Werner S, Shulman C
Paul Baerwald School of Social Work and Social Welfare, Hebrew University of Jerusalem, Jerusalem, Israel.
J Intellect Disabil Res. 2015 Mar;59(3):272-83. doi: 10.1111/jir.12136. Epub 2014 Apr 24.
Studies have shown that beyond public and self stigma, stigma can also impact family members. Only scant research has examined the internalised aspects of stigma, known as affiliate stigma, among family caregivers of individuals with disabilities. This study examined affiliate stigma among family caregivers of individuals with developmental disabilities via a comparison between caregivers of individuals with intellectual disabilities (ID), autism spectrum disorders (ASD) and physical disabilities (PD) in Israel.
Family caregivers (n = 171) of individuals with developmental disabilities, mainly ID (22.4%), ASD (32.9%) and PD (27.1%), completed a self-report structured questionnaire including the Affiliate Stigma Scale and background variables.
Results supported a one-factor structure for the Affiliate Stigma Scale. Overall, affiliate stigma was relatively low in this sample, but was found to be higher among caregivers of individuals with ASD when compared with caregivers of individuals with ID or PD.
Findings from this study point to the importance of supporting caregivers of individuals with ASD to decrease their feelings of stigma. It is also important to further develop scales measuring affiliate stigma in order to capture the multi-dimensional nature of the concept.
研究表明,除了公众污名和自我污名外,污名还会影响家庭成员。只有极少的研究探讨了残疾人士家庭照顾者中污名内化的方面,即附属污名。本研究通过比较以色列智障(ID)、自闭症谱系障碍(ASD)和身体残疾(PD)患者的家庭照顾者,考察了发育障碍患者家庭照顾者中的附属污名。
发育障碍患者的家庭照顾者(n = 171),主要是智障患者(22.4%)、自闭症谱系障碍患者(32.9%)和身体残疾患者(27.1%),完成了一份包括附属污名量表和背景变量的自陈式结构化问卷。
结果支持附属污名量表的单因素结构。总体而言,本样本中的附属污名相对较低,但与智障或身体残疾患者的照顾者相比,自闭症谱系障碍患者的照顾者中的附属污名更高。
本研究结果表明支持自闭症谱系障碍患者照顾者以减少他们的污名感的重要性。进一步开发测量附属污名的量表以捕捉该概念的多维度性质也很重要。