Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Typ-2-Diabetes und Adipositas Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende

Die Highlights vom Kongress des American College of Cardiology 2024

Im April diskutierten die Herz-Kreislauf-Spezialisten aus der ganzen Welt auf dem  Kongress des American College of Cardiology (ACC) u.a. neue Therapieansätze bei akutem Myokardinfarkt, koronarer Herzerkrankung, kardiogenem Schock oder Aortenklappenstenose. In unserem Kongress-Dossier haben wir für Sie Berichte über die „Late-Breaking Trials“ und andere wichtige Studien zusammengestellt. 
Erweiterte Suche
Anmelden
nach oben
Social Psychiatry and Psychiatric Epidemiology
Erschienen in: Social Psychiatry and Psychiatric Epidemiology 9/2012

01.09.2012 | Original Paper

Effects of labeling and interpersonal contact upon attitudes towards schizophrenia: implications for reducing mental illness stigma in urban China

verfasst von: Lawrence H. Yang, Graciete Lo, Ahtoy J. WonPat-Borja, Daisy R. Singla, Bruce G. Link, Michael R. Phillips

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 9/2012

Einloggen, um Zugang zu erhalten

Abstract

Purpose

As mental illness stigma contributes to poor outcomes for schizophrenia in China, locating strategies to reduce public stigma is imperative. It is currently unknown whether diagnostic labeling and contact with different help-seeking sources increase or decrease public stigma in China. Further, it remains unresolved whether prior personal contact acts to reduce stigma in this context. Advancing understanding of these processes may facilitate stigma-reduction strategies.

Methods

We administered an experimental vignette randomly assigning one of four labeling conditions to respondents to assess social distance towards a psychotic vignette individual in a sample of 160 Northern, urban Chinese community respondents.

Results

As expected, respondents given a “non-psychiatric, indigenous label” + “lay help-seeking” condition endorsed the least social distance. Unexpectedly, the labeling condition with a “psychiatric diagnostic label” + “lay help-seeking” condition elicited the greatest social distance. Unlike Western studies, personal contact did not independently decrease community stigma. However, prior contact reduced social distance to a greater extent in the labeling condition with a “non-psychiatric, indigenous label” + “lay help-seeking” condition when compared with all other labeling conditions.

