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KMID : 1138720200460020107
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Korean Public Health Research
2020 Volume.46 No. 2 p.107 ~ p.118
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Differences in the path model connecting perceived amount of responsibility, anger, and discrimination toward schizophrenia between Americans and Koreans applying attribution theory
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Cho Hye-Jin
Kim Jung-Hyun
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Abstract
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Objectives:The purpose of the present study is to examine whether emphasizing uncontrollable causal explanations of schizophrenia can reduce public stigma. Specifically, this study connects perceived amount of responsibility, anger, and discrimination toward people with schizophrenia based on attribution theory. We also explored whether there is any significant difference in the hypothesized path model leading to discrimination between Americans and Koreans.
Methods:A total of 546 participants from the U.S. (n = 274) and Korea (n = 272) participated in an online experiment. Participants were randomly assigned to one of the two different scenarios describing a person with schizophrenia caused by either biogenetic or contextual cause.
Results:The positive and significant associations among perceived amount of responsibility of people with schizophrenia, anger, and discrimination were found. More importantly, a multi-group analysis revealed that there were significant differences between Americans and Koreans in the hypothesized path model: (a) while American participants in the biogenetic condition perceived a smaller amount of responsibility from people with schizophrenia compared to those in the contextual condition, Korean participants did not show a significant difference in their perceived amount of responsibility from people with schizophrenia between the two causes; (b) the association between perceived amount of responsibility from people with schizophrenia and anger toward them was stronger for American participants than Korean participants.
Conclusions:We found that emphasizing uncontrollable causal explanations of schizophrenia can have different impacts in reducing public stigma depending on countries. Thus, we suggest that anti-stigma programs in Korea should be designed differently from those in the U.S. beyond emphasizing just one causal explanation of schizophrenia.
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KEYWORD
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Attribution Theory, Public Stigma, Schizophrenia, Multi-Group Analysis
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