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对重度精神疾病患者歧视行为的结构模型分析

Structural Model Analysis of Discriminatory Behavior Toward People With Severe Mental Illness.

作者信息

Yang Ok Kyung, Kim Sung-Wan, Hyun Jinhee, Lee KiYeon, Paik Jong-Woo, Lee Yu-Ri

机构信息

Department of Social Welfare, Ewha Womans University, Seoul, Republic of Korea.

Department of Psychiatry, Chonnam National University Medical School, Gwangju, Republic of Korea.

出版信息

Psychiatry Investig. 2022 Jun;19(6):480-487. doi: 10.30773/pi.2021.0364. Epub 2022 Jun 15.

Abstract

OBJECTIVE

This study aimed to determine how prejudice and attitude toward people with severe mental illness, formed through exposure to the mass media, affect discriminatory behavior toward them.

METHODS

Between September and November 2019, demographic data were collected using an online survey of 622 adults residing in South Korea. The scales used in this study were taken from the 2008 survey by the National Human Rights Commission of Korea. Structural equation modeling was performed for a comparative analysis of the direct and indirect effects.

RESULTS

Virtual experience through mass media exposure had a statistically significant effect on prejudice against people with severe mental illness. Direct experience had a positive influence on reducing prejudice and discriminatory behavior. The direct effects of prejudice on discriminatory behavior were significant. In terms of indirect effects, the full mediating effect of prejudice was significant for the virtual experience through the mass media-prejudice-discriminatory behavior path, and the partial mediating effect of prejudice was significant on the direct experience-prejudice-discrimination behavior path.

CONCLUSION

This study recommends more careful reporting of mental illness in the media, promoting anti-stigmatization programs that provide opportunities for direct contact between the public and people with severe mental illness.

摘要

目的

本研究旨在确定通过接触大众媒体形成的对严重精神疾病患者的偏见和态度如何影响对他们的歧视行为。

方法

2019年9月至11月期间,通过对居住在韩国的622名成年人进行在线调查收集人口统计学数据。本研究使用的量表取自韩国国家人权委员会2008年的调查。进行结构方程模型以对直接和间接效应进行比较分析。

结果

通过大众媒体接触的虚拟体验对针对严重精神疾病患者的偏见具有统计学上的显著影响。直接体验对减少偏见和歧视行为有积极影响。偏见对歧视行为的直接影响显著。就间接效应而言,偏见的完全中介效应在大众媒体 - 偏见 - 歧视行为路径的虚拟体验方面显著,偏见的部分中介效应在直接体验 - 偏见 - 歧视行为路径上显著。

结论

本研究建议媒体更谨慎地报道精神疾病,推广反污名化项目,为公众与严重精神疾病患者提供直接接触的机会。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b667/9233951/74926f6ec6e0/pi-2021-0364f1.jpg

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