Abstract
Objective
The purpose of our study was to assess the knowledge, social distance and perception of social discrimination towards persons with schizophrenia in the general adult population of Buenos Aires, Argentina.
Methods
One thousand two-hundred fifty-four persons were surveyed at different neighborhoods of the city of Buenos Aires. Their knowledge about schizophrenia, personal social distance and perception of social discrimination were assessed with several questions. Afterwards, a scale for each one of these measures was built.
Results
Almost half of the general population believed that patients with schizophrenia suffer from split personality and that most of them are dangerous and violent. Knowledge about schizophrenia in the general population was moderate and it was associated with age and education. Almost 80% of the population had less than one-third of the maximum possible social distance score, but their perception of social discrimination was high. Social distance was greater in the elderly. Knowledge was correlated weakly with social distance. Respondents directly related with patients suffering from schizophrenia were more knowledgeable about the illness, but had the same social distance and perception of social discrimination than the rest of the general population.
Conclusions
The persons surveyed felt their own attitudes are more favorable to people with schizophrenia than ‘most other people’s’ attitudes. The elderly should be specifically addressed in specially designed anti-stigma campaigns.
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References
Addison SJ, Thorpe SJ (2004) Factors involved in the formation of attitudes towards those who are mentally ill. Soc Psychiatry Psychiatr Epidemiol 39:228–234
Adewuya A, Makanjuola R (2005) Social distance towards people with mental illness amongst Nigerian university students. Soc Psychiatric Psychiatr Epidemiol 40:865–868
Alonso MM (2006) Los psicólogos en la Argentina. Psicodebate 6. Psicología. Cult Soc 6:7–14
Association American Psychiatric (2000) Diagnostic and statistical manual of mental disorders: 4th edn. revised. American Psychiatric Association, Washington, DC
Angermeyer MC, Dietrich S (2006) Public beliefs about and attitudes towards people with mental illness: a review of population studies. Acta Psychiatr Scand 113:163–179
Angermeyer MC, Matschinger H, Corrigan PW (2004) Familiarity with mental illness and social distance from people with schizophrenia and major depression: testing a model using data from a representative population survey. Schizophr Res 69(2–3):175–182
Angermeyer MC, Matschinger H (1996) The effect of personal experience with mental illness on the attitude towards individuals suffering from mental disorders. Soc Psychiatry Psychiatr Epidemiol 31:321–326
Angermeyer MC, Matschinger H (1997) Social distance towards the mentally ill: results of representative surveys in the Federal Republic of Germany. Psychol Med 27:131–141
Berge M, Ranney M (2005) Self-esteem and stigma among persons with schizophrenia: implications for mental health. Care Manage J 6:139–144
Bogardus EM (1925) Measuring social distance. J Appl Soc 9:299–308
Bowling A (2005) Mode of questionnaire administration can have serious effects on data quality. J Public Health 27:281–291
Breier A, Scheiber JL, Dyer J et al (1991) National Institute of Mental Health longitudinal study of chronic schizophrenia. Arch Gen Psychiatry 48:239–246
Brislin RW (1986) The wording and translation of research instruments. In: Lonner WL, Berry JW (eds) Field methods in cross-cultural research. Sage, Newbury Park, pp 137–164
Brockington IF, Hall P, Levings J, Murphy C (1993) The community’s tolerance of the mentally ill. Br J Psychiatry 162:93–99
Bullinger M, Alonso J, Apolone G et al (1998) Translating health status questionnaires and evaluating their quality: the IQOLA Project approach: International Quality of Life Assessment. J Clin Epidemiol 51:913–923
Buss DM (1989) Sex differences in human mate preferences: evolutionary hypotheses tested in 37 cultures. Behav Brain Sci 12:1–49
Chuaqui J (2005) El estigma en la esquizofrenia. Ciencias Soc Online 2:45–66
Clement S, Foster N (2008) Newspaper reporting on schizophrenia: a content analysis of five national newspapers at two time points. Schizophr Res 98(1–3):178–183
Corrigan PW, Edwards AB, Green A et al (2001) Prejudice, social distance, and familiarity with mental illness. Schizophr Bull 27(2):219–225
Dirección General de Censo y Estadística (2008) Encuesta Anual de Hogares de la Ciudad de Buenos Aires. Aspectos Demográficos 2006, no. 14
Dirección General de Censo y Estadística (2008). Encuesta Anual de Hogares de la Ciudad de Buenos Aires. Aspectos Educativos 2004–2005, no. 13
Ertugrul A, Ulug B (2004) Perception of stigma among patients with schizophrenia. Soc Psychiatry Psychiatr Epidemiol 39:73–77
Gaebel W, Baumann A, Witte A, Zaeske H (2002) Public attitudes towards people with mental illness in six German cities. Eur Arch Psychiatry Clin Neurosci 252:278–287
