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斯里兰卡精神分裂症和抑郁症患者照顾者的心理健康素养调查。

Mental health literacy survey among Sri Lankan carers of patients with schizophrenia and depression.

机构信息

Illawarra Shoalhaven Local Health District, Australia.

出版信息

Asian J Psychiatr. 2012 Sep;5(3):246-50. doi: 10.1016/j.ajp.2012.02.016. Epub 2012 Jun 16.

DOI:10.1016/j.ajp.2012.02.016
PMID:22981053
Abstract

INTRODUCTION

Mental health literacy has been defined as knowledge and beliefs about mental disorders which aid their recognition, management or prevention.

AIM

Preliminary investigation on mental health literacy among Sri Lankan carers of patients with Schizophrenia and Depression.

METHOD

Cross sectional descriptive study investigated a convenience sample of 119 carers of a person with Depression or Schizophrenia attending a community clinic using vignettes adapted from an existing mental health literacy survey.

RESULTS

The Schizophrenia vignette was reported as a crisis by 28% and 35.6% reported the Depression vignette as a crisis. Schizophrenia and Depression were identified as mental illnesses by 72% and 64% respectively. Persons with Schizophrenia and Depression were reported to be more violent than a member of the community by 61% and 60%. Psychiatrist's help was preferred as the therapeutic intervention in Schizophrenia (86.7%) and Depression (91.5%), whereas only 21.7% preferred traditional healers. Carers of persons with Schizophrenia (72%) and Depression (61%) held the attitude that the problem is a sign of personal weakness. Sixteen percent of carers wanted to avoid people with similar problems.

DISCUSSION

Carers had stigmatising attitudes such as persons with mental illness were violent and the illness was a sign of personal weakness. A minority wanted to avoid persons with similar problems, indicating that maintaining social distance was not a major issue. Carers had good knowledge of help seeking locations with a majority identifying psychiatrists and psychiatric wards in general hospitals.

CONCLUSION

The mental health literacy amongst the carers are lacking in certain areas. They have stigmatising attitudes towards people with mental illness.

摘要

简介

心理健康素养是指关于精神障碍的知识和信念,有助于识别、管理或预防精神障碍。

目的

初步调查斯里兰卡精神分裂症和抑郁症患者照顾者的心理健康素养。

方法

采用横断面描述性研究,使用改编自现有心理健康素养调查的病例简介,对在社区诊所就诊的 119 名精神分裂症和抑郁症患者的照顾者进行了便利抽样调查。

结果

28%的人将精神分裂症病例报告为危机,35.6%的人将抑郁症病例报告为危机。分别有 72%和 64%的人将精神分裂症和抑郁症识别为精神疾病。61%和 60%的人认为精神分裂症和抑郁症患者比社区成员更暴力。86.7%的人希望精神分裂症患者接受精神科医生的治疗干预,91.5%的人希望抑郁症患者接受治疗,而只有 21.7%的人希望接受传统治疗者的治疗。72%的精神分裂症患者和 61%的抑郁症患者的照顾者认为问题是个人弱点的表现。16%的照顾者希望避免与有类似问题的人接触。

讨论

照顾者持有污名化的态度,例如认为患有精神疾病的人很暴力,疾病是个人弱点的表现。少数人希望避免与有类似问题的人接触,这表明保持社会距离不是一个主要问题。照顾者对寻求帮助的地点有很好的了解,大多数人都能识别出精神病医生和综合医院的精神科病房。

结论

照顾者在某些方面缺乏心理健康素养。他们对精神疾病患者持有污名化的态度。

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