Abstract
The present study tested the hypothesis that E.S. college students will show less knowledge, recognition, and help seeking attitudes, and more social distance and negative attributions toward schizophrenia than will U.S. students. It is also of interest in this study to investigate if El Salvador college students would have lower mental health literacy and thus, more social distance attitudes toward schizophrenia, than would U.S. students. Discriminant function analysis (DFA) was used. The predicted variable was country of membership: El Salvador and the U.S. The predictors were recognition, knowledge, social distance, help seeking attitudes, and negative attribution toward schizophrenic patients. The participants (N = 340) were students from a university in E.S. and in California. Through a survey, participants were asked to diagnose a person described in a case vignette. Knowledge of schizophrenia and social distance attitudes were measured. Principal component analyses (PCA) using oblimin rotation were conducted to build composite factors from the observed variables. The discriminant function accurately predicted 74.4% of the participants’ country of membership, 2(1) = 75.23, p < .001. At the individual level, 69.9% of individuals from the U.S. and 77.5% of individuals from E.S. were correctly classified. Furthermore, results indicated that U.S. students recognized schizophrenia at a higher rate, compared to E.S. students. In the E.S. group, social distance attitudes differed with level of MHL. These findings are troublesome in that social distance attitudes inhibit help-seeking behavior. Education programs aimed at promoting mental health awareness among the E.S. population are indicated.
Acuña, C., & Bolis, M. (2005). Stigmatization and access to health care in Latin America: challenges and perspectives. Pan American Health Organization [PAHO] and World Health Organization [WHO]. Retrieved from http://www.eutimia.com/ops/leg-stigmatization-eng.pdf
Angermeyer, M.C., & Matschinger, H. (2003). Public beliefs about schizophrenia and depression: similarities and differences. Social Psychiatry and Psychiatric Epidemiology, 38(9), 526-534. http://dx.doi.org/10.1007/s00127-003-0676-6
D’Amorim, M.A. (1981). Estudo compartivo da percepção da doença mental pela comunidade. Arquivo Brasileiro de Psicologia, 33(1-2), 75-83. Retrieved from http://bibliotecadigital.fgv.br/ojs/index.php/abp/article/viewFile/18445/17194
Farrer, L., Leach, L., Griffiths, K.M., Christensen, H., & Jorm, A.J. (2008). Age differences in mental health literacy. BMC Public Health, 8, 125. http://dx.doi.org/10.1186/1471-2458-8-125
Furnham, A., & Chan, E. (2004). Lay theories of schizophrenia: a cross-cultural comparison of British and Hong Kong Chinese attitudes, attributions and beliefs. Social Psychiatry and Psychiatric Epidemiology, 39(7), 543-552. http://dx.doi.org/10.1007/s00127-004-0787-8
Garcia-Silberman, S. (1998). The social representations of mental health and illness among Mexican students. Salud Mental, 21(5), 7-19.
Jorm, A.F., Korten, A.E., Jacomb, P.A., Christensen, H., Rodgers, B., & Pollitt, P. (1997). Mental health literacy: a survey of the public’s ability to recognize mental disorders and their beliefs about the effectiveness of treatment. Medical Journal of Australia, 166(4), 182–186. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/9066546
Jorm, A.F., Mackinnon, A., Christensen, H., & Griffiths, K.M. (2005). Structure of beliefs about the helpfulness of interventions for depression and schizophrenia. Social Psychiatry and Psychiatric Epidemiology, 40, 877-883.
Jorm, A.F., Barney, L.J., Christensen, H., Highet, N.J., Kelly, C.M., & Kitchener, B.A. (2006). Research on mental health literacy: what we know and what we still need to know. Australian and New Zealand Journal of Psychiatry, 40(1), 3-5. http://dx.doi.org/10.1080/j.1440-1614.2006.01734.x
Kohn, R., Sharma, D., Camilleri, C.P., & Levav, I. (2000). Attitudes towards mental health in the Commonwealth of Dominica. Revista Panameña de Salud Publica, 7(3), 148-154.
Kurihara, T., Kato, M., Sakamoto, S., Reverger, R., & Kitamura, T. (2000). Public attitudes towards the mentally ill: a cross-cultural study between Bali and Tokyo. Psychiatry and Clinical Neurosciences, 54(5), 547-552. http://dx.doi.org/10.1046/j.1440-1819.2000.00751.x
Lauber, C., Nordt, C., Falcato, L., & Rössler, W. (2003). Do people recognize mental illness? Factors influencing mental health literacy. Eur Arch Psychiatry Clin Neurosci, 253(5), 248-251. http://dx.doi.org/10.1007/s00406-003-0439-0
Lauber, C., Nordt, C., Falcato, L., & Rössler, W. (2004). Factors influencing social distance toward people with mental illness. Community Mental Health Journal, 40(3), 265-274. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/15259631
Link, B.G., Phelan, J.C., Bresnahan, M., Stueve, A., & Pescosolido, B.A. (1999). Public conceptions of mental illness: labels, causes, dangerousness, and social distance. American Journal of Public Health, 89(9), 1328-1333. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1508784/
Mubbashar, M.H., & Farooq, S. (2002). Mental health literacy in developing countries. British Journal of Psychology, 179(1), http://dx.doi.org/10.1192/bjp.179.1.75-a
Papadopoulus, C., Leavey, G., & Vincent, C. (2002). Factors influencing stigma: a comparison of Greek-Cypriot and English attitudes toward mental illness in north London. Social Psychiatry and Psychiatric Epidemiology, 37(9), 430-434. http://dx.doi.org/10.1007/s00127-002-0560-9
Parra, F. (1987). Perceptions of mental illness in Mexico: a descriptive study in the city of Chiuahua. International Journal of Social Psychiatry, 33(4), 270-276. http://dx.doi.org/10.1177/002076408703300403
Paykel, E.S., Hart, D., & Priest, R.G. (1998). Changes in public attitudes to depression during the defeat depression campaign. Brithish Journal of Psychiatry, 173(6), 519-522. http://dx.doi.org/10.1192/bjp.173.6.519
Penayo, U., Jacobsson, L., Caldera, T., & Bermann, G. (1988). Community attitudes and awareness of mental disorders – a key informant study in two Nicaraguan towns. Acta Psychiatr Scand, 78, 561-566.
