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首页> 外文期刊>Journal of Nursing Education and Practice >From attitudes to behavioral intentions: Stigma and bipolar disorder
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From attitudes to behavioral intentions: Stigma and bipolar disorder

机译：从态度到行为意图：耻辱和躁郁症

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Background: Bipolar disorder (BD) is a highly stigmatized condition, which has many negative repercussions. Most stigma-reduction interventions aim to reduce stigmatizing attitudes in their target groups. However, attitudinal changes do not necessarily translate into changes in discriminatory behavior. To bridge the gap between attitudes and behaviors, the current study examines the stigmatizing attitudes associated with behavioral intentions, i.e., the willingness to enter into contact with individuals with bipolar disorder. Methods: A sample of 94 participants completed the Social Distance Scale (SDS) and the Mental Illness Stigma Scale (MISS). Participants were individuals with BD, their friends/family members, healthcare professionals students, and the general public. This study presents baseline data from a research project testing the anti-stigma intervention. Results: SDS is significantly correlated with four categories of stigmatizing attitudes measured by the MISS: treatability, relationship disruption, hygiene, and anxiety. Greater knowledge about BD is associated with significantly less desire for social distance and more positive attitudes regarding treatability, anxiety and recovery. After controlling for socio- demographic variables and knowledge, only two categories of stigmatizing attitudes predict the desire for social distance: relationship disruption and hygiene, which explain 20% of the variance. Conclusions: Combatting stigma in BD requires a change in behaviors, not just attitudes. We explored the link between stigmatizing attitudes and the desire to interact with affected individuals and found a significant association. The desire to maintain social distance from people with BD was predicted by stigmatizing about regarding their relationships and hygiene habits. By targeting stigmatizing beliefs about relationship disturbances and hygiene in BD, it may be possible to further strengthen anti-stigma initiatives.
机译：背景：双相情感障碍（BD）是一种高度污名化的疾病，具有许多负面影响。大多数减少耻辱感的干预措施旨在减少其目标群体的污名化态度。但是，态度上的改变并不一定会转变为歧视性行为。为了弥合态度和行为之间的鸿沟，本研究研究了与行为意图相关的污名化态度，即与双相情感障碍患者接触的意愿。方法：94名参与者的样本完成了社交距离量表（SDS）和心理疾病耻辱量表（MISS）。参与者是拥有BD的个人，他们的朋友/家人，医疗专业的学生以及普通大众。本研究提供了来自测试抗污名干预措施的研究项目的基准数据。结果：SDS与由MISS衡量的四类污名化态度显着相关：可治疗性，关系破坏，卫生和焦虑。对BD的更多了解与对社交距离的渴望显着减少以及对可治疗性，焦虑症和康复的积极态度有关。在控制了社会人口变量和知识之后，只有两类受侮辱的态度可以预测人们对社会距离的渴望：关系破裂和卫生，这可以解释20％的差异。结论：在BD中对抗耻辱感需要改变行为，而不仅仅是态度。我们探讨了污名化的态度与与受影响的人进行互动的愿望之间的联系，并发现了显着的关联。通过对有关其关系和卫生习惯的污名化，预示了与BD人群保持社交距离的愿望。通过针对有关BD中的关系干扰和卫生的污名化信仰，可能会进一步加强反污名化举措。

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