精神疾病患者家属中因关联而产生的污名化及家庭负担：应对方式的中介作用
Stigma by association and family burden among family members of people with mental illness: the mediating role of coping.
作者信息
van der Sanden Remko L M, Pryor John B, Stutterheim Sarah E, Kok Gerjo, Bos Arjan E R
机构信息
Department of Work and Social Psychology, Faculty of Psychology and Neuroscience, Maastricht University, PO Box 616, 6200 MD, Maastricht, The Netherlands.
Department of Psychology, Illinois State University, Normal, USA.
出版信息
Soc Psychiatry Psychiatr Epidemiol. 2016 Sep;51(9):1233-45. doi: 10.1007/s00127-016-1256-x. Epub 2016 Jun 29.
PURPOSE
When someone has a mental illness, family members may share the experience of stigma. Past research has established that family members' experiences of stigma by association predict psychological distress and lower quality-of-life.
METHODS
The present study, conducted with 503 family members of people with mental illness examined the prevalence of 14 different coping strategies. Of greater importance, we examined the role of these coping strategies as mediators of the relationships between stigma by association and family burden, on the one hand, and outcomes, such as psychological distress and quality-of-life, on the other.
RESULTS
The results showed that both perceived stigma by association and family burden are associated with greater psychological distress and lower quality-of-life, and that most coping strategies mediate these relationships.
CONCLUSIONS
Adaptive coping strategies were related to reduced negative outcomes, while most maladaptive coping strategies were related to enhanced negative outcomes. Implications for intervention development are discussed.
目的
当某人患有精神疾病时，其家庭成员可能会共同经历污名化。过去的研究表明，家庭成员因关联而产生的污名化经历预示着心理困扰和较低的生活质量。
方法
本研究对503名精神疾病患者的家庭成员进行了调查，考察了14种不同应对策略的普遍性。更重要的是，我们考察了这些应对策略一方面作为关联污名与家庭负担之间关系的中介，另一方面作为心理困扰和生活质量等结果之间关系的中介所起的作用。
结果
结果表明，感知到的关联污名和家庭负担都与更大的心理困扰和更低的生活质量相关，并且大多数应对策略介导了这些关系。
结论
适应性应对策略与负面结果的减少有关，而大多数适应不良的应对策略与负面结果的增加有关。讨论了对干预发展的启示。
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