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논문 기본 정보

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학술저널
저자정보
Baek Chang Hyeon (Department of Neuropsychiatry Seoul National University Hospital Seoul Korea.) Kim Hee Jung (Department of Neuropsychiatry Seoul National University Hospital Seoul Korea.) Park Hye Yoon (Department of Neuropsychiatry Seoul National University Hospital Seoul Korea.Department of Psychiatry Seoul National University College of Medicine Seoul Korea.) Seo Hwo Yeon (Public Health Service Seoul National University Hospital Seoul Korea.) Yoo Heejeong (Department of Neuropsychiatry Seoul National University Bundang Hospital Seongnam Korea.Department of Psychiatry Seoul National University College of Medicine Seoul Korea.) Park Jee Eun (Department of Neuropsychiatry Seoul National University Hospital Seoul Korea.Department of Psychiatry Seoul National University College of Medicine Seoul Korea.)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.38 No.3
발행연도
2023.1
수록면
1 - 17 (17page)
DOI
10.3346/jkms.2023.38.e25

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Background: Biogenetic causal explanations of mental disorders are commonly used for public education and campaigns. However, the influence of biogenetic explanations on the ideas about and attitudes toward mental illness is unclear. We examined the influence of biogenetic explanations on attitudes toward mental disorders using a meta-analytic method accompanied by subgroup analyses. Methods: The protocol for this meta-analysis was registered in PROSPERO (CRD42020158656) in March 2020. Experimental and correlational studies were analyzed separately. Five outcome measures related to attitudes toward mental disorders were included: ‘attitude toward helpseeking,’ ‘blame,’ ‘perceived dangerousness,’ ‘prognostic pessimism,’ and ‘social distance.’ Subgroup analyses were performed for the type of mental disorder, population, and geographic region for which a biogenetic explanation was provided. Results: A total of 44 studies were included, of which 24 were experimental and 20 were correlational. A positive attitude toward help-seeking was associated with having a biogenetic concept (d = 0.43; 95% confidence interval [CI], 0.18 to 0.67; P < 0.001) in general population and in Eastern countries in particular. Although a biogenetic explanation was associated with a decreased level of blame (d = −0.20; 95% CI, −0.38 to −0.02; P = 0.029) in the general population, it was also associated with significantly higher levels of perceived dangerousness (d = 0.13; 95% CI, 0.03 to 0.23; P = 0.008). A tendency toward a higher level of prognostic pessimism and social distance was associated with a biogenetic concept of mental disorders although there was no statistical significance. Conclusion: Having a biogenetic concept of the cause of mental disorders was related with a positive attitude toward help-seeking, particularly in the general population and individuals living in Eastern countries. Providing a biogenetic explanation decreased blame toward individuals with mental illness but was associated with increased perceived dangerousness and prognostic pessimism. Therefore, although a biogenetic explanation promotes public use of mental health services, it should be carefully applied to avoid an increase in negative thoughts, such as that mental illness is biologically irreversible and untreatable.
#Mental Disorder #Biogenetic Explanations #Help-Seeking #Stigma #Mental Health Service Use

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