Impact of perceived course of illness on the desire for social distance towards people with symptoms of schizophrenia in Hanoi, Vietnam

Martensen, Lara Kim; Hahn, Eric; Cao, Tien Duc; Schomerus, Georg; Nguyen, Main Huong; Böge, Kerem; Nguyen, Tat Dinh; Mungee, Aditya; Dettling, Michael; Angermeyer, Matthias C.; Ta, Thi Minh Tam

doi:10.1016/j.psychres.2018.05.046

Cited by 8 publications

(7 citation statements)

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“…The main finding of this study was that positive perceptions and attitudes concerning the course of illness correlated with reduced desire for social distance in India, replicating findings of previous well-established studies in different countries worldwide, independent of their economic developmental state (34,35). In Germany as well as Tunisia, the expectation of a person suffering from symptoms of schizophrenia regaining a healthy status leads to more pro-social activities and, consequently, less desire for social distance (36).…”

Section: Discussionsupporting

confidence: 84%

“…In Germany as well as Tunisia, the expectation of a person suffering from symptoms of schizophrenia regaining a healthy status leads to more pro-social activities and, consequently, less desire for social distance (36). Furthermore, Martensen et al (34) reported the same significant relationship between favorable perceptions of the course of an illness with lowered desire for social distance from a sample of the metropolitan region in Vietnam. This finding underlines the importance of spreading awareness at a societal level and providing psychoeducation to family members about schizophrenia and positive treatment outcomes of comprehensive bio-psycho-social interventions (37) to reduce desire for social distance from persons with schizophrenia in India.…”

Section: Discussionmentioning

confidence: 97%

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Perceived Course of Illness on the Desire for Social Distance From People Suffering From Symptoms of Schizophrenia in India

et al. 2022

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BackgroundStigmatization of people with schizophrenia remains a highly relevant topic worldwide, particularly in low- and middle-income countries like India. It is crucial to identify the determinants of the desire for social distance as a proxy for discriminatory behavior in a socio-cultural context to indicate ways to reduce stigma. This study aims to explore whether the public perception of the perceived course of an illness concerning people with symptoms of schizophrenia has an impact on the desire for social distance.Subjects and MethodsData collection took place in five cities in India. The sample (N = 447) was stratified for gender, age, and religion. Desire for social distance was sampled based on a self-reported questionnaire using unlabelled vignettes for schizophrenia. First, factor analysis was conducted to identify the main factors underlying the perception of the perceived course of the illness. Subsequently, a regression analysis was conducted to examine the impact of the perception of those prognostic factors on the desire for social distance.ResultsFactor analysis revealed two independent factors of the perceived course of an illness: (1) life-long dependency on others and loss of social integration and functioning and (2) positive expectations toward treatment outcome. This second factor was significantly associated with a less desire for social distance toward persons with schizophrenia.ConclusionThe desire for social distance toward people with schizophrenia reduces with the expectation of positive treatment outcomes which underlines the need to raise public mental health awareness and provide psychoeducation for affected people and their family members in India. Help-seeking behaviors can be promoted by directing those needing treatment toward locally available, affordable and credible community-based services rather than facility-based care. Strikingly, lifelong dependency and the inability to socially integrate do not increase the desire for social distance, reflecting the Indian nation's socio-relational values and insufficiency of public mental health services. This indicates the suitability of systemic therapy approaches in public mental healthcare services to support the family's involvement and family-based interventions in caregiving for mentally ill people across the lifespan.

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Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 97%

Perceived Course of Illness on the Desire for Social Distance From People Suffering From Symptoms of Schizophrenia in India

et al. 2022

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“…The first published SDS was designed by Emory Bogardus to investigate stigma toward different groups based on their occupation, race and religion. 16 The SDS has been used extensively to measure attitudes relating to a number of psychiatric disorders, including psychotic illnesses 17 and substance misuse disorders. 18 The scale has also been used in a number of studies comparing attitudes of healthcare professionals, 19 and among college students.…”

