2002, Number 4
Next >>
salud publica mex 2002; 44 (4)
An explanatory model of behavior towards mental illness
García-Sílberman S
Language: Spanish
References: 41
Page: 289-296
PDF size: 100.78 Kb.
ABSTRACT
Objetive. To evaluate a theoretical model designed to explain behaviors toward mental illness, considering some variables related to the construct.
Material and Methods. A survey was conducted in 1996 on mental disorder beliefs, attitudes, and behavioral intentions. The sample population was stratified by socioeconomic status, age, and gender. Study subjects were 800 individuals from Mexico City's general population. A data collection instrument was constructed and validated, consisting of 120 Likert-type items with five options each. Data were coded and analyzed with the soft ware package SPSS. Internal consistency of the scales was assessed using Cronbach's alpha and construct validity with factorial analysis. Student's t test and ANOVA were used to compare the groups in the different strata.
Results. The model allowed to confirm the predictive capacity of the causal chain connecting beliefs, attitudes, and intentions; nevertheless, other study variables did not contribute to explain it, and behavior was scarcely influenced by intentions, depending mainly on experimented necessity.
Conclusions. Study findings constitute a basis to understand the attitudes of shame and fear usually related to mental illnesses, to plan efficient actions aimed at modifying them, and to design programs to promote mental health.
REFERENCES
Ayuso JL, Saiz J. A comparative study of the psychiatric nurses’ attitudes towards mental patients. Int J Soc Psychiatry 1978;24(1):47-52.
Brockington IF, Hall P, Levings J, Murphy C. The community’s tolerance of the mentally ill. Br J Psychiatry 1993;162 (93):99.
Reda S. Public perception of discharged psychiatric patients: A community survey. Int J Soc Psychiatry 1996;42(3):220-229.
Wolff G, Pathare S, Craig T, Leff J. Community attitudes to mental illness. Br J Psychiatry 1996;168:183-190.
García-Sílberman S. Attitudes toward mental illness and psychiatry: Preliminary results. Salud Mental 1998;21(4):40-50.
García-Sílberman S. Creencias acerca de la enfermedad mental. En: Asociación Mexicana de Psicología Social, ed. La psicología social en México. México, D.F.: AMEPSO, 2000: 338-344.
Aguirre D. El estigma de la enfermedad mental (tesis) México, D.F.: Universidad Nacional Autónoma de México, 1983.
Casco M. Percepción y actitud ante los problemas de salud mental entre jóvenes de educación media superior. Salud Mental 1990;13(2): 18-23.
Casco M, Natera G. Percepción de un grupo de profesionistas hacia la imagen que la comunidad tiene de la enfermedad mental: comparación entre ambas poblaciones. Salud Mental 1986;9(2): 70-77.
Chávez MI. La solicitud de ayuda profesional: su relación con la atribución de enfermedad mental y con el nivel de tolerancia social a las alteraciones conductuales (tesis). México, D.F.: Universidad Iberoamericana, 1982.
De la Serna MT. Análisis del concepto de enfermedad mental en una comunidad suburbana (tesis), México, D.F.: Universidad Iberoamericana, 1982.
González SR. La actitud hacia la enfermedad mental (tesis). México, D.F.: Universidad Nacional Autónoma de México, 1986.
Gutiérrez E. Actitud de la Comunidad hacia la enfermedad mental (tesis). México, D.F.: Universidad Nacional Autónoma de México, 1983.
Natera G, Casco M. Percepción de la enfermedad mental a través de historietas. Bol Oficina Sanit Panam 1985;98(4): 327-338.
Natera G, Casco M. Actitudes hacia la enfermedad mental en población general y en un grupo de profesionales de la salud. En: Anales del Instituto Mexicano de Psiquiatría. México, D.F.: IMP, 1991: 176-182.
Parra F. Social tolerance of the mentally ill in the Mexican American community. Int J Soc Psychiatry 1985;31: 37-45.
Parra F. Perceptions of mental illness in Mexico: A descriptive study in the city of Chihuahua. Int J Soc Psychiatry 1987;33(4): 270-276.
