Hartini Nurul, Fardana Nur Ainy, Ariana Atika Dian, Wardana Nido Dipo
Faculty of Psychology, Universitas Airlangga, Surabaya, Indonesia,
Psychol Res Behav Manag. 2018 Oct 31;11:535-541. doi: 10.2147/PRBM.S175251. eCollection 2018.
Mental health problems are serious issues in Indonesia. The prevalence of severe mental disorder in Indonesian population is 1.7‰. In community, people with mental disorder are often stigmatized, while in fact this stigmatization could negatively impact them. One of the most common form of discrimination toward people with mental disorder is the practice of pasung.
This research conducted a survey study on 1,269 respondents in East Java (in which the prevalence of severe mental disorder is 2.2‰). The instruments used were Community Attitudes towards Mental Illness (CAMI), Mental Health Knowledge Schedule (MAKS), and a sociodemographic questionnaire.
The result shows that better knowledge about mental health was associated with lower public stigma toward people with mental disorder. Significance differences in stigma toward people with mental illness were also found across groups of age, sex, experience of contact, history of mental disorder, attitude toward pasung, marital status, and income level.
The finding implies that anti-stigma interventions in Indonesia should consider associated sociodemographic factors and use psychosocial approach to improve literacy and contact with mental health patients.
心理健康问题在印度尼西亚是严重的问题。印度尼西亚人口中重度精神障碍的患病率为1.7‰。在社区中,精神障碍患者经常受到污名化,而事实上这种污名化会对他们产生负面影响。对精神障碍患者最常见的歧视形式之一是“关押”行为。
本研究对东爪哇的1269名受访者进行了调查研究(其中重度精神障碍的患病率为2.2‰)。使用的工具包括社区对精神疾病的态度(CAMI)、心理健康知识问卷(MAKS)和一份社会人口统计学调查问卷。
结果表明,对心理健康有更好的了解与公众对精神障碍患者较低的污名化相关。在年龄、性别、接触经历、精神障碍病史、对“关押”的态度、婚姻状况和收入水平等群体中,对精神疾病患者的污名化也存在显著差异。
该研究结果意味着,印度尼西亚的反污名化干预措施应考虑相关的社会人口统计学因素,并采用社会心理方法来提高对心理健康患者的认知和接触。