抑郁症污名
Depression stigma
Journal of Public Economics · 2026 · [{"name": "Christopher Roth", "affiliation": []}, {"name": "Peter Schwardmann", "affiliation": []}, {"name": "Egon Tripodi", "affiliation": []}]
中文摘要
患有精神疾病的人经常遭受歧视和污名化。我们提出一种新的感知抑郁污名衡量指标，并在1844名患有抑郁症的美国人样本中，考察了感知污名对寻求帮助行为的因果效应。我们发现，绝大多数参与者高估了与抑郁症相关的污名程度。一项旨在降低感知社会污名的信息干预降低了对心理治疗的需求。仅仅提示个体思考污名也会产生类似效应。一项机制实验表明，我们的干预既提高了参与者对未来心理健康状况的乐观程度，也提高了他们依赖朋友和家人的意愿，从而降低了其感知到的治疗需要。
Abstract
People with mental illness are frequently discriminated against and stigmatized. We introduce a new measure of perceived depression stigma and examine the causal effect of perceived stigma on help-seeking in a sample of 1844 Americans suffering from depression. We document that a large majority of our participants overestimate the extent of stigma associated with depression. An informational intervention aimed at reducing perceived social stigma decreases the demand for psychotherapy. Merely prompting individuals to think about stigma has a similar effect. A mechanism experiment reveals that our interventions increase both participants’ optimism about future mental health and their readiness to rely on friends and family, thereby reducing the perceived need for therapy.