情绪和焦虑症患者所感受到的耻辱和歧视:世卫组织葡萄牙世界精神卫生调查结果

IF 2.5 4区 医学 Q2 PSYCHIATRY European Journal of Psychiatry Pub Date : 2022-10-01 DOI:10.1016/j.ejpsy.2022.06.001
Ana Antunes , Manuela Silva , Sofia Azeredo-Lopes , Graça Cardoso , José Miguel Caldas-de-Almeida
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引用次数: 3

摘要

背景和目的精神障碍的污名化仍然是一项公共卫生挑战,是医疗保健的一个重要障碍,并扩大了现有的社会不平等。这项研究旨在描述感知耻辱与精神障碍之间的联系。两个主要目标是评估感知耻辱感与12个月焦虑和情绪障碍之间的关系,并评估这些精神障碍患者中与感知耻辱感相关的因素。方法采用具有全国代表性的葡萄牙人口样本。参与者是讲葡萄牙语的成年人,年龄在18岁或以上,居住在该国大陆的永久住所。该调查由受过培训的非专业面试官在面对面环境中使用计算机辅助个人面试(CAPI)进行。结果结果显示,患有12个月焦虑和情绪障碍的人遭受耻辱的可能性增加了两倍,与没有焦虑和情绪紊乱的人相比,后者略高。在患有这些精神障碍的子样本中,退休(或其他)、患有精神共病以及同时患有精神和身体障碍的参与者报告感知耻辱的几率更高。结论这项研究的结果突出表明,有必要将污名化视为葡萄牙公共卫生的优先事项,并制定政策来提高人们的认识,促进精神障碍患者的社会包容。
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Perceived stigma and discrimination among persons with mood and anxiety disorders: Results from the WHO World Mental Health Survey Portugal

Background and objectives

The stigma attached to mental disorders remains a public health challenge, represents an important barrier to healthcare and widens existing social inequalities.

This study aimed to characterize the association between perceived stigma and mental disorders. The two main objectives were to estimate the association between perceived stigma and 12-month anxiety and mood disorders, and to assess the factors associated with perceived stigma among persons with these mental disorders.

Methods

A nationally representative sample of the Portuguese population was used. Participants were Portuguese-speaking adults, aged 18 or above and residing in permanent dwellings in the country's mainland. The survey was administered by trained lay interviewers using a computer assisted personal interview (CAPI) on a face-to-face setting.

Results

The results showed a two-fold increase in the likelihood of experiencing stigma among individuals with 12-month anxiety and mood disorders, slightly higher in the latter, when compared with individuals without. Among the sub-sample with these mental disorders, participants retired (or others), with psychiatric comorbidity and with co-occurrence of psychiatric and physical disorders had higher odds of reporting perceived stigma.

Conclusions

The findings of this study highlight the need to consider stigma as a public health priority in Portugal and to develop policies to create awareness and promote the social inclusion of persons with mental disorders.

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来源期刊
CiteScore
2.90
自引率
0.00%
发文量
40
审稿时长
43 days
期刊介绍: The European journal of psychiatry is a quarterly publication founded in 1986 and directed by Professor Seva until his death in 2004. It was originally intended to report “the scientific activity of European psychiatrists” and “to bring about a greater degree of communication” among them. However, “since scientific knowledge has no geographical or cultural boundaries, is open to contributions from all over the world”. These principles are maintained in the new stage of the journal, now expanded with the help of an American editor.
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