在英国"改变时间"计划之后,调查精神疾病污名和歧视的变化
Amy Ronaldson1, Claire Henderson1
1Centre for Implementation Science, Health Service and Population Research Department, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, UK.
BJPsych open
|November 6, 2024
概括
在2019年之前,心理健康的耻辱感下降了,但到2023年,一些收益会逆转. 公众对精神疾病和歧视的态度有所改善,但知识和社会距离措施却下降.
科学领域:
- 心理健康研究 心理健康研究
- 社会心理学 社会心理学
- 公共卫生政策 公共卫生政策
背景情况:
- "改变的时间"运动 (2008-2021) 旨在减少英格兰的心理健康耻辱和歧视.
- 之前的报道表明,在活动活动期间,公众对心理健康的态度和行为发生了显著的积极变化.
研究的目的:
- 通过检查到2023年的心理健康态度,评估 stigma 减少努力的长期可持续性.
- 为了确定在2008年至2019年期间观察到的心理健康耻辱的改善是否在活动结束后仍然存在.
主要方法:
- 使用了对心理疾病态度调查 (2008/2009-2023) 数据的回归分析.
- 测量了与耻辱相关的知识 (MAKS),态度 (CAMI) 和社会距离 (RIBS).
- 结果与英国社会态度调查数据对互动意愿和工作场所歧视进行比较.
主要成果:
- 社区对精神病患者的态度 (CAMI) 评分总体上有所改善,但在2019年之后却有所下降.
- 心理健康知识表 (MAKS) 和报告和预期行为量表 (RIBS) 在2023年的得分恢复到2009年的水平,显示知识和互动意愿下降.
- 英国社会态度调查数据显示,与抑郁症/精神分裂症患者互动的意愿增加,对工作场所歧视的态度改善.
结论:
- 虽然心理健康污名化减少的某些方面已经回落,但对非歧视和互动的支持仍然存在.
- 改变时机运动的结束,COVID-19大流行和经济压力可能解释了观察到的下降.
- 持续的积极变化与熟悉和社会普遍向非歧视转变有关.
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