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减少污名化:缩小“我们”与“他们”之间的差距。一项针对精神卫生保健专业人员的干预措施。

Decreasing Stigmatization: Reducing the Discrepancy Between "Us" and "Them". An Intervention for Mental Health Care Professionals.

作者信息

Helmus Kim, Schaars Iris Kleine, Wierenga Hansje, de Glint Elise, van Os Jim

机构信息

Arkin, Amsterdam, Netherlands.

Department of Psychiatry, Amsterdam UMC (AMC), Amsterdam, Netherlands.

出版信息

Front Psychiatry. 2019 May 31;10:243. doi: 10.3389/fpsyt.2019.00243. eCollection 2019.

Abstract

Stigmatization has negative consequences for people with mental health disorder diagnosis. Studies indicate that professionals have stigmatizing attitudes and behavior towards clients. Continuum beliefs are associated with less stigmatizing attitudes. The effect of a workshop to diminish stigmatizing attitudes and to enhance continuum beliefs is examined. A total of 202 mental health professionals from (Functional) Assertive Community Treatment [(F)ACT] teams were randomly assigned to a workshop or a waiting list control group. Stigmatizing attitudes and continuum beliefs were assessed in both conditions at baseline and follow-up. Compared to baseline, the workshop group showed an increase on continuum beliefs. However, there was no effect of the intervention on stigmatizing attitudes. Contrary to the expectations, stigmatizing attitudes increased in the waiting list condition. Communicating the continuity aspect can be valuable in decreasing the "us and them" discrepancy between professionals and people with mental health disorders. Further research on continuum beliefs is needed.

摘要

污名化对被诊断患有精神健康障碍的人会产生负面影响。研究表明,专业人员对客户持有污名化的态度和行为。连续体信念与较少的污名化态度相关。本研究考察了一个旨在减少污名化态度并增强连续体信念的工作坊的效果。共有202名来自(功能性)积极社区治疗([(F)ACT])团队的精神健康专业人员被随机分配到工作坊组或等待名单对照组。在基线和随访时,对两组的污名化态度和连续体信念进行了评估。与基线相比,工作坊组的连续体信念有所增加。然而,干预措施对污名化态度没有影响。与预期相反,等待名单组的污名化态度有所增加。传达连续性方面的信息对于减少专业人员与精神健康障碍患者之间的“我们”和“他们”的差异可能是有价值的。需要对连续体信念进行进一步的研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d71/6555228/e4c6a49bf3fc/fpsyt-10-00243-g001.jpg

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