使用新开发的针对心理健康问题患者的知识和预期行为测量工具以及已建立的态度量表,评估英格兰“改变时间”计划对公众的影响,以减少与心理健康相关的污名和歧视,并探讨社会期望是否会影响对新措施的反应,以及测试这种影响是否因数据收集方法而异。

方法

对来自“改变时间”大众媒体运动目标群体的两个样本(每组 n = 196)同时使用心理健康知识量表(MAKS)和报告和预期行为量表(RIBS)以及 13 项 Marlowe-Crowne 社会期望量表进行了测试。一组通过面对面访谈进行测试,另一组则通过在线调查完成测试。

结果

在控制了其他协变量后,每个工具的收集方法和社会期望之间的交互项均为正。社会期望得分仅与面对面组的 RIBS 得分相关(β = 0.35,95%CI 0.14 至 0.57),而与两组的 MAKS 得分均不相关;然而,当数据通过面对面收集时,MAKS 得分更有可能为正(β = 1.53,95%CI 0.74 至 2.32)。

结论

针对心理健康问题患者的行为意图可能通过在线自我完成方法比面对面访谈更能准确评估。面对面访谈对知识的影响需要进一步调查。

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