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性传播疾病相关压力性污名的管理(初步报告)

Management of the stressful stigma attached to sexually transmitted disease (preliminary report).

作者信息

Rzepa Teresa, Zaba Ryszard, Silny Wojciech

机构信息

Warsaw Scholl of Social Sciences and Humanities, Campus in Poznan, Poland.

出版信息

Ginekol Pol. 2011 Sep;82(9):675-9.

PMID:22379927
Abstract

BACKGROUND

Syphilis and other sexually transmitted diseases may cause some psychological problems and anxiety among the infected patients.

OBJECTIVES

The aim of the study was to examine the differences in stress level and stress coping strategies of patients infected with syphilis and healthy controls. Also, the authors aimed at establishing types of strategies to cope with the stigma of sexually transmitted diseases.

MATERIAL AND METHODS

The study was a survey of 21 syphilis infected subjects and 21 healthy subjects, paired according to age and gender The respondents used the SRRS questionnaire with some additional questions and the Mental Adjustment to Disease Mini-MAC Scale in Polish adapted version. The latter was given to the syphilis-infected subjects only

RESULTS

The syphilis infected subjects experienced more acute stress than the healthy subjects. Most healthy subjects used the active task strategy to cope with stress while the infected subjects (particularly females) chose the escape strategy and the 'waiting out' strategy The infected males preferred an active style of coping with the stigma; among the females, the anxiety style was dominant.

CONCLUSIONS

Syphilis is a source of permanent stress and awareness of the possible social consequences is a strong stimulus, prompting the stigma bearer to keep its existence a secret.

摘要

背景

梅毒和其他性传播疾病可能会给感染患者带来一些心理问题和焦虑情绪。

目的

本研究旨在探讨梅毒感染患者与健康对照者在压力水平和压力应对策略上的差异。此外,作者旨在确定应对性传播疾病污名化的策略类型。

材料与方法

该研究对21名梅毒感染受试者和21名健康受试者进行了调查,根据年龄和性别进行配对。受访者使用了社会再适应评定量表(SRRS)及一些附加问题,以及波兰语改编版的疾病心理调适迷你量表(Mental Adjustment to Disease Mini-MAC Scale)。后者仅提供给梅毒感染受试者。

结果

梅毒感染受试者比健康受试者经历了更严重的压力。大多数健康受试者采用积极任务策略应对压力,而感染受试者(尤其是女性)选择逃避策略和“等待”策略。感染男性更倾向于积极应对污名化的方式;在女性中,焦虑方式占主导。

结论

梅毒是持续压力的来源,对可能的社会后果的认知是一种强烈刺激,促使有污名者对其感染情况保密。

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