精神分裂症谱系障碍患者的应对策略与自我污名化
Coping strategies and self-stigma in patients with schizophrenia-spectrum disorders.
作者信息
Holubova Michaela, Prasko Jan, Hruby Radovan, Latalova Klara, Kamaradova Dana, Marackova Marketa, Slepecky Milos, Gubova Terezia
机构信息
Department of Psychiatry, Faculty of Medicine and Dentistry, Palacký University Olomouc, University Hospital Olomouc, Olomouc, Czech Republic; Department of Psychiatry, Hospital Liberec, Liberec, Czech Republic.
Department of Psychiatry, Faculty of Medicine and Dentistry, Palacký University Olomouc, University Hospital Olomouc, Olomouc, Czech Republic.
出版信息
Patient Prefer Adherence. 2016 Jun 24;10:1151-8. doi: 10.2147/PPA.S106437. eCollection 2016.
BACKGROUND
Maladaptive coping strategies may adversely disturb the overall functioning of people with mental disorders. Also, self-stigma is considered a maladaptive psychosocial phenomenon that can affect many areas of patient life. It has a negative impact on self-image, and may lead to dysphoria, social isolation, reduced adherence, using of negative coping strategies, and lower quality of life. The objective of this study was to determine the relationship between coping strategies and self-stigma among persons with schizophrenia and related psychotic disorders.
SUBJECTS AND METHODS
A total of 104 clinically stable outpatients with chronic schizophrenia-spectrum disorders were enrolled in a cross-sectional study. Sociodemographic and clinical data were recorded. Patients were examined by psychiatrists with the Stress Coping Style Questionnaire, the Internalized Stigma of Mental Illness scale, and the Clinical Global Impression scale. Correlation and multiple-regression analyses were performed to discover contributing factors to self-stigma.
RESULTS
Positive coping strategies were used by patients with schizophrenia-spectrum disorders to the same extent as in the healthy population. Negative coping strategies were overused by these patients. There were significant associations between self-stigma, severity of the disorder, and coping strategies in schizophrenia. The ability to use positive coping strategies was connected with lower self-stigma. Use of negative coping strategies predominantly increased the self-stigma of patients with schizophrenia.
CONCLUSION
This study revealed a significant association among self-stigma, severity of the disorder, and coping strategies in individuals suffering from schizophrenia-spectrum disorders. Thinking about coping strategies and self-stigma in practice may play a significant role in understanding people with schizophrenia-spectrum disorders, especially for mental health professionals.
背景
适应不良的应对策略可能会对精神障碍患者的整体功能产生不利干扰。此外，自我污名被认为是一种适应不良的社会心理现象，会影响患者生活的许多方面。它对自我形象有负面影响，可能导致烦躁不安、社交孤立、依从性降低、使用消极应对策略以及生活质量下降。本研究的目的是确定精神分裂症及相关精神病性障碍患者的应对策略与自我污名之间的关系。
对象与方法
共有104名临床症状稳定的慢性精神分裂症谱系障碍门诊患者纳入一项横断面研究。记录社会人口学和临床数据。由精神科医生使用应激应对方式问卷、精神疾病内化污名量表和临床总体印象量表对患者进行检查。进行相关性和多元回归分析以发现自我污名的影响因素。
结果
精神分裂症谱系障碍患者使用积极应对策略的程度与健康人群相同。这些患者过度使用消极应对策略。精神分裂症患者的自我污名、疾病严重程度和应对策略之间存在显著关联。使用积极应对策略的能力与较低的自我污名相关。使用消极应对策略主要增加了精神分裂症患者的自我污名。
结论
本研究揭示了精神分裂症谱系障碍患者的自我污名、疾病严重程度和应对策略之间存在显著关联。在实践中思考应对策略和自我污名可能在理解精神分裂症谱系障碍患者方面发挥重要作用，尤其是对心理健康专业人员而言。
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