+1 Recommend
0 collections
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Evaluation of attitudes and knowledge toward mental disorders in a sample of the Chinese population using a web-based approach


      Read this article at

          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.



          People with mental disorders often encounter stigmatizing attitudes related to their conditions. Stigma often represents one of the critical obstacles that stand in the way of delivering mental health care. The main aim of the study was to assess the knowledge and attitudes toward mental disorders in a sample of the Chinese population; furthermore, we also aimed to identify and explore the socio-demographic characteristics associated with specific knowledge and attitudes towards psychiatric disorders.


          A cross-sectional survey was created and delivered through an Internet chat application over the period June–December 2017. The Mental Health Knowledge Questionnaire and the Perceived Devaluation and Discrimination Scale were used to evaluate the participants’ mental health knowledge and attitudes toward mental disorders.


          A total of 1087 participants were recruited in for our survey. The mean score of the MHKQ and PDD were (15.89 ± 2.69) and (33.77 ± 6.66), respectively. Univariate analyses showed that young people and rural residents tended to show more positive attitudes toward mental disorders with respect to older people and urban residents ( P < 0.05). People with higher education levels, those who had contact with people with mental disorders, and those who learned about mental disorders by personal encounter resulted to have had higher MHKQ scores ( P < 0.05).


          In our sample of the Chinese population, negative attitudes toward mental disorders were often reported. General education programs may not be an effective way to decrease stigma, while anti-stigma campaigns targeted for specific groups, such as urban residents and the older people, should be carried out in the future in China.

          Related collections

          Most cited references33

          • Record: found
          • Abstract: found
          • Article: not found

          Global pattern of experienced and anticipated discrimination reported by people with major depressive disorder: a cross-sectional survey.

          Depression is the third leading contributor to the worldwide burden of disease. We assessed the nature and severity of experienced and anticipated discrimination reported by adults with major depressive disorder worldwide. Moreover, we investigated whether experienced discrimination is related to clinical history, provision of health care, and disclosure of diagnosis and whether anticipated discrimination is associated with disclosure and previous experiences of discrimination. In a cross-sectional survey, people with a diagnosis of major depressive disorder were interviewed in 39 sites (35 countries) worldwide with the discrimination and stigma scale (version 12; DISC-12). Other inclusion criteria were ability to understand and speak the main local language and age 18 years or older. The DISC-12 subscores assessed were reported discrimination and anticipated discrimination. Multivariable regression was used to analyse the data. 1082 people with depression completed the DISC-12. Of these, 855 (79%) reported experiencing discrimination in at least one life domain. 405 (37%) participants had stopped themselves from initiating a close personal relationship, 271 (25%) from applying for work, and 218 (20%) from applying for education or training. We noted that higher levels of experienced discrimination were associated with several lifetime depressive episodes (negative binomial regression coefficient 0·20 [95% CI 0·09-0·32], p=0·001); at least one lifetime psychiatric hospital admission (0·29 [0·15-0·42], p=0·001); poorer levels of social functioning (widowed, separated, or divorced 0·10 [0·01-0·19], p=0·032; unpaid employed 0·34 [0·09-0·60], p=0·007; looking for a job 0·26 [0·09-0·43], p=0·002; and unemployed 0·22 [0·03-0·41], p=0·022). Experienced discrimination was also associated with lower willingness to disclose a diagnosis of depression (mean discrimination score 4·18 [SD 3·68] for concealing depression vs 2·25 [2·65] for disclosing depression; p<0·0001). Anticipated discrimination is not necessarily associated with experienced discrimination because 147 (47%) of 316 participants who anticipated discrimination in finding or keeping a job and 160 (45%) of 353 in their intimate relationships had not experienced discrimination. Discrimination related to depression acts as a barrier to social participation and successful vocational integration. Non-disclosure of depression is itself a further barrier to seeking help and to receiving effective treatment. This finding suggests that new and sustained approaches are needed to prevent stigmatisation of people with depression and reduce the effects of stigma when it is already established. European Commission, Directorate General for Health and Consumers, Public Health Executive Agency. Copyright © 2013 Elsevier Ltd. All rights reserved.
            • Record: found
            • Abstract: not found
            • Article: not found

            The public's view of the competence, dangerousness, and need for legal coercion of persons with mental health problems.

              • Record: found
              • Abstract: found
              • Article: not found

              The stigma of families with mental illness.

              This article describes family stigma, which is defined as the prejudice and discrimination experienced by individuals through associations with their relatives. The authors describe family stigma and present current research related to mental illness stigma experienced by family members. Research indicates this type of stigma negatively impacts family members and relatives with mental illness. The authors also present strategies to eliminate stigma and discuss implications for the training goals of psychiatrists throughout the text. The authors end this article with recommendations for psychiatry training goals.

                Author and article information

                BMC Psychiatry
                BMC Psychiatry
                BMC Psychiatry
                BioMed Central (London )
                20 November 2018
                20 November 2018
                : 18
                [1 ]ISNI 0000 0004 1808 322X, GRID grid.412990.7, The Second Affiliated Hospital of Xinxiang Medical University, ; 388# Jianshe Road, Muye, Xinxiang, China
                [2 ]ISNI 0000 0004 1808 322X, GRID grid.412990.7, Xinxiang Medical University, ; 601# Jinsui Road, Hongqi, Xinxiang, China
                [3 ]ISNI 0000 0004 1808 322X, GRID grid.412990.7, Henan Key Laboratory of Biological Psychiatry (Xinxiang Medical University), ; 388# Jianshe Road, Muye, Xinxiang, China
                [4 ]Xinxiang Key Laboratory of Electrophysiology, 388# Jianshe Road, Muye, Xinxiang, China
                © The Author(s). 2018

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                : 23 March 2018
                : 2 November 2018
                Funded by: Xinxiang Medical University Educational Reform Program Foundation
                Award ID: 2017-XYJG-26
                Funded by: National Natural Science Foundation of China
                Award ID: 81471349
                Funded by: FundRef http://dx.doi.org/10.13039/501100006407, Natural Science Foundation of Henan Province;
                Award ID: 162300410224
                Research Article
                Custom metadata
                © The Author(s) 2018

                Clinical Psychology & Psychiatry
                mental health knowledge,stigma,discrimination,mental disorders,china


                Comment on this article