Alsubaie Sultan, Almathami Mohammad, Alkhalaf Hanouf, Aboulyazid Ahmed, Abuhegazy Hesham
Department of Psychiatry, Armed Forces Hospital, Khamis Mushayt, Saudi Arabia.
Saudi Commission for Health Specialties, Riyadh, Saudi Arabia.
Neuropsychiatr Dis Treat. 2020 Oct 27;16:2467-2477. doi: 10.2147/NDT.S265872. eCollection 2020.
Our objectives are to assess the public attitude toward mentally ill people and mental health services and to compare the attitudes of those who have past history of mental illness, those who have been exposed to mentally ill people, and those who have not.
We conducted a cross-sectional study among subjects (=1268) in four Saudi Arabian cities (Riyadh, Abha, Dammam, and Jizan), recruiting participants from malls and parks. All participants were administered "the knowledge and attitudes toward mental illness and mental health services scale".
Participants were divided into three groups; non-exposed to mental illness group (=687, 54.1%), exposed to mental illness group (=305, 24%), and having past history of mental illness group (=276, 21.8%). Results revealed that non-exposed group had the lowest knowledge about mental illness ( <0.001). Exposed group had the best attitude toward mentally ill people (=0.002), mental health services (< 0.001), the lowest impact of traditional beliefs (<0.001), and the best help-seeking decisions ( = 0.001). Regression models show the variables that predicted attitude toward the mentally ill were the attitude toward mental health services (=0.001), impact of traditional beliefs (=0.001), and residency (=0.04). The predictors of attitude toward mental health services were impact of traditional beliefs (<0.001), knowledge (<0.001), and residency (=0.028). And the variables that account for predicting future decisions were impact of traditional beliefs (<0.001), attitude toward mental health services (=0.001), and having past history of mental illness (=0.006).
This study demonstrates significant differences in attitudes toward mental illness among different groups of participants. Lesser impact of traditional beliefs and better knowledge about mental illness were the factors most associated with better attitudes toward mentally ill people and mental health services and with better help-seeking behavior.
我们的目标是评估公众对精神疾病患者和心理健康服务的态度，并比较有精神疾病病史者、接触过精神疾病患者者和未接触过精神疾病患者者的态度。
我们在沙特阿拉伯的四个城市（利雅得、阿卜哈、达曼和吉赞）对1268名受试者进行了一项横断面研究，从商场和公园招募参与者。所有参与者都接受了“对精神疾病和心理健康服务的知识与态度量表”的测试。
参与者被分为三组；未接触过精神疾病组（687人，占54.1%）、接触过精神疾病组（305人，占24%）和有精神疾病病史组（276人，占21.8%）。结果显示，未接触过精神疾病组对精神疾病的了解最少（<0.001）。接触过精神疾病组对精神疾病患者的态度最佳（=0.002），对心理健康服务的态度最佳（<0.001），传统观念的影响最小（<0.001），寻求帮助的决策最佳（=0.001）。回归模型显示，预测对精神疾病患者态度的变量是对心理健康服务的态度（=0.001）、传统观念的影响（=0.001）和居住地（=0.04）。预测对心理健康服务态度的因素是传统观念的影响（<0.001）、知识（<0.001）和居住地（=0.028）。而预测未来决策的变量是传统观念的影响（<0.001）（<0.001）、对心理健康服务的态度（=0.001）和有精神疾病病史（=0.006）。
本研究表明不同组别的参与者对精神疾病的态度存在显著差异。传统观念影响较小以及对精神疾病有更好的了解是与对精神疾病患者和心理健康服务有更好的态度以及更好的寻求帮助行为最相关的因素。
