Hankir Ahmed, Zaman Rashid, Geers Benjamin, Rosie Gus, Breslin Grainne, Barr Lilly, Carrick Frederick R, Anderson Sal
Leeds York Partnership NHS Foundation Trust, Leeds, UK,
Psychiatr Danub. 2017 Sep;29(Suppl 3):307-312.
There is a preponderance of mental health problems in students on a global scale which can have a considerable effect on their academic performance and a profound impact on their quality of life. Many universities offer free counselling services however despite this a recent study in the US revealed that up to 84% of students who screened positive for depression or anxiety did not receive any treatment. There are many obstacles that students with mental health problems encounter that prevents them from receiving care, foremost among these is stigma. Film based interventions are showing promise at challenging stigma which can subsequently lower the barriers to accessing and using mental health services for students who need them.
We conducted a single-arm, pre-post comparison study on arts students from the London College of Communication. Participants were exposed to the Wounded Healer film, a motion picture featuring a protagonist who is a doctor with first-hand experience of psychological distress. Validated stigma scales on knowledge (Mental Health Knowledge Schedule (MAKS)), behaviour (Reported and Intended Behaviour Scale (RIBS)) and attitudes (Community Attitudes towards the Mentally Ill (CAMI)) were administered on participants before and immediately after exposure to the intervention.
21/28 (78%) of the participants recruited for the study responded. The mean age of respondents was 22 years (Std. Dev 2.20). There was an increase in the MAKS score after students viewed the Wounded Healer film indicating lower levels of stigma in mental health knowledge however this change was not statistically significant.
A previous study on the Wounded Healer film demonstrated a reduction in stigma among healthcare students. The results of this pilot study, however, suggest that a film featuring a protagonist who is not from the same background as the audience may not be effective at reducing mental health stigma in that group. This is consistent with the results of recent research that revealed that an anti-stigma intervention that is effective in one group may not necessarily be effective in other groups. Our findings, however, must be interpreted with caution due to the limitations of this study. Future research with a prospective study design, a larger sample size and a control group exposed to a film with a protagonist who shares the same background as the audience is needed.
全球范围内，学生群体中存在大量心理健康问题，这会对他们的学业成绩产生相当大的影响，并对他们的生活质量产生深远影响。许多大学提供免费咨询服务，然而，尽管如此，美国最近的一项研究显示，在抑郁症或焦虑症筛查呈阳性的学生中，高达84%的人没有接受任何治疗。有心理健康问题的学生在接受治疗时会遇到许多障碍，其中最主要的是耻辱感。基于电影的干预措施在挑战耻辱感方面显示出前景，这随后可以降低有需要的学生获得和使用心理健康服务的障碍。
我们对伦敦传媒学院的艺术专业学生进行了一项单组前后对比研究。参与者观看了《受伤的治愈者》这部电影，片中主角是一位有心理困扰亲身经历的医生。在参与者接触干预措施之前和之后，立即对他们进行了关于知识（心理健康知识量表（MAKS））、行为（报告和预期行为量表（RIBS））和态度（社区对精神疾病患者的态度（CAMI））的经过验证的耻辱感量表测试。
招募参加该研究的28名参与者中有21名（78%）做出了回应。受访者的平均年龄为22岁（标准差2.20）。学生观看《受伤的治愈者》电影后，MAKS得分有所增加，表明心理健康知识方面的耻辱感水平有所降低，但这一变化在统计学上并不显著。
之前一项关于《受伤的治愈者》电影的研究表明，医学生中的耻辱感有所降低。然而，这项试点研究的结果表明，一部主角与观众背景不同的电影可能无法有效降低该群体中的心理健康耻辱感。这与最近的研究结果一致，即一种在一个群体中有效的反耻辱干预措施不一定在其他群体中也有效。然而，由于本研究的局限性，我们的研究结果必须谨慎解读。未来需要进行前瞻性研究设计、更大样本量以及有与观众背景相同主角的电影对照组的研究。
