BMC Psychiatry | |
A first national survey of knowledge, attitudes and behaviours towards schizophrenia, bipolar disorders and autism in France | |
Marion Leboyer2  Frédéric Rouillon3  Jan Scott2  Isabelle Durand-Zaleski1  | |
[1] FondaMental Foundation, Fondation de Coopération Scientifique Hôpital, A. Chenevier, 40, Rue de Mesly, Creteil, F-94000, France;Psychiatry Genetic, INSERM, U 955, IMRB, Creteil, F-94000, France;CMME –Hopital Sainte Anne, University Paris Descartes, INSERM U 1017 1 Rue Cabanis, F 75014, Paris, France | |
关键词: Behaviours; Attitudes; Discrimination; Stigma; Survey; Autism; Schizophrenia; Bipolar disorders; Mental health; | |
Others : 1124303 DOI : 10.1186/1471-244X-12-128 |
|
received in 2011-11-13, accepted in 2012-08-09, 发布年份 2012 | |
【 摘 要 】
Background
In order to support evidence-based policies for reduction of stigma, a better understanding of its components: ignorance (knowledge), prejudice (attitude) and discrimination (behaviour) is necessary. This study explores public perceptions and quantifies stigma for three chronic mental disorders: autism, schizophrenia and bipolar disorders in France.
Methods
Survey of 1000 adults selected from an established market research panel. The 21-item questionnaire explored knowledge, attitudes and behaviours toward each disorder.
Results
Although 95% respondents recognized the names of each disorder fewer than 70% could report specific characteristics and only 33% considered that publically available information was adequate; most respondents identified the media as their main resource. Labeling of conditions in a negative way was frequent (61%) when referring to mental disorders in general, but fell significantly (18%) when linked to an individual with a disorder. Individuals with schizophrenia are assumed to be dangerous; 65% respondents would engage in social distancing from such an individual, versus 29% for bipolar disorders and 7% for autism (p < 0.001). In contrast to other disorders, discrimination against schizophrenia was only partly attenuated in those with familiarity with mental disorders (through personal or family illness).
Conclusion
This first population-based survey in France shows that attitudes towards bipolar disorders and autism are less prejudicial than towards schizophrenia. However, most public attitudes and behaviours towards different disorders appear to be based on assumptions rather than knowledge or evidence suggesting a generic information or anti-stigma programme is unlikely to be effective.
【 授权许可】
2012 Durand-Zaleski et al.; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
---|---|---|---|
20150216070340290.pdf | 226KB | download | |
Figure 1. | 56KB | Image | download |
【 图 表 】
Figure 1.
【 参考文献 】
- [1]Jorm AF: Mental health literacy. Public knowledge and beliefs about mental disorders. Br J Psychiatry 2000, 177:396-401.
- [2]Kelly CM, Jorm AF: Stigma and mood disorders. Curr Opin Psychiatry 2007, 20(1):13-6.
- [3]Link BG, Yang LH, Phelan JC, Collins PY: Measuring mental illness stigma. Schizophr Bull 2004, 30(3):511-41.
- [4]Read J, Haslam N, Sayce L, Davies E: Prejudice and schizophrenia: a review of the 'mental illness is an illness like any other' approach. Acta Psychiatr Scand 2006, 114(5):303-18.
- [5]Sartorius N, Schulze H: Reducing the Stigma of Mental Illness: A report from a Global Association. Cambridge: Cambridge University Press; 2005.
- [6]Sayce L, Curran C: Tackling social exclusion across Europe. In Mental Health Policy and Practice across Europe:The future direction of mental health care. Edited by Martin K, David MD, Elias M, Graham T. Maidenhead: Open University Press; 2007. European Observatory on Health Systems and Policies, England p428
- [7]Dumesnil H, Verger P: Public awareness campaigns about depression and suicide: a review. Psychiatr Serv 2009, 60(9):1203-1213.
- [8]Link BG, et al.: Public conceptions of mental illness: labels, causes, dangerousness, and social distance. Am J Public Health 1999, 89:1328-1333.
- [9]Corrigan PW: Mental health stigma as social attribution: implications for research methods and attitude change. Clin Psychol Sci Pract 2000, 7:48-67.
- [10]Corrigan PW, Rowan D, Green A, Lundin R, River P, Uphoff-Wasowski K, White K, Kubiak MA: Challenging two mental illness stigmas: personal responsibility and dangerousness. Schizophr Bull 2002, 28(2):293-309.
