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The British Journal of Psychiatry (2005) 186: 331-334
© 2005 The Royal College of Psychiatrists

Causal beliefs and attitudes to people with schizophrenia

Trend analysis based on data from two population surveys in Germany

MATTHIAS C. ANGERMEYER, MD and HERBERT MATSCHINGER, PhD

Department of Psychiatry, University of Leipzig, Germany

Correspondence: Professor Dr M.C. Angermeyer, University of Leipzig, Department of Psychiatry, Johannisallee 20, D-04317 Leipzig, Germany.Tel: +49 341 9724530; fax: +49 341 9724539 24539; e-mail: krausem{at}medizin.uni-leipzig.de

Declaration of interest None. Funding detailed in Acknowledgement.

Background It is a widely shared belief that an increase in mental health literacy will result in an improvement of attitudes towards people with mental illness.

Aims To examine how the German public’s causal attributions of schizophrenia and their desire for social distance from people with schizophrenia developed over the 1990s.

Method A trend analysis was carried out using data from two representative population surveys conducted in the Länder constituting the former Federal Republic of Germany in 1990 and 2001.

Results Parallel to an increase in the public’s tendency to endorse biological causes, an increase in the desire for social distance from people with schizophrenia was found.

Conclusions The assumption underlying current anti-stigma programmes that there is a positive relationship between endorsing biological causes and the acceptance of people with mental illness appears to be problematic.




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