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在新加坡,公众对精神障碍患者的耻辱 - - 有什么变化吗?
Mythily Subramaniam1, Shazana Shahwan2, Edimansyah Abdin2
1Research Division, Institute of Mental Health, 539747, Singapore; Saw Swee Hock School of Public Health, National University of Singapore, 117549, Singapore; Lee Kong Chian School of Medicine, Nanyang Technological University, 639798, Singapore.
Asian journal of psychiatry
|November 21, 2025
概括
在新加坡,对精神疾病的耻辱和社会隔离已经减少,特别是对个人的看法是"弱而不是生病". 然而,社会距离仍然是一个问题,表明知识和行为之间的差距.
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
- 公共卫生监督 公共卫生监督
背景情况:
- 精神疾病的耻辱是一种普遍的全球性问题.
- 了解和减少耻辱对公共健康至关重要.
- 之前的研究强调需要持续监测公众的态度.
研究的目的:
- 评估当前对新加坡七种精神障碍的耻辱和社会距离的程度.
- 追踪自2015年精神健康素养研究以来的耻辱和社会距离的变化.
- 确定与新加坡人口中耻辱相关的社会人口因素.
主要方法:
- 在4195名新加坡居民 (18-65岁) 中,采用了基于图片的方法.
- 从2022年9月到2024年2月通过采访收集的数据 (62.3%的响应率).
- 抑郁症耻辱度表和社会距离度表测量了个人耻辱和社会距离.
主要成果:
- 与2015年相比,观察到"弱而不是病" (p<0.001),"危险/不可预测" (p=0.005) 和"社会距离" (p=0.004) 维度的显著减少.
- "弱而不是病"的维度显示出最大的下降 (-8.4%).
- "危险/不可预测" (-3.1%) 和"社交距离" (-2.8%) 的降幅较小.
结论:
- 新加坡大规模的反污名化倡议似乎与减少"弱不病"污名化有关.
- 持续的"社会距离"耻辱表明公众的知识和行为意图之间存在差距.
- 持续监测对于维持积极趋势和制定有效的行为污名化减少策略至关重要.
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