- [11]Angermeyer MC, Matschinger H: Public beliefs about schizophrenia and depression: similarities and differences. Soc Psychiatry Psychiatr Epidemiol 2003, 38:526-533.
- [12]Rusch A: Stigma and discrimination in people suffering with a mood disorder: a cross-sectional study. J Affect Disord 2011. In Press
- [13]Rosen A, Walter G, Casey D: Combating psychiatric stigma: an overview of contemporary initiatives. Aust N Z J Psychiatry 2000, 8:19-26.
- [14]Weiner B, Perry RP, Magnusson J: An attributional analysis of reactions to stigmas. J Pers Soc Psychol 1988, 55:738-748.
- [15]Corrigan P, Markowitz FE, Watson A, Rowan D, Kubiak MA: An attribution model of public discrimination towards persons with mental illness. J Health Soc Behav 2003, 44(2):162-79.
- [16]Wolkenstein L, Meyer TD: What factors influence attitudes towards people with current depression and current mania? Int J Soc Psychiatry 2009, 55(2):124-140.
- [17]Quinn N, Schulman A, Knifton L, Byrne P: The impact of a national mental health arts and film festival on stigma and recovery. Acta Psychiatr Scand 2010.
- [18]Link BG, Phelan JC, Bresnahan M, Stueve A, Pescosolido BA: Public conceptions of mental illness: labels, causes, dangerousness, and social distance. Am J Public Health 1999, 89(9):1328-33.
- [19]Mak WW, Kwok YT: Internalization of stigma for parents of children with autism spectrum disorder in Hong Kong. Soc Sci Med 2010, 70(12):2045-51.
- [20]Nakane Y, Jorm AF: Public beliefs about causes and risk factors for mental disorders: a comparison of Japan and Australia. BMC Psychiatry 2005, 5:33. BioMed Central Full Text
- [21]Corrigan P, Backs Edwards A, Qreen A, Lickey TS, Perm DL: Prejudice, social distance, and familiarity with mental illness. Schizophr Bull 2001, 27(2):219-225.
- [22]Griffiths KM, Nakane Y, Christensen H, Yoshioka K, Jorm AF, Nakane H: Stigma in response to mental disorders: a comparison of Australia and Japan. BMC Psychiatry 2006, 6:21. BioMed Central Full Text
- [23]Wolff G, Pathare S, Craig T, Leff J: Community knowledge of mental illness and reaction to mentally ill people. Br J Psychiatry 1996, 168:191-198.
- [24]Denzin NK, Lincoln YS: (Eds): The Sage Handbook of Qualitative Research. 3rd edition. Thousand Oaks, CA: Sage; 2005.
- [25]Glendinning R, Buchanan T, Rose N: Well? What do you think?. Edinburgh Scottish Executive: A National Scottish Survey of Public attitudes to Mental Health Well Being and Mental health problems; 2004.
- [26]Schulze B, Richter-Werling M, Matscinger H, Angermeyer M: Crazy? So what! Effects of a school project on students attitudes towards people with schizophrenia. Acta Psychiatrica Scandanavica 2003, 107:142-150.
- [27]Thornicroft G, Rose D, Kassam A, Sartorius N: Stigma: ignorance, prejudice or discrimination? Br J Psychiatry 2007, 190:192-3.
- [28]Elbogen EB, Johnson SC: The intricate link between violence and mental disorder: results from the National Epidemiological Survey on Alcohol and Related Conditions. Arch Gen Psychiatry 2009, 66:2,152-161.
- [29]Corrigan PW, River LP, Lundin RK, Penn DL, Uphoff-Wasowski K, Campion J, Mathisen J, Gagnon C, Bergman M, Goldstein H, Kubiak MA: Three strategies for changing attributions about severe mental illness. Schizophr Bull 2001, 27(2):187-95.
- [30]Phelan JC, Link BG: The growing belief that people with mental illnesses are violent: the role of the dangerousness criterion for civil commitment. Soc Psychiatry Psychiatr Epidemiol 1998, 33(1):S7-12.
- [31]Vezzoli R, Archiati L, Buizza C, Pasqualetti P, Rossi G, Pioli R: Attitude towards psychiatric patients: a pilot study in a northern Italian town. Eur Psychiatry 2001, 16(8):451-8.