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Psychiatry Clin Neurosci. 2017 Mar;71(3):170-179. doi: 10.1111/pcn.12423. Epub 2016 Sep 07.

Mental-health-related stigma among Japanese children and their parents and impact of renaming of schizophrenia.

Psychiatry and clinical neurosciences

Shinsuke Koike, Sosei Yamaguchi, Kazusa Ohta, Yasutaka Ojio, Kei-Ichiro Watanabe, Shuntaro Ando

Affiliations

  1. Office for Mental Health Support, Division for Counseling and Support, The University of Tokyo, Tokyo, Japan.
  2. Center for Evolutionary Cognitive Sciences, Graduate School of Art and Sciences, The University of Tokyo, Tokyo, Japan.
  3. University of Tokyo Institute for Diversity & Adaptation of Human Mind (UTIDAHM), Tokyo, Japan.
  4. Department of Psychiatric Rehabilitation, National Institute of Mental Health, National Center of Neurology and Psychiatry, Tokyo, Japan.
  5. Department of Physical and Health Education, The University of Tokyo, Tokyo, Japan.
  6. Department of Psychiatry and Behavioral Science, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.

PMID: 27470981 DOI: 10.1111/pcn.12423

Abstract

AIM: Mental-health-related stigma affects help-seeking behavior and service utilization among young people. Whether mental-health-related stigma is different or correlated between parents and their children is unknown. It is also unknown whether the name change of schizophrenia in 2002 has had long-term effects on reducing stigma for adults in the general population.

METHODS: We recruited 143 parent-child pairs (mean ages [SD]: 51.5 [3.6] and 21.2 [1.2] years, respectively) to complete self-report questionnaires regarding mental-health-related stigma and experience. We also assessed negative stereotypes for three psychiatric disease names (old and new names of schizophrenia, and depression), and for diabetes mellitus as a physical illness comparison. The questionnaires also asked respondents to identify the old and new names of schizophrenia and dementia, respectively, among 10 names for mental and physical illnesses and conditions.

RESULTS: Parents showed lower stigma levels toward mental illness and diabetes mellitus, but similar or greater stigma levels toward schizophrenia, compared with their children. Stigma levels toward mental illness in parents and their children were significantly correlated. The rate of correct identification of the old and new names for schizophrenia was higher in parents than in their children (64.7% vs 41.4%, P < 0.001). Parents who responded correctly endorsed more negative stereotypes toward the new name of schizophrenia compared with those who responded incorrectly (P = 0.049).

CONCLUSION: The present findings suggest that stigma toward mental illness is shared between family members, and the name change of schizophrenia has effectively reduced stigma levels toward this disorder in adults of various ages.

© 2016 The Authors. Psychiatry and Clinical Neurosciences © 2016 Japanese Society of Psychiatry and Neurology.

Keywords: family relations; name change; prejudice; preventive psychiatry; stereotyping

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