Chang Chih-Cheng, Yen Cheng-Fang, Jang Fong-Lin, Su Jian-An, Lin Chung-Ying
*Department of Psychiatry, Chi Mei Medical Center, Tainan, Taiwan; †Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom; ‡Department of Senior Citizen Service Management, College of Recreation and Health Management, Chia Nan University of Pharmacy and Science, Tainan; §Department of Psychiatry, School of Medicine and Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University; ∥Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung; ¶Department of Psychiatry, Chang Gung Memorial Hospital, Chiayi; **Graduate Institute of Clinical Medical Sciences, Chang Gung University; ††Department of Nursing, Chang Gung Institute of Technology, Taoyuan, Taiwan; and ‡‡Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong, China.
J Nerv Ment Dis. 2017 Jul;205(7):542-549. doi: 10.1097/NMD.0000000000000671.
The family caregivers of people with mental illness may internalize the public stereotypes into the affiliate stigma (i.e., the self-stigma of family members). This study aimed to compare the affiliate stigma across schizophrenia, bipolar disorder, and major depressive disorder, and to investigate potential factors associated with affiliate stigma. Each caregiver of family members with schizophrenia (n = 215), bipolar disorder (n = 85), and major depressive disorder (n = 159) completed the Affiliate Stigma Scale, Rosenberg Self-Esteem Scale, Caregiver Burden Inventory, Taiwanese Depression Questionnaire, and Beck Anxiety Inventory. After controlling for potential confounders, the hierarchical regression models showed that caregivers of a family member with schizophrenia had a higher level of affiliate stigma than those of bipolar disorder (β = -0.109; p < 0.05) and major depressive disorder (β = -0.230; p < 0.001). Self-esteem, developmental burden, and emotional burden were significant factors for affiliate stigma. The affiliate stigma of caregivers is associated with their self-esteem, caregiver burden, and by the diagnosis.
患有精神疾病者的家庭照顾者可能会将公众的刻板印象内化为附属污名（即家庭成员的自我污名）。本研究旨在比较精神分裂症、双相情感障碍和重度抑郁症患者家庭照顾者的附属污名，并调查与附属污名相关的潜在因素。精神分裂症患者（n = 215）、双相情感障碍患者（n = 85）和重度抑郁症患者（n = 159）的每位家庭照顾者均完成了附属污名量表、罗森伯格自尊量表、照顾者负担量表、台湾抑郁问卷和贝克焦虑量表。在控制了潜在的混杂因素后，分层回归模型显示，精神分裂症患者家庭的照顾者附属污名水平高于双相情感障碍患者家庭的照顾者（β = -0.109；p < 0.05）和重度抑郁症患者家庭的照顾者（β = -0.230；p < 0.001）。自尊、发展负担和情感负担是附属污名的重要影响因素。照顾者的附属污名与他们的自尊、照顾者负担以及诊断结果有关。
