Perceptions of public attitudes towards persons with mental illness in Beijing, China: results from a representative survey

Liu, J.; Yan, Fang; Ma, Xin; Guo, Hong; Tang, Yi-Lang; Rakofsky, Jeffrey J.; Wu, Xiaomei; Li, X. Q.; Zhu, Hui; Guo, Xiaobing; Yang, Yating; Li, P.; Cao, Xu; Li, H. Y.; Li, Z. B.; Wang, P.; Xu, Qiu-Yue

doi:10.1007/s00127-015-1125-z

Cited by 30 publications

(22 citation statements)

References 29 publications

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“…When asked about others' perceptions of (former) mental patients, many participants thought that the public holds a negative attitude with regard to engaging in closer personal relationships with (former) mental patients. These findings are in line with previous studies in China [10,13,28,29]. Interestingly, negative attitudes were more often endorsed on discrimination items than on devaluation items, indicating that public stigma may be especially manifested in discrimination in the closer personal realm.…”

Section: Discussionsupporting

confidence: 91%

“…Previous work about stigma on mental illness in china has indicated that public stigma is indeed perceived by patients and their families [10,11]. In addition, several surveys have shown high public stigma [12][13][14] and low MHK about depression [15,16] and schizophrenia [17,18]. Finally, recent research has raised concerns that mental health professionals hold discriminatory attitudes towards psychiatric patients in China [19].…”

Section: Introductionmentioning

confidence: 99%

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Mental health stigma and mental health knowledge in Chinese population: a cross-sectional study

Yin

Wardenaar

et al. 2020

BMC Psychiatry

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Background: Little is known about the public stigma on mental illness and mental health knowledge (MHK) in China, public stigma and low MHK can negatively affect patients' health and increase the burden of mental disorders on society. This study aimed at investigating the rates of stigma and MHK, the correlates of stigma and MHK, and the association between MHK and stigma among a Chinese population. Methods: The data is from the Tianjin Mental Health Survey (TJMHS), which involved a large and a representative sample of adult community residents in the Chinese municipality of Tianjin (n = 11,748). In a 12% random subsample (n = 1775) the Perceived Discrimination and Devaluation scale (PDD) and a Mental Health Knowledge Questionnaire (MHKQ) were administered. First, percentages of the responses to the individual items of the PDD and MHKQ were investigated. Second, sociodemographic correlates of PDD and MHK, and the association between stigma and MHK were investigated. Results: We found that a sizable proportion of participants responded that others would hold a negative attitude towards (former) mental patients, especially with regard to engaging in closer personal relationships. Most people were not familiar about the causes, treatments and prevention of mental illness. Resident area, age, education level, Per capita family income and employment status were related to devaluation score and MHKQ score. MHK was negatively associated with public stigma. Conclusions: There is room for improvement with regard to levels of public stigma and MHK in China. Providing psychoeducation to improve public MHK could also contribute to reduction of public stigma.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Mental health stigma and mental health knowledge in Chinese population: a cross-sectional study

Yin

Wardenaar

et al. 2020

BMC Psychiatry

View full text Add to dashboard Cite

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“…Substantial literature exploring the relationship between these variables is mostly conducted in Western countries [ 22 , 28 ]. To date, studies examining public attitudes towards people with mental illness are rare in the Chinese community [ 29 ]. However, the stigma of depression is severe in the Chinese community, with a negative attitude towards people with mental illness [ 30 ].…”

Section: Introductionmentioning

confidence: 99%

The Relationship between Individual-Level and Context-Level Factors and Social Distancing from Patients with Depression in Taiwan: A Multilevel Analysis of National Surveys

Tsai

Kao

Lien

2020

IJERPH

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Background: Research on social distancing from patients with depression has primarily focused on individual-level factors rather than context-level factors. This study aimed to investigate the relationship between individual-level and context-level factors and social distancing from depressive patients. Methods: Sample data were collected via computer-assisted telephone interviews with 800 Taiwanese adults aged 20 to 65 years in 2016. All effects were tested using multilevel analysis. Results: With regard to individual-level variables, male sex, older age, people with more perceived dangerousness and those with more emotional reaction of fear were associated with greater social distancing from depressive patients. After controlling for individual-level variables, a positive association was found between the degree of urbanization and social distancing. We also found the interaction between the density of psychiatric rehabilitation services and perceived dangerousness to be associated with social distance. This finding revealed that persons with more perceived dangerousness and living in a region with higher density of psychiatric rehabilitation services were associated with greater social distance. Conclusions: We found that social distancing from depressive patients is not only determined by individual-level factors but influenced by the surroundings. This study provides useful directions for the implementation of optimal anti-stigma interventions for patients with depression.

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“…Stigmatisation of people with mental illness is especially pronounced in China 18. Family members try to conceal any history of mental illness within the family to avoid any negative impact on the family and potential of the young person to get married.…”

Section: Introductionmentioning

confidence: 99%

Development and validation of brief scales to measure emotional and behavioural problems among Chinese adolescents

Shen

Sun

2017

BMJ Open

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ObjectivesTo develop and validate brief scales to measure common emotional and behavioural problems among adolescents in the examination-oriented education system and collectivistic culture of China.SettingMiddle schools in Hunan province.Participants5442 middle school students aged 11–19 years were sampled. 4727 valid questionnaires were collected and used for validation of the scales. The final sample included 2408 boys and 2319 girls.Primary and secondary outcome measuresThe tools were assessed by the item response theory, classical test theory (reliability and construct validity) and differential item functioning.ResultsFour scales to measure anxiety, depression, study problem and sociality problem were established. Exploratory factor analysis showed that each scale had two solutions. Confirmatory factor analysis showed acceptable to good model fit for each scale. Internal consistency and test–retest reliability of all scales were above 0.7. Item response theory showed that all items had acceptable discrimination parameters and most items had appropriate difficulty parameters. 10 items demonstrated differential item functioning with respect to gender.ConclusionsFour brief scales were developed and validated among adolescents in middle schools of China. The scales have good psychometric properties with minor differential item functioning. They can be used in middle school settings, and will help school officials to assess the students’ emotional/behavioural problems.

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Perceptions of public attitudes towards persons with mental illness in Beijing, China: results from a representative survey

Abstract: Many people in Beijing perceive that most members of their society have negative beliefs towards people with mental illness. Further efforts are needed to determine if these perceptions are accurate and to reduce the stigma that is reinforced by these perceptions.

Cited by 30 publications

References 29 publications

Mental health stigma and mental health knowledge in Chinese population: a cross-sectional study

Mental health stigma and mental health knowledge in Chinese population: a cross-sectional study

The Relationship between Individual-Level and Context-Level Factors and Social Distancing from Patients with Depression in Taiwan: A Multilevel Analysis of National Surveys

Development and validation of brief scales to measure emotional and behavioural problems among Chinese adolescents

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