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对神经性厌食症的态度:临床前医学和心理学学生样本中的意志污名差异。

Attitudes towards anorexia nervosa: volitional stigma differences in a sample of pre-clinical medicine and psychology students.

机构信息

a Department of Psychology , Bond University , Gold Coast , Australia.

出版信息

J Ment Health. 2017 Oct;26(5):442-448. doi: 10.3109/09638237.2016.1149801. Epub 2016 Feb 29.

Abstract

BACKGROUND

Anorexia nervosa (AN) is a highly stigmatised condition, with treatment often involving multidisciplinary care. As such, understanding and comparing the attitudes of emerging mental health and medical professionals towards AN, within the content of sex-based differences, is pertinent to facilitate the development of targeted stigma interventions.

AIMS

Examine the volitional stigmatisation of AN in emerging medical and mental health professionals.

METHOD

Participants (N = 126) were medical (n = 41) and psychology students (n = 85) who completed a range of attitudinal outcome measures (e.g. Causal Attributions Scale, Eating Disorder Stigma Scale, Opinions Scale, Characteristics Scale and Affective Reaction Scale).

RESULTS

Across both disciplines, men were found to exhibit significantly higher eating disorder (ED) stigma, considered AN to be a more trivial and weak illness, and attributed greater levels of blame and responsibility to AN sufferers. Men also had significantly lower biogenetic causal attributions. Compared with psychology students, medicine students exhibited slightly greater anticipation of negative reactions in response to AN, obtained higher selfish/vain scores and considered sociocultural factors to contribute "a lot" in the development and maintenance of AN.

CONCLUSIONS

Overall, results indicate interventions aimed at improving ED mental health literacy are needed, specifically targeting males and potentially medical students.

摘要

背景

神经性厌食症(AN)是一种高度污名化的疾病,其治疗通常涉及多学科护理。因此,了解和比较新兴心理健康和医疗专业人员对 AN 的态度,包括基于性别的差异,对于促进有针对性的污名干预措施的发展是相关的。

目的

检查新兴医疗和心理健康专业人员对 AN 的自愿污名化。

方法

参与者(N=126)为医学(n=41)和心理学学生(n=85),他们完成了一系列态度结果测量(例如,因果归因量表、饮食障碍污名量表、意见量表、特征量表和情感反应量表)。

结果

在两个学科中,男性都表现出明显更高的饮食障碍(ED)污名,认为 AN 是一种更轻微和脆弱的疾病,并将更大的责任归咎于 AN 患者。男性的生物遗传归因也明显较低。与心理学学生相比,医学学生对 AN 表现出更大的负面反应预期,获得了更高的自私/虚荣分数,并认为社会文化因素对 AN 的发展和维持有“很大”的影响。

结论

总体而言,结果表明需要针对 ED 心理健康素养的干预措施,特别是针对男性和潜在的医学生。

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