Penn, D.L., Guynan, K., Daily, T., Spaulding, W.D., Garbin, C.P., & Sullivan, M. (1994). Dispelling the stigma of schizophrenia: what sort of information is best? Schizophrenia Bulletin, 20(3), 567-578. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/7973472
Perlick, D.A., Rosenheck, R.A., Clarkin, J.F., Sirey, J.A., Salahi, J., Struening, E.L., & Link, B.G. (2001). Stigma as a barrier to recovery: Adverse effects of perceived stigma on social adaptation of persons diagnosed with bipolar affective disorder. Psychiatr Serv, 52(12), 1627-32.
Shah, R., Draycott, S., Wolpert, M., Christie, D., & Stein, S.M. (2004). A comparison of Pakistani and Caucasian mothers’ perceptions of child and adolescent mental health problems. Emotional and Behavioral Difficulties, 9(3), 181-190.
Stefani, D. (1984). Influencia del nivel socioeconomic sobre las actitudes hacia la enfermedad mental. Salud Mental, 7(3), 25-28.
Suhail, K. (2005). A study investigating mental health literacy in Pakistan. Journal of Mental Health, 14(2), 167-181. http://dx.doi.org/10.1080/09638230500085307
Taskin, E.O., Seyfe Sen, F., Aydemir, O., Demet, M.M., Ozmen, E., & Icelly, I. (2003). Public attitudes to schizophrenia in rural Turkey. Social Psychiatry and Psychiatric Epidemiology, 38(10), 586-592. http://dx.doi.org/10.1007/s00127-003-0655-y
Thompson, A.H., Stuart, H., Bland, R.C., Arboleda-Florez, J.,Warner, R., & Dickson, R.A. (2002). Attitudes about schizophrenia from the pilot site of the WPA worldwide campaign against the stigma of schizophrenia. Social Psychiatry and Psychiatric Epidemiology, 37(10), 475-482. http://dx.doi.org/10.1007/s00127-002-0583-2
Toledo Piza, E., & Blay, S.L. (2004). Community perception of mental disorders: a systematic review of Latin American and Caribbean studies. Social Psychiatry and Psychiatric Epidemiology, 39(12), 955-961. http://dx.doi.org/10.1007/s00127-004-0820-y
United Nations Children’s Fund [UNICEF]. (2005). At a glance: El Salvador. Statistics. Retrieved from: http://www.unicef.org/infobycountry/elsalvador_statistics.html
van ‘t Veer, J.T., Kraan, H.F., Drosseart, S.H., & Modde, J.M. (2006). Determinants that shape public attitudes towards the mentally ill. A dutch public study. Social Psychiatry and Psychiatric Epidemiology, 41(4), 310-317. http://dx.doi.org/10.1007/s00127-005-0015-1
Wells, J.E., Robins, L.N., Bushnell, J.A., & Jarosz, D. (1994). Perceived barriers to care in St Louis (USA and Christchurch (NZ): reasons for not seeking professional help for psychological distress. Social Psychiatry and Psychiatric Epidemiology, 29(4), 155-164. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/7939964
World Health Organization [WHO]. (2003). The mental health context. Mental health policy and service guidance package. Retrieved from http://www.who.int/mental_health/policy/services/3_context_WEB_07.pdf
World Health Organization [WHO]. (2006). WHO statistical information system. Retrieved from: http://www3.who.int/whosis/core/core_select.cfm
This journal is registered under a Creative Commons Attribution 4.0 International Public License. Thus, this work may be reproduced, distributed, and publicly shared in digital format, as long as the names of the authors and Pontificia Universidad Javeriana are acknowledged. Others are allowed to quote, adapt, transform, auto-archive, republish, and create based on this material, for any purpose (even commercial ones), provided the authorship is duly acknowledged, a link to the original work is provided, and it is specified if changes have been made. Pontificia Universidad Javeriana does not hold the rights of published works and the authors are solely responsible for the contents of their works; they keep the moral, intellectual, privacy, and publicity rights. Approving the intervention of the work (review, copy-editing, translation, layout) and the following outreach, are granted through an use license and not through an assignment of rights. This means the journal and Pontificia Universidad Javeriana cannot be held responsible for any ethical malpractice by the authors. As a consequence of the protection granted by the use license, the journal is not required to publish recantations or modify information already published, unless the errata stems from the editorial management process. Publishing contents in this journal does not generate royalties for contributors.