AIM:The preference of and potential barriers to disclosure of psychotic illness vary across cultures. Studying its patterns and correlates can guide the design of future culture-specific intervention and public education approaches to improve willingness to disclose and thereby reducing the duration of untreated psychosis (DUP). METHODS:A population-based, random telephone survey was conducted with a total of 1514 respondents in Hong Kong in January 2018. Cross-sectional data on willingness to disclose psychotic illness, life satisfaction, stigmatizing attitude and recent experience of stressful life events (SLEs) were analysed against age and gender using structural equation modelling (SEM). RESULTS:Unwillingness to disclose to anyone was reported by 12% of the participants. Family was reported as the preferred disclosure candidate by most respondents. Our model, which showed a good fit to the data demonstrated that stigmatizing attitude and life satisfaction were directly associated with willingness to disclose illness. Younger age was correlated with more recent experience of SLEs, lower life satisfaction and less willingness to disclose illness. Women's disclosure willingness was positively associated with their life satisfaction, which was sensitive to recent exposure to single SLE. In contrast, men's was negatively associated with their stigmatizing attitude, which increased significantly upon exposure to two or more recent SLEs. CONCLUSION:Encouraging the public to help their family to seek treatment should be a focal point of a successful mental health public education campaign. Cultural-specific and integrated interventions should be developed targeting the vulnerable groups including people with high recent life stress, particularly woman and those with younger age.

译文

目的:不同文化对精神病披露的偏好和潜在障碍各不相同。研究其模式和相关性可以指导未来针对特定文化的干预措施和公共教育方法的设计,以提高披露的意愿,从而减少未经治疗的精神病(DUP)的持续时间。
方法:2018年1月,在香港对1514名受访者进行了基于人群的随机电话调查。横断面数据涉及披露精神病的意愿,生活满意度,污名化的态度以及近期压力性生活事件的经验(SLE) )使用结构方程模型(SEM)针对年龄和性别进行了分析。
结果:12%的参与者表示不愿意向任何人透露信息。大多数受访者将家庭报告为首选的公开候选人。我们的模型显示出与数据的良好契合性,表明污名化的态度和生活满意度与披露疾病的意愿直接相关。年龄越小,与近期发生的系统性红斑狼疮的经验,生活满意度降低和疾病透露意愿越低有关。妇女的公开意愿与她们的生活满意度呈正相关,这对最近一次接触单一性系统性红斑狼疮很敏感。相比之下,男性与其污名化态度呈负相关,暴露于两个或两个以上近期SLE时,这种态度显着增加。
结论:鼓励公众帮助其家人寻求治疗应成为成功的精神卫生公众教育运动的重点。应针对弱势群体,包括近期生活压力较高的人群,特别是妇女和年龄较小的人群,制定针对特定文化的综合干预措施。

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