摘要
目的调查大学生心理疾病内隐和外显污名的状况,并对大学生心理疾病污名进行去污名干预。方法分别采用单类内隐联想测验(SC-IAT)和问卷测量的方法对北京大学30名大学生对心理疾病内隐和外显污名程度进行了研究,进一步考察了教育性和接触性两种干预策略对污名的改善。使用SPSS 22.0对数据进行了t检验和方差分析。结果大学生被试内隐污名中认知评价、情感反应和行为倾向三个维度SC-IAT的内隐效应值分别为(0.29±0.37),(0.24±0.43).(0.10±0.43),认知评价和情感反应维度与0之间的差异有统计学意义(t=4.069,P<0.01;t=2.925,P<0.01),行为倾向维度内隐污名与0之间的差异无统计学意义(t=1.423,P=0.167);外显污名情绪的怜悯维度得分[(1.94±0.61)分]低于中值,差异有统计学意义(z=-12.286,P<0.01),愤怒维度[(4.62+0.44)分]和恐惧维度](4.55±0,31)分]均高于中值(t=13.243,3.200,均P<0.01);被试干预前、教育后、接触后三个时间点的内隐、外显污名效应值差异无统计学意义(均C0.05);知识性问题“你认为下列哪些情况可能算作是心理不健康?”和“下列哪些障碍属于精神疾病?”的回答正确率[(42±13)%、(54±13)%]在接受教育性干预后提高[(49±12)%,(64±13)%],差异有统计学意义(F=3.682,P<0.05;F=3.576,P<0.05)。结论大学生对心理疾病存在内隐污名,教育性、接触性干预策略有助于改善大学生对相关知识的了解,不能改进大学生对心理疾病的内隐污名水平。
Objective To investigate the automatic implicit attitude and explicit stigma of mental illness,and the intervention effectiveness on the stigma of mental illness in college students.Methods Single category implicit association test(SC-IAT)and questionnaire survey were used to study the degree of implicit and explicit mental illness stigma among 30 college students of Peking University,and investigated the effect of two strategies,education and contact.Data were analyzed by SPSS 22.0 with£-test and variance analysis.Results The D values of SC-IAT in the three dimensions of cognitive evaluation,emotional response and behavioral tendency of college students were 0.29±0.37,0.24±0.43,and 0.10±0.43.There was a statistically significant difference between the cognitive evaluation dimension,the emotional response dimension and 0(£=4.069,P<0.01;i=2.925,PvO.01).There was no statistically significant difference between the implicit stigma and the 0 in the behavioral tendency dimension(1.423,P=0.167).In the explicit stigma,the mercy dimension score(1.94±0.61)was lower than the median,and the difference was statistically significant(t=-12.286,P<0.01),while the scores of anger dimension(4.62±0.44)and fear dimension(4.55±0.31)were higher than the median(t=13.243,3.200,both P<0.01).There were no significant differences in the values of implicit and external stigma among pre-intervention,education intervention and after contact(R>0.05).The correct rates of questions M Which of the following situations do you think are considered mentally unhealthyand u Which of the following disorders are mental illnessesn(42±13)%,(54±13)%)increased after receiving educational intervention((49±12)%,(64±13)%),the difference was statistically significant(F=3.682,P<O.05;F=3.576,P<O.05).Conclusion College students have implicit mental illness stigma,educational and contact intervention strategies can help improve college students'understanding of relevant knowledge,and cannot improve the level of implicit stigma of college students on men
作者
张君睿
温旭
任红旭
钱铭怡
刘军
赵峥峥
孙旭海
Zhang Junrui;Wen Xu;Ren Hongxu;Qian Mingyi;Liu Jun;Zhao Zhengzheng;Sun Xuhai(School of Psychological and Cognitive Sciences,Peking University,Beijing Key Laboratory for Behavior and Mental Health,Beijing 100080,China;Beijing Anding Hospital,Capital Medical University,Beijing 100883,China;Beijing Xicheng District Desheng Community Health Service Center,Beijing 100120,China)
出处
《中华行为医学与脑科学杂志》
CAS
CSCD
北大核心
2019年第11期1010-1014,共5页
Chinese Journal of Behavioral Medicine and Brain Science
基金
国家社会科学基金项目(16ZDA232)。
