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Published in: Social Psychiatry and Psychiatric Epidemiology 4/2011

01-04-2011 | Original Paper

Public knowledge, beliefs and attitudes towards patients with schizophrenia: Buenos Aires

Authors: Eduardo Adrian Leiderman, Gustavo Vazquez, Candela Berizzo, Ana Bonifacio, Noelia Bruscoli, Juan I. Capria, Betina Ehrenhaus, Manuel Guerrero, Maria Guerrero, Maria Lolich, Roumen Milev

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 4/2011

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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.
Literature
1.
go back to reference Addison SJ, Thorpe SJ (2004) Factors involved in the formation of attitudes towards those who are mentally ill. Soc Psychiatry Psychiatr Epidemiol 39:228–234PubMedCrossRef Addison SJ, Thorpe SJ (2004) Factors involved in the formation of attitudes towards those who are mentally ill. Soc Psychiatry Psychiatr Epidemiol 39:228–234PubMedCrossRef
2.
go back to reference Adewuya A, Makanjuola R (2005) Social distance towards people with mental illness amongst Nigerian university students. Soc Psychiatric Psychiatr Epidemiol 40:865–868CrossRef Adewuya A, Makanjuola R (2005) Social distance towards people with mental illness amongst Nigerian university students. Soc Psychiatric Psychiatr Epidemiol 40:865–868CrossRef
3.
go back to reference Alonso MM (2006) Los psicólogos en la Argentina. Psicodebate 6. Psicología. Cult Soc 6:7–14 Alonso MM (2006) Los psicólogos en la Argentina. Psicodebate 6. Psicología. Cult Soc 6:7–14
4.
go back to reference Association American Psychiatric (2000) Diagnostic and statistical manual of mental disorders: 4th edn. revised. American Psychiatric Association, Washington, DC Association American Psychiatric (2000) Diagnostic and statistical manual of mental disorders: 4th edn. revised. American Psychiatric Association, Washington, DC
5.
go back to reference Angermeyer MC, Dietrich S (2006) Public beliefs about and attitudes towards people with mental illness: a review of population studies. Acta Psychiatr Scand 113:163–179PubMedCrossRef Angermeyer MC, Dietrich S (2006) Public beliefs about and attitudes towards people with mental illness: a review of population studies. Acta Psychiatr Scand 113:163–179PubMedCrossRef
6.
go back to reference 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):175–182PubMedCrossRef 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):175–182PubMedCrossRef
7.
go back to reference 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 31:321–326PubMedCrossRef 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 31:321–326PubMedCrossRef
8.
go back to reference Angermeyer MC, Matschinger H (1997) Social distance towards the mentally ill: results of representative surveys in the Federal Republic of Germany. Psychol Med 27:131–141PubMedCrossRef Angermeyer MC, Matschinger H (1997) Social distance towards the mentally ill: results of representative surveys in the Federal Republic of Germany. Psychol Med 27:131–141PubMedCrossRef
9.
go back to reference Berge M, Ranney M (2005) Self-esteem and stigma among persons with schizophrenia: implications for mental health. Care Manage J 6:139–144CrossRef Berge M, Ranney M (2005) Self-esteem and stigma among persons with schizophrenia: implications for mental health. Care Manage J 6:139–144CrossRef
10.
go back to reference Bogardus EM (1925) Measuring social distance. J Appl Soc 9:299–308 Bogardus EM (1925) Measuring social distance. J Appl Soc 9:299–308
11.
go back to reference Bowling A (2005) Mode of questionnaire administration can have serious effects on data quality. J Public Health 27:281–291CrossRef Bowling A (2005) Mode of questionnaire administration can have serious effects on data quality. J Public Health 27:281–291CrossRef
12.
go back to reference Breier A, Scheiber JL, Dyer J et al (1991) National Institute of Mental Health longitudinal study of chronic schizophrenia. Arch Gen Psychiatry 48:239–246PubMed Breier A, Scheiber JL, Dyer J et al (1991) National Institute of Mental Health longitudinal study of chronic schizophrenia. Arch Gen Psychiatry 48:239–246PubMed
13.
go back to reference 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 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
14.
go back to reference Brockington IF, Hall P, Levings J, Murphy C (1993) The community’s tolerance of the mentally ill. Br J Psychiatry 162:93–99PubMedCrossRef Brockington IF, Hall P, Levings J, Murphy C (1993) The community’s tolerance of the mentally ill. Br J Psychiatry 162:93–99PubMedCrossRef
15.
go back to reference 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 51:913–923PubMedCrossRef 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 51:913–923PubMedCrossRef
16.
go back to reference Buss DM (1989) Sex differences in human mate preferences: evolutionary hypotheses tested in 37 cultures. Behav Brain Sci 12:1–49CrossRef Buss DM (1989) Sex differences in human mate preferences: evolutionary hypotheses tested in 37 cultures. Behav Brain Sci 12:1–49CrossRef
