Zäske H, Freimüller L, Wölwer W, Gaebel W
Klinik und Poliklinik für Psychiatrie und Psychotherapie, LVR-Klinikum Düsseldorf, Heinrich-Heine-Universität, Medizinische Fakultät, Düsseldorf.
SI-Sozialintervention, Wien.
Fortschr Neurol Psychiatr. 2014 Oct;82(10):586-92. doi: 10.1055/s-0034-1385130. Epub 2014 Oct 9.
Mental health professionals are an important target group for anti-stigma interventions, both as subjects to stigmatisation as well as stigmatising actors. Within the framework of the German Research Network on Schizophrenia, a further education training programme on "anti-stigma competence" was developed and evaluated for this target group in a pilot study.
The control-group pilot study included a total of 11 trainings with 123 participants. "Social distance" and "addressing stigma" were assessed before, directly after and three months after the training sessions. "Addressing stigma" included the ability to recognise stigmatising situations and to act against them.
Social distance was significantly lower after the "anti-stigma competence" training than before and remained significantly lower after three months. Moreover, the ability to recognise and counteract stigma was significantly improved after three months.
The training on "anti-stigma competence" has been shown to be effective. The degree to which the training will have an impact on stigmatisation in real life of patients in mental health care institutions should be a target of future research.
精神卫生专业人员是反耻辱干预措施的重要目标群体,既是受耻辱化的对象,也是实施耻辱行为的主体。在德国精神分裂症研究网络的框架内,针对这一目标群体开发了一项关于“反耻辱能力”的继续教育培训计划,并在一项试点研究中进行了评估。
对照组试点研究共包括11次培训,有123名参与者。在培训课程之前、之后立即以及三个月后评估“社会距离”和“应对耻辱”情况。“应对耻辱”包括识别耻辱情况并采取行动应对的能力。
“反耻辱能力”培训后社会距离显著低于培训前,且三个月后仍显著较低。此外,三个月后识别和抵制耻辱的能力显著提高。
“反耻辱能力”培训已被证明是有效的。该培训对精神卫生保健机构患者现实生活中耻辱化现象的影响程度应成为未来研究的目标。