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日本精神卫生专业人员的工作环境与对精神分裂症患者的污名化之间的关联

Association between Work Environments and Stigma towards People with Schizophrenia among Mental Health Professionals in Japan.

作者信息

Kato Yuichi, Chiba Rie, Yamaguchi Sosei, Goto Kyohei, Umeda Maki, Miyamoto Yuki

机构信息

Department of Nursing, Graduate School of Health Sciences, Kobe University, Kobe, Hyogo 654-0142, Japan.

Department of Community Mental Health & Law, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Tokyo 187-8553, Japan.

出版信息

Healthcare (Basel). 2021 Jan 21;9(2):107. doi: 10.3390/healthcare9020107.

Abstract

This study aimed to examine the association between control over practice in work environments and stigma toward people with schizophrenia among mental health professionals. We conducted secondary analyses on data from a self-administered questionnaire survey. The sample in the initial study included mental health professionals from two psychiatric hospitals, 56 psychiatric clinics, and community service agencies in Japan. The Ethics Committee of the University of Tokyo, approved this study. Data from 279 participants were used for secondary analyses (valid response rate = 58.7%). The hierarchical multiple regression analysis was used to determine the association between control over practice and stigma. We performed subgroup analyses among nurses ( = 121) and psychiatric social workers ( = 92). Control over practice was negatively associated with stigma among mental health professionals (β = -0.162, < 0.01). The subgroup analyses among nurses indicated that control over practice, educational history and recovery knowledge were associated with stigma. However, these variables were not associated with stigma among psychiatric social workers. Control over practice might help to reduce stigma among mental health professionals. Factors related to stigma might differ by occupation. Therefore, further comprehensive studies among various professionals would further our understanding of these factors.

摘要

本研究旨在探讨工作环境中的执业控制权与精神卫生专业人员对精神分裂症患者的污名化之间的关联。我们对一项自填式问卷调查的数据进行了二次分析。初始研究的样本包括来自日本两家精神病医院、56家精神科诊所和社区服务机构的精神卫生专业人员。东京大学伦理委员会批准了本研究。279名参与者的数据用于二次分析(有效回复率 = 58.7%)。采用分层多元回归分析来确定执业控制权与污名化之间的关联。我们对护士(n = 121)和精神科社会工作者(n = 92)进行了亚组分析。精神卫生专业人员中,执业控制权与污名化呈负相关(β = -0.162,p < 0.01)。护士亚组分析表明,执业控制权、教育背景和康复知识与污名化有关。然而,这些变量与精神科社会工作者的污名化无关。执业控制权可能有助于减少精神卫生专业人员的污名化。与污名化相关的因素可能因职业而异。因此,对不同专业人员进行进一步的综合研究将有助于我们更好地理解这些因素。

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