Conclusion

The results indicate that cultural idioms do provide some protection from stigma, but only among respondents who are already familiar with what mental illness is. Our finding that the condition that depicted untreated psychosis elicited the greatest amount of stigma, while the “treated psychosis” condition was viewed relatively benignly in China, suggests that improved access to mental health services in urban China has the potential to decrease public stigma via labeling mechanisms.
Literatur
1.
Phillips M, 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(6):488–493PubMedCrossRef
2.
Lee S, Lee M, Chiu M, Kleinman A (2005) Experience of social stigma by people with schizophrenia in Hong Kong. Br J Psychiatry 186(2):153–157PubMedCrossRef
3.
Lai Y, Hong C, Chee C (2001) Stigma of mental illness. Singapore Med J 42(3):111–114PubMed
4.
Fogarty International Center (2001) Stigma and global health: developing a research agenda. Fogarty International Center, Washington DC
5.
WonPat-Borja AJ, Yang LH, Link BG, Phelan JC (2011) Eugenics, genetics, and mental illness stigma in Chinese Americans. Soc Psychiatry Psychiatr Epidemiol (in press)
6.
Furnham A, Chan E (2004) Lay theories of schizophrenia. Soc Psychiatry Psychiatr Epidemiol 39(7):543–552PubMedCrossRef
7.
Shokoohi-Yekta M, Retish P (1991) Attitudes of Chinese and American male students towards mental illness. Int J Soc Psychiatry 37(3):192–200PubMedCrossRef
8.
Yang L (2007) Application of mental illness stigma theory to Chinese societies: synthesis and new direction. Singapore Med J 48(11):186–190
9.
Knifton L, Gervais M, Newbigging K, Mirza N, Quinn N, Wilson N, Hunkins-Hutchison E (2010) Community conversation: addressing mental health stigma with ethnic minority communities. Soc Psychiatry Psychiatr Epidemiol 45(4):497–504PubMedCrossRef
10.
Yang LH, Wonpat-Borja AJ, Opler M, Corcoran C (2010) Potential stigma associated with inclusion of the psychosis risk syndrome in the DSM-V: An empirical question. Schizophr Res 120:42–48PubMedCrossRef
11.
Chee C, Ng T, Kua E (2005) Comparing the stigma of mental illness in a general hospital with a state mental hospital. Soc Psychiatry Psychiatr Epidemiol 40(8):648–653PubMedCrossRef
12.
Fung K, Tsang H, Chan F (2010) Self-stigma, stages of change and psychosocial treatment adherence among Chinese people with schizophrenia: a path analysis. Soc Psychiatry Psychiatr Epidemiol 45(5):561–568PubMedCrossRef
13.
Lysaker PH, Tunze C, Yanos PT, Roe D, Ringer J, Rand K (2011) Relationships between stereotyped beliefs about mental illness, discrimination experiences, and distressed mood over 1 year among persons with schizophrenia enrolled in rehabilitation. Soc Psychiatry Psychiatr Epidemiol (in press)
14.
Cohen A, Patel V, Thara R, Gureje O (2007) Questioning an axiom: better prognosis for schizophrenia in the developing world? Schizophr Bull 34:229–244PubMedCrossRef
15.
Chung F, Chan JH (2004) Can a less pejorative Chinese translation for schizophrenia reduce stigma? A study of adolescents’ attitudes toward people with schizophrenia. Psychiatry Clin Neurosci 58(5):507–515PubMedCrossRef
16.
17.
Griffiths K, Nakane Y, Christensen H, Yoshioka K, Jorm A, Nakane H (2006) Stigma in response to mental disorders: a comparison of Australia and Japan. BMC Psychiatry. doi:10.​1186/​1471-244X-6-21
18.
Yang L, Phillips M, Licht D, Hooley J (2004) Causal attributions about schizophrenia in families in China: expressed emotion and patient relapse. J Abnorm Psychol 113(4):592–602PubMedCrossRef
19.
Yang L, Phillips M, Lo G, Chou Y, Zhang X, Hopper K (2010) “ Excessive Thinking” as explanatory model for schizophrenia: impacts on stigma and “moral” status in Mainland China. Schizophr Bull 36:836–845PubMedCrossRef
20.
Boyd J, Katz E, Link B, Phelan J (2009) The relationship of multiple aspects of stigma and personal contact with someone hospitalized for mental illness, in a nationally representative sample. Soc Psychiatry Psychiatr Epidemiol 45(11):1063–1070 doi:10.​1007/​s00127-009-0147-9 PubMedCrossRef
21.
Corrigan P, Penn D (1999) Lessons from social psychology on discrediting psychiatric stigma. Am Psychol 54(9):765–776PubMedCrossRef
22.
Link B, Phelan J (2003) Conceptualizing stigma. Annu Rev Sociol 27:363–385CrossRef
23.
Goffman E (1963) Stigma: notes on the management of spoiled identity. Prentice-Hall, New Jersey
24.
Crocker J, Major B, Steele C (1998) Social stigma: the psychology of marked relationships. In: Gilbert D, Fiske S, Lindzey G (eds) The handbook of social psychology, 4th edn. Oxford University Press, New York, pp 504–553
25.
Link B, Cullen F, Struening E, Shrout P, Dohrenwend B (1989) A modified labeling theory approach to mental disorders: an empirical assessment. Am Sociol Rev 54(3):400–423CrossRef
26.
Link B, Cullen F, Frank J, Wozniak J (1987) The social rejection of former mental patients: understanding why labels matter. Am J Sociol 92(6):1461–1500CrossRef
27.
Murrie D, Cornell D, McCoy W (2005) Psychopathy, conduct disorder, and stigma: does diagnostic labeling influence juvenile probation officer recommendations? Law Hum Behav 29(3):323–342PubMedCrossRef
28.
