Kucukparlak İlker, Fikret Giynas Ferzan, Gica Sakir
Private Practice, Istanbul, Turkey.
Department of Psychiatry, University of Health Sciences, Istanbul Erenköy Psychiatric and Neurological Diseases Training and Research Hospital, Istanbul, Turkey.
Psychiatry Clin Psychopharmacol. 2023 Dec 1;33(4):272-279. doi: 10.5152/pcp.2023.23615. eCollection 2023 Dec.
The aim of the study was to investigate the relationship between the vaccination rates and vaccine hesitancy and the adoption of conspiracy theories by patients with severe mental illness in Türkiye.
Ninety-eight outpatients with schizophrenia and 105 outpatients with bipolar disorder were included. A sociodemographical data form, a survey on beliefs and conspiracy theories on vaccines and Vaccine Hesitancy Scale were obtained. Vaccinated and unvaccinated groups were compared and evaluated separately for patients with schizophrenia and bipolar disorder.
Sixty-one (62.24%) patients in the schizophrenia group and 86 (81.90%) patients in the bipolar disorder group were vaccinated, and the vaccination rate in the schizophrenia group was significantly lower ( = .002). There was no significant difference in terms of Vaccine Hesitancy Scale scores or adoption of any particular conspiracy theory between patients with schizophrenia and bipolar groups. However, vaccinated and unvaccinated patients of schizophrenia and bipolar disorder groups differed in terms of adopting beliefs and conspiracy theories on vaccines. Sixty-five (75.58%) of the vaccinated patients in the bipolar group agreed with the statement "vaccines are safe," while this rate was 8 (42.11%) in the unvaccinated patients ( = .004). In the schizophrenia group, however, the main difference between the vaccinated and unvaccinated patients was adopting the beliefs that "vaccines have serious side effects" and "vaccines may cause homosexuality" ( = .0341 and = .003, respectively).
The vaccination status of patients with schizophrenia might be under the stronger influence of conspiracy theories and specialized mental health interventions may be needed to ensure vaccination in patients with schizophrenia.
本研究旨在调查土耳其重症精神疾病患者的疫苗接种率、疫苗犹豫情况与接受阴谋论之间的关系。
纳入98名精神分裂症门诊患者和105名双相情感障碍门诊患者。获取了一份社会人口统计学数据表格、一份关于疫苗的信念和阴谋论的调查问卷以及疫苗犹豫量表。分别对精神分裂症患者和双相情感障碍患者的接种组和未接种组进行比较和评估。
精神分裂症组中有61名（62.24%）患者接种了疫苗，双相情感障碍组中有86名（81.90%）患者接种了疫苗，精神分裂症组的疫苗接种率显著更低（P = 0.002）。精神分裂症组和双相情感障碍组患者在疫苗犹豫量表得分或接受任何特定阴谋论方面没有显著差异。然而，精神分裂症和双相情感障碍组的接种和未接种患者在接受关于疫苗的信念和阴谋论方面存在差异。双相情感障碍组中65名（75.58%）接种患者同意“疫苗是安全的”这一说法，而未接种患者中的这一比例为8名（42.11%）（P = 0.004）。然而，在精神分裂症组中，接种和未接种患者之间的主要差异在于接受“疫苗有严重副作用”和“疫苗可能导致同性恋”的信念（分别为P = 0.0341和P = 0.003）。
精神分裂症患者的疫苗接种状况可能受到阴谋论的更强影响，可能需要专门的心理健康干预措施来确保精神分裂症患者接种疫苗。