Section: Methodsmentioning

confidence: 99%

Stigma toward mental and physical illness: attitudes of healthcare professionals, healthcare students and the general public in Pakistan

et al. 2020

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Background The evidence base for stigma in mental health largely originates from high-income countries. Aims This study from Pakistan aimed to address the gap in literature on stigma from low- and middle-income countries. Method This cross-sectional study surveyed 1470 adults from Karachi, Pakistan. Participants from three groups (healthcare professionals, healthcare students and the general public) completed the adapted Bogardus Social Distance Scale (SDS) as a measure of stigma. Results All three groups reported higher scores of stigma toward mental disorders compared with physical disorders. SDS scores for mental illness in the general public were significantly higher than in healthcare students (mean difference (MD) 6.93, 95% CI 5.45–8.45, P < 0.001) and healthcare professionals (MD 6.93, 95% CI 5.48–8.38, P < 0.001). However, SDS scores between healthcare students and healthcare professionals were not significantly different (MD 0.003, 95% CI −1.14–1.14, P > 0.99). Being female was associated with lower stigma scores and being over the age of 30 years was associated with higher stigma scores. Conclusions Stigma campaigns in Pakistan need to target the general population. However, evidence of negative attitudes toward mental illness in healthcare students and healthcare professionals supports the need for stronger emphasis on psychiatric education within undergraduate and postgraduate training in Pakistan.

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“…Toplumdaki bu olumsuz tutumları belirleyen en önemli etken hastaların "tehlikeli" ve "ne zaman ne yapacağı bilinmeyen kişiler" olarak değerlendirilmesidir (3-7). Bu nedenle toplumsal düzeni bozan, huzursuzluk yaratan ve güvenilir olmayan kişiler olarak değerlendirilmeleri damgalanmalarına ve toplum dışına itilmelerine neden olmaktadır (3,5,(8)(9)(10)(11)(12). Kronik ruhsal bozukluğu olan bireyler olumsuz tutum ve damgalama sonucunda değersiz hissetme, reddedilme korkusu, umutsuzluk, öz-güvende azalma ve stres yaşayabilmektedirler (3,6,(13)(14)(15)(16).…”

Section: Introductionunclassified

Kronik Psikiyatri Hastalarına Uygulanan Atılganlık Becerileri Eğitiminin Hastaların Benlik Saygısı ve İçselleştirilmiş Damgalama Düzeylerine Etkisi

Ceylan¹,

Molu²,

Özcan³

et al. 2021

Journal of Anatolia Nursing and Health Sciences

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The Effect of Assertiveness Skills Training on Self-Esteem and Internalized Stigmatization of Chronic Psychiatric PatientsAim: This study was planned to evaluate the effect of assertiveness skill training on chronic psychiatric patients on self-esteem and internalized stigmatization levels of patients. Method: This study is intervention study consisting of a single group of repeated measures. The research will be conducted in the Community Mental Health Center (CMHC) of a hospital affiliated to the Ministry of Health in Konya. All patients will be included in the study except for those patients with acute symptoms and mental retardation who are consulted from the CMHC team. The data was collected through face-to-face interviews. The data will be collected using the Information form, the Rosenberg Self-Esteem Scale, and the Internalized Stigmatization Scale for Mental Illness. The analysis of the data was obtained by using descriptive statistics (frequencies, percentages, means, standard deviations) and analysis of variance in repeated measurements. A probability value of p<0.05 was considered statistically significant. Results: Although assertiveness skills training applied to chronic psychiatric patients decreased the mean self-esteem of the patients, it was found to be not significant (p=0.542). Education on internalized stigmatization is found to be effective (p=0.002). Conclusion: Assertiveness skills training is thought to be effective methods to increase the low self-esteem of patients and to combat internalized stigmatization.

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Impact of perceived course of illness on the desire for social distance towards people with symptoms of schizophrenia in Hanoi, Vietnam

Cited by 8 publications

References 36 publications

Perceived Course of Illness on the Desire for Social Distance From People Suffering From Symptoms of Schizophrenia in India

Perceived Course of Illness on the Desire for Social Distance From People Suffering From Symptoms of Schizophrenia in India

Stigma toward mental and physical illness: attitudes of healthcare professionals, healthcare students and the general public in Pakistan

Kronik Psikiyatri Hastalarına Uygulanan Atılganlık Becerileri Eğitiminin Hastaların Benlik Saygısı ve İçselleştirilmiş Damgalama Düzeylerine Etkisi

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