Angermeyer M, Matschinger H (2003) Public beliefs about schizophrenia and depression: similarities and differences. Soc Psychiatry Psychiatr Epidemiol 38(9):526–534PubMedCrossRef
29.
Link B, Phelan J, Bresnahan M, Stueve A, Pescosolido B (1999) Public conceptions of mental illness: labels, causes, dangerousness, and social distance. Am J Public Health 89(9):1328–1333PubMedCrossRef
30.
Phillips D (1963) Rejection: a possible consequence of seeking help for mental disorders. Am Sociol Rev 29:963–972CrossRef
31.
Madianos M, Madianou D, Stefanis C (1993) Help-seeking behaviour for psychiatric disorder from physicians or psychiatrists in Greece. Soc Psychiatry Psychiatr Epidemiol 28(6):285–291PubMedCrossRef
32.
Mickus M, Colenda C, Hogan A (2000) Knowledge of mental health benefits and preferences for type of mental health providers among the general public. Psychiatr Serv 51(2):199–202PubMedCrossRef
33.
Yang L, Phelan J, Link B (2008) Stigma and beliefs of efficacy towards traditional Chinese medicine and Western psychiatric treatment among Chinese-Americans. Cultur Divers Ethnic Minor Psychol 14(1):10–18PubMedCrossRef
34.
Yeung A, Chang D, Gresham R Jr, Nierenberg A, Fava M (2004) Illness beliefs of depressed Chinese American patients in primary care. J Nerv Ment Dis 192(4):324–327PubMedCrossRef
35.
Fuligni A, Yip T, Tseng V (2002) The impact of family obligation on the daily activities and psychological well-being of Chinese American adolescents. Child Dev 73(1):302–314PubMedCrossRef
36.
Hong Y, Ip G, Chiu C, Morris M, Menon T (2001) Cultural identity and dynamic construction of the self: Collective duties and individual rights in Chinese and American cultures. Soc Cogn 19(3):251–268CrossRef
37.
Mead GH (1934) Mind, self, and society, from the standpoint of a social behaviorist. University of Chicago Press, Chicago
38.
Kleinman A (1978) Culture, illness. and care: clinical lessons from anthropologic and cross-cultural research. Ann Intern Med 88:251–258PubMed
39.
Mezzich JE, Kirmayer LJ, Kleinman A, Fabrega H, Parron DL, Good BJ, Lin KM, Manson SM (1999) The place of culture in DSM-IV. J Nerv Ment Dis 187(8):457–464PubMedCrossRef
40.
Kirmayer LJ (1998) The fate of culture in DSM-IV. Transcult Psychiatr 35(3):339–342CrossRef
41.
Lewis-Fernández R (1992) The proposed DSM-IV trance and possession disorder category: Potential benefits and risks. Transcult Psychiatr Res Rev 29:301–318CrossRef
42.
Lam CS, Tsang HWH, Corrigan PW, Lee Y-T, Angell B, Shi K (2010) Chinese lay theory and mental illness stigma: implications for research and practices. J Rehabil 76:35–40
43.
Yang LH, Corsini-Munt S, Link B, Phelan JC (2009) Beliefs in traditional Chinese medicine efficacy among Chinese Americans: implications for mental health service utilization. J Nerv Ment Dis 197(3):207–210PubMedCrossRef
44.
Phillips M, Li Y, Stroup T, Xin L (2000) Causes of schizophrenia reported by patients’ family members in China. Br J Psychiatry 177(1):20–25PubMedCrossRef
45.
Jenkins JH (1988) Conceptions of schizophrenia as a problem of nerves: a cross-cultural comparison of Mexican-Americans and Anglo-Americans. Soc Sci Med 26(12):1233–1243PubMedCrossRef
46.
Low S (1985) Culturally interpreted symptoms or culture-bound syndromes: a cross-cultural review of nerves. Soc Sci Med 21(2):187–196PubMedCrossRef
47.
Yang LH, Singla DR (2011) Use of indigenous cultural idioms by Chinese immigrant relatives for psychosis: impacts on stigma and psychoeducational approaches. J Nerv Ment Dis 199(11):872–878
48.
Kirmayer L, Fletcher C, Boothroyd L (1997) Inuit attitudes toward deviant behavior: a vignette study. J Nerv Ment Dis 185(2):78–86PubMedCrossRef
49.
Yang L, Kleinman A, Link B, Phelan J, Lee S, Good B (2007) Culture and stigma: adding moral experience to stigma theory. Soc Sci Med 64(7):1524–1535PubMedCrossRef
50.
Yang L, Kleinman A (2008) Face and the embodiment of stigma in China: the cases of schizophrenia and AIDS. Soc Sci Med 67(3):398–408PubMedCrossRef
51.
Phelan JC, Link BG (2004) Fear of people with mental illnesses the role of personal and impersonal contact and exposure to threat or harm. J Health Soc Behav 45:68–80PubMedCrossRef
52.
Couture S, Penn D (2003) Interpersonal contact and the stigma of mental illness: a review of the literature. J Ment Health 12(3):291–305CrossRef
53.
Reinke R, Corrigan P, Leonhard C, Lundin R, Kubiak M (2004) Examining two aspects of contact on the stigma of mental illness. J Soc Clin Psychol 23(3):377–389CrossRef
54.
Alexander L, Link B (2003) The impact of contact on stigmatizing attitudes toward people with mental illness. J Ment Health 12(3):271–289CrossRef
55.
Corrigan P, Edwards A, Green A, Diwan S, Penn D (2001) Prejudice, social distance, and familiarity with mental illness. Schizophr Bull 27(2):219–225PubMedCrossRef
56.
Corrigan P, Green A, Lundin R, Kubiak M, Penn D (2001) Familiarity with and social distance from people who have serious mental illness. Psychiatr Serv 52(7):953–958PubMedCrossRef
57.
Ingamells S, Goodwin A, John C (1996) The influence of psychiatric hospital and community residence labels on social rejection of the mentally ill. Br J Clin Psychol 35(3):359–368PubMedCrossRef
58.
Read J, HarrÈ N (2001) The role of biological and genetic causal beliefs in the stigmatisation of mental patients. J Ment Health 10(2):223–235CrossRef
