Attitudes towards prodromal stage of psychosis in Japanese psychiatric professionals

Presentation First Author: 
Yoko Baba

Aim: Despite growing evidences, effectiveness of intervention for prodromal stage of psychosis is still controversial. The aim of this study was to examine attitudes and stigma towards prodromal stage as well as full-blown psychosis in psychiatric professionals. Methods: Participants were psychiatrists, residents and co-medical staff at the Toho Omori Medical Center, Tokyo (14 men and 13 women). The mean age was 32.8 years old (SD_5.1). The mean duration engaged in mental health service was 61.3 months (SD=67.3). Participants were asked to complete a survey on their attitudes towards various mental illnesses. In the first section of the survey, the participants rated the Perceived Discrimination-Devaluation Scale with respect to stigma towards ARMS. In the second section, 4 vignettes depicting ARMS, schizophrenia, depression and psychotic-like-experiences (PLE) cases were presented and participants were asked to rate each vignette using amended version of the Social Distance Scale and a modified 21-item questionnaire on stigma. Results: The mean score on the Perceived Discrimination-Devaluation Scale was 42.6. On the measure of social distance, it was revealed that schizophrenia was significantly rejected compared with PLE. On the measure of personal stigma (21-item questionnaire), it was revealed that schizophrenia was significantly prejudiced compared with PLE. Conclusions: There seems to be different attitudes in proportion to severity of mental illness even in psychiatric professionals. It is desirable to compare the attitudes among different population.

Conference Name: 
Presentation Date: 
January, 2015
Additional Authors: 
Takahiro Nemoto - Naohisa Tsujino - Yuko Yorozuya - Naoyuki Katagiri - Taiju Yamaguchi - Masafumi Mizuno
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