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Sara Kuppin, DrPH and Richard M. Carpiano, PhD, MA, MPH

At the time of the study, Sara Kuppin was with the Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY, and Richard M. Carpiano was with the Department of Population Health Sciences, University of Wisconsin, Madson.

Correspondence: Requests for reprints should be sent to Sara Kuppin, 41 River Terrace, Apt 4106, New York, NY 10282 (e-mail: sak141{at}columbia.edu).

ABSTRACT

Objectives. We examined the degree to which lay beliefs about the causes of disorders may predict beliefs about what constitutes appropriate treatment.

Methods. We analyzed randomized vignette data from the MacArthur Mental Health Module of the 1996 General Social Survey (n=1010).

Results. Beliefs in biological causes (i.e., chemical imbalance, genes) were significantly associated with the endorsement of professional, biologically focused treatments (e.g., prescription medication, psychiatrists, and mental hospital admissions). Belief that the way a person was raised was the cause of a condition was the only nonbiologically based causal belief associated with any treatment recommendations (talking to a clergy member).

Conclusions. Lay beliefs about the biological versus nonbiological causes of mental and substance abuse disorders are related to beliefs regarding appropriate treatment. We suggest areas for further research with regard to better understanding this relationship in an effort to construct effective messages promoting treatment for mental health and substance abuse disorders.