Schulze L N, Klinger-König J, Stolzenburg S, Wiese J, Speerforck S, Van der Auwera-Palitschka S, Völzke H, Grabe H J, Schomerus G
Department of Psychiatry and Psychotherapy, University Medicine Greifswald, Ellernholzstraße 1-2, 17487 Greifswald, Germany.
Department of Psychiatry and Psychotherapy, University Medicine Greifswald, Ellernholzstraße 1-2, 17487 Greifswald, Germany.
Psychiatry Res. 2020 Jan 27;285:112819. doi: 10.1016/j.psychres.2020.112819.
We examined a general population sample (n = 1330) from an epidemiological study (SHIP), investigating whether shame, social distance and reluctance to self-identify as having a mental illness interfere with willingness to seek help for mental health problems. Analyses were stratified for life-time diagnosis of any mental illness. Shame was the strongest negative predictor for willingness to seek help (beta = -0.183, p < .001). Structured Estimation Modelling showed shame being a full mediator of a negative association between social distance and willingness. Our results corroborate the important role of shame as an impediment to help-seeking for mental health problems in the general population.
我们对一项流行病学研究（SHIP）中的普通人群样本（n = 1330）进行了调查，探究羞耻感、社会距离以及不愿自我认定患有精神疾病是否会妨碍人们针对心理健康问题寻求帮助的意愿。分析根据是否有任何精神疾病的终生诊断进行了分层。羞耻感是寻求帮助意愿最强烈的负向预测因素（β = -0.183，p <.001）。结构化估计模型显示，羞耻感是社会距离与寻求帮助意愿之间负向关联的完全中介变量。我们的结果证实了羞耻感作为普通人群中妨碍心理健康问题求助行为的一个因素所起的重要作用。
