Abstract
Purpose
Alcohol- and drug addiction tends to evoke disapproval and rejection among people. This study provides insight into the origin of people’s negative attitudes towards these people. Corrigan’s attribution model is used to examine intentions of the Dutch public to impose restrictions to people who are addicted to alcohol or illicit drugs.
Methods
Data were derived from a cross-sectional survey among a representative panel of the Dutch population (N = 2,793). Path analyses were conducted to test the influence of attribution beliefs, emotional responses and familiarity with addictions on people’s intentions to impose restrictions to these people.
Results
More than half of the respondents agreed with imposing restrictions to someone with an addiction such as excluding from taking public office or forbid to care for children. Corrigan’s attribution model was partially applicable to explain people’s intentions to impose restrictions, since only a rather small percentage of the variance in people’s intentions was explained by the model. The perception of personal responsibility for an addiction and high expectancy of aggressiveness have a positive influence on intentions to impose restrictions. Feelings of anger and fear were also predictors of intentions to impose restrictions.
Conclusions
The Dutch public showed high intentions to restrict people with an alcohol- or drug addiction which has an extensive impact on their life opportunities. Perceived aggressiveness, feeling of anger and fear, and perceived responsibility were associated with higher intentions to impose restrictions.
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References
Link BG, Phelan JC (2006) Stigma and its public health implications. Lancet 367(9509):528–529. doi:10.1016/S0140-6736(06)68184-1
Room R, Rehm J, Trotter RT, II, Paglia A, Üstün TB (2001) Cross-cultural views on stigma, valuation, parity and societal values towards disability. In: Üstün TB, Chatterji S, Bickenbach et al (eds) Disability and culture: universalism and diversity. Hofgrebe & Huber, Seattle, pp 247–291
Pescosolido BA, Monahan J, Link BG, Stueve A, Kikuzawa S (1999) The public’s view of the competence, dangerousness, and need for legal coercion of persons with mental health problems. Am J Public Health 89(9):1339–1345. doi:10.2105/AJPH.89.9.1339
van ‘t Veer JT, Kraan HF, Drossaert CHC, Modde JM (2005) Destigmatisering door deconcentratie? Een Nederlands bevolkingsonderzoek naar het stigma van psychiatrische patiënten. Tijdschrift voor psychiatrie 47(10):659–669
Holma K, Koski-Jannes A, Raitasalo K, Blomqvist J, Pervova I, Cunningham JA (2011) Perceptions of addictions as societal problems in Canada, sweden, Finland and st. Petersburg, Russia. Eur Addict Res 17(2):106–112. doi:10.1159/000323278
Crisp AH, Gelder MG, Rix S, Meltzer HI, Rowlands OJ (2000) Stigmatisation of people with mental illnesses. Br J Psychiatry 177:4–7. doi:10.1192/bjp.177.1.4
Angermeyer MC (2003) The stigma of mental illness from the patient’s view—an overview. Psychiatr Prax 30(7):358–366
Rusch N, Angermeyer MC, Corrigan PW (2005) The stigma of mental illness: concepts, forms, and consequences. Psychiatr Prax 32(5):221–232. doi:10.1055/s-2004-834566
Link BG, Cullen FT, Struening EL, Shrout PE (2010) A modified labelling theory approach to mental disorders: an empirical assessment. Am Sociol Rev 54:400–423. doi:10.2307/2095613
Link BG, Struening EL, Rahav M, Phelan JC, Nuttbrock L (1997) On stigma and its consequences: evidence from a longitudinal study of men with dual diagnoses of mental illness and substance abuse. J Health Soc Behav 38(2):177–190. doi:10.2307/2955424
Alonso J, Buron A, Rojas-Farreras S, de Graaf R, Haro JM, de Girolamo G, Bruffaerts R, Kovess V, Matschinger H, Vilagut G, Investigators EM (2009) Perceived stigma among individuals with common mental disorders. J Affect Disord 118(1–3):180–186. doi:10.1016/j.jad.2009.02.006
Cunningham JA, Sobell LC, Sobell MB, Agrawal S, Toneatto T (1993) Barriers to treatment: why alcohol and drug abusers delay or never seek treatment. Addict Behav 18(3):347–353. doi:10.1016/0306-4603(93)90036-9
Grant BF (1997) Barriers to alcoholism treatment: reasons for not seeking treatment in a general population sample. J Stud Alcohol 58(4):365–371