59.
Vezzoli R, Archiati L, Buizza C, Pasqualetti P, Rossi G, Pioli R (2001) Attitude towards psychiatric patients: a pilot study in a northern Italian town. Eur Psychiatry 16(8):451–458PubMedCrossRef
60.
Chung K, Chen E, Liu C (2001) University students’ attitudes towards mental patients and psychiatric treatment. Int J Soc Psychiatry 47(2):63–72PubMedCrossRef
61.
Tsang H, Tam P, Chan F, Cheung W (2003) Stigmatizing attitudes towards individuals with mental illness in Hong Kong: implications for their recovery. J Community Psychol 31(4):383–396CrossRef
62.
Callaghan P, Shan C, Yu L, Ching L, Kwan T (1997) Attitudes towards mental illness: testing the contact hypothesis among Chinese student nurses in Hong Kong. J Adv Nurs 26(1):33–40PubMedCrossRef
63.
Lee S, Chiu M, Tsang A, Chui H, Kleinman A (2006) Stigmatizing experience and structural discrimination associated with the treatment of schizophrenia in Hong Kong. Soc Sci Med 62(7):1685–1696PubMedCrossRef
64.
Desforges D, Lord C, Ramsey S, Mason J, Van Leeuwen M, West S, Lepper M (1991) Effects of structured cooperative contact on changing negative attitudes toward stigmatized social groups. J Pers Soc Psychol 60(4):531–544PubMedCrossRef
65.
66.
Link B, Yang L, Phelan J, Collins P (2004) Measuring mental illness stigma. Schizophr Bull 30(3):511–541PubMedCrossRef
67.
Rindskopf D (1984) Linear equality restrictions in regression and loglinear models. Psychol Bull 96(3):597–603CrossRef
68.
Yang L, Pearson V (2002) Understanding families in their own context: schizophrenia and structural family therapy in Beijing. J Fam Ther 24(3):233–257CrossRef
69.
Ip G, Bond M (1995) Culture, values, and the spontaneous self-concept. Asian J Psychol 1(1):30–36
70.
Melle I, Larsen T, Haahr U, Friis S, Johannessen J, Opjordsmoen S, Simonsen E, Rund B, Vaglum P, McGlashan T (2004) Reducing the duration of untreated first-episode psychosis: effects on clinical presentation. Arch Gen Psychiatry 61(2):143–150PubMedCrossRef
71.
Desforges DM, Lord CG, Ramsey SL, Mason JA, Van Leeuwen MD, West SC, Lepper MR (1991) Effects of structured cooperative contact on changing negative attitudes toward stigmatized social groups. J Pers Soc Psychol 60(4):531–544PubMedCrossRef
72.
Yang L (2003) Causal attributions, expressed emotion, and patient relapse: recent findings and application to Chinese societies. Hong Kong J Psychiatry 13(2):16–25
73.
Littlewood R (1988) From vice to madness: the semantics of naturalistic and personalistic understandings in Trinidadian local medicine. Soc Sci Med 27(2):129–148PubMedCrossRef
74.
Jenkins J (1988) Ethnopsychiatric interpretations of schizophrenic illness: the problem of nervios within Mexican-American families. Cult Med Psychiatry 12(3):301–329PubMedCrossRef
75.
Batson C, Polycarpou M, Harmon-Jones E, Imhoff H, Mitchener E, Bednar L, Klein T, Highberger L (1997) Empathy and attitudes: can feeling for a member of a stigmatized group improve feelings toward the group? J Pers Soc Psychol 72:105–118PubMedCrossRef
76.
Holmes E, Corrigan P, Williams P, Canar J, Kubiak M (1999) Changing attitudes about schizophrenia. Schizophr Bull 25(3):447–456PubMedCrossRef
77.
González-Torres M, Oraa R, Aristegui M, Fernández-Rivas A, Guimon J (2007) Stigma and discrimination towards people with schizophrenia and their family members. Soc Psychiatry Psychiatr Epidemiol 42(1):14–23PubMedCrossRef
78.
Mojtabai R (2010) Mental illness stigma and willingness to seek mental health care in the European Union. Soc Psychiatry Psychiatr Epidemiol 45:705–712PubMedCrossRef
79.
Thompson A, Stuart H, Bland R, Arboleda-Florez J, Warner R, Dickson R (2002) Attitudes about schizophrenia from the pilot site of the WPA worldwide campaign against the stigma of schizophrenia. Soc Psychiatry Psychiatr Epidemiol 37(10):475–482PubMedCrossRef
80.
Phillips M, Zhang J, Shi Q, Song Z, Ding Z, Pang S, Li X, Zhang Y, Wang Z (2009) Prevalence, treatment, and associated disability of mental disorders in four provinces in China during 2001–05: an epidemiological survey. Lancet 373(9680):2041–2053PubMedCrossRef
81.
Yang L, Link B (2009) Comparing diagnostic methods for mental disorders in China. Lancet 373:2002–2004PubMedCrossRef
82.
Keyes KM, Martins SS, Hatzenbuehler ML, Blanco C, Bates LM, Hasin DS (2011) Mental health service utilization for psychiatric disorders among Latinos living in the United States: the role of ethnic subgroup, ethnic identity, and language/social preferences. Soc Psychiatry Psychiatr Epidemiol (in press)
83.
84.
Link BG, Epperson M, Castille D, Yang LH (2011) Arrest outcomes associated with outpatient committment in New York state. Psychiatr Serv 62:504–508
Metadaten
Titel
Effects of labeling and interpersonal contact upon attitudes towards schizophrenia: implications for reducing mental illness stigma in urban China
verfasst von
Lawrence H. Yang
Graciete Lo
Ahtoy J. WonPat-Borja
Daisy R. Singla
Bruce G. Link
Michael R. Phillips
Publikationsdatum
01.09.2012
Verlag
Springer-Verlag
Erschienen in
Social Psychiatry and Psychiatric Epidemiology / Ausgabe 9/2012
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-011-0452-y

