Department of Psychiatry, Postgraduate Institute of Medical Education & Research, Chandigarh 160012, India.
Department of Psychiatry, Postgraduate Institute of Medical Education & Research, Chandigarh 160012, India.
Asian J Psychiatr. 2020 Feb;48:101909. doi: 10.1016/j.ajp.2019.101909. Epub 2019 Dec 17.
This study aimed to evaluate the extent to stigma experienced by the PMI in the hands of their family members and friends/colleagues in the form of commonly used labels and factors associated with use of various labels for persons with mental illnesses.
191 patients with severe mental illness (120 patients with mood disorders and 71 patients with psychotic illness) were assessed using a self-designed questionnaire for the derogatory labels faced by patients in the hands of their family members and friends/colleagues.
60 % and 39.8 % of the patients reported of being teased by the family members and friends/colleagues respectively for being suffering from mental illness. The most commonly used label/adjective by the family members was Aalsi (lazy) (20.9 %), followed by sustt (lethargic) (15.2 %) and paagal (mad) (14.1 %). The commonly used labels/adjectives by friends/colleagues were paagal (mad) (6.3 %), followed by darpok (coward) (5.2 %). Mean number of labels used by the family members and friends/co-workers were 5.93 and 3.4 respectively. Around one third of the patients (32.5 %) reported that seeking treatment is associated with facing these labels and due to the same they stopped or wanted to stop their treatment. Significantly higher numbers of labels were used for patients with psychotic disorders, when compared to those with affective disorders. Poor functioning was associated with use of significantly higher number of derogatory labels.
Stigmatizing labels are commonly used by family members and friends of the patients with severe mental illness and these cause significant distress to the patients. There is a need to make the society aware that there is a need to stop use of these derogatory labels.
本研究旨在评估精神疾病患者在家庭成员和朋友/同事手中所经历的污名程度，表现为常用标签以及与使用各种精神疾病患者标签相关的因素。
使用自行设计的问卷评估 191 名患有严重精神疾病的患者（120 名心境障碍患者和 71 名精神病患者），评估他们在家庭成员和朋友/同事手中所面临的贬损标签。
60%和 39.8%的患者分别报告因患有精神疾病而被家庭成员和朋友/同事嘲笑。家庭成员最常使用的标签/形容词是 Aalsi（懒惰）（20.9%），其次是 sustt（昏睡）（15.2%）和 paagal（疯狂）（14.1%）。朋友/同事最常使用的标签/形容词是 paagal（疯狂）（6.3%），其次是 darpok（懦夫）（5.2%）。家庭成员和朋友/同事使用的标签平均数量分别为 5.93 和 3.4。约三分之一的患者（32.5%）报告称，寻求治疗与面临这些标签有关，因此他们停止或想要停止治疗。与情感障碍患者相比，精神病患者使用的标签数量明显更多。功能较差与使用更多贬损标签相关。
严重精神疾病患者的家庭成员和朋友常用贬损标签来形容他们，这给患者带来了很大的痛苦。需要让社会意识到，需要停止使用这些贬损标签。
