Department of Psychology, Second University of Naples.
School of Psychology, University of East London.
Am J Orthopsychiatry. 2017;87(5):559-566. doi: 10.1037/ort0000217. Epub 2016 Dec 15.
This study explored the relationships between General Practitioners' (GPs) beliefs about People With Schizophrenia (PWS) and GPs' recommendations regarding restrictions for such people when in medical (nonpsychiatric) hospital, and whether these relationships were mediated by dangerousness perception. There were 322 randomly selected Italian GPs who completed a questionnaire measuring beliefs about PWS. Structural Equation Model (SEM) was used to explore the effects of these beliefs on the GPs' views about the need for restrictive rules in hospital. Thirty-1 percent of GPs firmly believed that, in medical wards, PWS should be supervised and 18% that they should be separated from other patients. SEM revealed that belief in such differential treatment was positively related to a belief that PWS need medication for the rest of their lives, and to perceptions of others' need for social distance, and of dangerousness. Dangerousness was, in turn, positively related to the belief that PWS need medication for their lives, and to a perception of the need for social distance, but negatively related to perceived capacity to report health problems. Analyses of indirect effects showed that the relationships of belief in discriminatory treatment with belief in medication for life and with perceived social distance were mediated by perceived dangerousness. GPs' attitudes about PWS appear closely with their beliefs on discriminatory behaviors in hospital, and the mediating role of dangerousness perceptions. Providing GPs with education about schizophrenia treatments and prognosis, and countering stereotypes about dangerousness, could be helpful to reduce GPs' beliefs in the need for discriminatory treatment of PWS. (PsycINFO Database Record
本研究探讨了全科医生（GP）对精神分裂症患者（PWS）的信念与 GP 对 PWS 在非精神病医院的医疗限制建议之间的关系，以及这些关系是否受到危险感知的影响。有 322 名随机选择的意大利全科医生完成了一份测量对 PWS 信念的问卷。结构方程模型（SEM）用于探讨这些信念对 GP 对医院中需要限制规则的看法的影响。31%的 GP 坚信 PWS 在医疗病房应该受到监督，18%的 GP 坚信他们应该与其他患者分开。SEM 显示，对这种区别对待的信念与认为 PWS 需要终身服药以及认为他人需要社会距离和危险感知呈正相关。反过来，危险感知与认为 PWS 需要终身服药以及认为需要社会距离的感知呈正相关，但与感知到报告健康问题的能力呈负相关。间接效应分析表明，对歧视性治疗的信念与对终身服药的信念和对感知到的社会距离的信念之间的关系受到危险感知的中介。GP 对 PWS 的态度似乎与其对医院中歧视性行为的信念以及对危险感知的中介作用密切相关。为 GP 提供关于精神分裂症治疗和预后的教育，并反驳关于危险的刻板印象，可能有助于减少 GP 对 PWS 需要歧视性治疗的信念。
