Neuropsychiatric Disease and Treatment (Dec 2018)
Differences in etiological beliefs about schizophrenia among patients, family, and medical staff
Abstract
Natsumi Tarakita,1,2 Kazutaka Yoshida,1 Norio Sugawara,3 Kazutoshi Kubo,1,4 Hanako Furukori,5 Akira Fujii,2 Kazuhiko Nakamura,1 Norio Yasui-Furukori1 1Department of Neuropsychiatry, Graduate School of Medicine, Hirosaki University, Hirosaki, Japan; 2Department of Mental Health, Mutsu City Hospital, Mutsu, Japan; 3Department of Clinical Epidemiology, Translational Medical Center, National Center of Neurology and Psychiatry, Kodaira, Tokyo, Japan; 4Department of Neuropsychiatry, Hirosaki-Aiseikai Hospital, Hirosaki, Japan; 5Department of Neuropsychiatry, Kuroishi-Akebono Hospital, Kuroishi, Japan Objectives: To determine whether etiological beliefs are different among schizophrenia patients, their family, and medical staff. Patients and methods: A cross-sectional study was performed at five hospitals and one mental clinic and included 212 patients, 144 family members, and 347 medical staff other than psychiatrists. A questionnaire about the possible etiological causes of schizophrenia was used. Results: There were significant differences in response scores among the three groups on using Angermeyer’s and Goulding’s classifications. Factor analyses revealed the following four subscales: Psychosocial, Biological, Environmental, and Cultural connotations. The structure varied among patients, family, and medical staff. Conclusion: The perspectives of schizophrenia etiology were different among patients, family, and medical staff. Keywords: schizophrenia, etiology, perception, family, caregivers, beliefs, etiological causes, patients, medical staff