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减少医护专业学生和专业人员对精神疾病的污名化:文献综述

Reducing mental illness stigma in health care students and professionals: a review of the literature.

作者信息

Stubbs Alison

机构信息

Fourth year medical student, The Australian National University, Garran, ACT, Australia

出版信息

Australas Psychiatry. 2014 Dec;22(6):579-84. doi: 10.1177/1039856214556324. Epub 2014 Nov 4.

Abstract

OBJECTIVE

The aim of this study was to examine the effectiveness of interventions designed to reduce mental illness stigma among healthcare students and professionals.

METHOD

A literature search was conducted using the Cochrane Library and PubMed.

RESULTS

Randomised controlled trial level evidence demonstrated that interventions involving direct contact, indirect filmed contact or an educational email effectively reduced stigma in the short term. Role play was the only intervention with randomised controlled trial level evidence demonstrating no effect. There was not enough evidence to suggest that any intervention can maintain stigma reduction over time.

CONCLUSIONS

Stigma reduction in healthcare students and professionals needs to be sustained over time if it is to result in positive changes for people living with mental illness. Further research is needed to determine which interventions, if any, can achieve this. Only then will large-scale implementation of a stigma reduction intervention be feasible and beneficial to people living with mental illness.

摘要

目的

本研究旨在检验旨在减少医学生和医疗专业人员对精神疾病污名化的干预措施的有效性。

方法

使用Cochrane图书馆和PubMed进行文献检索。

结果

随机对照试验水平的证据表明,涉及直接接触、间接视频接触或教育邮件的干预措施在短期内有效减少了污名化。角色扮演是唯一一项有随机对照试验水平证据表明无效果的干预措施。没有足够的证据表明任何干预措施能长期维持对污名化的减少。

结论

要想对患有精神疾病的人产生积极影响,就需要长期持续减少医学生和医疗专业人员的污名化。需要进一步研究以确定哪些干预措施(如果有的话)能够实现这一点。只有到那时,大规模实施减少污名化干预措施才可行,并对患有精神疾病的人有益。

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