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采用基于网络的方法评估中国人群中对精神障碍的态度和知识。

Evaluation of attitudes and knowledge toward mental disorders in a sample of the Chinese population using a web-based approach.

机构信息

The Second Affiliated Hospital of Xinxiang Medical University, 388# Jianshe Road, Muye, Xinxiang, China.

Henan Key Laboratory of Biological Psychiatry (Xinxiang Medical University), 388# Jianshe Road, Muye, Xinxiang, China.

出版信息

BMC Psychiatry. 2018 Nov 20;18(1):367. doi: 10.1186/s12888-018-1949-7.

Abstract

BACKGROUND

People with mental disorders often encounter stigmatizing attitudes related to their conditions. Stigma often represents one of the critical obstacles that stand in the way of delivering mental health care. The main aim of the study was to assess the knowledge and attitudes toward mental disorders in a sample of the Chinese population; furthermore, we also aimed to identify and explore the socio-demographic characteristics associated with specific knowledge and attitudes towards psychiatric disorders.

METHODS

A cross-sectional survey was created and delivered through an Internet chat application over the period June-December 2017. The Mental Health Knowledge Questionnaire and the Perceived Devaluation and Discrimination Scale were used to evaluate the participants' mental health knowledge and attitudes toward mental disorders.

RESULTS

A total of 1087 participants were recruited in for our survey. The mean score of the MHKQ and PDD were (15.89 ± 2.69) and (33.77 ± 6.66), respectively. Univariate analyses showed that young people and rural residents tended to show more positive attitudes toward mental disorders with respect to older people and urban residents (P < 0.05). People with higher education levels, those who had contact with people with mental disorders, and those who learned about mental disorders by personal encounter resulted to have had higher MHKQ scores (P < 0.05).

CONCLUSIONS

In our sample of the Chinese population, negative attitudes toward mental disorders were often reported. General education programs may not be an effective way to decrease stigma, while anti-stigma campaigns targeted for specific groups, such as urban residents and the older people, should be carried out in the future in China.

摘要

背景

精神障碍患者经常会遇到与他们的病情相关的污名化态度。污名通常是精神卫生保健面临的关键障碍之一。本研究的主要目的是评估中国人群样本中的精神障碍知识和态度;此外,我们还旨在确定和探讨与特定精神障碍知识和态度相关的社会人口学特征。

方法

我们创建了一个横断面调查,并通过 2017 年 6 月至 12 月期间的网络聊天应用程序进行了调查。使用心理健康知识问卷和感知贬值与歧视量表评估参与者的心理健康知识和对精神障碍的态度。

结果

我们共招募了 1087 名参与者。MHKQ 和 PDD 的平均得分分别为(15.89±2.69)和(33.77±6.66)。单因素分析显示,与老年人和城市居民相比,年轻人和农村居民对精神障碍的态度更为积极(P<0.05)。具有较高教育水平、与精神障碍患者接触过以及通过个人接触了解精神障碍的人,MHKQ 得分较高(P<0.05)。

结论

在我们的中国人群样本中,经常报告对精神障碍的负面态度。一般教育计划可能不是减少污名化的有效途径,而针对特定群体(如城市居民和老年人)的反污名化运动应在中国未来开展。

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