Wright Steve, Henderson Claire, Thornicroft Graham, Sharac Jessica, McCrone Paul
Health Service and Population Research Department, Institute of Psychiatry, King's College London, De Crespigny Park, London, SE5 8AF, UK.
Soc Psychiatry Psychiatr Epidemiol. 2015 May;50(5):787-95. doi: 10.1007/s00127-014-0968-z. Epub 2014 Oct 17.
Stigma and discrimination are faced by many with mental health problems and this may affect the uptake of services and engagement in leisure and recreational activities. The aims of this study were to develop a schedule to measure the impact of stigma and discrimination on service use, employment and leisure activities and to estimate the value of such reductions.
A questionnaire, the Cost of Discrimination Assessment, was developed and piloted in a sample people with mental health problems. Costs were calculated and test-retest reliability assessed.
Test-retest reliability was good for most items. A substantial proportion of the sample had experienced negative impacts on employment as a result of stigma and discrimination. Around one-fifth had reduced contacts with general practitioners in the previous 6 months due to stigma and discrimination and the leisure activity most affected was visiting pubs/restaurants/café.
In conclusion, stigma and discrimination result in reduced use of services and reduced engagement in leisure activities. This represents a welfare loss to individuals.
许多有心理健康问题的人面临着耻辱感和歧视，这可能会影响他们对服务的接受程度以及参与休闲和娱乐活动的情况。本研究的目的是制定一个量表，以衡量耻辱感和歧视对服务使用、就业和休闲活动的影响，并估算此类减少情况的价值。
编制了一份问卷《歧视成本评估》，并在有心理健康问题的人群样本中进行了试点。计算了成本并评估了重测信度。
大多数项目的重测信度良好。相当一部分样本因耻辱感和歧视而在就业方面受到负面影响。在过去6个月里，约五分之一的人因耻辱感和歧视而减少了与全科医生的接触，受影响最大的休闲活动是光顾酒吧/餐馆/咖啡馆。
总之，耻辱感和歧视导致服务使用减少以及参与休闲活动减少。这对个人来说意味着福利损失。
