自我污名、群体认同、感知到的歧视合法性与心理健康服务利用
Self-stigma, group identification, perceived legitimacy of discrimination and mental health service use.
作者信息
Rüsch Nicolas, Corrigan Patrick W, Wassel Abigail, Michaels Patrick, Larson Jonathon E, Olschewski Manfred, Wilkniss Sandra, Batia Karen
机构信息
Illinois Institute of Technology, Chicago, IL, USA.
出版信息
Br J Psychiatry. 2009 Dec;195(6):551-2. doi: 10.1192/bjp.bp.109.067157.
Abstract
Stigma may interfere with mental health service use. We measured self-stigma and stigma-related cognitions (group identification and perceived legitimacy of discrimination) at baseline in 85 people with schizophrenia, schizoaffective or affective disorders. After 6 months, 75 (88%) had reported use of mental health services. Controlling for baseline psychopathology, perceived stigma and diagnosis, low perceived legitimacy of discrimination predicted use of counselling/psychotherapy. Strong group identification was associated with participation in mutual-help groups. More self-stigma predicted psychiatric hospitalisation. Cognitive indicators of stigma resilience may predict out-patient service use, whereas self-stigma may increase the risk of psychiatric hospitalisation.
摘要
耻辱感可能会妨碍心理健康服务的使用。我们在85名患有精神分裂症、分裂情感障碍或情感障碍的患者基线时测量了自我耻辱感和与耻辱感相关的认知（群体认同和感知到的歧视合法性）。6个月后，75人（88%）报告使用了心理健康服务。在控制基线精神病理学、感知到的耻辱感和诊断因素后，低感知到的歧视合法性预示着会使用咨询/心理治疗。强烈的群体认同与参与互助小组有关。更多的自我耻辱感预示着会住院治疗。耻辱感恢复力的认知指标可能预示着门诊服务的使用，而自我耻辱感可能会增加住院治疗的风险。
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本文引用的文献
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