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强迫症和精神分裂症的公众污名:真的有区别吗?

Public stigma of obsessive compulsive disorder and schizophrenic disorder: Is there really any difference?

机构信息

Department of Psychology, Faculty of Arts, Dokuz Eylül University, Buca, İzmir, Turkey.

Department of Psychology, Faculty of Arts, Dokuz Eylül University, Buca, İzmir, Turkey.

出版信息

Psychiatry Res. 2019 Jan;271:559-564. doi: 10.1016/j.psychres.2018.12.065. Epub 2018 Dec 10.

Abstract

A substantial delay for help-seeking is a serious problem for people with obsessive-compulsive disorder (OCD), a heterogeneous and debilitating mental health condition. Stigma is a major barrier to treatment seeking and further cause social and occupational impairment. Lack of comprehensive research led us to examine the public's stigmatizing attitudes towards checking, contamination, sexuality, aggression, and religion-related OCD symptoms, compared to schizophrenia. After reading one of six random case vignettes, 621 adults completed social distance scale. Analysis of Covariance or ANCOVA indicated that social distance towards violence and sexuality-related OCD symptoms and schizophrenia did not differ; but social distance for those was higher than religion, contamination, and checking subtypes. Although the contamination vignette did not differ from religion and checking vignettes, the theme of religion had a higher social distance than checking symptoms. Consequently, the current findings imply that there is a difference in public stigma among various symptoms of OCD and symptoms related to sexuality and violence, as well as schizophrenia, are associated with more social rejection. Thus, the general public needs access to educational methods of intervention and contact to eliminate stigma and improve the quality of life for people with mental health disorders.

摘要

寻求帮助的大量延迟是强迫症(OCD)患者的一个严重问题,这是一种异质性和使人衰弱的心理健康状况。污名是寻求治疗的主要障碍,进一步导致社会和职业障碍。缺乏全面的研究促使我们检查公众对检查、污染、性、攻击和与宗教相关的 OCD 症状的污名化态度,与精神分裂症进行比较。在阅读六个随机案例简介中的一个后,621 名成年人完成了社会距离量表。协方差或 ANCOVA 分析表明,针对暴力和与性相关的 OCD 症状和精神分裂症的社会距离没有差异;但与宗教、污染和检查亚型相比,这些症状的社会距离更高。尽管污染案例与宗教和检查案例没有差异,但宗教主题的社会距离高于检查症状。因此,目前的研究结果表明,在 OCD 的各种症状以及与性和暴力相关的症状以及精神分裂症中,公众污名存在差异,与更多的社会排斥有关。因此,普通大众需要获得干预和接触的教育方法,以消除污名化,提高精神健康障碍患者的生活质量。

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