在人口层面运动中使用的信息,以减少与精神健康有关的耻辱:共识发展研究。

Sarah Clement, Manuela Jarrett, Claire Henderson, Graham Thornicroft
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引用次数: 119

摘要

目的:就应将哪种类型的信息纳入人口层面的运动中,以减少与精神健康有关的耻辱,形成并衡量共识。方法:参加心理健康污名国际会议的32名专家小组参与了共识发展练习。采用了一种改良的名义小组技术,包括两轮投票、研究证据概述和小组讨论。结果:对于所呈现的两种信息类型(i)以康复为导向和(ii)见人信息,存在高度共识(>或= 80%);对于(iii)社会包容/人权和(iv)精神障碍信息的高患病率,存在合理共识(>或= 70%)。根据参与者是精神科医生还是有精神疾病的个人经历,评分有所不同。对定性数据的分析揭示了四个主题:(i)消除精神疾病患者的"他者性"的信息的好处;(ii)有关病原学的信息存在问题;(iii)信息的影响取决于特定受众;(iv)需要特定的电文包。结论:本研究支持康复导向短信和视人短信的使用。社会包容/人权信息和精神疾病高发的信息也值得考虑。
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Messages to use in population-level campaigns to reduce mental health-related stigma: consensus development study.

Aim: To develop and measure consensus about which type of message should be included in population-level campaigns to reduce mental health-related stigma.

Methods: A panel of 32 experts attending an international conference on mental health stigma participated in a consensus development exercise. A modified nominal group technique was used incorporating two voting rounds, an overview of research evidence and group discussion.

Results: There was high consensus (> or = 80%) regarding the inclusion of two of the message types presented--(i) recovery-oriented and (ii) see the person messages, and reasonable consensus (> or = 70%) regarding (iii) social inclusion/human rights and (iv) high prevalence of mental disorders messages. Ratings differed according to whether the participant was a psychiatrist or had personal experience of mental ill health. Analysis of the qualitative data revealed four themes: (i) benefits of messages countering the 'otherness' of people with mental ill health; (ii) problematic nature of messages referring to aetiology; (iii) message impact being dependent on the particular audience; (iv) need for specific packages of messages.

Conclusions: This study supports the use of recovery-oriented messages and see the person messages. Social inclusion/human rights messages and high prevalence of mental disorders messages also merit consideration.

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