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Erschienen in: Social Psychiatry and Psychiatric Epidemiology 11/2017

18.08.2017 | Original Paper

The differential effects of a focus on symptoms versus recovery in reducing stigma of schizophrenia

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 11/2017

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Abstract

Purpose

We extend investigations of the impact of the content of video contact with an individual with schizophrenia on stigma reduction. We examine whether differential impacts persist over a 2-week period and the extent to which they are mediated by perceived similarity and feelings of empathy and/or sympathy.

Method

We used a randomized control trial wherein participants were exposed to a video in which an individual described his recovery from schizophrenia, or the same person described acute symptoms of schizophrenia, or a no-video control condition. Outcomes included impressions of and preferred social distance to the person in the video and people in general with schizophrenia and well as perceptions of similarity and feelings of sympathy and empathy. We also measured an overt behaviour, seating distance, at 2-week follow-up.

Results

The recovery-focused material was generally more effective in improving impressions and reducing preferred level of social distance. Although the symptom-focused video resulted in great sympathy for the person, this did not translate into positive impressions or reduced social distance. Mediational analyses yielded findings consistent with the benefits of the recovery video being mediated by increased perceptions of similarity and lower feelings of sympathy. Exposure to the recovery-focused video resulted in less anxiety in anticipation of meeting the person in the video relative to the control condition.

Conclusions

Video contact emphasizing potential for recovery from schizophrenia was more effective in reducing stigmatizing responses than contact highlighting acute symptoms. Increased sympathy does not necessarily translate into reductions in stigma.
Fußnoten
1
If these analyses are carried out using all participants, regardless of suspiciousness, the p value for the overall effect of video condition on anxiety is 0.07, and for the individual comparison p = 0.03.
 
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Metadaten
Titel
The differential effects of a focus on symptoms versus recovery in reducing stigma of schizophrenia
Publikationsdatum
18.08.2017
Erschienen in
Social Psychiatry and Psychiatric Epidemiology / Ausgabe 11/2017
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-017-1429-2

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