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被诊断患有物质使用障碍的个体的社会功能与内化耻辱感

Social functioning and internalized stigma in individuals diagnosed with substance use disorder.

作者信息

Can Ganime, Tanrıverdi Derya

机构信息

University of Atatürk, Faculty of Health Science, Department of Psychiatric Nursing, Erzurum, Turkey.

Gaziantep University, Faculty of Health Science, Department of Psychiatric Nursing, Gaziantep, Turkey.

出版信息

Arch Psychiatr Nurs. 2015 Dec;29(6):441-6. doi: 10.1016/j.apnu.2015.07.008. Epub 2015 Jul 22.

Abstract

The aim of this descriptive study was to determine social functioning and internalized stigma in individuals with substance use disorder. The study sample consisted of 105 patients diagnosed with substance use disorder according to the DSM-IV-TR diagnostic criteria. A Descriptive Information Form, Internalized Stigma of Mental Illness Scale (ISMI) and Social Functioning Scale (SFS) were used for data collection. Average total SFS score of the patients was 103.25±25.09 points, indicating an intermediate level of social functioning. Average total ISMI score of patients was 2.92±0.48 points, reflecting a high level of internalized stigma. A negative significant association was observed between the internalized stigma levels and social functioning of patients. These results suggest that rehabilitation of substance users should include counseling services in order to reduce internal perception of stigma and improve their social functioning.

摘要

这项描述性研究的目的是确定物质使用障碍患者的社会功能和内化耻辱感。研究样本包括105名根据《精神疾病诊断与统计手册》第四版修订版(DSM-IV-TR)诊断标准被诊断为物质使用障碍的患者。使用描述性信息表、精神疾病内化耻辱感量表(ISMI)和社会功能量表(SFS)进行数据收集。患者的SFS总平均分是103.25±25.09分,表明社会功能处于中等水平。患者的ISMI总平均分是2.92±0.48分,反映出内化耻辱感水平较高。观察到患者的内化耻辱感水平与社会功能之间存在显著负相关。这些结果表明,对物质使用者的康复治疗应包括咨询服务,以减少内在的耻辱感认知并改善他们的社会功能。

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