G152 Kodaira, T., & Ito, T. (2011). The students' change of prejudice toward schizophrenia after reading the comic book“MY MOTHER IS MENTALLY ILL.”14th East Asian Forum of Nursing Scholars (EAFONS 2011) Forum Proceedings, 347.

1. The students’ change of prejudice
toward schizophrenia after reading the
comic book “My mother is mentally ill”
Tomoe Kodaira2, Takehiko Ito1,＊
1Psychology and Education, Wako University, Japan, 2Nursing, Seirei
Christopher University, Japan
Poster Number : PS II-083
Display : 09:00-18:00, Saturday, February 12, 2011
Poster Presentation(Poster Round) : 11:30-12:30, Saturday, February 12,
2011
Place: Lobby, 2nd Floor, Seoul Olympic Parktel, Seoul, Korea
80cm wide by 120cm high (Portrait Type only). １０枚
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2. [Objective]
• Previous studies (Kodaira et al.
2007ab; 2008; 2009) revealed
effects of TV programs on
reduction of students’ Prejudice
Towards Schizophrenia (PTS) The
purpose of present study was to
observe the effects of reduction of
PTS by using a Manga or comic
book.
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3. [Method] Participants &
educational material
• [Participants] 42 students of a liberal art
university and 84 students of a nursing
university.
• [Educational material] Yuki Nakamura ’s
book “My mother is mentally ill” published
by Sun Mark Shuppan in 2008, which
introduce the story of her own life living
with her mother with schizophrenia was
used as the stimulus
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4. [Method] Questionnaire
In the pre-test, the Attitude towards Mental
Disorder Scale (AMDS: Kitaoka-Higashiguchi
et al. 2001).
AMDS consists of the Social Distance Subscale
(SDS) with 10 items and the Image Scale (IS)
was used.
Post-test consisted of the AMDS and open
questions about the impressive scene and
overall impression of the book.
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5. [Method] Procedure & ethical
consideration
• [Procedure] In October and November, 2009,
the pre-test was conducted before students’
loaning the book. For those who had read it,
the post-test was conducted one week later. T
test and ANOVA were used in the analysis.
• [Ethical consideration] The experiment was
conducted after the permission of Ethical
Committee of the first author.
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6. [Results] (Fig.1 )Change of the Social Distance
Subscale (SDS) Towards Schizophrenia
• In the SDS, the main effect of the difference
between pre and post-test was statistically
significant (p = .031), and the interaction
between the time-change and the university
was not significant,
• the reduction of points of nursing students (M
= -.12±.48) and that of liberal arts students
(M = -.06±.37) indicated significant reduction
of PTS(See Fig. 1).
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7. 2015/7/3 72015/7/3 7
1.43
1.31
1.11
1.05
0.8
0.9
1
1.1
1.2
1.3
1.4
1.5
事前テスト
（社会的距離尺度）
事後テスト
（社会的距離尺度）
看護大学
文系大学
1.38
1.38
1.14
1.40
0.8
0.9
1
1.1
1.2
1.3
1.4
1.5
事前テスト
（イメージ尺度）
事後テスト
（イメージ尺度）
看護大学
文系大学
Fig. 1 Social distance subscale Fig.2 Image Subscale
●Nursing
students
●Liberal
arts
students
Pre-test Post-test Pre-test Post-test
●Nursing
students
●Liberal
arts
students

8. [Results] (Fig.2) Change of the the Image
Subcale (IS) Towards Schizophrenia
• In the IS, the main effect of the change
between pre and post test was significant (F
(1, 124) = 6.417, p = .013) and the interaction
between the time-change and the university
was also significant (p = .012).
• There were no significant reduction in nursing
students (M = 0±.52), although there were
significant increase of PTS (M = .25±.54)
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9. 2015/7/3 92015/7/3 9
条件 文献番号/対象 社会的距離 イメージ
(1) ○ △
(2) △ ○
(1) ○ ○
(2) △ ◎
浦河べてる (3) × ◎
夫婦ビデオ (4) ◎ ◎
文系大学 ○ △
看護大学 ○ ×
医師説明条件
患者談話条件
マンガ教材
(本研究)
偏見低減： ◎大、 ○有、 △無、 ×負の効果
Fig.3 Pre- and Post test comparison of AMD
scale points
Stimuli Social Distance ImageStudy/ Participants
Medical explanation
Condition video
Patient’s narrative
Condition video
Urakawa Bethel video
Couple narrative video
Manga book
(Present study)
Degree of prejudice reduction: ◎=＋＋; ◯=＋; △=±; ☓=－
Liberal arts students
Nursing students.

10. [Discussion]
• The Manga reduced PTS in social distance
area, but increased prejudice of bad image.
The interaction of content of educational
material and direct effects of PTS was
discussed by comparing with previous studies
on TV programs (Kodaira et al. 2007ab; 2008;
2009).
• The interaction of content of educational
material and direct effects of PTS were
discussed.2015/7/3 10

11. [References] Ito, T. , Kodaira, T., & Inoue, T. 2011 TV Program - Based Preventive
Education for the Prejudice towards Schizophrenia. (unpublished manuscript)
• Ito,T., Kodaira,T. & Ohtaka, Y. 2010 Experience of people with mental illness: A text
mining analysis of an autobiographical illness narrative book. Annual Conference
of Korean Psychological Association
• Kitaoka-Higashiguchi, K. (2001). Effects of contact experiences on attitudes toward
the mentally disordered. Japanese Journal of Psychiatric Rehabilitation, 5 (2), 142-
147.
• Kodaira, T., & Ito, T. (2009). Effects of preventive education for reduction of
prejudice towards schizophrenia on nursing students. Centennial Celebration of
Chinese Nursing Association: Thesis Compilation, Aug 19, 2009. 192-193.
• Kodaira, T., & Ito, T. 2010. Narrative educational materials: Applications of
narratives of people with mental disorders for nursing education. 2nd Japan China
Korea Nursing Conference, 90-91.
• Link, Bruce. G., John Monahan, Ann Stueve, Francis T. Cullen. (1999). Real in their
consequences: A sociological approach to understanding the association between
psychotic symptoms and violence. American Sociological Review, 64, 316-332.
• Sartorius, Norman, and Hugh Schulze. (2005). Reducing the stigma of mental
illness. Cambridge University Press.
• World Psychiatric Association (2002). Schizophrenia: Open the door. Author2015/7/3 11