自我污名化与公开自己的精神疾病
SELF-STIGMA AND COMING OUT ABOUT ONE'S MENTAL ILLNESS.
作者信息
Corrigan Patrick W, Morris Scott, Larson Jon, Rafacz Jennifer, Wassel Abigail, Michaels Patrick, Wilkniss Sandra, Batia Karen, Rüsch Nicolas
机构信息
Illinois Institute of Technology.
出版信息
J Community Psychol. 2010 Apr 1;38(3):259-275. doi: 10.1002/jcop.20363.
Abstract
Self-stigma can undermine self-esteem and self-efficacy of people with serious mental illness. Coming out may be one way of handling self-stigma and it was expected that coming out would mediate the effects of self-stigma on quality of life. This study compares coming out to other approaches of controlling self-stigma. Eighty-five people with serious mental illness completed measures of coming out (called the Coming Out with Mental Illness Scale, COMIS), self-stigma, quality of life, and strategies for managing self-stigma. An exploratory factor analysis of the COMIS uncovered two constructs: benefits of being out (BBO) and reasons for staying in. A mediational analysis showed BBO diminished self-stigma effects on quality of life. A factor analysis of measures of managing self-stigma yielded three factors. Benefits of being out was associated with two of these: affirming strategies and becoming aloof, not with strategies of shame. Implications for how coming out enhances the person's quality of life are discussed.
摘要
自我污名化会损害严重精神疾病患者的自尊和自我效能感。公开自身病情可能是应对自我污名化的一种方式，并且预期公开病情会调节自我污名化对生活质量的影响。本研究将公开病情与其他控制自我污名化的方法进行比较。八十五名严重精神疾病患者完成了关于公开病情（称为“精神疾病公开量表”，COMIS）、自我污名化、生活质量以及管理自我污名化策略的测量。对COMIS进行的探索性因素分析揭示了两个结构：公开病情的益处（BBO）和隐瞒病情的原因。中介分析表明，BBO减弱了自我污名化对生活质量的影响。对管理自我污名化措施的因素分析产生了三个因素。公开病情的益处与其中两个因素相关：肯定策略和变得冷漠，与羞耻策略无关。本文讨论了公开病情如何提高患者生活质量的相关问题。
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