Lewandowska Aleksandra, Jankowski Mateusz, Gujski Mariusz, Duda-Zalewska Aneta, Jedrusik Piotr, Silczuk Andrzej
Children Psychiatry Unit Specialized Psychiatric Health Care Centre in Lodz, 91-229 Lodz, Poland.
Department of Population Health, Centre of Postgraduate Medical Education, 01-826 Warsaw, Poland.
J Clin Med. 2025 Jun 28;14(13):4586. doi: 10.3390/jcm14134586.
: Globally, one in eight people live with a mental disorder, with depression being a leading cause of disability. This study aimed to identify sociodemographic factors associated with public belief and perception of mental disorders among adults in Poland. : A cross-sectional study with a self-prepared questionnaire (5-point Likert scale) was administered to a nationally representative quota sample of 1114 Polish adults (March 2025). The computer-assisted web interview (CAWI) method was applied. : A cross-sectional survey of 1114 adults found that 23.2% had visited psychiatrists, 15.9% psychotherapists, and 21.1% reported a family history of mental disorders. Most respondents (73.8%) believed employers are reluctant to hire individuals with mental disorders, and 53.8% perceived discrimination. Additionally, 19.4% thought mental health patients receive lower-quality care than those with physical illnesses like diabetes. Respondents from large cities (≥500,000 residents, aOR: 1.67; 95%CI: 1.11-2.51; = 0.01), with higher education (aOR: 1.62; 95%CI: 1.26-2.07; < 0.001), or a family history of mental disorders ( < 0.05) were more likely to hold this view. Higher education (aOR: 1.47; 95%CI: 1.11-1.94; = 0.01), good economic status (aOR: 1.60; 1.06-2.40; = 0.02), and personal psychiatric experience (aOR: 1.89; 95%CI: 1.24-2.87; = 0.003) increased belief in treatment effectiveness. Males (aOR: 1.88; 95%CI: 1.36-2.61; < 0.001) and medium-city residents (aOR: 1.82; 95%CI: 1.01-3.27; = 0.04) more often perceived mental disorders as a sign of weakness, while women (aOR: 1.74; 95%CI: 1.36-2.22; < 0.001) and those with affected relatives ( < 0.05) more frequently reported discrimination. Older respondents ( < 0.05), those with higher education (aOR: 1.65), and individuals with a family history of mental disorders ( < 0.05) were more likely to state that employers fear hiring people with psychiatric conditions. : These findings underscore the need for public health interventions to reduce stigma, improve awareness, and address misconceptions about mental disorders in Poland.
在全球范围内,八分之一的人患有精神障碍,抑郁症是导致残疾的主要原因。本研究旨在确定波兰成年人中与公众对精神障碍的信念和认知相关的社会人口因素。
一项采用自行编制问卷(5 点李克特量表)的横断面研究,对 1114 名波兰成年人(2025 年 3 月)进行了全国代表性配额抽样调查。采用了计算机辅助网络访谈(CAWI)方法。
对 1114 名成年人的横断面调查发现,23.2%的人曾拜访过精神科医生,15.9%拜访过心理治疗师,21.1%报告有精神障碍家族史。大多数受访者(73.8%)认为雇主不愿意雇佣有精神障碍的人,53.8%察觉到存在歧视。此外,19.4%的人认为心理健康患者得到的护理质量低于糖尿病等身体疾病患者。来自大城市(居民≥50 万,调整后比值比:1.67;95%置信区间:1.11 - 2.51;P = 0.01)、受过高等教育(调整后比值比:1.62;95%置信区间:1.26 - 2.07;P < 0.001)或有精神障碍家族史(P < 0.05)的受访者更有可能持有这种观点。高等教育(调整后比值比:1.47;95%置信区间:1.11 - 1.94;P = 0.01)、良好的经济状况(调整后比值比:1.60;1.06 - 2.40;P = 0.02)以及个人精神科经历(调整后比值比:1.89;95%置信区间:1.24 - 2.87;P = 0.003)增加了对治疗效果的信念。男性(调整后比值比:1.88;95%置信区间:1.36 - 2.61;P < 0.001)和中等城市居民(调整后比值比:1.82;95%置信区间:1.01 - 3.27;P = 0.04)更常将精神障碍视为软弱的表现,而女性(调整后比值比:1.74;95%置信区间:1.36 - 2.22;P < 0.001)和有亲属患病的人(P < 0.05)更频繁地报告存在歧视。年龄较大的受访者(P < 0.05)、受过高等教育的人(调整后比值比:1.65)以及有精神障碍家族史的人(P < 0.05)更有可能表示雇主害怕雇佣有精神疾病的人。
这些发现强调了在波兰开展公共卫生干预措施以减少耻辱感、提高认识并纠正对精神障碍误解的必要性。