Department of Psychology, University of Toronto Scarborough, Toronto, ON, Canada; Graduate Department of Psychological Clinical Science, University of Toronto Scarborough, Toronto, ON, Canada M1C 1A4.
Department of Psychology, University of Toronto Scarborough, Toronto, ON, Canada; Graduate Department of Psychological Clinical Science, University of Toronto Scarborough, Toronto, ON, Canada M1C 1A4.
Psychiatry Res. 2021 Mar;297:113724. doi: 10.1016/j.psychres.2021.113724. Epub 2021 Jan 15.
Social exclusion towards individuals with schizophrenia can occur as a result of stigmatizing attitudes towards the diagnosis or as a response to observing atypical behaviours resulting from symptoms. The present study examined social exclusion towards schizophrenia as a function of diagnosis awareness and presence of negative symptoms. 64 healthy participants watched four different videos of confederates who were either labelled / not labelled with schizophrenia and displayed / did not display negative symptoms. Participants ranked their preference for social interaction with individuals in ten different activities and were told that they would complete the activities based on their rankings. A significant interaction between label and symptoms was found as knowledge of diagnosis increased desire for social distance if symptoms were absent and decreased desire for social distance if symptoms were present. A main effect of symptom presence was also found as participants displayed greater desire to complete activities with individuals not displaying symptoms than participants displaying symptoms but there was no effect of diagnostic label. Social exclusion appears to be dependent on both presence of negative symptoms and knowledge of diagnosis. It may be useful to focus on increasing public acceptance of specific symptom presentations in public mental health campaigns.
社会对精神分裂症患者的排斥可能是由于对诊断的污名化态度，或者是由于观察到症状导致的异常行为而产生的。本研究考察了社会对精神分裂症的排斥与诊断意识和阴性症状的关系。64 名健康参与者观看了四个不同的同伙视频，这些同伙被贴上/未贴上精神分裂症标签，并表现出/未表现出阴性症状。参与者对与个体在十种不同活动中的社交互动进行了排名，并被告知他们将根据排名完成活动。研究发现，标签和症状之间存在显著的相互作用，如果没有症状，对社会距离的渴望会随着诊断知识的增加而增加，如果有症状，对社会距离的渴望会减少。症状存在也存在主要影响，因为与不表现出症状的个体相比，参与者更愿意完成有症状个体的活动，但诊断标签没有影响。社会排斥似乎既取决于阴性症状的存在，也取决于对诊断的了解。在公共心理健康宣传中，关注增加公众对特定症状表现的接受程度可能是有用的。
