Küey Levent
Psychology Department, Istanbul Bilgi University, Istanbul, Turkey.
Curr Opin Psychiatry. 2008 Jul;21(4):403-11. doi: 10.1097/YCO.0b013e3283007bb8.
The problems associated with high rates of medical comorbidities among people with mental disorders have multidimensional consequences, including the challenge of their management. The stigma on the treatment of these complex situations is the focus of this review. The time span and context of the review are set to cover the period from 2006 to the present; the review includes related themes of stigma.
The stigma attached to the management of somatic illnesses of patients with mental disorders is considered as a more recent issue of concern. Few relevant studies could be found. Medical comorbidities among people with mental disorders along with the treatment gap constitute a public-health problem.
The stigma attached to mental disorders in general forms the basis of the stigma towards the physical health problems of these patient groups. The impact of stigma on somatic treatment and care for people with comorbid mental and somatic disorders is discussed in its context as a public-health problem. Integrative services, and optimism and hope in health professionals are essential factors in reducing such stigma, and hence in enhancing better healthcare.
精神障碍患者中高比率的医学合并症所带来的问题具有多方面的影响，包括管理方面的挑战。对这些复杂情况治疗的污名化是本综述的重点。综述的时间跨度和背景设定为涵盖2006年至今；综述包括污名化的相关主题。
精神障碍患者躯体疾病管理方面的污名化被视为一个较新的受关注问题。能找到的相关研究很少。精神障碍患者中的医学合并症以及治疗差距构成了一个公共卫生问题。
总体而言，对精神障碍的污名化构成了对这些患者群体身体健康问题污名化的基础。在作为公共卫生问题的背景下，讨论了污名化对合并精神和躯体障碍患者躯体治疗及护理的影响。综合服务以及医护人员的乐观态度和希望是减少此类污名化、从而改善医疗保健的关键因素。