Corrigan PW, Markowitz FE, Watson AC (2004) Structural levels of mental illness stigma and discrimination. Schizophr Bull 30(3):481–491. doi:10.1093/oxfordjournals.schbul.a007096
Link BG, Phelan JC (2001) Conceptualizing stigma. Annu Rev Sociol 27:363–385. doi:10.1146/annurev.soc.27.1.363
Beck M, Dietrich S, Matschinger H, Angermeyer MC (2003) Alcoholism: low standing with the public? Attitudes towards spending financial resources on medical care and research on alcoholism. Alcohol Alcohol 38(6):602–605. doi:10.1037//0003-066X.37.4.368
Corrigan PW, Kerr A, Knudsen L (2005) The stigma of mental illness: explanatory models and methods for change. Appl Prev Psychol 11(3):179–190. doi:10.1016/j.appsy.2005.07.001
Corrigan P, Markowitz FE, Watson A, Rowan D, Kubiak MA (2003) An attribution model of public discrimination towards persons with mental illness. J Health Soc Behav 44(2):162–179. doi:10.2307/1519806
Corrigan PW (2000) Mental health stigma as social attribution: implications for research methods and attitude change. Clin Psychol Sci Pract 7(1):48–67. doi:10.1093/clipsy.7.1.48
Weiner B, Perry RP, Magnusson J (1988) An attributional analysis of reactions to stigmas. J Pers Soc Psychol 55(5):738–748. doi:10.1037/0022-3514.55.5.738
Brickman P, Rabinowitz VC, Karuza J, Coates D, Cohn E, Kidder L (1982) Models of helping and coping. Am Psychol 37:368–384. doi:10.1037//0003-066X.37.4.368
Angermeyer MC, Holzinger A, Matschinger H (2010) Emotional reactions to people with mental illness. Epidemiol Psichiatr Soc 19(1):26–32
Angermeyer MC, Matschinger H (1997) Social distance towards the mentally ill: results of representative surveys in the Federal Republic of Germany. Psychol Med 27(1):131–141. doi:10.1017/S0033291796004205
Angermeyer MC, Matschinger H (2003) Public beliefs about schizophrenia and depression: similarities and differences. Soc Psychiatry Psychiatr Epidemiol 38(9):526–534. doi:10.1007/s00127-003-0676-6
Corrigan PW, Edwards AB, Green A, Diwan SL, Penn DL (2001) Prejudice, social distance, and familiarity with mental illness. Schizophr Bull 27(2):219–225. doi:10.1093/oxfordjournals.schbul.a006868
Corrigan PW, Green A, Lundin R, Kubiak MA, Penn DL (2001) Familiarity with and social distance from people who have serious mental illness. Psychiatr Serv 52(7):953–958. doi:10.1176/appi.ps.52.7.953
Penn DL, Guynan K, Daily T, Spaulding WD, Garbin CP, Sullivan M (1994) Dispelling the stigma of schizophrenia—what sort of information is best. Schizophr Bull 20(3):567–578. doi:10.1093/schbul/20.3.567
Boyd JE, Katz EP, Link BG, Phelan JC (2010) The relationship of multiple aspects of stigma and personal contact with someone hospitalized for mental illness, in a nationally representative sample. Soc Psychiatry Psychiatr Epidemiol 45(11):1063–1070. doi:10.1007/s00127-009-0147-9
Schomerus G, Lucht M, Holzinger A, Matschinger H, Carta MG, Angermeyer MC (2011) The stigma of alcohol dependence compared with other mental disorders: a review of population studies. Alcohol Alcohol 46(2):105–112. doi:10.1093/alcalc/agq089
Corrigan PW, Lurie BD, Goldman HH, Slopen N, Medasani K, Phelan S (2005) How adolescents perceive the stigma of mental illness and alcohol abuse. Psychiatr Serv 56(5):544–550. doi:10.1176/appi.ps.56.5.544
Corrigan PW, River LP, Lundin RK, Penn DL, Uphoff-Wasowski K, Campion J, Mathisen J, Gagnon C, Bergman M, Goldstein H, Kubiak MA (2001) Three strategies for changing attributions about severe mental illness. Schizophr Bull 27(2):187–195
Crawford J, Heather N (1987) Public-attitudes to the disease concept of alcoholism. Int J Addict 22(11):1129–1138. doi:10.3109/10826088709027474
Lauber C, Nordt C, Sartorius N, Falcato L, Rossler W (2000) Public acceptance of restrictions on mentally ill people. Acta Psychiatr Scand Suppl 407:26–32. doi:10.1034/j.1600-0447.2000.00005.x
TNS UK for the National Mental Health Development Unit DoH (2010) Attitudes to Mental Illness 2010 Research Report JN 207028
Meijer S (RIVM) Verslavingszorg samengevat. In: Volksgezondheid Toekomst Verkenning, Nationaal Kompas Volksgezondheid. http://www.nationaalkompas.nl/zorg/geestelijke-gezondheidszorg/verslavingszorg/verslavingszorg-samengevat/. Accessed 20 February 2013
European Monitoring Centre for Drugs and Drug Addiction (2012) Drug treatment overview for Netherlands. EMCDDA. http://www.emcdda.europa.eu/data/treatment-overviews/Netherlands. Accessed 20 February 2013
