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医疗保健专业人员对精神病学和有心理健康问题患者的歧视性态度差异:值得担忧吗?一项试点研究。

Differential stigmatizing attitudes of healthcare professionals towards psychiatry and patients with mental health problems: something to worry about? A pilot study.

作者信息

Gras Laura M, Swart Marte, Slooff Cees J, van Weeghel Jaap, Knegtering Henderikus, Castelein Stynke

机构信息

Lentis Psychiatric Institute, Lentis Research, Hereweg 80, 9725 AG, Groningen, The Netherlands.

出版信息

Soc Psychiatry Psychiatr Epidemiol. 2015 Feb;50(2):299-306. doi: 10.1007/s00127-014-0931-z. Epub 2014 Aug 15.

Abstract

PURPOSE

This study compares stigmatizing attitudes of different healthcare professionals towards psychiatry and patients with mental health problems.

METHODS

The Mental Illness Clinicians Attitude (MICA) questionnaire is used to assess stigmatizing attitudes in three groups: general practitioners (GPs, n = 55), mental healthcare professionals (MHCs, n = 67) and forensic psychiatric professionals (FPs, n = 53).

RESULTS

A modest positive attitude towards psychiatry was found in the three groups (n = 176). Significant differences were found on the total MICA-score (p < 0.001). GPs scored significantly higher than the FPs and the latter scored significantly higher than the MHCs on all factors of the MICA. Most stigmatizing attitudes were found on professionals' views of health/social care field and mental illness and disclosure. Personal and work experience did not influence stigmatizing attitudes.

CONCLUSIONS

Although all three groups have a relatively positive attitude using the MICA, there is room for improvement. Bias toward socially acceptable answers cannot be ruled out. Patients' view on stigmatizing attitudes of professionals may be a next step in stigma research in professionals.

摘要

目的

本研究比较了不同医疗保健专业人员对精神病学以及对有心理健康问题患者的污名化态度。

方法

使用精神疾病临床医生态度(MICA)问卷评估三组人员的污名化态度:全科医生(GPs,n = 55)、精神卫生保健专业人员(MHCs,n = 67)和法医精神病学专业人员(FPs,n = 53)。

结果

在这三组(n = 176)中发现了对精神病学适度的积极态度。在MICA总分上发现了显著差异(p < 0.001)。在MICA的所有因素上,全科医生的得分显著高于法医精神病学专业人员,而后者的得分显著高于精神卫生保健专业人员。在专业人员对健康/社会护理领域、精神疾病和信息披露的看法上发现了最严重 的污名化态度。个人和工作经历并未影响污名化态度。

结论

尽管使用MICA时所有三组都有相对积极的态度,但仍有改进空间。不能排除对社会可接受答案的偏向。患者对专业人员污名化态度的看法可能是专业人员污名研究的下一步。

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