精神分裂症患者的抗污名化。
Stigma resistance in patients with schizophrenia.
机构信息
Department of Psychiatry and Psychotherapy, Medical University of Vienna,Vienna, Austria.
出版信息
Schizophr Bull. 2011 Mar;37(2):316-23. doi: 10.1093/schbul/sbp048. Epub 2009 Jun 1.
Abstract
BACKGROUND
An individual's capacity to counteract the stigma of mental illness, stigma resistance (SR), is considered as playing a crucial role in fighting stigma. However, little is known about SR and its correlates in patients with schizophrenia or schizoaffective disorder.
AIM
Exploring SR in patients with schizophrenia or schizoaffective disorder.
METHOD
One hundred fifty-seven participants completed the "Internalized Stigma of Mental Illness" (ISMI) Scale including its subscale on SR. Measures of perceived devaluation and discrimination, depression, self-esteem, empowerment, quality of life, and demographic and clinical variables were obtained.
RESULTS
Two-thirds of all patients showed high SR. SR correlated positively with self-esteem, empowerment, and quality of life and negatively with stigma measures and depression. A social network with a sufficient number of friends, being single or married, in contrast to being separated, as well as receiving outpatient treatment, was associated with higher SR.
CONCLUSIONS
SR is a new and promising concept. The development of stigma-resisting beliefs might help individuals in their hope of finding a fulfilling life and in their recovery from mental illness.
摘要
背景
个体对抗精神疾病污名的能力，即抵抗污名（SR），被认为在对抗污名方面起着至关重要的作用。然而，对于精神分裂症或分裂情感障碍患者的 SR 及其相关因素知之甚少。
目的
探索精神分裂症或分裂情感障碍患者的 SR。
方法
157 名参与者完成了“精神疾病内化污名量表”（ISMI），包括其抵抗污名的分量表。还获得了对贬值和歧视的感知、抑郁、自尊、赋权、生活质量以及人口统计学和临床变量的测量。
结果
所有患者中有三分之二表现出较高的 SR。SR 与自尊、赋权和生活质量呈正相关，与污名测量和抑郁呈负相关。拥有足够数量朋友的社交网络、单身或已婚，而不是分居，以及接受门诊治疗与较高的 SR 相关。
结论
SR 是一个新的有前途的概念。抵抗污名信念的发展可能有助于个体对充实生活的希望，并帮助他们从精神疾病中康复。
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