Mindlis I, Schuetz-Mueller J, Shah S, Appasani R, Coleman A, Katz C L
Icahn School of Medicine at Mount Sinai, New York, NY, USA,
Psychiatr Q. 2015 Sep;86(3):419-33. doi: 10.1007/s11126-015-9342-x.
There is a pressing need to develop community interventions that will address stigma against mental illness in rural India. This cross-sectional study will compare social representations of depression in villages where educational programs have targeted mental illness and stigma versus control villages. Participants from the villages exposed to the educational interventions (n = 146) will be compared with a sample from six control villages (n = 187) in the same geographic region, using a structured questionnaire. The impact of the intervention as a predictor for questionnaire score will be assessed along with socio-demographic variables. The intervention villages showed higher levels of literacy regarding depression and lower levels of stigma, after adjusting for all other socio-demographic variables. While some demographic factors associated with the knowledge and attitudes towards depression are not modifiable, our research provides evidence in favor of the positive influence a community grassroots intervention can have on mental health literacy in rural settings.
迫切需要制定社区干预措施，以解决印度农村地区对精神疾病的污名化问题。这项横断面研究将比较开展过针对精神疾病和污名化问题的教育项目的村庄与对照村庄中对抑郁症的社会认知情况。使用结构化问卷，将来自接受教育干预村庄的146名参与者与同一地理区域6个对照村庄的187名样本进行比较。将评估干预措施作为问卷得分预测因素的影响以及社会人口统计学变量。在对所有其他社会人口统计学变量进行调整后，干预村庄在抑郁症知识水平方面较高，污名化程度较低。虽然一些与抑郁症知识和态度相关的人口因素无法改变，但我们的研究提供了证据，支持社区基层干预对农村地区心理健康素养可产生积极影响。
