VA Mid-Atlantic Region Mental Illness Research, Education, and Clinical Center (MIRECC).
Department of Psychiatry, University of Maryland School of Medicine.
Psychiatr Rehabil J. 2017 Dec;40(4):409-411. doi: 10.1037/prj0000248. Epub 2017 Apr 27.
The social-cognitive model is useful in understanding internalized stigma, but research has not examined it in relationship to recovery orientation, an important outcome. This study examined the impact of the four stages of internalized stigma on recovery orientation and assessed cognitive insight as a moderator.
Data from a community sample of adults with serious mental illness (N = 268) were collected through structured interviews. Regression-based analyses were used to examine the main effects of internalized stigma on recovery orientation and the moderating effect of cognitive insight.
Applying stigmatizing beliefs to oneself and the related decrement in self-esteem each predicted decreased recovery orientation. Cognitive insight moderated the effect of self-application of stigmatizing beliefs on recovery orientation.
Increasing cognitive insight by fostering flexibility in self-cognitions may help reduce internalized stigma. Interventions may also benefit from addressing the emotional component of internalized stigma, such as feelings of shame. (PsycINFO Database Record
社会认知模型有助于理解内化的耻辱感，但研究尚未检验其与恢复取向的关系，而后者是一个重要的结果。本研究考察了内化耻辱感的四个阶段对恢复取向的影响，并评估了认知洞察作为调节因素的作用。
通过结构访谈，从患有严重精神疾病的成年人的社区样本中收集数据（N=268）。回归分析用于检验内化耻辱感对恢复取向的主要影响，以及认知洞察的调节作用。
将污名化的信念应用于自身，以及由此导致的自尊下降，都预示着恢复取向的下降。认知洞察调节了将污名化信念应用于自身对恢复取向的影响。
通过培养自我认知的灵活性来增加认知洞察，可能有助于减少内化的耻辱感。干预措施也可能受益于解决内化耻辱感的情绪成分，例如羞耻感。
