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俄罗斯与美国民众对抑郁症与精神分裂症的观念与态度存在差异。

Differences in beliefs and attitudes toward Depression and Schizophrenia in Russia and the United States.

机构信息

1 Higher School of Economics, Moscow, Russia.

2 The University of Tennessee, Knoxville, Knoxville, TN, USA.

出版信息

Int J Soc Psychiatry. 2019 Aug;65(5):388-398. doi: 10.1177/0020764019850220. Epub 2019 Jun 4.

Abstract

BACKGROUND

Cross-cultural studies find that culture shapes people's understanding of mental illnesses, particularly Depression and Schizophrenia.

AIMS

To compare individuals' beliefs and attitudes toward Depression and Schizophrenia in Russia and the United States.

METHOD

Participants (=607) were presented with vignettes of two diagnostically unlabeled psychiatric case histories and then answered questions regarding mental health literacy (MHL) and attitudes toward the person and the illness.

RESULTS

Our findings indicate that Depression was most often attributed to psychosocial stress while Schizophrenia was thought to be caused by biological factors. People from both countries considered those suffering from Schizophrenia to be unpredictable and dangerous. US participants were more likely to endorse lay and professional help for both disorders than their Russian counterparts. Russian participants reported being less likely to turn to someone they trust and more likely to deal with problems on their own. Russian participants were also more likely to view those with Depression as 'weak-willed' and leading an 'immoral lifestyle'.

CONCLUSION

Our findings further inform cultural understandings of these mental illnesses in an often neglected national group. Patterns suggest that both groups may benefit from exposure to corrective information about Depression and Schizophrenia.

摘要

背景

跨文化研究发现,文化塑造了人们对精神疾病的理解,尤其是抑郁症和精神分裂症。

目的

比较俄罗斯和美国个体对抑郁症和精神分裂症的信念和态度。

方法

参与者(=607)阅读了两个未经诊断标记的精神科病史案例,并回答了有关心理健康素养(MHL)和对人和疾病的态度的问题。

结果

我们的研究结果表明,抑郁症通常归因于心理社会压力,而精神分裂症被认为是由生物因素引起的。来自这两个国家的人都认为患有精神分裂症的人是不可预测和危险的。与俄罗斯参与者相比,美国参与者更有可能为这两种疾病寻求非专业和专业帮助。俄罗斯参与者报告说,他们不太可能求助于信任的人,而更有可能自己解决问题。俄罗斯参与者也更有可能认为患有抑郁症的人“意志薄弱”和过着“不道德的生活方式”。

结论

我们的研究结果进一步了解了这些精神疾病在一个经常被忽视的民族群体中的文化理解。这些模式表明,这两个群体都可能受益于关于抑郁症和精神分裂症的纠正信息。

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