Trimbos Instituut (2007) Alcoholinfo.nl. http://www.alcoholinfo.nl/index.cfm?act=esite.tonen&pagina=217. Accessed April 24th 2013
Corrigan PW, Rowan D, Green A, Lundin R, River P, Uphoff-Wasowski K, White K, Kubiak MA (2002) Challenging two mental illness stigmas: personal responsibility and dangerousness. Schizophr Bull 28(2):293–309. doi:10.1093/oxfordjournals.schbul.a006939
Reisenzein R (1986) A structural equation analysis of Weiner’s attribution—affect model of helping behavior. J Pers Soc Psychol 50:1123–1133. doi:10.1037/0022-3514.50.6.1123
Holmes EP, Corrigan PW, Williams P, Canar J, Kubiak MA (1999) Changing attitudes about schizophrenia. Schizophr Bull 25(3):447–456. doi:10.1093/oxfordjournals.schbul.a033392
Angermeyer MC, Matschinger H, Corrigan PW (2004) Familiarity with mental illness and social distance from people with schizophrenia and major depression: testing a model using data from a representative population survey. Schizophr Res 69(2–3):175–182. doi:10.1016/S0920-9964(03)00186-5
Arbuckle J (2010) Amos (version 19.0). SPSS, Chicago
Kline RB (2011) Principles and practices of structural equation modeling, part I: concepts and tools. The Guilford Press, New York, p 12
Schreiber JB (2008) Core reporting practices in structural equation modeling. Res Social Adm Pharm 4(2):83–97. doi:10.1016/j.sapharm.2007.04.003
Kenny D (2012) Measuring model fit. http://www.davidakenny.net/cm/fit.htm. Accessed 6 September 2012
Curran PJ, West SG, Finch JF (1997) The robustness of test statistics to normality and specification error in confirmatory factor analysis. Psychol Methods 1:16–29. doi:10.1037//1082-989X.1.1.16
Van der Sar R, Ødegård E, Rise J, Brouwers EPM, van de Goor LAM, Garretsen HFL (2012) Acceptance of illicit drug use in the Netherlands and Norway: a cross-national survey. Drugs Educ Prev Policy 19(5):397–405
Crisp A, Gelder M, Goddard E, Meltzer H (2005) Stigmatization of people with mental illnesses: a follow-up study within the Changing Minds campaign of the Royal College of Psychiatrists. World Psychiatry 4(2):106–113
Leshner AI (1997) Addiction is a brain disease, and it matters. Science 278(5335):45–47. doi:10.1126/science.278.5335.45
Williamson L (2012) Destigmatizing alcohol dependence: the requirement for an ethical (not only medical) remedy. Am J Public Health 102(5):e5–e8. doi:10.2105/AJPH.2011.300629
Martin JK, Pescosolido BA, Tuch SA (2000) Of fear and loathing: the role of ‘disturbing behavior’, labels, and causal attributions in shaping public attitudes toward people with mental illness. J Health Soc Behav 41(2):208–223. doi:10.2307/2676306
Pescosolido BA, Martin JK, Long JS, Medina TR, Phelan JC, Link BG (2010) “A Disease Like Any Other”? A Decade of Change in Public Reactions to Schizophrenia, Depression, and Alcohol Dependence. Am J Psychiatry 167(11):1321–1330. doi:10.1176/appi.ajp.2010.09121743
Pattyn E, Verhaeghe M, Secru C, Bracke P (2013) Medicalizing versus psychologizing mental illness: what are the implications for help seeking and stigma? A general population study. Soc Psychiatry Psychiatr Epidemiol. doi:10.1007/s00127-013-0671-5
Jorm AF, Griffiths KM (2008) The public’s stigmatizing attitudes towards people with mental disorders: how important are biomedical conceptualizations? Acta Psychiatr Scand 118(4):315–321. doi:10.1111/j.1600-0447.2008.01251.x
Read J, Law A (1999) The relationship of causal beliefs and contact with users of mental health services to attitudes to the ‘mentally ill’. Int J Social psychiatry 45(3):216–229
Ajzen I, Fishbein M (1980) Understanding attitudes and predicting social behavior. Prentice-Hall, Englewood Cliffs
Acknowledgments
Data were obtained from the LISS panel administered by CentERdata. We are very grateful to the MESS project for accepting the proposal and providing the data.
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On behalf of all authors, the corresponding author, states that there is no conflict of interest.
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van Boekel, L.C., Brouwers, E.P.M., van Weeghel, J. et al. Public opinion on imposing restrictions to people with an alcohol- or drug addiction: a cross-sectional survey. Soc Psychiatry Psychiatr Epidemiol 48, 2007–2016 (2013). https://doi.org/10.1007/s00127-013-0704-0
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DOI: https://doi.org/10.1007/s00127-013-0704-0