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台湾某大学医学生对精神分裂症改名的影响。

Effects of Renaming Schizophrenia on Destigmatization among Medical Students in One Taiwan University.

机构信息

Department of Psychiatry and Psychiatric Research Center, Wan Fang Hospital, Taipei Medical University, Taipei 116, Taiwan.

Graduate Institute of Humanities in Medicine, Taipei Medical University, Taipei 110, Taiwan.

出版信息

Int J Environ Res Public Health. 2021 Sep 4;18(17):9347. doi: 10.3390/ijerph18179347.

Abstract

The stigma associated with serious mental illnesses causes a huge burden on patients, their families, and society. In October 2012, in Taiwan, schizophrenia was renamed to reduce the stigma associated with this disease. The aim of this study was to compare the differences of public stigma, self-stigma, and social distance associated with schizophrenia between old and new name of schizophrenia in medical students. A cross-sectional survey was administered to 180 medical students of Taipei Medical University from October 2014 to February 2015. In total, 123 complete questionnaires were included in this study. Participants completed the modified attribution questionnaire, the perceived psychiatric stigma scale, and modified social distance scale to assess public stigma, self-stigma, and social distance, respectively. We also collected basic demographic data and previous experience of contact with people with mental illness. In total, 52 and 71 of the first- and fourth-year medical students, respectively, participated in the study. Among them, there were 51 females and 72 males. A significant difference in age was observed between the first- and fourth-year groups (20.2 ± 1.7 years vs. 22.7 ± 0.9 years, < 0.001). After renaming schizophrenia, we noted significant differences in the scores in the modified attribution questionnaire, the perceived psychiatric stigma scale, and the modified social distance scale in all participants and the fourth-year students, respectively. Female gender (Beta = 0.230, = 0.018) was significantly associated with the difference in the score of the modified attribution questionnaire after name change. The difference in the score of the perceived psychiatric stigma scale after the name change (Beta = 0.277, = 0.004) and age (Beta = -0.186, = 0.049) were significantly associated with the difference in the score of the modified social distance scale after name change. In conclusion, renaming was associated with the changes in the scores of the modified attribution questionnaire, the perceived psychiatric stigma scale, and the modified social distance scale toward individuals with schizophrenia in medical students of one Taiwan university. Further studies with large sample sizes, diverse participant backgrounds, and that monitor the subsequent behavioral changes are warranted.

摘要

与严重精神疾病相关的污名将给患者、他们的家庭和社会带来巨大负担。2012 年 10 月,台湾将精神分裂症改名为“思觉失调症”,以减少这种疾病相关的污名。本研究的目的是比较精神分裂症新旧名称在医学生中对精神分裂症的公众污名、自我污名和社会距离的差异。2014 年 10 月至 2015 年 2 月,对台北医学大学的 180 名医学生进行了横断面调查。共有 123 名完整的问卷纳入本研究。参与者完成了修改后的归因问卷、感知精神病学污名量表和改良社会距离量表,分别评估公众污名、自我污名和社会距离。我们还收集了基本的人口统计学数据和以前与精神病患者接触的经验。共有 52 名和 71 名一年级和四年级医学生分别参加了这项研究。其中,女性 51 名,男性 72 名。一年级和四年级组的年龄差异有统计学意义(20.2 ± 1.7 岁比 22.7 ± 0.9 岁,<0.001)。在给精神分裂症改名后,我们注意到所有参与者和四年级学生在修改后的归因问卷、感知精神病学污名量表和修改后的社会距离量表的评分上都有显著差异。女性性别(β=0.230,=0.018)与改名后修改后的归因问卷评分差异显著相关。改名后感知精神病学污名量表评分的差异(β=0.277,=0.004)和年龄(β=-0.186,=0.049)与改名后修改后的社会距离量表评分的差异显著相关。总之,在一所台湾大学的医学生中,给精神分裂症改名与修改后的归因问卷、感知精神病学污名量表和修改后的社会距离量表对精神分裂症个体的评分变化有关。需要进一步进行样本量大、参与者背景多样并监测后续行为变化的研究。

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