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Correspondence |
Cambridge and Peterborough Mental Health NHS Trust, The Taylor Centre, Queensway House, Essex Street, Southend on Sea, Essex SS4 1RB, email: s1006h3607{at}blueyonder.co.uk
Institute of Psychiatry, Maudsley Hospital, London
Northamptonshire Drug and Alcohol Service, Northampton
There have been significant milestones in the detection and treatment of most psychiatric disorders, especially in the past two decades. However, there are some concerns about media misrepresentation of severe mental disorders such as schizophrenia. A postal survey of the UK public was conducted in order to examine their understanding of the term schizophrenia.
We distributed 500 questionnaires to a representative panel of the UK general population recruited for a previous study (Luty et al, 2006) and received 402 completed replies (81% response rate). Participants were asked the open-ended question What do you understand by the term "schizophrenia"? and 42% described at least one Schneiderian first-rank symptom or gave a description that reasonably matched one of the diagnostic features in ICD10. This included 26% who described auditory hallucinations; 40% mentioned split or multiple personality, which is not a diagnostic feature. Only 6% mentioned violence or aggression. In comparison, 73.6% of participants correctly identified the symptoms of schizophrenia from a series of vignettes in a Swiss study (Lauber et al, 2003). Our survey reveals some wide gaps between the professional and public understanding of the term schizophrenia.
References
LAUBER, C., NORDT, C., FALCATO, L., et al (2003) Do people recognise mental illness? Factors influencing mental health literacy. European Archives of Psychiatry and Clinical Neuroscience, 253, 248 251.[CrossRef][Medline]
LUTY, J., FEKADU, D., UMOH, O., et al (2006)
Validation of a short instrument to measure stigmatised attitudes towards
mental illness. Psychiatric Bulletin,
30, 257
260.
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