Villani Murielle, Kovess-Masfety Viviane
Fondation Pierre Deniker, 36 avenue Raymond Poincaré, Paris, France.
Laboratoire de Psychopathologie et Processus de Santé, Paris Descartes University, Paris, EA4057, France.
BMC Psychiatry. 2017 Apr 8;17(1):133. doi: 10.1186/s12888-017-1296-0.
In France, negative views on schizophrenia are pervasive, even among health professionals. Prior research suggests that the level of prejudice is lower when the illness is described with the example of a specific individual. This finding highlights the importance of designing local, targeted destigmatization campaigns. The present study aims to evaluate the benefits of a short intervention offering contact with psychiatric services users on reducing the stigma about mentally ill people, among a sample of Health Administrators and Students.
Data were collected before (Time 0) and after (Time 1) a short training intervention program proposed to a sample of 121 Health Services Administrators and Students. This four-day workshop explained the multiple causes of mental illness, the clinical implications of psychosis and various mental disorders, the subjective experience of mental illness and the legal evolutions of users' rights. The intervention was strongly based on live testimonies from users. Using a French version of the Attitudes to Mental Illness scale, we compared attitudes before and after the training intervention among 58 trainees having answered our questionnaire at Time 0 and Time 1.
After the training, a significantly lower endorsement of stigmatizing statements compared to baseline was found in one third (9 out of 27) of the items. These results plead for further research about the potential benefits of initiatives like this short intervention program on significantly reducing stigmatizing attitudes towards mentally ill people among Health Administrators and Students.
The present study highlights the importance of further studying the effect of targeted interventions that offer first hand contact with persons with mental illness.
在法国，对精神分裂症的负面看法普遍存在，即使在卫生专业人员中也是如此。先前的研究表明，当以特定个体为例描述疾病时，偏见程度较低。这一发现凸显了设计针对当地的反污名化运动的重要性。本研究旨在评估一项短期干预措施的效果，该措施让卫生管理人员和学生样本接触精神科服务使用者，以减少对精神疾病患者的污名化。
在向121名卫生服务管理人员和学生样本提出一项短期培训干预计划之前（时间0）和之后（时间1）收集数据。这个为期四天的研讨会解释了精神疾病的多种成因、精神病和各种精神障碍的临床影响、精神疾病的主观体验以及使用者权利的法律演变。该干预措施强烈基于使用者的现场证词。我们使用法语版的《对精神疾病的态度量表》，比较了在时间0和时间1回答我们问卷的58名受训者在培训干预前后的态度。
培训后，在三分之一（27项中的9项）的项目中，与基线相比，对污名化陈述的认同显著降低。这些结果呼吁进一步研究像这样的短期干预计划等举措在显著减少卫生管理人员和学生对精神疾病患者的污名化态度方面的潜在益处。
本研究强调了进一步研究提供与精神疾病患者直接接触的针对性干预措施效果的重要性。
