患有严重抑郁症的人报告的经历和预期的歧视的全球模式:一个横截面调查
Antonio Lasalvia1, Silvia Zoppei, Tine Van Bortel
1Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Verona, Italy. antonio.lasalvia@univr.it
Lancet (London, England)
|October 23, 2012
概括
歧视对患有严重抑郁症的成年人产生重大影响,阻碍了社会和职业融合. 解决耻辱对改善寻求帮助和治疗抑郁症的结果至关重要.
科学领域:
- 心理健康研究 心理健康研究
- 全球卫生研究 全球卫生研究
- 精神病学流行病学 精神病学流行病学
背景情况:
- 大型抑郁症是全球领先的健康负担.
- 歧视和耻辱严重影响世界各地的抑郁症患者.
- 了解抑郁症歧视的多面性质至关重要.
研究的目的:
- 在全球范围内评估患有严重抑郁症的成年人经历和预期的歧视.
- 调查经历过的歧视与临床病史,医疗保健提供和诊断披露之间的关系.
- 检查预期的歧视,披露和以前的歧视经历之间的关联.
主要方法:
- 在35个国家对1082名被诊断患有严重抑郁症的成年人进行了横截面调查.
- 使用歧视和污名度量表 (DISC-12) 来衡量经历和预期的歧视.
- 采用多变量回归分析来确定有意义的关联.
主要成果:
- 79%的参与者报告在至少一个生活领域经历过歧视.
- 经历过歧视与更多的终身抑郁症发作,精神病医院入院和较差的社会功能有关.
- 更高的经历歧视与更低的愿意披露抑郁症诊断相关.
结论:
- 对抑郁症患者来说,歧视是社会参与和职业成功的重要障碍.
- 抑郁症的不披露进一步阻碍了寻求帮助和有效治疗.
- 新的策略对于预防和减轻抑郁症相关的耻辱的影响至关重要.
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