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OBJECTIVE: A wide range of factors can influence help-seeking attitudes when individuals experience a mental disorder. The current study investigated the relationship between traditional Chinese beliefs related to the aetiology of mental disorders and help-seeking attitudes among elderly participants in Macao. METHODS: In order to ensure the suitability of participants for inclusion in this study, the participants were required to complete an initial screening test using the Short Portable Mental Status Questionnaire (SPMSQ). Participants who successfully passed the test (n = 183) completed a questionnaire that included the Inventory of Attitudes Toward Seeking Mental Health Services (IASMHS), a set of 9 items related to traditional Chinese beliefs about aetiology of mental disorders and demographic items. RESULTS: The IASMHS scores were higher for female participants and for participants who had completed high school compared with those who had never attended school or who had only completed primary education. Endorsement of traditional Chinese beliefs about the aetiology of mental disorders was higher for male participants. There was a negative correlation between traditional Chinese aetiology beliefs related to mental disorders and help-seeking attitudes. CONCLUSION: Traditional Chinese beliefs related to the aetiology of mental disorders are a negative factor that inhibits help seeking. Implications for efforts to increase the utilisation of mental health services by the elderly are discussed.
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Differences in parental expectations related to cultural background, gender and sibling position were investigated among Chinese college students in Macau. Three-hundred and forty-four Chinese college students completed a questionnaire which included measures of parental expectations and psychological distress, as well as information about their gender, cultural background (Mainland China or Macau) and sibling position. Participants born in mainland China reported significantly higher perceived parental expectations (PPE) compared with students from Macau. Contrary to predictions, there was no evidence of a difference in PPE in relation to gender or being the first-born sibling. These findings are discussed in terms of changes in family values and parental attitudes within Chinese society over the past few decades.
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BACKGROUND: Public beliefs concerning the causes of mental disorders are important in their effective treatment. The relative importance of public beliefs related to the etiology of mental disorders among Chinese populations and their relationship to other attitudes to mental disorders are poorly understood. AIMS: To investigate the endorsement of beliefs related to the etiology of mental disorders in Macau, in particular, traditional Chinese beliefs, and to explore their relationship to general attitudes towards mental disorders. METHODS: A survey of 361 members of the public measured attitudes towards 32 possible causes of mental disorders as well as contact with and social distance from individuals with a mental disorder. RESULTS: The results indicated that traditional Chinese beliefs were ranked with relatively low importance compared with psychosocial causes. Traditional beliefs related to two underlying factors and were significantly higher in participants with lower education levels. There was a significant negative correlation between endorsement of traditional beliefs and contact with individuals with a mental disorder and a significant positive correlation between endorsement of traditional beliefs and desired social distance from individuals with a mental disorder. CONCLUSION: Factors underlying traditional Chinese beliefs concerning the causes of mental disorders are associated with more negative attitudes towards individuals with a mental disorder, with such beliefs more strongly endorsed by those with relatively lower education levels.
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OBJECTIVES: To investigate the effects of different Chinese terms for mental illness and related symptoms on the attitudes of adolescents towards sufferers of a mental illness. METHODS: A survey of 578 secondary school students attending 4 schools in Macao was conducted. Each student read a short passage about a new student with a mental illness joining their class. Different versions used different labels to refer to the illness of the new student. The symptoms describing the new student also varied: either describing positive symptoms of schizophrenia or mild negative symptoms only. The attitudes of participants to the new student described were measured. RESULTS: There were significantly more negative attitudes towards the sufferer of a mental illness referred to with a psychiatric label, compared with a general label 'illness'. Participants also expressed significantly more negative attitudes when positive symptoms of schizophrenia were used to describe the new student. The results are discussed in terms of the influence of labels and symptoms on attitudes towards mental illness. CONCLUSIONS: These results supported the existence of 2 additive costs in terms of negative attitudes towards sufferers of mental illness, one associated with the label and the other associated with the symptoms.