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生物遗传因素解释与公众对进食障碍患者的接受程度。

Biogenetic explanations and public acceptance of people with eating disorders.

机构信息

Center for Public Mental Health, Untere Zeile 13, 3482, Gösing am Wagram, Austria,

出版信息

Soc Psychiatry Psychiatr Epidemiol. 2013 Oct;48(10):1667-73. doi: 10.1007/s00127-012-0648-9. Epub 2013 Jan 8.

DOI:10.1007/s00127-012-0648-9
PMID:23296547
Abstract

PURPOSE

It has been assumed that biogenetic causal models may improve public attitudes toward people with mental illnesses. The present study examines whether biogenetic attributions are positively associated with acceptance of people suffering from these disorders.

METHODS

Population surveys were conducted in two large German cities. Respondents were presented with a vignette depicting a young female suffering from either anorexia nervosa (N = 680) or bulimia nervosa (N = 667), followed by a fully structured interview including questions on causal attributions, emotional reactions and desire for social distance.

RESULTS

Attribution to hereditary factors showed hardly any relationship with attitudes toward people with symptoms of eating disorders. Respondents who endorsed brain disease as a cause tended more to hold those afflicted responsible for their condition, they also expressed more negative emotions and a stronger preference for social distance.

CONCLUSIONS

Our results do not support the notion that promulgating biogenetic causal models of eating disorders helps decrease the stigma surrounding these illnesses; it may even entail the risk of increasing it.

摘要

目的

人们认为生物遗传因果模型可能会改善公众对精神疾病患者的态度。本研究考察了生物遗传归因是否与对患有这些疾病的人的接受程度呈正相关。

方法

在德国的两个大城市进行了人口调查。向受访者展示了一个描述一位患有神经性厌食症(N = 680)或神经性贪食症(N = 667)年轻女性的小插图,然后进行了一项全面的结构化访谈,其中包括有关因果归因、情绪反应和社会距离愿望的问题。

结果

遗传因素的归因与对饮食障碍患者的态度几乎没有关系。将大脑疾病视为病因的受访者更倾向于认为患病者应对其状况负责,他们也表达了更多的负面情绪和更强的社会距离偏好。

结论

我们的结果不支持这样一种观点,即宣传饮食障碍的生物遗传因果模型有助于减少这些疾病的污名化;它甚至可能增加这种风险。

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本文引用的文献

1
"Not all my fault": genetics, stigma, and personal responsibility for women with eating disorders.“不能全怪我”:遗传学、污名化与进食障碍女性的个人责任
Soc Sci Med. 2012 Oct;75(8):1408-16. doi: 10.1016/j.socscimed.2012.05.042. Epub 2012 Jul 4.
2
Biogenetic explanations and public acceptance of mental illness: systematic review of population studies.生物发生学解释与公众对精神疾病的接受度:人群研究的系统综述。
Br J Psychiatry. 2011 Nov;199(5):367-72. doi: 10.1192/bjp.bp.110.085563.
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Eugenics, genetics, and mental illness stigma in Chinese Americans.
神经科学解释与精神障碍的污名化:一项元分析研究。
Cogn Res Princ Implic. 2018 Nov 14;3(1):43. doi: 10.1186/s41235-018-0136-1.
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Stigma and eating and weight disorders.污名与饮食及体重失调
Curr Psychiatry Rep. 2015 Mar;17(3):552. doi: 10.1007/s11920-015-0552-6.
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The cultural validation of two scales to assess social stigma in leprosy.两种用于评估麻风病社会耻辱感的量表的文化验证。
PLoS Negl Trop Dis. 2014 Nov 6;8(11):e3274. doi: 10.1371/journal.pntd.0003274. eCollection 2014.
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The relationship between biogenetic attributions and desire for social distance from persons with schizophrenia and major depression revisited.再探生物遗传归因与对精神分裂症和重度抑郁症患者社会距离的渴望之间的关系。
Epidemiol Psychiatr Sci. 2015 Aug;24(4):335-41. doi: 10.1017/S2045796014000262. Epub 2014 Apr 30.
美籍华裔的优生学、遗传学与精神疾病污名
Soc Psychiatry Psychiatr Epidemiol. 2012 Jan;47(1):145-56. doi: 10.1007/s00127-010-0319-7. Epub 2010 Nov 16.
4
The stigma of mental illness in Southern Ghana: attitudes of the urban population and patients' views.加纳南部的精神疾病污名:城市人口的态度和患者的看法。
Soc Psychiatry Psychiatr Epidemiol. 2011 Nov;46(11):1191-202. doi: 10.1007/s00127-010-0290-3. Epub 2010 Sep 26.
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Public knowledge, beliefs and attitudes towards patients with schizophrenia: Buenos Aires.公众对精神分裂症患者的知识、信念和态度:布宜诺斯艾利斯。
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A comparison of stigma toward eating disorders versus depression.进食障碍与抑郁症污名的比较。
Int J Eat Disord. 2010 Nov 1;43(7):671-4. doi: 10.1002/eat.20760.
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