Prevention and Early Intervention Program for Psychoses, Department of Psychiatry, London Health Sciences Centre, 800 Commissioners Road, East London, Ontario, Canada N6A 5W9.
Schizophr Res. 2011 Dec;133(1-3):3-7. doi: 10.1016/j.schres.2011.09.002. Epub 2011 Sep 29.
It has been postulated that the effects of the stigma of mental illness on the psychological well-being of patients is mediated through internalization of the stigma. On the other hand, there is reason to suppose that simple awareness of public stigma could also have an impact to the extent that an individual is aware of being ill.
To investigate whether internalization of the stigma of having a psychotic disorder and an interaction between perceived public stigma and awareness of being ill make independent contributions to the prediction of psychological well-being in patients with psychotic disorder.
102 patients in an early intervention program for psychoses were assessed for awareness of public stigma, internalization of stigmatizing beliefs, insight and various aspects of psychological well-being including self-esteem, depression, anxiety, anger/hostility and engulfment.
Internalization of stigma was associated with lower levels of psychological well-being. In addition, perception of public stigma also contributed to lower well-being for those individuals with greater awareness of being ill.
While internalization of stigma is an important contribution to psychological well-being in patients with psychosis, awareness of public stigma, even if this is not internalized, also is associated with lower self-esteem, and greater anxiety, anger/hostility, and engulfment in patients with better insight.
人们推测，精神疾病污名对患者心理健康的影响是通过污名内化来实现的。另一方面，有理由假设，仅仅意识到公众污名也会产生影响，因为个体意识到自己生病了。
调查精神障碍患者的污名内化以及感知到的公众污名与自知力之间的相互作用是否对精神障碍患者的心理健康有独立的预测作用。
对 102 名早期精神病干预项目的患者进行了公众污名意识、污名内化信念、洞察力以及自尊、抑郁、焦虑、愤怒/敌意和吞噬感等各方面的心理健康评估。
污名内化与较低的心理健康水平相关。此外，对于那些自知力更强的个体来说，感知到的公众污名也会导致更低的幸福感。
虽然污名内化是精神障碍患者心理健康的一个重要贡献，但即使没有内化，意识到公众污名也与自尊心降低、焦虑、愤怒/敌意和吞噬感增加有关，而洞察力更好的患者则会出现这些情况。
