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精神分裂症法医患者的污名化感知

Perception of stigmatization in forensic patients with schizophrenia.

作者信息

Margetić Branimir, Aukst-Margetic Branka, Ivanec Dragutin, Filipcić Igor

机构信息

Department of Forensic Psychiatry, Neuropsychiatric Hospital 'Dr Ivan Barbot', Popovaca, Croatia.

出版信息

Int J Soc Psychiatry. 2008 Nov;54(6):502-13. doi: 10.1177/0020764008090842.

DOI:10.1177/0020764008090842
PMID:18974189
Abstract

BACKGROUND

The literature about perceived stigmatization of forensic patients with schizophrenia is sparse.

AIMS

To examine relations between the perceived stigmatization of forensic patients with schizophrenia and the intensity of the symptoms, age, regular home visiting, kind of offence, perceived family support and duration of hospitalization.

METHOD

Sixty-two male forensic patients with schizophrenia were included. Perceived stigmatization was measured by the modified questions from the World Health Organization Disability Assessment Schedule II. Symptomatology was assessed with the Positive and Negative Syndrome Scale. Perception of family support was assessed with a visual-analogue scale. Due to different characteristics of offences and possibilities for home visiting, patients were divided into groups of those who had committed violent and non-violent offences, and those with and without the possibility of regular home visiting.

RESULTS

Symptoms have an impact on the perception of stigma. The kind of offence committed does not have a significant role in the perception of discrimination. Age was negatively correlated with the perception of stigma.

CONCLUSION

Results might have significance for a better understanding of social relations between forensic patients and their environment and provide us with information about institutionalized forms of stigma. Results might have implications for the treatment and the quality of life of these patients.

摘要

背景

关于患有精神分裂症的法医鉴定患者所感受到的污名化的文献稀少。

目的

研究患有精神分裂症的法医鉴定患者所感受到的污名化与症状严重程度、年龄、定期家访情况、犯罪类型、所感受到的家庭支持以及住院时间之间的关系。

方法

纳入62名患有精神分裂症的男性法医鉴定患者。使用世界卫生组织残疾评定量表II中的修改问题来测量所感受到的污名化。用阳性和阴性症状量表评估症状学。用视觉模拟量表评估对家庭支持的感知。由于犯罪特征和家访可能性的不同,患者被分为实施暴力犯罪和非暴力犯罪的组,以及有和没有定期家访可能性的组。

结果

症状对污名化感知有影响。所实施的犯罪类型在歧视感知中没有显著作用。年龄与污名化感知呈负相关。

结论

研究结果可能有助于更好地理解法医鉴定患者与其环境之间的社会关系,并为我们提供有关制度化污名形式的信息。研究结果可能对这些患者的治疗和生活质量产生影响。

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Perception of stigmatization in forensic patients with schizophrenia.精神分裂症法医患者的污名化感知
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Measuring professional stigma towards patients with a forensic mental health status: protocol for a Delphi consensus study on the design of a questionnaire.测量对具有法医精神健康状况的患者的职业污名:关于问卷设计的德尔菲共识研究方案。
BMJ Open. 2022 Sep 1;12(9):e061160. doi: 10.1136/bmjopen-2022-061160.
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Positive and negative syndrome scale in forensic patients with schizophrenia spectrum disorders: a systematic review and meta-analysis.精神分裂症谱系障碍法医患者的阳性和阴性症状量表:系统评价与荟萃分析
Ann Gen Psychiatry. 2022 Sep 10;21(1):36. doi: 10.1186/s12991-022-00413-2.
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Relationships of perceived public stigma of mental illness and psychosis-like experiences in a non-clinical population sample.
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Opinions of forensic schizophrenia patients on the use of restraints: controversial legislative issues.法医鉴定为精神分裂症患者对使用约束措施的看法:有争议的立法问题
Psychiatr Q. 2014 Dec;85(4):405-16. doi: 10.1007/s11126-014-9299-1.
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Personal stigma in schizophrenia spectrum disorders: a systematic review of prevalence rates, correlates, impact and interventions.精神分裂症谱系障碍中的个体耻辱感:患病率、相关因素、影响和干预措施的系统评价。
World Psychiatry. 2013 Jun;12(2):155-64. doi: 10.1002/wps.20040.