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评估职业治疗专业学生参加反污名化课程后对精神疾病和身体残疾态度的变化。

Evaluating the Changes in Attitudes Towards Mental Illness and Physical Disabilities After an Anti-Stigma Course for Occupational Therapy Students.

作者信息

Ma Hui-Ing, Huang Yu-Ling, Yang Chia-Han, Hsieh Chu-En

机构信息

Department of Occupational Therapy, National Cheng Kung University, Tainan, Taiwan.

Institute of Allied Health Sciences, National Cheng Kung University, Tainan, Taiwan.

出版信息

Hong Kong J Occup Ther. 2025 Jul 9:15691861251357343. doi: 10.1177/15691861251357343.

Abstract

OBJECTIVE

This study assessed changes in attitudes towards mental illness and physical disabilities in occupational therapy (OT) students after an anti-stigma course (AS group) and compared the changes in attitudes with a control (CT group) attending a sociology course.

METHODS

A quasi-experimental design was used in this study with 65 OT students across two academic years (AS group: = 33; CT group: = 32). Stigmatizing attitudes and social distance towards mental illness and physical disabilities were measured before and after course completion.

RESULTS

Compared with the CT group, the AS group showed a significantly greater reduction in social distance towards mental illness ( = 1.974, = .027) and decreases in stigmatizing attitudes ( = 2.087, = .021) and social distance ( = 2.512, = .008) towards physical disabilities. In addition, both groups reported greater social distance towards mental illness than towards physical disabilities in both the pretest and posttest.

CONCLUSIONS

A multimodal anti-stigma course may decrease social distance towards mental illness as well as stigmatizing attitudes and social distance concerning physical disabilities among OT students. However, further refinement of the anti-stigma course, with a particular emphasis on mental health stigma, is warranted.

摘要

目的

本研究评估了职业治疗(OT)专业学生在参加反污名课程(AS组)后对精神疾病和身体残疾态度的变化,并将这些态度变化与参加社会学课程的对照组(CT组)进行比较。

方法

本研究采用准实验设计,涉及两个学年的65名OT专业学生(AS组:n = 33;CT组:n = 32)。在课程结束前后测量对精神疾病和身体残疾的污名化态度及社会距离。

结果

与CT组相比,AS组对精神疾病的社会距离显著降低(t = 1.974,p = .027),对身体残疾的污名化态度(t = 2.087,p = .021)和社会距离(t = 2.512,p = .008)也有所下降。此外,两组在预测试和后测试中均报告对精神疾病的社会距离大于对身体残疾的社会距离。

结论

多模式反污名课程可能会减少OT专业学生对精神疾病的社会距离以及对身体残疾的污名化态度和社会距离。然而,有必要进一步完善反污名课程,尤其要强调心理健康污名问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/beaf/12240984/07c218602f3f/10.1177_15691861251357343-fig1.jpg

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