Association of perceived stigma and mood and anxiety disorders: results from the World Mental Health Surveys

被引：179

作者：

Alonso, J. ^{[1
]}

Buron, A. ^{[1
,2
]}

Bruffaerts, R. ^{[3
]}

He, Y. ^{[4
]}

Posada-Villa, J. ^{[5
]}

Lepine, J-P. ^{[6
]}

Angermeyer, M. C.

Levinson, D. ^{[7
]}

de Girolamo, G. ^{[8
]}

Tachimori, H. ^{[9
]}

Mneimneh, Z. N. ^{[10
]}

Medina-Mora, M. E. ^{[11
]}

Ormel, J. ^{[12
]}

Scott, K. M. ^{[13
]}

Gureje, O. ^{[14
]}

Haro, J. M. ^{[15
]}

Gluzman, S. ^{[16
]}

Lee, S. ^{[17
]}

Vilagut, G. ^{[1
]}

Kessler, R. C. ^{[18
]}

Von Korff, M. ^{[19
]}

机构：

[1] Hosp Mar, Inst Municipal Invest Med, Hlth Serv Res Unit, PRBB, Barcelona 08003, Spain

[2] IMAS UPF ASPB, Prevent Med & Publ Hlth Training Unit, Barcelona, Spain

[3] Univ Hosp Gasthuisberg, Dept Neurosci & Psychiat, B-3000 Louvain, Belgium

[4] Shanghai Mental Hlth Ctr, Shanghai, Peoples R China

[5] Colegio Mayor Cundinamarca Univ, Bogota, Colombia

[6] Hosp Ferdinand Widal, Paris, France

[7] Minist Hlth, Res & Planning, Mental Hlth Serv, Jerusalem, Israel

[8] Reg Hlth Care Agcy, Emilia Romagna Reg, Bologna, Italy

[9] NIMH, Dept Mental Hlth Adm, Ichikawa, Japan

[10] IDRAAC, Beirut, Lebanon

[11] Epidemiol & Psychosocial Res Natl Inst Psychiat, Mexico City, DF, Mexico

[12] Univ Groningen, Univ Med Ctr Groningen, Dept Psychiat, NL-9713 AV Groningen, Netherlands

[13] Wellington Sch Med & Hlth Sci, Dept Psychol Med, Wellington, New Zealand

[14] Univ Coll Ibadan Hosp, Dept Psychiat, Ibadan, Nigeria

[15] St Joan de Deu SSM, Barcelona, Spain

[16] Ukrainian Psychiat Assoc, Kiev, Ukraine

[17] Chinese Univ Hong Kong, Dept Psychiat, Shatin, Hong Kong, Peoples R China

[18] Harvard Univ, Sch Med, Dept Hlth Care Policy, Boston, MA 02115 USA

[19] Grp Hlth Cooperat Puget Sound, Ctr Hlth Studies, Seattle, WA 98101 USA

来源：

ACTA PSYCHIATRICA SCANDINAVICA | 2008年 / 118卷 / 04期

关键词：

mental disorders; stereotyping/stigmatization; disability evaluation; epidemiology; health surveys;

D O I：

10.1111/j.1600-0447.2008.01241.x

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Objective: We assessed the prevalence of perceived stigma among persons with mental disorders and chronic physical conditions in an international study. Method: Perceived stigma (reporting health-related embarrassment and discrimination) was assessed among adults reporting significant disability. Mental disorders were assessed with Composite International Diagnostic Interview (CIDI) 3.0. Chronic conditions were ascertained by self-report. Household-residing adults (80 737) participated in 17 population surveys in 16 countries. Results: Perceived stigma was present in 13.5% (22.1% in developing and 11.7% in developed countries). Suffering from a depressive or an anxiety disorder (vs. no mental disorder) was associated with about a twofold increase in the likelihood of stigma, while comorbid depression and anxiety was even more strongly associated (OR 3.4, 95%CI 2.7-4.2). Chronic physical conditions showed a much lower association. Conclusion: Perceived stigma is frequent and strongly associated with mental disorders worldwide. Efforts to alleviate stigma among individuals with comorbid depression and anxiety are needed.

引用

页码：305 / 314

页数：10

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