|Tipo di tesi||Tesi di dottorato di ricerca|
|Titolo||Il fenomeno dello stigma in una popolazione studentesca della Facoltà di Medicina e Chirurgia dell’Università degli Studi di Modena e Reggio Emilia: caratteristiche epidemiologiche, sociologiche e personologiche|
|Titolo in inglese||The phenomenon of stigma in a University student population at the Faculty of Medicine and Surgery of the University of Modena and Reggio Emilia: epidemiological, sociological and personological characteristics|
|Settore scientifico disciplinare||MED/25 - PSCHIATRIA|
|Corso di studi||Scuola di D.R. in MEDICINA CLINICA E SPERIMENTALE (CLINICAL AND EXPERIMENTAL MEDICINE)|
|Data inizio appello||2014-02-18|
|Disponibilità||Accessibile via web (tutti i file della tesi sono accessibili)|
INTRODUZIONE. Lo stigma in salute mentale è stato riconosciuto come uno dei fattori maggiormente sfavorenti la guarigione, la riabilitazione e il reinserimento nel contesto sociale di persone affette da un disturbo mentale.
INTRODUCTION. The phenomenon of stigma in mental health has been recognized as one of the most important factors contrasting recovery, rehabilitation and reintegration into the social context of people suffering from a mental disorder. AIMS OF THE STUDY. The present study aims to investigate three different areas related to the phenomenon of stigma in the context of the student population of the Faculty of Medicine and Surgery at the University of Modena and Reggio Emilia: 1) Psychometric validation of the Italian version of the Attribution Questionnaire 27 (AQ-27-I), a self-administered questionnaire measuring the presence of stigmatizing attitudes. 2) Comparison of stigmatizing attitudes among the university students vs. a representative sample of general population. 3) Analysis of the personological characteristics of the university students as possible predictors of stigmatizing attitudes. METHODOLOGY. 1) The internal validity was assessed using Cronbach's Alpha. Confirmatory Factor Analysis was used to test the usefulness of the theoretical construct of the questionnaire. 2) The information obtained from the university college student population were compared with the same information collected from a representative sample of the general population to define the presence of statistically significant differences with regard to the stigmatizing attitudes. 3) The students of the Faculty of Medicine and Surgery (UNIMORE) completed the AQ-27-I, the Temperament and Character Inventory, and a socio-demographic form: results were described and analysed to recognize predictive roles of personological characteristics towards stigmatizing attitudes. RESULTS. 1) 311 students returned the questionnaire (response rate = 32.81%). Internal validity gave satisfactory results (α =0.68) and the indicators related to path analysis supported the factorial structure of the questionnaire. 2) With the exception of the subscale "Help", the general population (N=222) obtained significantly higher average scores corresponding to higher tendency to stigma (total score: 111,77 vs 99.68). 3) In the model of "Dangerousness" the cognitive and the emotional component were defined with greater homogeneity of possible predictors of stigmatizing attitudes ("Harm Avoidance", "Persistence", ”Self Directedness" and "Cooperation"). The model of "Personal Responsibility" was characterised by a significant overlap between the predictors of the factor "Anger" and those of the factor "Segregation" ("Novelty Seeking", "Harm Avoidance", ”Self Directedness" and "Cooperation”). DISCUSSION AND CONCLUSIONS. 1) Validity of AQ-27-I was confirmed. 2) The differences as to stigmatizing attitudes between university students and general populations are very informative and can be used to develop effective anti-stigma interventions. 3) The identification of the personological characteristics as predictors of stigmatizing attitudes can be considered an important step for the definition of intrinsic mechanisms that lead an individual to adopt stigmatizing attitudes.