The relationship between public causal beliefs and social distance toward mentally ill people.
OBJECTIVE
The aim of this study is to investigate the nature of the relationship between public causal beliefs and social distance toward people with mental disorders, particularly schizophrenia and depression.


METHODS
In total, three representative surveys were carried out in Germany, Russia and Mongolia using personal, fully structured interviews.


RESULTS
Despite the subjects' different cultural backgrounds, their responses show similar trends with regard to attributing depression and schizophrenia to psychosocial causes: 'acute stress' (life event) was most frequently endorsed as the cause for these two disorders. The biological causes ('brain disease' and 'heredity') were less frequently selected for depression than for schizophrenia. Irrespective of place and type of mental disorder, endorsing biological factors as the cause of schizophrenia was associated with a greater desire for social distance, the same relationship applies to depression in half the instances.


CONCLUSIONS
It would be premature to draw conclusions with regard to interventions aimed at reducing discrimination based on stigma. However, our study provides stimulus for re-considering the assumptions underlying antistigma interventions: that promulgating biological concepts among the public might not contribute to a desired reduction in social distance toward people with mental disorders.
Dietrich
Sandra
S
Department of Psychiatry, University of Leipzig, Germany.
Beck
Michael
M
Bujantugs
Bujana
B
Kenzine
Denis
D
Matschinger
Herbert
H
Angermeyer
Matthias C
MC
D000293:Adolescent; D000328:Adult; D001294:Attitude to Health; D003431:Cross-Cultural Comparison; D003469:Culture; D003865:Major Depressive Disorder / Q000453:epidemiology* / Q000523:psychology*; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D008297:Male; D008986:Mongolia / Q000453:epidemiology; D012929:Psychological Distance; D012426:Russia / Q000453:epidemiology; D012494:Sampling Studies; D012559:Schizophrenia / Q000453:epidemiology*; D012565:Schizophrenic Psychology