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Related Experiment Videos

Schizophrenia: is it time to replace the term?

Y Ono1, Y Satsumi, Y Kim

  • 1Committee on Concepts and Terminology of Psychiatric Disorders, Japanese Society of Psychiatry and Neurology, Tokyo.

Psychiatry and Clinical Neurosciences
|August 25, 1999
PubMed
Summary

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Japanese psychiatrists

Area of Science:

  • Psychiatry
  • Mental Health Research
  • Sociology of Medicine

Background:

  • Schizophrenia diagnosis disclosure is a complex issue in psychiatric practice.
  • Cultural and linguistic factors can influence how mental health information is communicated.
  • The Japanese term for schizophrenia, 'Seishin Bunretsu Byou,' carries significant stigma.

Purpose of the Study:

  • To investigate Japanese psychiatrists' attitudes towards disclosing schizophrenia diagnoses to patients.
  • To examine the influence of the term 'schizophrenia' and its Japanese translation on disclosure practices.
  • To identify factors affecting psychiatrists' decisions regarding diagnosis communication.

Main Methods:

  • A self-reported questionnaire was distributed to members of the Japanese Society of Psychiatry and Neurology.

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  • Data from 110 respondents were analyzed.
  • Tree analysis was employed to identify key predictors of disclosure.

    • Main Results:

    • Significant variation exists in psychiatrists' conceptualizations of schizophrenia.
    • 59% of psychiatrists disclosed the diagnosis on a case-by-case basis; 37% informed families only.
    • Assumptions about schizophrenia's public image and negative impressions of the Japanese term were key predictors for non-disclosure.

    Conclusions:

    • The Japanese term 'Seishin Bunretsu Byou' significantly impacts psychiatrists' decisions to inform patients about their schizophrenia diagnosis.
    • Changing to a less stigmatized term could promote greater information disclosure to patients.
    • Addressing the stigma associated with the term schizophrenia is crucial for improving patient communication.