nach oben

Social Psychiatry and Psychiatric Epidemiology

Erschienen in:

28.10.2015 | Original Paper

Perceptions of public attitudes towards persons with mental illness in Beijing, China: results from a representative survey

verfasst von: J. Liu, F. Yan, X. Ma, H. L. Guo, Y. L. Tang, J. J. Rakofsky, X. M. Wu, X. Q. Li, H. Zhu, X. B. Guo, Y. Yang, P. Li, X. D. Cao, H. Y. Li, Z. B. Li, P. Wang, Q. Y. Xu

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 3/2016

Einloggen, um Zugang zu erhalten

Abstract

Objectives

Many studies have examined the general public’s attitudes towards people with mental illness, but such studies are scarce in China. This study examined the perceptions of the Beijing population regarding their society’s prevalent attitudes towards people with mental illness.

Methods

A total of 5000 individuals aged 18 or above living in Beijing were selected using a multistage, stratified, cluster and random sampling method. This was followed by a face-to-face interview which used a standardized questionnaire asking about societal attitudes towards individuals with mental illness.

Results

4602 out of 5000 eligible individuals met the inclusion criteria and participated in the interview. 4596 questionnaires were deemed valid and included in the analyses. A large proportion of respondents believed that most individuals within their society held negative attitudes and had a strong desire to distance themselves from people with mental illness. Respondents aged 60 or older, who lived farther to downtown Beijing, or with higher education tended to believe that most individuals have relatively positive and tolerant attitudes towards people with mental illness.

Conclusions

Many people in Beijing perceive that most members of their society have negative beliefs towards people with mental illness. Further efforts are needed to determine if these perceptions are accurate and to reduce the stigma that is reinforced by these perceptions.

Thornicroft G, Brohan E, Rose D, Sartorius N, Leese M, INDIGO Study Group (2009) Global pattern of experienced and anticipated discrimination against people with schizophrenia: a cross-sectional survey. Lancet 373(9661):408–415. doi:10.1016/S0140-6736(08)61817-6

Henderson C, Thornicroft G (2009) Stigma and discrimination in mental illness: time to change. Lancet 373(9679):1928–1930. doi:10.1016/S0140-6736(09)61046-1 CrossRefPubMed

Schomerus G, Schwahn C, Holzinger A, Corrigan PW, Grabe HJ, Carta MG, Angermeyer MC (2012) Evolution of public attitudes about mental illness: a systematic review and meta-analysis. Acta Psychiatr Scand 125(6):440–452. doi:10.1111/j.1600-0447.2012.01826.x CrossRefPubMed

Henderson C, Evans-Lacko S, Thornicroft G (2013) Mental illness stigma, help seeking, and public health programs. Am J Public Health 103(5):777–780. doi:10.2105/AJPH.2012.301056 CrossRefPubMedPubMedCentral

Corrigan P (2004) How stigma interferes with mental health care. Am Psychol 59(7):614–625CrossRefPubMed

Hori H, Richards M, Kawamoto Y, Kunugi H (2011) Attitudes toward schizophrenia in the general population, psychiatric staff, physicians, and psychiatrists: a web-based survey in Japan. Psychiatry Res 186(2–3):183–189. doi:10.1016/j.psychres.2010.08.019 CrossRefPubMed

Siu BW, Chow KK, Lam LC, Chan WC, Tang VW, Chui WW (2012) A questionnaire survey on attitudes and understanding towards mental disorders. East Asian Arch Psychiatry 22(1):18–24PubMed

Lin KM, Inui TS, Kleinman AM, Womack WM (1982) Sociocultural determinants of the help-seeking behavior of patients with mental illness. J Nerv Ment Dis 170(2):78–85CrossRefPubMed

Dickerson FB, Sommerville J, Origoni AE, Ringel NB, Parente F (2002) Experiences of stigma among outpatients with schizophrenia. Schizophr Bull 28(1):143–155CrossRefPubMed

10.

Sibitz I, Amering M, Unger A, Seyringer ME, Bachmann A, Schrank B, Benesch T, Schulze B, Woppmann A (2011) The impact of the social network, stigma and empowerment on the quality of life in patients with schizophrenia. Eur Psychiatry 26(1):28–33. doi:10.1016/j.eurpsy.2010.08.010 CrossRefPubMed

11.

Yang HY (1989) An investigation of public view on psychiatric illness and mentally patients. Chin Ment Health J 3(1):30–35 (in Chinese)

12.

Kleinman A, Hall-Clifford R (2009) Stigma: a social, cultural and moral process. J Epidemiol Community Health 63(6):418–419. doi:10.1136/jech.2008.084277 CrossRefPubMed

13.

Yang LH, Kleinman A, Link BG, Phelan JC, Lee S, Good B (2007) Culture and stigma: adding moral experience to stigma theory. Soc Sci Med 64(7):1524–1535CrossRefPubMed

14.

Yang LH, Kleinman A (2008) ‘Face’ and the embodiment of stigma in China: the cases of schizophrenia and AIDS. Soc Sci Med 67(3):398–408. doi:10.1016/j.socscimed.2008.03.011 CrossRefPubMedPubMedCentral

15.

