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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.
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- Journal Article (3)