住民の精神障害者に対する意識調査--精神障害者との出会いの経験と精神障害者に対するイメージ  [in Japanese] Survey on community resident's attitudes and images for mentally handicapped person and mental disorder  [in Japanese]

Author(s)

Abstract

スティグマと疎外が精神疾患の治療と精神障害者の社会復帰を妨げていることが,精神保健上の問題として明らかにされている.地域住民の精神障害者との出会いの経験と精神障害者に対するイメージについて明らかにする目的で,郵送法による質問紙調査を行った.その結果,20代と30代の回答者の約50%が,精神障害者を意識した時期が小学校から高校であったと回答した.その当時の精神障害者のイメージは,否定的イメージが多かった.またその内容は,「変わっている」「こわい」が上位にあり,「普通の人と変わらない」は1割以下であった.回答者らが,実際に会ったことのある精神障害者は認知症のみであった.精神保健福祉施策は入院医療から地域ケアへと移行している.したがって,精神障害者やその障害について地域住民が理解する機会を我々は増やしていかなければならない.今後は,さらに若い年代から病院や施設等で精神障害者と日常的に交流を持てるような,ふれあいの場を作ることが重要である.また若い年代に対する精神障害者や精神障害に対する固定観念やスティグマを緩和ないし減少させるためのさらなる啓発活動が求められることが示唆された.

BACKGROUND: The mental health care and welfare have shifted from hospital care to the community care. Stigma and discrimination with mental health problems have been identified as major obstacles for this plan. AIM: The purpose of this study was to clarify community attitudes and images for mentally handicapped person of the people living in a small community. METHOD: A mail survey was conducted in the area covered by A health center in B prefecture. The candidate 600 residents (2.2% of all residents) who live in B County were selected (age range: 20-60 y.o.). Participants comprised 293 respondents (recovery ratio: 48.8%). RESULTS: About 50% of respondents who are in 20's and 30's answered that they became aware of mentally handicapped persons when they were between elementary school to high school age. The general tendency at that time was negative including "he/she has changed badly" (19.9%) and "he/she is fearful" (15.8%). On the other hand, positive images were less than ten percents including "he/she is not different from an ordinary person"(5.5%), "he/she is friendly personality" (2.3%). The mentally handicapped persons who respondents usually met were only with dementia. CONCLUSION: The images about mental illness at school ages are important. Any intervention aimed at changing attitudes to mentally ill people in the community should be targeted to children. It is also important to make an opportunity of warm interaction between people with mental disorders and community residents in the psychiatric hospital, a rehabilitation institution, etc.

Journal

  • Nursing journal of Kagawa University

    Nursing journal of Kagawa University 11(1), 65-74, 2007-03

    Kagawa University

Cited by:  1

Codes

  • NII Article ID (NAID)
    110006452199
  • NII NACSIS-CAT ID (NCID)
    AA12029628
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • Journal Type
    大学紀要
  • ISSN
    13498673
  • NDL Article ID
    8781591
  • NDL Source Classification
    ZS47(科学技術--医学--治療医学・看護学・漢方医学)
  • NDL Call No.
    Z19-B912
  • Data Source
    CJPref  NDL  NII-ELS 
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