大学生心理疾病耻感的干预研究

Zhang Junrui, Wen Xu, Ren Hongxu, Qian Ming-yi, Liu Jun, Zhao Zhengzheng, Sun Xuhai
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摘要

目的探讨大学生对精神疾病的自动内隐态度和外显污名,以及对精神疾病污名的干预效果。方法采用单类别内隐联想测验(SC-IAT)和问卷调查对北京大学30名在校大学生的内隐和外显精神疾病污名程度进行调查,并考察教育和接触两种策略的效果。数据采用SPSS 22.0统计软件进行t检验和方差分析。结果SC-IAT在大学生认知评价、情绪反应和行为倾向三个维度上的D值分别为0.29±0.37、0.24±0.43和0.10±0.43,情绪反应维度和0(t=4.069,P 0.05)。接受教育干预后,“你认为以下哪些情况被认为是精神不健康?”和“以下哪些障碍是精神疾病”问题的正确率(42±13)%,(54±13))增加((49±12)%,结论大学生存在隐性精神疾病污名,教育和接触干预策略有助于提高大学生对相关知识的理解,不能改善大学生对精神疾病的隐性污名水平。关键词:精神疾病污名化;隐性污名;单类别内隐联想测验;污名干预
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Intervention study on the stigma of mental illness in college students
Objective To investigate the automatic implicit attitude and explicit stigma of mental illness, and the intervention effectiveness on the stigma of mental illness in college students. Methods Single category implicit association test(SC-IAT) and questionnaire survey were used to study the degree of implicit and explicit mental illness stigma among 30 college students of Peking University, and investigated the effect of two strategies, education and contact.Data were analyzed by SPSS 22.0 with t-test and variance analysis. Results The D values of SC-IAT in the three dimensions of cognitive evaluation, emotional response and behavioral tendency of college students were 0.29±0.37, 0.24±0.43, and 0.10±0.43.There was a statistically significant difference between the cognitive evaluation dimension, the emotional response dimension and 0(t=4.069, P 0.05). The correct rates of questions "Which of the following situations do you think are considered mentally unhealthy? " and "Which of the following disorders are mental illnesses" (42±13)%, (54±13)%) increased after receiving educational intervention ((49±12)%, (64±13)%), the difference was statistically significant (F=3.682, P<0.05; F=3.576, P<0.05). Conclusion College students have implicit mental illness stigma, educational and contact intervention strategies can help improve college students' understanding of relevant knowledge, and cannot improve the level of implicit stigma of college students on mental illness. Key words: Mental illness stigma; Implicit stigma; Single category implicit association test; Stigma intervention
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期刊介绍: "Chinese Journal of Behavioral Medicine and Brain Science" (CN 37-1468/R, ISSN 1674-6554) is a national academic journal under the supervision of the National Health Commission, sponsored by the Chinese Medical Association and Jining Medical College. The journal was founded in June 1992 and was formerly known as "Chinese Journal of Behavioral Medicine" (1992-1993) and "Chinese Behavioral Medical Science" (1994-2008). In 2009, it was renamed "Chinese Journal of Behavioral Medicine and Brain Science" with the approval of the State Administration of Press, Publication, Radio, Film and Television. The purpose of "Chinese Journal of Behavioral Medicine and Brain Science" is to implement the health and health policies of the Party and the State, implement the principle of combining theory with practice and popularization and improvement, and reflect the major progress in the theory and practical application of behavioral medicine and brain science in my country. It publishes academic papers and scientific research results in the field of behavioral medicine and brain science in my country, and has columns such as monographs/reviews, basic research, clinical research, health prevention, methods and techniques, psychological behavior and evaluation, and systematic evaluation.
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