統合失調症患者に対する経験および予期される差別のグローバルパターン:横断的な調査
Graham Thornicroft1, Elaine Brohan, Diana Rose
1Health Service and Population Research Department, Institute of Psychiatry, King's College London, UK.
Lancet (London, England)
|January 24, 2009
まとめ
統合失調症の人は,人間関係や雇用において,しばしば重大な差別に直面します. この研究は,予想されるだけでなく経験されたスティグマの高い割合を強調し,世界的に生活の質に影響を与えています.
科学分野:
- 精神医学とメンタルヘルス
- 社会心理学 社会心理学とは
- 公衆衛生は公衆衛生である.
背景:
- 統合失調症は,社会的疎外,貧困,生活の質の低下につながる広範な汚名と関連しています.
- 差別の性質,方向性,深刻さを理解することは,効果的な介入策の開発に不可欠です.
研究 の 目的:
- 統合失調症患者の間で予期され,経験された差別の流行と特徴を記述する.
- 社会的関係,雇用,自己認識に対するスティグマの影響を評価する.
主な方法:
- 27カ国で統合失調症と診断された732人の参加者を対象に横断調査が行われました.
- 差別と汚名スケール (DISC) は,ポジティブな経験による差別,ネガティブな経験による差別,および予期される差別を測定するために使用されました.
主要な成果:
- 参加者のほぼ半分は,友人関係 (47%) と家族関係 (43%) でネガティブな差別を経験しました.
- 雇用における差別 (仕事を見つける/維持する) は27~29%,親密な関係では27%であった.
- 特に仕事 (64%) と人間関係 (55%) に関する差別が高く,72パーセントが診断を隠していた.
結論:
- 予期され,経験された差別の高い割合は,統合失調症患者の間で世界中で一般的です.
- 障害者差別に関する既存の法律は,自尊心を高め,社会的汚名と闘うための補完的な介入なしには不十分かもしれない.
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