康复期精神分裂症患者刻板的精神疾病观念、歧视经历与 1 年心境困扰的关系。
Relationships between stereotyped beliefs about mental illness, discrimination experiences, and distressed mood over 1 year among persons with schizophrenia enrolled in rehabilitation.
机构信息
Roudebush VA Medical Center, Day Hospital 116H, 1481 West 10th St, Indianapolis, IN 46202, USA.
出版信息
Soc Psychiatry Psychiatr Epidemiol. 2012 Jun;47(6):849-55. doi: 10.1007/s00127-011-0396-2. Epub 2011 May 21.
Abstract
PURPOSE
Research suggests stereotype endorsement or self-stigma serves as a barrier to functioning and well-being among persons with schizophrenia. Little is known about how stable self-stigma is and whether it is linked over time with related constructs such as discrimination experiences and psychological distress.
METHODS
Stereotype endorsement and discrimination experiences were assessed using the Internalized Stigma of Mental Illness Scale and psychological distress was assessed using the Emotional Discomfort component of the Positive and Negative Syndrome Scale, at three points in time across 1 year.
RESULTS
Path analyses indicated that the constructs of stereotype endorsement and discrimination experiences are stable over periods of 5-7 months and may fluctuate over 12 months. Further, the constructs of stereotype endorsement and discrimination experiences were related to one another concurrently, but analyses failed to detect a relationship over time. Neither construct was related to psychological distress over time.
CONCLUSIONS
Self-stigma is a stable construct in the short term, and is distinct from related constructs such as discrimination experiences and psychological distress.
摘要
目的
研究表明，刻板印象的认可或自我污名化是精神分裂症患者功能和幸福感的障碍。目前还不太清楚自我污名化的稳定性如何，以及它是否与歧视经历和心理困扰等相关结构随时间的推移而相关联。
方法
使用内化的精神疾病耻辱感量表评估刻板印象的认可和歧视经历，使用阳性和阴性综合征量表的情绪不适成分评估心理困扰，在 1 年内分 3 个时间点进行评估。
结果
路径分析表明，刻板印象的认可和歧视经历这两个结构在 5-7 个月的时间内是稳定的，而在 12 个月的时间内可能会波动。此外，刻板印象的认可和歧视经历这两个结构在当前是相互关联的，但分析未能检测到随时间的关系。这两个结构都与心理困扰没有关系。
结论
自我污名化在短期内是一个稳定的结构，与歧视经历和心理困扰等相关结构不同。
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