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The effects of exposure to scenarios about dementia on stigma and attitudes toward dementia care in a Chinese community

Published online by Cambridge University Press:  17 May 2011

Sheung-Tak Cheng*
Affiliation:
Department of Psychological Studies, Hong Kong Institute of Education, Hong Kong
Linda C. W. Lam
Affiliation:
Department of Psychiatry, Chinese University of Hong Kong, Hong Kong
Liliane C. K. Chan
Affiliation:
Hong Kong College of Technology, Hong Kong
Alexander C. B. Law
Affiliation:
Princess Margaret Hospital, Hong Kong
Ada W. T. Fung
Affiliation:
Department of Psychiatry, Chinese University of Hong Kong, Hong Kong
Wai-chi Chan
Affiliation:
Shatin Hospital, Hong Kong
Cindy W. C. Tam
Affiliation:
Department of Psychiatry, Chinese University of Hong Kong, Hong Kong
Wai-man Chan
Affiliation:
Department of Health, Hong Kong
*
Correspondence should be addressed to: Sheung-Tak Cheng, Department of Psychological Studies, Hong Kong Institute of Education, 10 Lo Ping Road, Tai Po, N.T., Hong Kong. Phone: +852 2948 6563; Fax: +852 2948 7702. Email: takcheng@ied.edu.hk.

Abstract

Background: This study investigated whether brief exposure to information has any effect on stigmatizing attitudes towards older people with dementia, and how people responded to this medical diagnosis.

Methods: 494 adults were randomly assigned to three groups differentiated by experimental conditions. Group A (control) responded to questions on stigma directly. Group B (symptom) read two vignettes that described the symptoms of two fictitious individuals with dementia, before answering questions on stigma. Group C (label) read the same vignettes which ended with a statement that the person was recently diagnosed with dementia by a physician. Data were analyzed with ANOVA, together with other pre-existing between-subjects factors.

Results: Brief exposure to information about dementia led to a statistically significant reduction in stigma (Groups B, C < A), regardless of whether the diagnostic label of “dementia” was included or not. Moreover, lower stigma was reported by persons who knew a relative or friend with dementia, who were younger and more educated, and who thought dementia was treatable.

Conclusions: As stigmatizing attitudes toward dementia are still a hindrance to early help-seeking in Asian communities, the findings suggest that community education may play a useful role in alleviating this barrier to early detection and intervention.

Type
Research Article
Copyright
Copyright © International Psychogeriatric Association 2011

