Li Jie, Li Juan, Thornicroft Graham, Huang Yuanguang
Guangzhou Psychiatric Hospital, Guangzhou Medical University, 36# Mingxin Road, Liwan, Guangzhou 510370, China.
BMC Psychiatry. 2014 Aug 13;14:231. doi: 10.1186/s12888-014-0231-x.
Stigma and discrimination are widely experienced by people with mental illness, even in healthcare settings. The purposes of this study were to assess mental health stigma among community mental health staff in Guangzhou, China and in doing so also to assess the psychometric properties of the Reported and Intended Behaviour Scale (RIBS) - Chinese version.
A cross-sectional survey was undertaken among 214 community mental health staff in Guangzhou from September to November, 2013. The Mental Health Knowledge Schedule (MAKS) and RIBS were administered together with the Mental Illness: Clinicians' Attitudes Scale (MICA) to evaluate staff stigma from the perspective of knowledge, attitudes and behaviour.
The total scores of RIBS, MAKS and MICA were (11.97 ± 3.41), (16.80 ± 5.39) and (51.69 ± 6.94) respectively. Female staff members were more willing to contact people with mental illness than males (t(212) = -2.85,P = 0.005) and had more knowledge about mental illness (t(212) = -2.28,P = 0.024). The Chinese version of RIBS had good internal consistency (alpha = 0.82), test-retest reliability (r = 0.68,P < 0.001) and adequate convergent validity, as indicated by a significant negative correlation with the Chinese version of MICA(r = -0.43, P < 0.001).
Our results show relatively high levels of stigma toward people with mental illness among community mental health staff in Guangzhou, China. There are slightly gender differences in discriminatory behaviours and stigma related knowledge of mental illness among community mental health staff, with female staff in general less stigmatising. Accordingly, anti-stigma programmes should be established among healthcare staff. In addition, the Chinese version of RIBS is a reliable, valid and acceptable measure which can be used to assess the willingness of participants to contact people with mental illness in future anti-stigma campaigns.
即使在医疗环境中，精神疾病患者也普遍遭受耻辱和歧视。本研究旨在评估中国广州社区精神卫生工作人员中的心理健康耻辱感，并在此过程中评估报告与预期行为量表（RIBS）中文版的心理测量特性。
2013年9月至11月，对广州214名社区精神卫生工作人员进行了横断面调查。同时发放心理健康知识问卷（MAKS）、RIBS以及精神疾病：临床医生态度量表（MICA），从知识、态度和行为角度评估工作人员的耻辱感。
RIBS、MAKS和MICA的总分分别为（11.97±3.41）、（16.80±5.39）和（51.69±6.94）。女性工作人员比男性更愿意接触精神疾病患者（t(212)= -2.85，P = 0.005），且对精神疾病有更多了解（t(212)= -2.28，P = 0.024）。RIBS中文版具有良好的内部一致性（α = 0.82）、重测信度（r = 0.68，P < 0.001）和足够的收敛效度，与MICA中文版呈显著负相关（r = -0.43，P < 0.001）表明了这一点。
我们的结果显示，中国广州社区精神卫生工作人员对精神疾病患者的耻辱感水平相对较高。社区精神卫生工作人员在歧视行为和与精神疾病耻辱感相关知识方面存在轻微性别差异，女性工作人员总体上耻辱感较低。因此，应在医护人员中开展反耻辱项目。此外，RIBS中文版是一种可靠、有效且可接受的测量工具，可用于在未来的反耻辱运动中评估参与者接触精神疾病患者的意愿。
