Office for Mental Health Support, Division for Counseling and Support,The University of Tokyo,7-3-1 Hongo,Bunkyo-ku,Tokyo 113-8654,Japan.
Department of Psychiatric Rehabilitation,National Institute of Mental Health,National Center of Neurology and Psychiatry,4-1-1 Ogawa-Higashi,Kodaira,Tokyo 187-8553,Japan.
Epidemiol Psychiatr Sci. 2018 Apr;27(2):199-208. doi: 10.1017/S2045796016001050. Epub 2016 Dec 19.
Public stigma alters attitudes towards people with mental illness, and is a particular concern for young people since most mental health problems occur in adolescence and young adulthood. However, little is known about the long-term effects of repeated filmed social contact (FSC) on reducing mental health-related stigma among young adults in the general population, compared with self-instructional Internet search (INS) and control interventions.
This study is a parallel-group randomised controlled trial over 12 months conducted in Tokyo, Japan. A total of 259 university students (male n = 150, mean age = 20.0 years, s.d. = 1.2) were recruited from 20 colleges and universities between November 2013 and July 2014, without being provided information about the mental health-related survey or trial. Participants were assigned to one of three groups before completion of the baseline survey (FSC/INS/control = 89/83/87). The FSC group received a computer-based 30-min social contact film with general mental health education and five follow-up web-based FSCs at 2-month intervals. The INS group undertook a 30-min search for mental health-related information with five follow-up web-based reminders for self-instructional searches at 2-month intervals. The control group played PC games and had no follow-up intervention. The main outcome measures were the future (intended behaviour) domain of the Reported and Intended Behaviour Scale at 12 months after the intervention. Analysis was conducted in September 2015.
At the 12-month follow-up, 218 participants completed the survey (84.1%, 75:70:73). The FSC group showed the greatest change at the 12-month follow-up (FSC: mean change 2.11 [95% CI 1.49, 2.73], INS: 1.04 [0.29, 1.80], control: 0.71 [0.09, 1.33]; FSC v. INS p = 0.037, FSC v. controls p = 0.004). No adverse events were reported during the follow-up period.
FSC was more successful in reducing stigma at 12 months after intervention than INS or control interventions. FSC could be used to reduce stigma in educational lectures and anti-stigma campaigns targeted at young people.
This study is registered at UMIN-CTR (No. UMIN000012239).
公众污名会改变人们对精神病患者的态度，这是年轻人特别关注的问题，因为大多数精神健康问题发生在青春期和成年早期。然而，与自我指导的互联网搜索（INS）和对照组相比，对于重复的拍摄社交接触（FSC）在减少普通人群中年轻人的心理健康相关污名方面的长期影响，我们知之甚少。
这是一项在日本东京进行的为期 12 个月的平行组随机对照试验。2013 年 11 月至 2014 年 7 月期间，从 20 所大学和高校共招募了 259 名大学生（男性 n = 150，平均年龄 = 20.0 岁，标准差 = 1.2），他们在完成基线调查之前未提供有关心理健康调查或试验的信息。参与者在完成基线调查前被分为三组（FSC/INS/对照 = 89/83/87）。FSC 组接受了一项 30 分钟的基于计算机的社交接触电影，其中包含一般心理健康教育和五次后续的每两个月一次的基于网络的 FSC。INS 组进行了 30 分钟的心理健康相关信息搜索，并进行了五次后续的基于网络的自我指导搜索提醒，时间间隔为两个月。对照组玩电脑游戏，没有后续干预。主要结局指标是干预后 12 个月时报告和意向行为量表的未来（预期行为）领域。分析于 2015 年 9 月进行。
在 12 个月的随访中，有 218 名参与者完成了调查（84.1%，75:70:73）。FSC 组在 12 个月的随访中变化最大（FSC：平均变化 2.11 [95%CI 1.49, 2.73]，INS：1.04 [0.29, 1.80]，对照组：0.71 [0.09, 1.33]；FSC v. INS p = 0.037，FSC v. 对照组 p = 0.004）。在随访期间未报告不良事件。
与 INS 或对照组干预相比，FSC 在干预后 12 个月内更成功地减少了污名。FSC 可用于减少教育讲座和针对年轻人的反污名运动中的污名。
本研究在 UMIN-CTR 注册（注册号：UMIN000012239）。
