EPIUnit - Institute of Public Health, University of Porto, Portugal; Laboratory for Integrative and Translational Research in Population Health (ITR), Porto, Portugal.
Faculty of Psychology and Education Science, University of Porto, Portugal; Centre for Psychology, University of Porto, Portugal.
Psychiatry Res. 2022 Feb;308:114356. doi: 10.1016/j.psychres.2021.114356. Epub 2021 Dec 22.
University students are a risk group for developing mental illness, but they do not receive the care they need because of hampered help-seeking induced by stigma. This study evaluates the effects of a video-based stigma reduction intervention and help-seeking attitudes promotion in university students. We randomly distributed a sample of university students among one control group (CG, n = 188) and two intervention groups (IG-1, n = 222 and IG-2, n = 216): IG-1 watched a contact-based video and IG-2 the same video plus a psychoeducational video. The study followed an experimental single-blind randomized control trial design with a pre-test before the intervention (M0), a post-test, and a follow-up test. We evaluated participants using a sociodemographic questionnaire, the Attitudes Toward Seeking Professional Psychological Help Questionnaire, the Depression Stigma Scale, the 9-item Patient Health Questionnaire, and the 7-item Generalized Anxiety Disorder. A total of 626 participants with a mean age of 19.85 (SD=1.48) responded to all evaluation moments. At M0, there were no differences between groups on stigma or help-seeking attitudes. Immediately after the intervention, stigma levels significantly decreased, and help-seeking attitudes significantly improved. These effects persisted for the next five months. Video-based depression stigma reduction intervention can be an essential tool to reduce depression stigma and improve help-seeking attitudes.
大学生是患精神疾病的高风险群体，但由于污名化导致寻求帮助受阻，他们并没有得到所需的关怀。本研究评估了基于视频的减少污名化干预和促进大学生寻求帮助态度的效果。我们将大学生样本随机分配到对照组（CG，n=188）和两个干预组（IG-1，n=222 和 IG-2，n=216）：IG-1 观看基于接触的视频，IG-2 则观看相同的视频外加一个心理教育视频。该研究采用实验性单盲随机对照试验设计，在干预前（M0）、干预后和随访测试中进行了预测试。我们使用社会人口学问卷、寻求专业心理帮助态度问卷、抑郁污名量表、9 项患者健康问卷和 7 项广泛性焦虑障碍量表评估参与者。共有 626 名参与者的平均年龄为 19.85（SD=1.48），他们在所有评估时刻都做出了回应。在 M0 时，各组在污名或寻求帮助态度方面没有差异。干预后立即，污名化水平显著下降，寻求帮助的态度显著改善。这些效果持续了接下来的五个月。基于视频的抑郁污名化干预可以成为减少抑郁污名和改善寻求帮助态度的重要工具。