Griffiths KM, Nakane Y, Christensen H et al (2006) Stigma in response to mental disorders: a comparison of Australia and Japan. BMC Psychiatry 6:21
Harrison G, Hopper K, Craig T et al (2001) Psychotic illness: a 15- and 25-year international follow-up study. Br J Psychiatry 178:506–517
Jorm AF (2000) Mental health literacy: public knowledge and beliefs about mental disorders. Br J Psychiatry 177:396–401
Krauss SJ (1995) Attitudes and the prediction of behavior: a metanalysis of the empirical literature. Pers Soc Psychol Bull 21:58–75
Leckwart JF (1968) Social distance: an important variable in psychiatric settings. Psychiatry 31:352–361
Lee PW, Lieh-Mak F, Wong MC et al (1988) The 15 year outcome of Chinese patients with schizophrenia in Hong Kong. Can J Psychiatry 43:706–713
Leff J, Warner R (2006) Why work helps: social inclusion of people with mental illness. Cambridge University Press, New York
Leiderman EA, Mugnolo JF, Bruscoli N et al (2006) Consumo de psicofármacos en la población general de la ciudad de Buenos Aires. Vertex Rev Arg de Psiquiat 17:85–91
Levav I, Shemesh A, Grinshpoon A et al (2004) Mental health-related knowledge, attitudes and practices in two kibbutzim. Soc Psychiatry Psychiatr Epidemiol 39:758–764
Link BG, Cullen F (1983) Reconsidering the social rejection of ex-mental patients: levels of attitudinal response. Am J Commun Psychol 11:261–273
Link BG, Cullen FT, Frank J et al (1987) The social rejection of former mental patients: understanding why labels matter. Am J Sociol 92:1461–1500
Link BG, Cullen FT, Struening E, Schrout PE, Dohrenwend BP (1989) A modified labeling theory approach to mental disorders: an empirical assessment. Am Soc Rev 54:400–423
Link BG, Struening EL, Rahav M et al (1997) On stigma and its consequences: evidence from a longitudinal study of men with dual diagnosis of mental illness and substance abuse. J Health Soc Behav 38:177–190
Lysaker PH, Tsai J, Yanos P, Roe D (2008) Associations of multiple domains of self-esteem with four dimensions of stigma in schizophrenia. Schizophr Res 98(1–3):194–200
Magliano L, Fiorillo A, De Rosa C et al (2004) Beliefs about schizophrenia in Italy: a comparative nationwide survey of the general public, mental health professionals, and patients′ relatives. Can J Psychiatry 49:322–330
Marwaha S, Johnson S (2004) Schizophrenia and employment. Soc Psychiatry Psychiatr Epidemiol 39:337–349
Matas M, el-Guebaly, Peterkin N et al (1985) Mental illness and the media: an assessment of attitudes and communication. Can J Psychiatry 31:12–17
Phelan JC, Bromet EJ, Link BG (1998) Psychiatric illness and family stigma. Schizophr Bull 24:115–126
Racenstein JM, Penn D, Harrow M et al (1999) Thought disorder and psychosocial functioning in schizophrenia: the concurrent and predictive relationships. J Nerv Ment Dis 187:281–289
Schomerus G, Kenzin D, Borsche J, Matschinger H, Angermeyer MC (2007) The association of schizophrenia with split personality is not an ubiquitous phenomenon: results from population studies in Russia and Germany. Soc Psychiatry Psychiatr Epidemiol 42:780–786
Small R, Yelland J, Lumley J et al (1999) Cross-cultural research: trying to do it better. 2. Enhancing data quality. Aust N Z J Public Health 23:390–394
Stefani D (1985) Autoritarismo y actitud hacia la enfermedad mental. Salud Ment 8(2):27–30
Stefani D (1979) Actitud hacia la enfermedad mental y nivel socioeconómico. Acta Psiquiat Psicol Am lat 25:282–286
Strauss JS (2008) Prognosis in schizophrenia and the role of subjectivity. Schizophr Bull 34:201–203
Stuart H, Arboleda-Flórez J (2001) Community attitudes towards people with schizophrenia. Can J Psychiatry 46:245–252
Stuart H (2008) Fighting the stigma caused by mental disorders: past perspectives, present activities, and future directions. World Psychiatry 7:185–188
Taskin EO, Sen FS, Aydemir O et al (2003) Public attitudes to schizophrenia in rural Turkey. Soc Psychiatry Psychiatr Epidemiol 38(10):586–592
Thompson A, Stuart H, Bland RC et al (2002) Attitudes about schizophrenia from the pilot site of the WPA worldwide campaign against the stigma of schizophrenia. Soc Psychiatry Psychiatr Epidemiol 37:475–482
Toledo Piza Peluso E, Blay SL (2004) Community perception of mental disorders: a systematic review of Latin American and Caribbean studies. Soc Psychiatry Psychiatr Epidemiol 39:955–961
Walsh E, Buchanan A, Fahi T (2002) Violence and schizophrenia: examining the evidence. Br J Psychiatry 180:490–495
Wiersma D, Nienhuis FJ, Slooff CJ et al (1998) Natural course of schizophrenic disorders: a 15-year follow-up of a Dutch incidence cohort. Schizophr Bull 24:75–85
Wolff G, Pathare S, Craig T, Leff J (1996) Community attitudes to mental illness. Br J Psychiatry 168:183–190
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Leiderman, E.A., Vazquez, G., Berizzo, C. et al. Public knowledge, beliefs and attitudes towards patients with schizophrenia: Buenos Aires. Soc Psychiatry Psychiatr Epidemiol 46, 281–290 (2011). https://doi.org/10.1007/s00127-010-0196-0
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DOI: https://doi.org/10.1007/s00127-010-0196-0