17.
go back to reference Chuaqui J (2005) El estigma en la esquizofrenia. Ciencias Soc Online 2:45–66 Chuaqui J (2005) El estigma en la esquizofrenia. Ciencias Soc Online 2:45–66
18.
go back to reference 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):178–183PubMedCrossRef 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):178–183PubMedCrossRef
19.
go back to reference Corrigan PW, Edwards AB, Green A et al (2001) Prejudice, social distance, and familiarity with mental illness. Schizophr Bull 27(2):219–225PubMed Corrigan PW, Edwards AB, Green A et al (2001) Prejudice, social distance, and familiarity with mental illness. Schizophr Bull 27(2):219–225PubMed
20.
go back to reference 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 Demográficos 2006, no. 14
21.
go back to reference Dirección General de Censo y Estadística (2008). Encuesta Anual de Hogares de la Ciudad de Buenos Aires. Aspectos Educativos 2004–2005, no. 13 Dirección General de Censo y Estadística (2008). Encuesta Anual de Hogares de la Ciudad de Buenos Aires. Aspectos Educativos 2004–2005, no. 13
22.
go back to reference Ertugrul A, Ulug B (2004) Perception of stigma among patients with schizophrenia. Soc Psychiatry Psychiatr Epidemiol 39:73–77PubMedCrossRef Ertugrul A, Ulug B (2004) Perception of stigma among patients with schizophrenia. Soc Psychiatry Psychiatr Epidemiol 39:73–77PubMedCrossRef
23.
go back to reference 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 252:278–287PubMedCrossRef 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 252:278–287PubMedCrossRef
24.
go back to reference Griffiths KM, Nakane Y, Christensen H et al (2006) Stigma in response to mental disorders: a comparison of Australia and Japan. BMC Psychiatry 6:21PubMedCrossRef Griffiths KM, Nakane Y, Christensen H et al (2006) Stigma in response to mental disorders: a comparison of Australia and Japan. BMC Psychiatry 6:21PubMedCrossRef
25.
go back to reference Harrison G, Hopper K, Craig T et al (2001) Psychotic illness: a 15- and 25-year international follow-up study. Br J Psychiatry 178:506–517PubMedCrossRef Harrison G, Hopper K, Craig T et al (2001) Psychotic illness: a 15- and 25-year international follow-up study. Br J Psychiatry 178:506–517PubMedCrossRef
26.
go back to reference Jorm AF (2000) Mental health literacy: public knowledge and beliefs about mental disorders. Br J Psychiatry 177:396–401PubMedCrossRef Jorm AF (2000) Mental health literacy: public knowledge and beliefs about mental disorders. Br J Psychiatry 177:396–401PubMedCrossRef
27.
go back to reference Krauss SJ (1995) Attitudes and the prediction of behavior: a metanalysis of the empirical literature. Pers Soc Psychol Bull 21:58–75CrossRef Krauss SJ (1995) Attitudes and the prediction of behavior: a metanalysis of the empirical literature. Pers Soc Psychol Bull 21:58–75CrossRef
28.
go back to reference Leckwart JF (1968) Social distance: an important variable in psychiatric settings. Psychiatry 31:352–361PubMed Leckwart JF (1968) Social distance: an important variable in psychiatric settings. Psychiatry 31:352–361PubMed
29.
go back to reference 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 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
30.
go back to reference Leff J, Warner R (2006) Why work helps: social inclusion of people with mental illness. Cambridge University Press, New YorkCrossRef Leff J, Warner R (2006) Why work helps: social inclusion of people with mental illness. Cambridge University Press, New YorkCrossRef
31.
go back to reference 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 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
32.
go back to reference Levav I, Shemesh A, Grinshpoon A et al (2004) Mental health-related knowledge, attitudes and practices in two kibbutzim. Soc Psychiatry Psychiatr Epidemiol 39:758–764PubMedCrossRef Levav I, Shemesh A, Grinshpoon A et al (2004) Mental health-related knowledge, attitudes and practices in two kibbutzim. Soc Psychiatry Psychiatr Epidemiol 39:758–764PubMedCrossRef
33.
go back to reference Link BG, Cullen F (1983) Reconsidering the social rejection of ex-mental patients: levels of attitudinal response. Am J Commun Psychol 11:261–273CrossRef Link BG, Cullen F (1983) Reconsidering the social rejection of ex-mental patients: levels of attitudinal response. Am J Commun Psychol 11:261–273CrossRef
34.
go back to reference Link BG, Cullen FT, Frank J et al (1987) The social rejection of former mental patients: understanding why labels matter. Am J Sociol 92:1461–1500CrossRef Link BG, Cullen FT, Frank J et al (1987) The social rejection of former mental patients: understanding why labels matter. Am J Sociol 92:1461–1500CrossRef
35.
go back to reference 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 54:400–423CrossRef 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 54:400–423CrossRef
36.