The Leading Group Office of the sixth nationwide census in Beijing, Beijing municipal bureau of statistics, NBS survey office in Beijing (2011) The Beijing municipal bulletin of the sixth national population census data in 2010. Data 26(6):66–67 (in Chinese)

16.

Beijing Municipal Bureau of Statistics, NBS Survey Office in Beijing (2010) The Beijing statistics yearbook in 2009. http://www.bjstats.gov.cn/tjnj/2009-tjnj/

17.

Liu J, Yan F, Ma X, Guo HL, Tang YL, Rakofsky JJ, Wu XM, Li XQ, Zhu H, Guo XB, Yang Y, Li P, Cao XD, Li HY, Li ZB, Wang P, Xu QY (2015) Prevalence of major depressive disorder and socio-demographic correlates: results of a representative household epidemiological survey in Beijing, China. J Affect Disord 179:74–81. doi:10.1016/j.jad.2015.03.009 CrossRefPubMed

18.

Link BG, Cullen FT, Struening E, Shrout PE, Dohrenwend BP (1989) A modified labeling theory approach to mental disorders: an empirical assessment. Am Sociol Rev 54(3):400–423CrossRef

19.

Gaebel W, Baumann A, Witte AM, Zaeske H (2002) Public attitudes towards people with mental illness in six German cities, results of a public survey under special consideration of schizophrenia. Eur Arch Psychiatry Clin Neurosci 252(6):278–287CrossRefPubMed

20.

Schomerus G, Matschinger H, Kenzin D, Breier P, Angermeyer MC (2006) Public attitudes towards mental patients: a comparison between Novosibirsk, Bratislava and German cities. Eur Psychiatry 21(7):436–441CrossRefPubMed

21.

Ministry of Public Health of PRC (2010) Notice about printing and issuing the investigation and assessment program of key performance indicators in mental health. http://www.gov.cn/gzdt/2010-03/08/content_1550552.htm

22.

Hu HY, Yan YZ, Chen LM, Pu WJ, Liao W, Li J (2012) Knowledge about mental health and attitude to mental disorder in urban and rural residents in Guangzhou. Chin Ment Health J 26(1):30–35 (in Chinese)

23.

Zhang P, Zhao YN, Li XM, Liang MM, Li RB, Guan SS, Bai H, Jing LW (2013) Surveying the awareness rate of knowledge of mental health and attitude towards mental diseases in residents of rural Hebei. Chin Health Serv Manag 304(10):777–780 (in Chinese)

24.

The census office, National Bureau of Statistics, State Council of China (2012a) Data on the 2010 population census of the People’s Republic of China. The sizes of different categories of the households in China. http://www.stats.gov.cn/tjsj/pcsj/rkpc/6rp/html/A0501a.htm

25.

The census office, National Bureau of Statistics, State Council of China (2012b) Data on the 2010 population census of the People’s Republic of China. Age and sex distribution of the single-person household in all regions. http://www.stats.gov.cn/tjsj/pcsj/rkpc/6rp/html/A0502a.htm

26.

Lee S, Ng KL, Tsang A (2009) A community survey of the twelve-month prevalence and correlates of bipolar spectrum disorder in Hong Kong. J Affect Disord 117(1–2):79–86. doi:10.1016/j.jad.2008.12.003 CrossRefPubMed

27.

Ye M, Chen Y (2014) The influence of domestic living arrangement and neighborhood identity on mental health among urban Chinese elders. Aging Ment Health 18(1):40–50. doi:10.1080/13607863.2013.837142 CrossRefPubMed

28.

Wu M, Li SX, Zhang NJ, Zhu YY, Ning B, Thomas W, Lynn U (2011) Living condition and mental health status among the elderly living alone. Chin J Public Health 27(7):849–851 (in Chinese)

29.

Phillips MR (1993) Strategies used by Chinese families coping with schizophrenia. In: Davis D, Harrell S (eds) Chinese families in the Post-Mao Era. University of California Press, Berkeley

30.

Gao SY, Phillips MR, Wang XQ, Xu D, Jia ZM, Gao WC, Xu DG (2005) Experience of stigma among patients with schizophrenia and their family members and attitudes of different groups about this stigma. Chin Ment Health J 19(2):82–85 (in Chinese)

31.

Phillips MR, Pearson V, Li F, Xu M, Yang L (2002) Stigma and expressed emotion: a study of people with schizophrenia and their family members in China. Br J Psychiatry 181:488–493CrossRefPubMed

32.

Angermeyer MC, Dietrich S (2006) Public beliefs about and attitudes towards people with mental illness: a review of population studies. Acta Psychiatr Scand 113(3):163–179CrossRefPubMed

33.

Shi CS, Qian MY (1999) The difference between stigma and guilt. Adv Psychol Sci 7(1):35–38 (in Chinese)

34.

