Faculty of Special Education and Rehabilitation, University of Belgrade, Belgrade, Serbia
Faculty of Special Education and Rehabilitation, University of Belgrade, Belgrade, Serbia.
Int J Soc Psychiatry. 2015 Nov;61(7):638-44. doi: 10.1177/0020764014568325. Epub 2015 Jan 22.
Experiences of discrimination have significant impact on the lives of people with mental illness.
This study investigates the nature and severity of experienced and anticipated discrimination reported by persons with a depressive disorder in Serbia.
Patients were recruited from two psychiatric day hospitals and a primary mental health service with a diagnosis of major depressive disorder. Interviews were conducted using a socio-demographic questionnaire and the Discrimination and Stigma Scale.
The respondents experienced discrimination mostly in the field of family relationships, making and keeping friends and keeping a job. In domains of making close personal relationships or applying for education, anticipated discrimination was higher than experienced. The need to conceal mental health problems was stronger than experiences of being avoided. The need to hide mental health problems was higher than the overall score for experienced discrimination. Participants who were hospitalized in some period of life reported higher experienced discrimination. Compared to younger participants, older participants experienced more negative as well as positive discrimination. Married participants experienced more negative discrimination than unmarried.
It is important to design interventions to overcome discrimination toward persons with depression at all levels.
歧视经历对精神疾病患者的生活有重大影响。
本研究调查了塞尔维亚抑郁症患者所经历和预期的歧视的性质和严重程度。
从两家精神病日间医院和一家初级精神卫生服务机构招募了被诊断为重度抑郁症的患者。使用社会人口学问卷和歧视和污名量表进行访谈。
受访者在家庭关系、交友和工作领域经历了最多的歧视。在建立亲密的人际关系或申请教育方面，预期的歧视高于实际经历的歧视。隐瞒心理健康问题的需求强于被回避的经历。隐瞒心理健康问题的需求高于实际经历歧视的总分。在人生的某个阶段住院的参与者报告了更高的实际歧视。与年轻参与者相比，年龄较大的参与者经历了更多的负面和正面歧视。已婚参与者经历的负面歧视比未婚参与者多。
在各个层面设计干预措施来克服对抑郁症患者的歧视非常重要。
