Department of Psychiatry, University Medicine Greifswald, Greifswald, Germany; HELIOS Hanseklinikum Stralsund, Stralsund, Germany.
Psychiatry Res. 2013 Oct 30;209(3):665-9. doi: 10.1016/j.psychres.2013.02.006. Epub 2013 Mar 5.
Separation is a central step in the process of stigmatizing persons with mental disorders. We examine whether belief in a continuum of symptoms from mental health to mental illness is associated with less stigmatizing attitudes. In a representative population survey in Germany (n=3642), using case-vignettes of persons suffering from schizophrenia, depression or alcohol dependence, we measured belief in a continuity of symptoms, emotional reactions and desire for social distance related to the person described in the vignette. While 42% of respondents agreed in symptom continuity for depression, this percentage was 26% for schizophrenia and 27% for alcohol dependence. Continuum beliefs were associated in general with more positive emotional reactions and less desire for social distance. This relationship was strongest for schizophrenia, followed by alcohol dependence. Continuum beliefs thus seem to be associated with less stigmatizing attitudes, particularly regarding schizophrenia and alcohol dependence. Educational information on the continuous nature of most psychopathological phenomena could usefully be integrated in anti-stigma messages.
分离是污名化精神障碍患者过程中的一个核心步骤。我们研究了是否相信从心理健康到精神疾病的症状连续存在与较少的污名化态度有关。在德国的一项具有代表性的人群调查中（n=3642），我们使用精神分裂症、抑郁症或酒精依赖患者的病例简述，测量了对描述在简述中的人的症状连续性、情绪反应和社会距离需求的信念。虽然 42%的受访者同意抑郁症的症状连续性，但这一比例在精神分裂症中为 26%，在酒精依赖中为 27%。一般来说，连续体信念与更积极的情绪反应和较少的社会距离需求有关。这种关系在精神分裂症中最强，其次是酒精依赖。因此，连续体信念似乎与较少的污名化态度有关，特别是与精神分裂症和酒精依赖有关。关于大多数精神病理现象连续性的教育信息可以有效地纳入反污名信息中。
