Chang Ching-Wen, Chen Fang-Pei
Department of Social Work, The Chinese University of Hong Kong, Shatin, Hong Kong.
Department of Social Welfare & Center for Innovative Research on Aging Society, National Chung Cheng University, Chiayi County, 62102, Taiwan.
Psychiatr Q. 2021 Mar;92(1):375-387. doi: 10.1007/s11126-020-09811-9.
This study aimed to investigate the relationships of family emotional support and negative family interactions with the quality of life among Chinese people with mental illness. Furthermore, it examined the mediating role of internalized stigma in these relationships. One hundred and twenty-five Chinese adults with mental illness were recruited from community mental health service centers in Hong Kong. The results show that both family emotional support and negative family interactions were related to the quality of life. Negative family interactions had a stronger effect on the quality of life compared to family emotional support. Internalized stigma partially mediated the relationship between negative family interactions and the quality of life. These findings suggest that, for Chinese people with mental illness, interventions aimed at promoting quality of life should consider enhancing family emotional support and reducing negative family interactions. In addition, mental health service providers could consider using family approaches to address internalized stigma in the effort of improving the quality of life for their service users.
本研究旨在调查家庭情感支持和负面家庭互动与中国精神疾病患者生活质量之间的关系。此外，还考察了内化耻辱感在这些关系中的中介作用。从香港社区精神卫生服务中心招募了125名患有精神疾病的中国成年人。结果表明，家庭情感支持和负面家庭互动均与生活质量相关。与家庭情感支持相比，负面家庭互动对生活质量的影响更强。内化耻辱感部分中介了负面家庭互动与生活质量之间的关系。这些发现表明，对于患有精神疾病的中国人，旨在提高生活质量的干预措施应考虑加强家庭情感支持并减少负面家庭互动。此外，精神卫生服务提供者在努力提高服务对象生活质量时，可以考虑采用家庭治疗方法来解决内化耻辱感问题。
