Patel Hardik V, Ilasariya Kalpesh J, Vora Vaishal N
Dept. of Psychiatry, Pramukhswami Medical College and Shree Krishna Hospital, Karamsad, Gujarat, India.
Dept. of Psychiatry, AMC MET Medical College and Sheth L.G. General Hospital Ahmedabad, Gujarat, India.
Indian J Psychol Med. 2023 Nov;45(6):585-590. doi: 10.1177/02537176231163744. Epub 2023 Apr 17.
The community misunderstands mental illness, resulting in stigmatizing attitudes toward persons with mental illness. High mental health literacy (MHL) among Accredited Social Health Activists (ASHA) workers can help spread mental health awareness to the community. The study aimed to assess the attitudes of ASHA workers toward the mentally ill.
A cross-sectional survey was conducted among ASHA workers in the city of Ahmedabad using the Community Attitude toward Mentally Ill (CAMI) scale - Gujarati version. Census sampling was used to collect data from ASHA workers at various Urban Health Centers (UHC). We analyzed 265 responses.
The mean (SD) of authoritarianism (AU), benevolence (BE), social restrictiveness (SR), and community mental health ideology (CMHI) subscales were 29.77(3.35), 35.33(3.78), 34.55(3.49), and 37.15(4.42), respectively (a higher mean suggests a negative attitude in the AU and SR subscales and a positive attitude in the BE and CMHI subscales).
Although ASHA workers displayed goodwill and a welcoming attitude on the BE and CMHI subscales, they showed negative and stigmatizing attitudes on certain items of the AU and SR subscales. This necessitates a widespread mental health education campaign and training program for them.
社区对精神疾病存在误解，导致对精神疾病患者持有污名化态度。经认证的社会健康活动家（ASHA）工作人员具备较高的心理健康素养（MHL），有助于向社区传播心理健康意识。本研究旨在评估ASHA工作人员对精神病患者的态度。
在艾哈迈达巴德市的ASHA工作人员中进行了一项横断面调查，使用了古吉拉特语版的《社区对精神病患者的态度》（CAMI）量表。采用普查抽样方法从各个城市健康中心（UHC）的ASHA工作人员那里收集数据。我们分析了265份回复。
威权主义（AU）、仁爱（BE）、社会限制（SR）和社区心理健康意识形态（CMHI）子量表的均值（标准差）分别为29.77（3.35）、35.33（3.78）、34.55（3.49）和37.15（4.42）（均值越高，表明AU和SR子量表上态度消极，BE和CMHI子量表上态度积极）。
尽管ASHA工作人员在BE和CMHI子量表上表现出善意和欢迎态度，但在AU和SR子量表的某些项目上表现出消极和污名化态度。因此有必要为他们开展广泛的心理健康教育活动和培训项目。