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References

Banerjee, S. (2010). Living well with dementia: development of the National Dementia Strategy for England. International Journal of Geriatric Psychiatry, 25, 917922.CrossRefGoogle ScholarPubMed
Blay, S. L. and Peluso, Ế. T. P. (2010). Public stigma: the community's tolerance of Alzheimer disease. American Journal of Geriatric Psychiatry, 18, 163171.CrossRefGoogle ScholarPubMed
Brodaty, H. and Cumming, A. (2010). Dementia services in Australia. International Journal of Geriatric Psychiatry, 25, 887895.CrossRefGoogle ScholarPubMed
Census and Statistics Department (2007). Hong Kong 2006 Population By Census Main Report, Vols. I & II. Hong Kong: Census and Statistics Department.Google Scholar
Cheng, S.-T. (2004). Age and subjective well-being revisited: a discrepancy perspective. Psychology and Aging, 19, 409415.CrossRefGoogle Scholar
Cheng, S.-T. and Yim, Y.-K. (2008). Age differences in forgiveness: the role of future time perspective. Psychology and Aging, 23, 676680.CrossRefGoogle Scholar
Cheng, S.-T., Fung, H. H. and Chan, A. (2007). Maintaining self-rated health through social comparison in old age. Journal of Gerontology: Psychological Sciences, 62B, P277P285.CrossRefGoogle Scholar
Chiu, H. F. K., Yu, X. and Lam, L. C. W. (2010). Dementia strategy in China and Hong Kong. International Journal of Geriatric Psychiatry, 25, 905907.CrossRefGoogle ScholarPubMed
Chow, T. W. et al. (2002). Neuropsychiatric symptoms of Alzheimer's disease differ in Chinese and American patients. International Journal of Geriatric Psychiatry, 17, 2228.CrossRefGoogle Scholar
Connelly, P. (2010). Scottish dementia strategy. International Journal of Geriatric Psychiatry, 25, 908911.CrossRefGoogle ScholarPubMed
Corrigan, P. (2004). How stigma interferes with mental health care. American Psychologist, 59, 614625.CrossRefGoogle ScholarPubMed
Corrigan, P. W. and Penn, D. L. (1999). Lessons from social psychology on discrediting psychiatric stigma. American Psychologist, 54, 765776.CrossRefGoogle ScholarPubMed
Crisp, A. H., Gelder, M. G., Rix, S., Meltzer, H. I. and Rowlands, O. J. (2000). Stigmatisation of people with mental illness. British Journal of Psychiatry, 177, 47.CrossRefGoogle Scholar
Ferri, C. P. et al. (2005). Global prevalence of dementia: a Delphi consensus study. Lancet, 366, 21122117.CrossRefGoogle Scholar
Fife, B. L. and Wright, E. R. (2000). The dimensionality of stigma: a comparison of its impact on the self of persons with HIV/AIDS and cancer. Journal of Health and Social Behavior, 41, 5067.CrossRefGoogle Scholar
Hawkins, A. J., Blanchard, V. L., Baldwin, S. A. and Fawcett, E. B. (2008). Does marriage and relationship education work? A meta-analytic study. Journal of Consulting and Clinical Psychology, 76, 723734.CrossRefGoogle Scholar
Hayes, R. A. and Vaughan, C. (2002). Stigma directed toward chronic illness is resistant to change through education and exposure. Psychological Reports, 90, 11611173.CrossRefGoogle ScholarPubMed
Koch, T. and Iliffe, S. (2010). The EVIDEM-ED project. Rapid appraisal of barriers to the diagnosis and management of patients with dementia in primary care: a systematic review. BMC Family Practice, 11, 52.CrossRefGoogle ScholarPubMed
Lee, S., Lee, M. T. Y., Chiu, M. Y. L. and Kleinman, A. (2005). Experience of social stigma by people with schizophrenia in Hong Kong. British Journal of Psychiatry, 186, 153157.CrossRefGoogle ScholarPubMed
Link, B. G. and Phelan, J. C. (1999). Labeling and stigma. In Aneshensel, C. S. and Phelan, J. C. (eds.), Handbook of Sociology of Mental Health (pp. 481494). Dordrecht, Netherlands: Kluwer.Google Scholar
Mak, W. W. S., Cheung, R. Y. M., Law, R. W., Woo, J., Li, P. C. K. and Chung, R. W. Y. (2007a). Examining attribution model of self-stigma on social support and psychological well-being among people with HIV+/AIDS. Social Science & Medicine, 64, 15491559.CrossRefGoogle ScholarPubMed
Mak, W. W. S., Poon, C. Y. M., Pun, L. Y. K. and Cheung, S. F. (2007b). Meta-analysis of stigma and mental health. Social Science & Medicine, 65, 245261.CrossRefGoogle ScholarPubMed
Penn, D. L., Guynan, K., Daily, T., Spaulding, W. D., Garbin, C. P. and Sullivan, M. (1994). Dispelling the stigma of schizophrenia: what sort of information is best? Schizophrenia Bulletin, 20, 567578.CrossRefGoogle Scholar
Perlick, D. A. et al. (2007). Perceived stigma and depression among caregivers of patients with bipolar disorder. British Journal of Psychiatry, 190, 535536.CrossRefGoogle ScholarPubMed
Rüsch, N., Angermeyer, M. C. and Corrigan, P. W. (2005). Mental illness stigma: concepts, consequences, and initiatives to reduce stigma. European Psychiatry, 20, 529539.CrossRefGoogle ScholarPubMed
Sheng, B., Law, C. B. and Yeung, K. M. (2009). Characteristics and diagnostic profile of patients seeking dementia care in a memory clinic in Hong Kong. International Psychogeriatrics, 21, 392400.CrossRefGoogle Scholar
Steffens, D. C. et al. (2006). Perspectives on depression, mild cognitive impairment, and cognitive decline. Archives of General Psychiatry, 63, 130138.CrossRefGoogle Scholar
Struening, E. L. et al. (2001). Stigma as a barrier to recovery: the extent to which caregivers believe most people devalue consumers and their families. Psychiatric Services, 52, 16331638.CrossRefGoogle ScholarPubMed
Taylor, S. M. and Dear, M. J. (1981). Scaling community attitudes toward the mentally ill. Schizophrenia Bulletin, 7, 225240.CrossRefGoogle ScholarPubMed
UK Department of Health (2009). Living Well with Dementia: The National Dementia Strategy. Available at: http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_094058; last accessed 20 August 2010.Google Scholar
Umegaki, H., Suzuki, Y. and Iguchi, A. (2009). Changes in the perception of dementia in Japan. International Psychogeriatrics, 21, 793795.CrossRefGoogle ScholarPubMed
Vernooij-Dassen, M. J. F. J. et al. (2005). Factors affecting timely recognition and diagnosis of dementia across Europe: from awareness to stigma. International Journal of Geriatric Psychiatry, 20, 377386.CrossRefGoogle ScholarPubMed
Wadley, V. G. and Haley, W. E. (2001). Diagnostic attributions versus labeling: impact of Alzheimer's disease and major depression diagnoses on emotions, beliefs, and helping intentions of family members. Journal of Gerontology: Psychological Sciences, 56B, P244P252.CrossRefGoogle Scholar
Wahl, O. F. and Lefkowitz, J. Y. (1989). Impact of a television film on attitudes toward mental illness. American Journal of Community Psychology, 17, 521528.CrossRefGoogle Scholar
Werner, P. and Giveon, S. M. (2008). Discriminatory behavior of family physicians toward a person with Alzheimer's disease. International Psychogeriatrics, 20, 824839.CrossRefGoogle Scholar
Werner, P., Goldstein, D. and Buchbinder, E. (2010). Subjective experience of family stigma as reported by children of Alzheimer's disease patients. Qualitative Health Research, 20, 159169.CrossRefGoogle ScholarPubMed
Whitehouse, P. J. and George, D. (2008). The Myth of Alzheimer's: What You Aren't Being Told About Today's Most Dreaded Diagnosis. New York: St. Martin's Press.Google Scholar
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