Parra F Yiu-Cheong A. The changing perceptions of mental illness in a Mexican-American community. Int J Soc Psychiatry 1983;29: 95-99.
Bhugra D. Attitudes toward mental illness: A review of the literature. Acta Psychiatr Scand 1989;80:1-6.
Brockman J, D’Arcy C. Correlates of attitudinal social distance toward the mentally ill: A review and re-survey. Soc Psychiatry 1978;13:69-77.
Casco M, Natera G, Herrejón ME. La actitud hacia la enfermedad mental, una revisión de la bibliografía. Salud Mental 1987;10(2):41-50.
Rabkin J. Public attitudes toward mental illness: A review of the literature. Schizophr Bull 1974;10(Fall):9-33.
Ruiz M, Serrano V, Sánchez E. Historia de las actitudes hacia la enfermedad mental. Actas Luso-Españolas de Neurologia y Psiquiatria 1988;16(4):285-293.
Angermeyer MC, Matschinger H. The effect of personal experience with mental illness on the attitude towards individuals suffering from mental disorders. Social Psychiatry Psychiatr Epidemiol 1996;31:321-326.
Angermeyer MC, Matschinger H. Social distance towards the mentally ill: Results of representative surveys in the Federal Republic of Germany. Psychol Med 1997;27:131-141.
Bissland JH, Munger R. Implications of changing attitudes toward mental illness. J Soc Psychol 1985;125(4):515-517.
Chou KL, Mak KY, Chung PK, Ho K. Attitudes towards mental patients in Hong-Kong. Int J Soc Psychiatry 1996;42(3):213-219.
Eker D. University students’ attitudes toward mental patients in a developing country. Soc Psychiatry Psychiatr Epidemiol 1988;23:264-266.
Eker D. Attitudes toward mental illness: Recognition, desired social distance, expected burden and negative influence on mental health among Turkish freshmen. Soc Psychiatry Psychiatr Epidemiol 1989;24:146-150.
Madianos MG, Economou M, Hatjiandreou, Papageorgiou A, Rogakou E. Changes in public attitudes towards mental illness in the Athens area (1979/1980-1994). Acta Psychiatr Scand 1999;99:73-78.
Matschinger H, Angermeyer MC. Lay beliefs about the causes of mental disorders: A new methodological approach. Soc Psychiatry Psychiatr Epidemiol 1996;31:309-315.
Penayo U, Jacobsson L, Caldera T, Bermann G. Community attitudes and awareness of mental disorders. Acta Psychiatr Scand 1988;78: 561-566.
Read J, Law A. The relationship of causal beliefs and contact with users of mental health services to attitudes to the ‘mentally ill’. Int J Soc Psychiatry 1999;45(3):216-229.
Shurka E. Attitudes of Israeli Arabs towards the mentally ill. Int J Soc Psychiatry 1983;29:101-110.
Taylor SM, Dear MJ. Scaling community attitudes toward the mentally ill. Schizophr Bull 1981;7(2):225-239.
Trute B, Tefft B, Segall A. Social rejection of the mentally ill: A replication study of public attitude. Soc Psychiatry Psychiatr Epidemiol 1989;24: 69-76.
Wolff G, Pathare S, Craig T, Leff J. Community knowledge of mental illness and reaction to mentally ill people. Br J Psychiatry 1996;168: 191-198.
Blalock HM. Construcción de teorías en ciencias sociales: de las formulaciones verbales a las matemáticas. México, D.F.: Trillas, 1986.
Fishbein M, Ajzen I. Belief, attitude, intention and behavior: An introduction to theory and research. Nueva York (NY): Addison-Wesley, 1975.
Ajzen I. Attitude structure and behavior. En: Pratkanis AR, Breckler SJ, Greenwald AG, ed. Attitude structure and function. Hillsdal (OH): Ohio State University/Lawrence Erlbaum Assoc. Publishers, 1989.
Ajzen I, Fishbein M. Understanding attitudes and predicting social behavior. Nueva Jersey (NJ): Prentice-Hall, 1980.