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荷兰青少年及家庭中心医生对自闭症知识及对精神疾病污名化态度的新见解。

Novel Insights into Autism Knowledge and Stigmatizing Attitudes Toward Mental Illness in Dutch Youth and Family Center Physicians.

作者信息

van 't Hof Maarten, van Berckelaer-Onnes Ina, Deen Mathijs, Neukerk Monique C, Bannink Rienke, Daniels Amy M, Hoek Hans W, Ester Wietske A

机构信息

Sarr Expert Centre for Autism, Lucertis Child and Adolescent Psychiatry, Carnissesingel 51, 3083 JA, Rotterdam, The Netherlands.

Parnassia Psychiatric Institute, Kiwistraat 30, 2552 DH, The Hague, The Netherlands.

出版信息

Community Ment Health J. 2020 Oct;56(7):1318-1330. doi: 10.1007/s10597-020-00568-w. Epub 2020 Feb 11.

Abstract

Professionals' limited knowledge on mental health and their stigmatizing attitudes toward mental illness can delay the diagnosis of autism. We evaluated the knowledge on Autism Spectrum Disorder (ASD) and stigmatizing attitudes in 93 physicians at Dutch Youth and Family Centers (YFC). These physicians screen for psychiatric symptoms in children. We show that their general ASD knowledge scored 7.1 (SD 1.2), but their specific ASD knowledge was only 5.7 (SD 1.7) (weighted means on 1-10 scale, 1 = least knowledge, 10 = most knowledge). Our physicians had positive attitudes toward mental illness (CAMI scores 2.18 (SD 0.33) to 2.22 (SD 0.40) on a 5-point Likert scale) but they had higher levels of stigmatizing attitudes than other Western healthcare professionals. Their levels were considerably lower than in non-Western professionals. We found no relations between ASD knowledge, stigmatizing attitudes and demographic variables. In conclusion, ASD knowledge and stigmatizing attitudes toward mental illness in Dutch YFC physicians require attention.

摘要

专业人员对心理健康的了解有限,以及他们对精神疾病的污名化态度可能会延迟自闭症的诊断。我们评估了荷兰青少年与家庭中心(YFC)的93名医生对自闭症谱系障碍(ASD)的了解以及污名化态度。这些医生负责筛查儿童的精神症状。我们发现,他们的一般ASD知识得分是7.1(标准差1.2),但他们的特定ASD知识得分仅为5.7(标准差1.7)(1-10分制的加权平均分,1 = 知识最少,10 = 知识最多)。我们的医生对精神疾病持积极态度(在5点李克特量表上,CAMI得分从2.18(标准差0.33)到2.22(标准差0.40)),但他们的污名化态度水平高于其他西方医疗保健专业人员。他们的水平远低于非西方专业人员。我们发现ASD知识、污名化态度与人口统计学变量之间没有关联。总之,荷兰YFC医生的ASD知识以及对精神疾病的污名化态度需要引起关注。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2121/7434787/4f58db7b6068/10597_2020_568_Fig2_HTML.jpg

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