Haraguchi K, Maeda M, Mei YX, Uchimura N (2009) Stigma associated with-schizophrenia: cultural comparison of social distance in Japan and China. Psychiatry Clin Neurosci 63(2):153–160. doi:10.1111/j.1440-1819.2009.01922.x CrossRefPubMed

35.

Wang NX, Xu FZ, Shi QC (2005) Mental health literacy and attitude towards people with mental illness in ZheJiang province, China. Zhejiang Prev Med 17(6):13–21 (in Chinese)

36.

Dietrich S, Beck M, Bujantugs B, Kenzine D, Matschinger H, Angermeyer MC (2004) The relationship between public causal beliefs and social distance toward mentally ill people. Aust N Z J Psychiatry 38(5):348–354CrossRefPubMed

37.

Taskin EO, Sen FS, Aydemir O, Demet MM, Ozmen E, Icelli I (2003) Public attitudes to schizophrenia in rural Turkey. Soc Psychiatry Psychiatr Epidemiol 38(10):586–592CrossRefPubMed

38.

Lauber C, Nordt C, Falcato L, Rössler W (2004) Factors influencing social distance toward people with mental illness. Community Ment Health J 40(3):265–274CrossRefPubMed

39.

Angermeyer MC, Matschinger H (2004) Public attitudes to people with depression: have there been any changes over the last decade? J Affect Disord 83(2–3):177–182CrossRefPubMed

40.

Magliano L, Fiorillo A, De Rosa C, Malangone C, Maj M (2004) Beliefs about schizophrenia in Italy: a comparative nationwide survey of the general public, mental health professionals, and patients’ relatives. Can J Psychiatry 49(5):322–330PubMed

41.

Chong SA, Verma S, Vaingankar JA, Chan YH, Wong LY, Heng BH (2007) Perception of the public towards the mentally ill in developed Asian country. Soc Psychiatry Psychiatr Epidemiol 42(9):734–739CrossRefPubMed

42.

Alonso J, Buron A, Rojas-Farreras S, de Graaf R, Haro JM, de Girolamo G, Bruffaerts R, Kovess V, Matschinger H, Vilagut G; ESEMeD/MHEDEA 2000 Investigators (2009) Perceived stigma among individuals with common mental disorders. J Affect Disord 118(1–3):180–186. doi:10.1016/j.jad.2009.02.006

43.

Jorm AF, Oh E (2009) Desire for social distance from people with mental disorders. Aus N Z J Psychiatry 43(3):183–200. doi:10.1080/00048670802653349 CrossRef

44.

Standing Committee of the National People’s Congress (2012) Draft version of mental health law and its instruction. 26, Oct 2012. http://www.gov.cn/jrzg/2012-10/26/content_2252122.htm

Titel: Perceptions of public attitudes towards persons with mental illness in Beijing, China: results from a representative survey
verfasst von: J. Liu
F. Yan
X. Ma
H. L. Guo
Y. L. Tang
J. J. Rakofsky
X. M. Wu
X. Q. Li
H. Zhu
X. B. Guo
Y. Yang
P. Li
X. D. Cao
H. Y. Li
Z. B. Li
P. Wang
Q. Y. Xu
Publikationsdatum: 28.10.2015
Verlag: Springer Berlin Heidelberg
Erschienen in: Social Psychiatry and Psychiatric Epidemiology / Ausgabe 3/2016
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI: https://doi.org/10.1007/s00127-015-1125-z

Neu im Fachgebiet Psychiatrie

Demenzkranke durch Antipsychotika vielfach gefährdet

23.04.2024 Demenz Nachrichten

Wenn Demenzkranke aufgrund von Symptomen wie Agitation oder Aggressivität mit Antipsychotika behandelt werden, sind damit offenbar noch mehr Risiken verbunden als bislang angenommen.

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

23.04.2024 Depression antepartal oder postpartal Nachrichten

Bislang gibt es kein Medikament zur Prävention von Wochenbettdepressionen. Das Injektionsanästhetikum Esketamin könnte womöglich diese Lücke füllen.

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

22.04.2024 DGIM 2024 Kongressbericht

Die Kombination aus Medikamenten und Psychotherapie gilt als effektivster Ansatz bei Depressionen. Das ist bei betagten Menschen nicht anders, trotz Besonderheiten.

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

22.04.2024 DGIM 2024 Nachrichten

Um Menschen nach der Flucht aus einem Krisengebiet bestmöglich medizinisch betreuen zu können, ist es gut zu wissen, welche Erkrankungen im jeweiligen Herkunftsland häufig sind. Dabei hilft eine Internetseite der CDC (Centers for Disease Control and Prevention).

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Objectives

Methods

Results

Conclusions

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 3/2016

From early intervention in psychosis to youth mental health reform: a review of the evolution and transformation of mental health services for young people

Eating disorders in a multi-ethnic inner-city UK sample: prevalence, comorbidity and service use

Posttraumatic stress disorder and alcohol misuse among women: effects of ethnic minority stressors

Assessing childhood maltreatment and mental health correlates of disordered eating profiles in a nationally representative sample of English females