Melbourne School of Population Health, University of Melbourne, Australia.
Psychiatry Res. 2013 Apr 30;206(2-3):307-12. doi: 10.1016/j.psychres.2012.10.002. Epub 2012 Oct 27.
Negative views of psychiatric medications are common in many countries. Relatively little is known about beliefs about antipsychotic medications. A 2011 national survey of 2024 Australian adults assessed beliefs about their helpfulness or harmfulness for a person with either early or chronic schizophrenia and the associations with sociodemographic characteristics, exposure to schizophrenia, recognition of schizophrenia, and beliefs about other interventions, long-term outcomes, causes, and stigmatising attitudes. Changes since previous surveys (conducted in 1995 and 2003/4) were also assessed. Results showed that 19% of Australian adults believe that antipsychotics would be harmful for a person with early schizophrenia and 14% for chronic schizophrenia. This group was more likely to be male, born overseas, have less exposure to schizophrenia, show poorer schizophrenia recognition, have less positive views about other standard interventions, be less pessimistic about long-term outcomes and have greater stigmatising attitudes. Comparison with previous surveys showed that overall belief in the harmfulness of antipsychotics for schizophrenia decreased between 1995 and 2003/4 and between 1995 and 2011. The higher proportions of males and those from non-English speaking backgrounds believing in harmfulness suggest that education about the role of antipsychotics in the treatment of schizophrenia should focus on these groups.
在许多国家，人们对精神科药物普遍持有负面看法。关于人们对 抗精神病药物的看法，我们知之甚少。2011 年，澳大利亚对 2024 名成年人进行了一项全国性调查，评估了他们对早期或慢性精神分裂症患者使用这些药物的有益性或危害性的看法，以及这些看法与社会人口特征、接触精神分裂症、对精神分裂症的认识以及对其他干预措施、长期结果、病因和污名化态度的看法之间的关联。还评估了自前几次调查（分别于 1995 年和 2003/4 年进行）以来的变化。结果表明，19%的澳大利亚成年人认为抗精神病药物对早期精神分裂症患者有害，14%的人认为对慢性精神分裂症患者有害。这一群体更可能是男性、出生在海外、接触精神分裂症的机会较少、对精神分裂症的认识较差、对其他标准干预措施的看法较不积极、对长期结果的看法较不悲观，对污名化的态度也更大。与前几次调查相比，1995 年至 2003/4 年以及 1995 年至 2011 年期间，人们普遍认为抗精神病药物对精神分裂症的危害性降低。男性和非英语背景的人比例较高，这表明关于抗精神病药物在治疗精神分裂症中的作用的教育应针对这些群体。
