Wang Katie, Weiss Nicole H, Pachankis John E, Link Bruce G
Center for Interdisciplinary Research on AIDS, Yale University.
Department of Psychiatry, Division of Prevention and Community Research, School of Medicine, Yale University.
Stigma Health. 2016 Nov;1(4):252-262. doi: 10.1037/sah0000032. Epub 2016 Mar 7.
Among people living with psychiatric disorders, mental illness stigma has been identified as a major barrier to recovery by contributing to low self-esteem and interfering with treatment-seeking. The present research examined the association between perceived mental illness stigma and suicide risk severity and considered the role of emotional clarity (i.e., the ability to identify and understand one's emotional experiences), a critical component of emotion regulation, as a moderator of this association. A sample of individuals who had experienced recent psychiatric hospitalizations ( = 184) completed self-report measures of perceived stigma associated with their psychiatric diagnoses, deficits in emotional clarity, and behaviors that have been found to confer risk for suicide. A moderation analysis revealed that perceived mental illness stigma was positively associated with suicide risk severity, but only for individuals who have greater deficits in emotional clarity. These findings highlight the role of emotional clarity as a resource for individuals coping with mental illness stigma and underscore the potential utility of targeting deficits in emotional clarity in prevention and intervention efforts for reducing suicide risk.
在患有精神疾病的人群中,精神疾病污名已被视为康复的主要障碍,因为它会导致自尊心低落并干扰寻求治疗。本研究调查了感知到的精神疾病污名与自杀风险严重程度之间的关联,并将情绪清晰度(即识别和理解自身情绪体验的能力,这是情绪调节的关键组成部分)视为这种关联的调节因素。一个近期有过精神科住院经历的样本(n = 184)完成了关于与其精神科诊断相关的感知污名、情绪清晰度缺陷以及已被发现会带来自杀风险的行为的自我报告测量。一项调节分析显示,感知到的精神疾病污名与自杀风险严重程度呈正相关,但仅适用于情绪清晰度缺陷较大的个体。这些发现凸显了情绪清晰度作为个体应对精神疾病污名的一种资源的作用,并强调了在预防和干预努力中针对情绪清晰度缺陷以降低自杀风险的潜在效用。