Russinova Zlatka, Rogers E Sally, Gagne Cheryl, Bloch Philippe, Drake Keith M, Mueser Kim T
Psychiatr Serv. 2014 Feb 1;65(2):242-6. doi: 10.1176/appi.ps.201200572.
Psychiatric stigma is a major barrier to the recovery of persons with serious mental illnesses. This study tested the efficacy of an innovative peer-run photography-based intervention, called antistigma photovoice, which targets self-stigma and promotes proactive coping with public stigma.
A total of 82 individuals with serious mental illnesses enrolled at a university-based recovery center were randomly assigned to the antistigma photovoice program or to a wait-list control group. Mixed-effects regression models were used to examine the impact of photovoice on self-stigma, coping with stigma, empowerment, perceived recovery, self-efficacy, and depression.
Participation in the photovoice intervention was associated with significantly reduced self-stigma, greater use of proactive coping with societal stigma, greater increase in a sense of community activism, and perceived recovery and growth.
The photovoice intervention demonstrated promise for reducing self-stigma and enhancing proactive coping with prejudice and discrimination.
精神疾病污名化是严重精神疾病患者康复的主要障碍。本研究测试了一种创新的基于摄影的同伴主导干预措施——反污名化摄影发声法的效果，该方法旨在消除自我污名，并促进积极应对公众污名。
共有82名在大学康复中心登记的严重精神疾病患者被随机分配到反污名化摄影发声法项目组或等待名单对照组。采用混合效应回归模型来检验摄影发声法对自我污名、应对污名、赋权、感知康复、自我效能感和抑郁的影响。
参与摄影发声法干预与自我污名显著减少、更多地积极应对社会污名、社区行动主义意识显著增强以及感知康复和成长有关。
摄影发声法干预在减少自我污名以及增强积极应对偏见和歧视方面显示出前景。
