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关于有心理健康问题者危险性的观念:媒体报道及个人遭受威胁或伤害经历的作用。

Beliefs about dangerousness of people with mental health problems: the role of media reports and personal exposure to threat or harm.

作者信息

Reavley N J, Jorm A F, Morgan A J

机构信息

Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, 207 Bouverie Street, Parkville, Melbourne, VIC, 3010, Australia.

School of Psychology and Public Health, La Trobe University, Bundoora, Australia.

出版信息

Soc Psychiatry Psychiatr Epidemiol. 2016 Sep;51(9):1257-64. doi: 10.1007/s00127-016-1215-6. Epub 2016 Apr 5.

Abstract

PURPOSE

To assess the associations between beliefs about the dangerousness of people with mental health problems and exposure to media reports of violence or personal experiences of fear, threat or harm.

METHODS

Telephone interviews were carried out with 5220 Australians aged 18+. Respondents heard a vignette of a person with depression or early schizophrenia and were asked whether they believed him to be dangerous. Other questions covered past 12-month recall of media reports of violence and mental health problems, contact with and experiences of fear, threat or harm by people with mental health problems. Multinomial logistic regression was used to assess the associations between beliefs about dangerousness and media and these types of contact with people with mental health problems.

RESULTS

For the early schizophrenia vignette, recall of media reports and having felt afraid of someone were associated with beliefs about dangerousness. For the depression vignette, media reports about violence and mental health problems or the experiences of feeling afraid or having been threatened or harmed were not strongly associated with beliefs about dangerousness. For both vignettes, knowing someone with a mental health problem and having a higher level of education were associated with less belief in dangerousness.

CONCLUSIONS

Media reports may play a greater role in forming attitudes in low prevalence disorders and further efforts to reduce any adverse impact of media reporting should focus on these disorders. The study also supports the effectiveness of contact with people with mental health problems in reducing beliefs about dangerousness.

摘要

目的

评估对有心理健康问题者危险性的看法与接触暴力相关媒体报道或个人恐惧、威胁或伤害经历之间的关联。

方法

对5220名18岁及以上的澳大利亚人进行了电话访谈。受访者听取了一个关于患有抑郁症或早期精神分裂症患者的描述,并被问及他们是否认为此人具有危险性。其他问题涉及过去12个月内对暴力及心理健康问题媒体报道的回忆、与有心理健康问题者的接触以及恐惧、威胁或伤害经历。采用多项逻辑回归分析来评估对危险性的看法与媒体以及与有心理健康问题者的这类接触之间的关联。

结果

对于早期精神分裂症的描述,对媒体报道的回忆以及曾害怕某人与对危险性的看法相关。对于抑郁症的描述,关于暴力和心理健康问题的媒体报道或感到害怕、受到威胁或伤害的经历与对危险性的看法没有强烈关联。对于这两种描述,认识有心理健康问题的人以及受教育程度较高与对危险性的看法较低相关。

结论

媒体报道在形成对低患病率疾病的态度方面可能发挥更大作用,进一步努力减少媒体报道的任何不利影响应聚焦于这些疾病。该研究还支持与有心理健康问题者接触在减少对危险性看法方面的有效性。

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