Webber M, Corker E, Hamilton S, Weeks C, Pinfold V, Rose D, Thornicroft G, Henderson C
Department of Social Policy and Social Work, University of York, Heslington, York, UK.
Health Service and Population Research Department, King's College London, Institute of Psychiatry, London, UK.
Epidemiol Psychiatr Sci. 2014 Jun;23(2):155-65. doi: 10.1017/S2045796013000243. Epub 2013 May 20.
Aims. Discrimination against people with severe mental illness is an international problem. It is associated with reduced social contact and hinders recovery. This paper aims to evaluate if experienced or anticipated discrimination is associated with social capital, a known correlate of mental health. Methods. Data from the annual viewpoint cross-sectional survey of people with severe mental illness (n = 1016) were analysed. Exploratory univariate analysis was used to identify correlates of social capital in the sample, which were then evaluated in linear regression models. Additional hypotheses were tested using t tests. Results. Experienced discrimination made a modest contribution to the explained variance of social capital. Experienced discrimination from friends and immediate family was associated with reduced access to social capital from these groups, but this was not found for wider family, neighbours or mental health staff. Experience of discrimination in finding or keeping a job was also associated with reduced access to social capital. Conclusions. Further longitudinal research is needed to determine how resources within people's networks can help to build resilience, which reduces the harmful effect of discrimination on mental health.
目的。对严重精神疾病患者的歧视是一个国际性问题。它与社会交往减少相关，并阻碍康复。本文旨在评估经历过的或预期的歧视是否与社会资本相关，社会资本是心理健康的一个已知相关因素。方法。对严重精神疾病患者年度视角横断面调查（n = 1016）的数据进行分析。采用探索性单变量分析来确定样本中社会资本的相关因素，然后在线性回归模型中进行评估。使用t检验对其他假设进行检验。结果。经历过的歧视对社会资本的解释方差有适度贡献。来自朋友和直系亲属的经历过的歧视与从这些群体获得社会资本的机会减少相关，但在更广泛的家庭、邻居或精神卫生工作人员中未发现这种情况。在寻找或保住工作方面的歧视经历也与获得社会资本的机会减少相关。结论。需要进一步开展纵向研究，以确定人们社交网络中的资源如何有助于建立复原力，从而减少歧视对心理健康的有害影响。
