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西方国家公众对精神障碍的信仰和态度的性别差异:系统综述人口研究。

Gender differences in public beliefs and attitudes about mental disorder in western countries: a systematic review of population studies.

机构信息

1 Department of Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, Austria.

出版信息

Epidemiol Psychiatr Sci. 2012 Mar;21(1):73-85. doi: 10.1017/s2045796011000552.

Abstract

AIMS

While quite a number of theories and hypotheses about gender differences in public beliefs and attitudes about mental illness have been proposed, the empirical evidence, particularly evidence based on population studies, is rather scarce.

METHODS

A systematic review of population-based studies providing information on gender differences in beliefs about mental disorders and attitudes towards the mentally ill was carried out.

RESULTS

While both genders are no different in their willingness to seek informal help for mental illness, women seem more ready to recommend professional help than men. They also evaluate treatment outcomes more favourably. Women are more likely to endorse psychosocial conceptualizations of mental illness than men, and, in consequence, are more in favour of psychotherapy. With a few exceptions, women do not seem to display more favourable attitudes than men towards people with mental disorder. Female patients seem to be rejected by the public less than male patients.

CONCLUSIONS

Our review suggests that gender matters in public beliefs and attitudes about mental illness. Some theoretical assumptions are supported by empirical findings, others not. However, as evidence is rather scarce, further studies testing theory-driven hypotheses are needed.

摘要

目的

尽管已经提出了许多关于公众对精神疾病的信仰和态度的性别差异的理论和假设,但实证证据,特别是基于人群研究的证据,相当匮乏。

方法

对提供有关精神障碍信念和对精神病患者态度的性别差异的基于人群的研究进行了系统回顾。

结果

尽管两性在寻求精神疾病的非正式帮助方面没有差异,但女性似乎比男性更愿意推荐专业帮助。她们对治疗结果的评价也更为有利。女性比男性更倾向于接受精神疾病的心理社会概念化,因此更倾向于心理治疗。除了一些例外,女性对精神障碍患者的态度似乎并不比对男性更有利。女性患者似乎比男性患者受到公众的排斥程度要低。

结论

我们的综述表明,性别在公众对精神疾病的信仰和态度中很重要。一些理论假设得到了实证研究的支持,而另一些则没有。然而,由于证据相当匮乏,需要进一步研究来检验理论驱动的假设。

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