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Comparando modelos biomédicos e psicossociais-culturais na redução do estigma público em relação à esquizofrenia: Um estudo experimental holístico

Psiquiatria
Imagem de arquivo, ilustrativa — não é do estudo. Tratografia por ressonância magnética: tratos de substância branca no cérebro de um camundongo. NIH · domínio público · Wikimedia Commons

Ensaio clínico randomizadoNível 2 · Nova evidênciaSocial science & medicine (1982)13 out 20260 citações

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Resumo original em inglês

O que aconteceu

Existing studies have primarily examined how biogenetic explanations for the causes of mental illness influence stigma, while largely neglecting the impact of presenting psychiatric medication or medical techniques as the primary solutions. The present study addresses this gap by experimentally investigating the effects of presenting the full biomedical model, including both explanations and treatments for the symptoms of schizophrenia, to the public on stigma. Furthermore, it compares these effects with those of a psychosocial-cultural model across nine experimental conditions. This study was exploratory in nature.

A total of 1067 participants from China were randomly assigned to one of nine groups: 1) Diverse Explanation + Diverse Solution, 2) Diverse Explanation + Biomedical Solution, 3) Diverse Explanation Only, 4) Biomedical Explanation + Biomedical Solution, 5) Biomedical Explanation + Diverse Solution, 6) Biomedical Explanation Only, 7) Diverse Solution Only, 8) Biomedical Solution Only, and 9) Control. Participants completed pre-experiment, post-experiment, and one-week follow-up assessments, and viewed a 4-min video manipulating the type of explanation and solution for schizophrenia in the experiment. This study was not pre-registered.

O que encontraram

Linear Mixed Models indicated no significant three-way interaction (Explanation x Solution x Time). However, explanations and solutions demonstrated differential effects on stigma and advocacy. Specifically, diverse solutions were more effective in reducing stigma, whereas diverse explanations were more effective in promoting private forms of collective action.

Por que isso importa

These findings offered insights that future campaigns, educational programs, and advocacy initiatives should not only explain the diverse causes of schizophrenia but also highlight concrete examples of how individuals and communities can provide support and promote recovery.

Resumo publicado sob licença CC BY. A tradução para o português ainda não chegou a este estudo.

O estudo original

Comparing biomedical and psychosocial-cultural models in reducing public stigma toward schizophrenia: A holistic experimental study

Ben C L Yu, Mingjun Yang, Shirley X Peng, Ella Zoe Tsang, Floria H N Chio, Sylvia Xiaohua Chen, Winnie W S Mak

Descritores MeSH

  • Schizophrenia
  • Models, Psychological
  • Social Stigma
  • Humans
  • Male
  • Adult
  • Young Adult
  • Middle Aged
  • China
  • Female

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