Transcript The students’ change of prejudice toward schizophrenia after reading the comic book “My mother is mentally ill” Tomoe Kodaira2, Takehiko Ito1,＊ 1Psychology and Education, Wako.

The students’ change of prejudice
toward schizophrenia after reading the
comic book “My mother is mentally ill”
Tomoe Kodaira2, Takehiko Ito1,＊
1Psychology
and Education, Wako University, Japan, 2Nursing, Seirei
Christopher University, Japan
Poster Number : PS II-083
Display : 09:00-18:00, Saturday, February 12, 2011
Poster Presentation(Poster Round) : 11:30-12:30, Saturday, February 12,
2011
Place: Lobby, 2nd Floor, Seoul Olympic Parktel, Seoul, Korea
80cm wide by 120cm high (Portrait Type only). １０枚
2015/10/31
1
[Objective]
• Previous studies (Kodaira et al.
2007ab; 2008; 2009) revealed
effects of TV programs on
reduction of students’ Prejudice
Towards Schizophrenia (PTS) The
purpose of present study was to
observe the effects of reduction of
PTS by using a Manga or comic
book.
2015/10/31
2
[Method] Participants &
educational material
• [Participants] 42 students of a liberal art
university and 84 students of a nursing
university.
• [Educational material] Yuki Nakamura ’s
book “My mother is mentally ill” published
by Sun Mark Shuppan in 2008, which
introduce the story of her own life living
with her mother with schizophrenia was
used as the stimulus
2015/10/31
3
[Method] Questionnaire
In the pre-test, the Attitude towards Mental
Disorder Scale (AMDS: Kitaoka-Higashiguchi
et al. 2001).
AMDS consists of the Social Distance Subscale
(SDS) with 10 items and the Image Scale (IS)
was used.
Post-test consisted of the AMDS and open
questions about the impressive scene and
overall impression of the book.
2015/10/31
4
[Method] Procedure & ethical
consideration
• [Procedure] In October and November, 2009,
the pre-test was conducted before students’
loaning the book. For those who had read it,
the post-test was conducted one week later. T
test and ANOVA were used in the analysis.
• [Ethical consideration] The experiment was
conducted after the permission of Ethical
Committee of the first author.
2015/10/31
5
[Results] (Fig.1 )Change of the Social Distance
Subscale (SDS) Towards Schizophrenia
• In the SDS, the main effect of the difference
between pre and post-test was statistically
significant (p = .031), and the interaction
between the time-change and the university
was not significant,
• the reduction of points of nursing students (M
= -.12±.48) and that of liberal arts students
(M = -.06±.37) indicated significant reduction
of PTS(See Fig. 1).
2015/10/31
6
Fig. 1 Social distance subscale
1.5
Fig.2 Image Subscale
1.5
1.43
1.4
1.4
1.38
1.40
1.38
1.3
1.3
1.31
●Nursing
students
1.2
1.11
1.1
1
看護大学
●Liberal
文系大学
arts
1.05 students
1.2
1.1
0.9
0.8
0.8
2015/10/31
（社会的距離尺度）
（社会的距離尺度）
●Liberal
看護大学
arts
文系大学
students
1.14
1
0.9
事前テスト
事後テスト
Pre-test
Post-test
●Nursing
students
Pre-test
Post-test
事前テスト
事後テスト
（イメージ尺度）
（イメージ尺度）
7
[Results] (Fig.2) Change of the the Image
Subcale (IS) Towards Schizophrenia
• In the IS, the main effect of the change
between pre and post test was significant (F
(1, 124) = 6.417, p = .013) and the interaction
between the time-change and the university
was also significant (p = .012).
• There were no significant reduction in nursing
students (M = 0±.52), although there were
significant increase of PTS (M = .25±.54)
2015/10/31
8
Fig.3 Pre- and Post test comparison of AMD
scale points
Stimuli
条件
Study/ Participants
文献番号/対象
Medical explanation
医師説明条件
Condition
video
Patient’s narrative
患者談話条件
Condition
video
Urakawa
Bethel video
浦河べてる
Couple
narrative video
夫婦ビデオ
(1)
(2)
(1)
(2)
(3)
(4)
Social Distance
社会的距離
○
Manga
book
Nursing
students
文系大学
. マンガ教材
(Present
study) Liberal arts students
(本研究)
看護大学
Image
イメージ
△
△
○
○
○
△
◎
×
◎
◎
◎
○
△
○
×
2015/10/31
9
Degree
of
prejudice
reduction:
◎=＋＋;
◯=＋;
△=±;
☓=－
偏見低減：　◎大、　○有、　△無、　×負の効果
[Discussion]
• The Manga reduced PTS in social distance
area, but increased prejudice of bad image.
The interaction of content of educational
material and direct effects of PTS was
discussed by comparing with previous studies
on TV programs (Kodaira et al. 2007ab; 2008;
2009).
• The interaction of content of educational
material and direct effects of PTS were
discussed.
2015/10/31
10
•
•
•
•
•
•
•
[References] Ito, T. , Kodaira, T., & Inoue, T. 2011 TV Program - Based Preventive
Education for the Prejudice towards Schizophrenia. (unpublished manuscript)
Ito,T., Kodaira,T. & Ohtaka, Y. 2010 Experience of people with mental illness: A text
mining analysis of an autobiographical illness narrative book. Annual Conference
of Korean Psychological Association
Kitaoka-Higashiguchi, K. (2001). Effects of contact experiences on attitudes toward
the mentally disordered. Japanese Journal of Psychiatric Rehabilitation, 5 (2), 142147.
Kodaira, T., & Ito, T. (2009). Effects of preventive education for reduction of
prejudice towards schizophrenia on nursing students. Centennial Celebration of
Chinese Nursing Association: Thesis Compilation, Aug 19, 2009. 192-193.
Kodaira, T., & Ito, T. 2010. Narrative educational materials: Applications of
narratives of people with mental disorders for nursing education. 2nd Japan China
Korea Nursing Conference, 90-91.
Link, Bruce. G., John Monahan, Ann Stueve, Francis T. Cullen. (1999). Real in their
consequences: A sociological approach to understanding the association between
psychotic symptoms and violence. American Sociological Review, 64, 316-332.
Sartorius, Norman, and Hugh Schulze. (2005). Reducing the stigma of mental
illness. Cambridge University Press.
World
Psychiatric Association (2002). Schizophrenia: Open the door. Author 11
2015/10/31