go back to reference 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 38:177–190PubMedCrossRef 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 38:177–190PubMedCrossRef
37.
go back to reference 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):194–200PubMedCrossRef 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):194–200PubMedCrossRef
38.
go back to reference 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 49:322–330PubMed 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 49:322–330PubMed
39.
go back to reference Marwaha S, Johnson S (2004) Schizophrenia and employment. Soc Psychiatry Psychiatr Epidemiol 39:337–349PubMedCrossRef Marwaha S, Johnson S (2004) Schizophrenia and employment. Soc Psychiatry Psychiatr Epidemiol 39:337–349PubMedCrossRef
40.
go back to reference 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 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
41.
go back to reference Phelan JC, Bromet EJ, Link BG (1998) Psychiatric illness and family stigma. Schizophr Bull 24:115–126PubMed Phelan JC, Bromet EJ, Link BG (1998) Psychiatric illness and family stigma. Schizophr Bull 24:115–126PubMed
42.
go back to reference 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 187:281–289PubMedCrossRef 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 187:281–289PubMedCrossRef
43.
go back to reference 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 42:780–786PubMedCrossRef 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 42:780–786PubMedCrossRef
44.
go back to reference 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 23:390–394PubMedCrossRef 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 23:390–394PubMedCrossRef
45.
go back to reference Stefani D (1985) Autoritarismo y actitud hacia la enfermedad mental. Salud Ment 8(2):27–30 Stefani D (1985) Autoritarismo y actitud hacia la enfermedad mental. Salud Ment 8(2):27–30
46.
go back to reference Stefani D (1979) Actitud hacia la enfermedad mental y nivel socioeconómico. Acta Psiquiat Psicol Am lat 25:282–286 Stefani D (1979) Actitud hacia la enfermedad mental y nivel socioeconómico. Acta Psiquiat Psicol Am lat 25:282–286
47.
go back to reference Strauss JS (2008) Prognosis in schizophrenia and the role of subjectivity. Schizophr Bull 34:201–203PubMedCrossRef Strauss JS (2008) Prognosis in schizophrenia and the role of subjectivity. Schizophr Bull 34:201–203PubMedCrossRef
48.
go back to reference Stuart H, Arboleda-Flórez J (2001) Community attitudes towards people with schizophrenia. Can J Psychiatry 46:245–252PubMed Stuart H, Arboleda-Flórez J (2001) Community attitudes towards people with schizophrenia. Can J Psychiatry 46:245–252PubMed
49.
go back to reference Stuart H (2008) Fighting the stigma caused by mental disorders: past perspectives, present activities, and future directions. World Psychiatry 7:185–188PubMed Stuart H (2008) Fighting the stigma caused by mental disorders: past perspectives, present activities, and future directions. World Psychiatry 7:185–188PubMed
50.
go back to reference Taskin EO, Sen FS, Aydemir O et al (2003) Public attitudes to schizophrenia in rural Turkey. Soc Psychiatry Psychiatr Epidemiol 38(10):586–592PubMedCrossRef Taskin EO, Sen FS, Aydemir O et al (2003) Public attitudes to schizophrenia in rural Turkey. Soc Psychiatry Psychiatr Epidemiol 38(10):586–592PubMedCrossRef
51.
go back to reference 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 37:475–482PubMedCrossRef 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 37:475–482PubMedCrossRef
52.
go back to reference 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 39:955–961PubMedCrossRef 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 39:955–961PubMedCrossRef
53.
go back to reference Walsh E, Buchanan A, Fahi T (2002) Violence and schizophrenia: examining the evidence. Br J Psychiatry 180:490–495PubMedCrossRef Walsh E, Buchanan A, Fahi T (2002) Violence and schizophrenia: examining the evidence. Br J Psychiatry 180:490–495PubMedCrossRef
54.
go back to reference 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 24:75–85PubMed 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 24:75–85PubMed
55.
go back to reference Wolff G, Pathare S, Craig T, Leff J (1996) Community attitudes to mental illness. Br J Psychiatry 168:183–190PubMedCrossRef Wolff G, Pathare S, Craig T, Leff J (1996) Community attitudes to mental illness. Br J Psychiatry 168:183–190PubMedCrossRef
Metadata
Title
Public knowledge, beliefs and attitudes towards patients with schizophrenia: Buenos Aires
Authors
Eduardo Adrian Leiderman
Gustavo Vazquez
Candela Berizzo
Ana Bonifacio
Noelia Bruscoli
Juan I. Capria
Betina Ehrenhaus
Manuel Guerrero
Maria Guerrero
Maria Lolich
Roumen Milev
Publication date
01-04-2011
Publisher
Springer-Verlag
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 4/2011
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-010-0196-0

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