Weitere Artikel der Ausgabe 9/2012

Social Psychiatry and Psychiatric Epidemiology 9/2012 Zur Ausgabe

Original Paper

Prevalence of personality disorders using two diagnostic systems in psychiatric outpatients in Shanghai, China: a comparison of uni-axial and multi-axial formulation

Original Paper

The use of coercive measures in adolescent psychiatric inpatient treatment: a nation-wide register study

Original Paper

Posttraumatic stress and tendency to panic in the aftermath of the chlorine gas disaster in Graniteville, South Carolina

Original Paper

Examining clinically relevant levels of depressive symptoms in mothers following a diagnosis of epilepsy in their children: a prospective analysis

Original Paper

The relationships between employment, clinical status, and psychiatric hospitalisation in patients with schizophrenia receiving either IPS or a conventional vocational rehabilitation programme

Original Paper

The measurement of poverty in psychiatric epidemiology in LMICs: critical review and recommendations

Neu im Fachgebiet Psychiatrie

„Übersichtlicher Wegweiser“: Lauterbachs umstrittener Klinik-Atlas ist online

17.05.2024 Klinik aktuell Nachrichten

Sie sei „ethisch geboten“, meint Gesundheitsminister Karl Lauterbach: mehr Transparenz über die Qualität von Klinikbehandlungen. Um sie abzubilden, lässt er gegen den Widerstand vieler Länder einen virtuellen Klinik-Atlas freischalten.

ADHS-Medikation erhöht das kardiovaskuläre Risiko

16.05.2024 Herzinsuffizienz Nachrichten

Erwachsene, die Medikamente gegen das Aufmerksamkeitsdefizit-Hyperaktivitätssyndrom einnehmen, laufen offenbar erhöhte Gefahr, an Herzschwäche zu erkranken oder einen Schlaganfall zu erleiden. Es scheint eine Dosis-Wirkungs-Beziehung zu bestehen.

Klinikreform soll zehntausende Menschenleben retten

15.05.2024 Klinik aktuell Nachrichten

Gesundheitsminister Lauterbach hat die vom Bundeskabinett beschlossene Klinikreform verteidigt. Kritik an den Plänen kommt vom Marburger Bund. Und in den Ländern wird über den Gang zum Vermittlungsausschuss spekuliert.

Typ-2-Diabetes und Depression folgen oft aufeinander

14.05.2024 Typ-2-Diabetes Nachrichten

Menschen mit Typ-2-Diabetes sind überdurchschnittlich gefährdet, in den nächsten Jahren auch noch eine Depression zu entwickeln – und umgekehrt. Besonders ausgeprägt ist die Wechselbeziehung laut GKV-Daten bei jüngeren Erwachsenen.

Update Psychiatrie

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

Newsletter bestellen
Bildnachweise