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智力障碍个体与合并精神分裂症个体感知的研究:标签对污名的影响。

An examination of perceptions of individuals with an intellectual disability, with and without co-morbid schizophrenia: effects of labels on stigma.

机构信息

College of Applied Behavioral Sciences, The University of Indianapolis, Indianapolis, IN, USA.

出版信息

J Intellect Disabil Res. 2018 Jun;62(6):544-556. doi: 10.1111/jir.12494. Epub 2018 Apr 26.

Abstract

BACKGROUND

Research demonstrates negative perceptions of individuals with intellectual disabilities (ID) and individuals with schizophrenia, but no study has examined ID with a co-morbid psychiatric disorder. The present study examined the social distance desired from and perceptions of dangerousness of ID, schizophrenia and co-morbid schizophrenia and ID and examined the impact of providing a label for the behaviours presented in a vignette.

METHODS

A total of 160 participants, all university students, were randomly assigned to one of six vignettes detailing a person with schizophrenia, ID, or a person with both presenting problems. Half of the participants were randomly assigned to read vignettes that had a label provided for the behaviours of the target.

RESULTS

Participants desired more social distance from the unlabelled than labelled targets. Presence of schizophrenia resulted in increased social distance, but co-morbid ID and schizophrenia elicited less desire for social distance than schizophrenia alone. Schizophrenia resulted in more perceived danger, but labelled co-morbid schizophrenia and ID resulted in little perceived danger.

CONCLUSIONS

Labels resulted in positive outcomes, particularly, when ID was co-morbid with schizophrenia. Schizophrenia stigma appears to be impacted by an ID label, indicating educating the public about the spectrum of co-morbidity may be useful.

摘要

背景

研究表明,人们对智力障碍(ID)个体和精神分裂症个体存在负面看法,但尚无研究检查同时患有 ID 和精神分裂症的个体。本研究考察了人们希望与 ID、精神分裂症以及同时患有精神分裂症和 ID 的个体保持的社会距离,以及对呈现行为的感知危险程度,并检验了为个案描述中呈现的行为提供标签的影响。

方法

共有 160 名参与者,均为大学生,被随机分配到六个个案描述中的一个,详细描述了一个患有精神分裂症、ID 或同时存在这些问题的人。一半的参与者被随机分配阅读为目标行为提供标签的个案描述。

结果

与未标记的目标相比,参与者希望与标记的目标保持更大的社会距离。存在精神分裂症会导致更大的社会距离,但与精神分裂症相比,同时患有 ID 和精神分裂症导致的社会距离减少。精神分裂症导致更多的感知危险,但标记的同时患有精神分裂症和 ID 的案例则导致很少的感知危险。

结论

标签产生了积极的结果,特别是当 ID 与精神分裂症共病时。精神分裂症的污名似乎受到 ID 标签的影响,这表明向公众宣传共病的范围可能是有用的。

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