Wandsworth Home Treatment Team, South West London and St George's Mental Health NHS Trust, Springfield University Hospital, London, UK.
Population Health Research Institute, St George's, University of London, UK.
Int J Soc Psychiatry. 2022 Jun;68(4):866-872. doi: 10.1177/00207640211009558. Epub 2021 Apr 16.
Stigmatized attitudes towards people with mental illness may influence treatment choice for oneself and others.
To gauge the attitudes of the UK general public towards treatment at home for mental illness and to assess the extent to which non-acceptability was related to stigmatized attitudes.
Two hundred and two (101 female) people living in the UK completed an online (vignette) questionnaire in which we asked demographic details and personal experience of mental illness. To measure stigma, we used an adapted version of the Attitudes to Mental Illness Questionnaire (AMIQ) with vignettes asking about treatment at home and using scales for social distance and poor expectations; participants also filled in the Mental Health Knowledge Schedule (MAKS).
Participants did not evidence overall agreement with treatment at home for mental illness (i.e. >0; range = -16-to-+16, Mean () = 0.86, 95% confidence interval (CI) = -0.08, 1.80, = .073), although they showed significant agreement with treatment at home should they experience mental illness themselves (range = -8-to-+8, = 1.36, CI = 0.82, 1.89, < .001). Acceptability for treatment at home differed according to specific mental illness considered (range = -4-to-+4); depression ( = 0.47, CI = 0.13, 0.81, = .006) and alcohol abuse ( = 1.46, CI = 1.14,1.77, < .001) were considered suitable for being treated at home but schizophrenia was not ( = -0.78, CI = -1.13,-0.43, < .001). Multivariate analyses revealed that older age and attitudes indicating comfort with less social distance from people with mental illness were independently associated with treatment at home agreeability.
Public acceptability of home treatment for mental illness remains ambivalent in the UK, most obviously when considering treatment approaches for individuals other than themselves and for people with schizophrenia. Disagreement with home treatment is particularly evident in younger people and those who prefer less social contact with people with mental illness.
对精神疾病患者的污名化态度可能会影响他们自己和他人的治疗选择。
评估英国公众对精神疾病在家中治疗的态度，并评估不可接受程度与污名化态度的关系。
202 名（101 名女性）居住在英国的人完成了一份在线（情景）问卷，我们在问卷中询问了人口统计细节和精神疾病的个人经历。为了测量污名，我们使用了经过改编的精神疾病态度问卷（AMIQ）的一个版本，该问卷使用情景询问了在家中治疗的问题，并使用社会距离和不良预期量表；参与者还填写了心理健康知识量表（MAKS）。
参与者对精神疾病的家庭治疗总体上没有达成一致意见（即>0；范围=-16 到+16，平均值（）=0.86，95%置信区间（CI）=-0.08，1.80，=0.073），尽管他们在自己经历精神疾病时表现出对家庭治疗的显著一致（范围=-8 到+8，=1.36，CI=0.82，1.89，<0.001）。根据所考虑的特定精神疾病，家庭治疗的可接受性有所不同（范围=-4 到+4）；抑郁症（=0.47，CI=0.13，0.81，=0.006）和酒精滥用（=1.46，CI=1.14，1.77，<0.001）被认为适合在家中治疗，但精神分裂症则不适合（=0.78，CI=-1.13，-0.43，<0.001）。多变量分析显示，年龄较大和对与精神疾病患者保持较少社会距离的态度表示舒适与在家中治疗的可接受性独立相关。
在英国，公众对精神疾病家庭治疗的接受度仍然存在矛盾，特别是在考虑针对自己以外的人和精神分裂症患者的治疗方法时。对家庭治疗的反对意见在年轻人和那些更喜欢与精神疾病患者保持较少社会接触的人中尤为明显。
