John Jay College of Criminal Justice and the Graduate Center, City University of New York, 524 W. 59th St., New York 10019, NY, United States.
John Jay College of Criminal Justice and the Graduate Center, City University of New York, 524 W. 59th St., New York 10019, NY, United States.
Psychiatry Res. 2020 Jun;288:112950. doi: 10.1016/j.psychres.2020.112950. Epub 2020 Apr 5.
The "Illness Identity" model proposed that self-stigma impacts hope and self-esteem and subsequently leads to a cascade of negative effects on outcomes related to recovery among people diagnosed with severe mental illnesses. The purpose of the present review is to take stock of research support for the model. The citation index SCOPUS was reviewed for all papers published in peer-reviewed journals in English between 2010 and 2019 citing one of the initial 3 articles discussing the model: 111 studies met inclusion criteria and were reviewed. The most frequently tested, and supported, aspects of the model were relationships between self-stigma and self-esteem, hope, psychiatric symptoms and social relationships. Least frequently studied areas were relationships with suicide, avoidant coping, treatment adherence and vocational functioning, although they were supported in the majority of studies. The "insight paradox" was also tested in a relatively small number of studies, with mixed results. Findings were robust to geographic location of study, method, and subpopulation studied. Findings indicate that a large body of research has tested, and largely supported, the various components of the Illness Identity model, although some components need further investigation and there is a need for more comprehensive tests of the model.
“疾病认同”模型提出，自我污名化会影响希望和自尊，进而导致一系列与严重精神疾病患者康复相关的负面后果。本综述的目的是评估该模型的研究支持情况。在 SCOPUS 引文索引中，检索了 2010 年至 2019 年间以英文发表的、引用了最初讨论该模型的 3 篇文章之一的同行评议期刊上的所有论文，共有 111 项研究符合纳入标准并进行了回顾。该模型中测试和支持最多的方面是自我污名化与自尊、希望、精神症状和社会关系之间的关系。研究最少的领域是与自杀、回避应对、治疗依从性和职业功能的关系，但这些关系在大多数研究中都得到了支持。“洞察力悖论”也在少数研究中进行了测试，结果喜忧参半。研究结果在研究地点、方法和研究子群体方面具有稳健性。研究结果表明，大量研究已经测试并在很大程度上支持了“疾病认同”模型的各个组成部分，尽管一些组成部分需要进一步研究，并且需要更全面地测试该模型。
