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巫术与精神疾病的生物心理社会成因:五个国家卫生专业人员对精神疾病的态度和看法

Witchcraft and Biopsychosocial Causes of Mental Illness: Attitudes and Beliefs About Mental Illness Among Health Professionals in Five Countries.

作者信息

Stefanovics Elina A, He Hongbo, Cavalcanti Maria, Neto Helio, Ofori-Atta Angelo, Leddy Meaghan, Ighodaro Adesuwa, Rosenheck Robert

机构信息

*VA New England Mental Illness Research and Education Center, West Haven; †Yale Medical School, New Haven, CT; ‡Guangzhou Psychiatric Hospital, Guangzhou, China; §Federal University, Rio de Janeiro, Rio de Janeiro, Brazil; and ∥University of Ghana, Accra, Ghana.

出版信息

J Nerv Ment Dis. 2016 Mar;204(3):169-74. doi: 10.1097/NMD.0000000000000422.

Abstract

This study examines the intercorrelation of measures reflecting beliefs about and attitudes toward people with mental illness in a sample of health professionals (N = 902) from five countries: Brazil, China, Ghana, Nigeria, and the United States, and, more specifically, the association of beliefs in supernatural as contrasted with biopsychosocial causes of mental illness. Factor analysis of a 43-item questionnaire identified four factors favoring a) socializing with people with mental illness; b) normalizing their roles in society; c) belief in supernatural causes of mental illness (e.g., witchcraft, curses); and d) belief in biopsychosocial causes of mental illness. Unexpectedly, a hypothesized negative association between belief in supernatural and biopsychosocial causation of mental illness was not found. Belief in the biopsychosocial causation was weakly associated with less stigmatized attitudes towards socializing and normalized roles.

摘要

本研究调查了来自巴西、中国、加纳、尼日利亚和美国五个国家的902名卫生专业人员样本中,反映对患有精神疾病的人的信念和态度的各项指标之间的相互关系,更具体地说,是调查了与精神疾病的生物心理社会病因形成对比的超自然病因信念之间的关联。对一份包含43个条目的问卷进行因子分析,确定了四个因子,分别支持:a)与患有精神疾病的人交往;b)使他们在社会中的角色正常化;c)相信精神疾病的超自然病因(如巫术、诅咒);d)相信精神疾病的生物心理社会病因。出乎意料的是,未发现超自然病因信念与精神疾病的生物心理社会病因之间存在假设中的负相关。相信精神疾病的生物心理社会病因与对交往和正常化角色的较少污名化态度之间存在弱关联。

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