Telesia Laurence, Kaushik Anya, Kyriakopoulos Marinos
Child and Adolescent Mental Health Services, South London and Maudsley NHS Foundation Trust.
Department of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Curr Opin Psychiatry. 2020 Nov;33(6):571-576. doi: 10.1097/YCO.0000000000000644.
Children and adolescents with mental health difficulties, and people associated with them, can experience stigma as a result of these difficulties. This article aims to provide an update on the literature pertaining to mental health-related stigma in children and adolescents.
Recent studies have investigated public stigma, self-stigma and affiliate stigma related to child and adolescent mental health difficulties. Research has typically employed a cross-sectional design. Significant variation was identified in both study methodology and study findings. Qualitative studies offer a unique perspective of stigma from the point of view of the stigmatized individual. Significantly, quantitative analysis has found different variables to be associated with stigma in different geographical locations, even when similar measures are used.
Stigma can have a significant detrimental impact on the quality of life for those affected. Careful attention should therefore be paid to stigma in the assessment and treatment of children and adolescents with mental health difficulties. Furthermore, its impact on their caregivers should not be overlooked. Further research is needed to understand the role of social and cultural factors in the development and impact of stigma, and may aid production of antistigma interventions.
患有心理健康问题的儿童和青少年以及与他们相关的人可能会因这些问题而遭受耻辱感。本文旨在提供有关儿童和青少年心理健康相关耻辱感的文献综述。
最近的研究调查了与儿童和青少年心理健康问题相关的公众耻辱感、自我耻辱感和附属耻辱感。研究通常采用横断面设计。在研究方法和研究结果方面都发现了显著差异。定性研究从受耻辱者的角度提供了关于耻辱感的独特视角。值得注意的是，定量分析发现，即使使用类似的测量方法，不同地理位置与耻辱感相关的变量也有所不同。
耻辱感会对受影响者的生活质量产生重大不利影响。因此，在评估和治疗患有心理健康问题的儿童和青少年时，应仔细关注耻辱感。此外，其对他们照顾者的影响也不应被忽视。需要进一步研究以了解社会和文化因素在耻辱感的产生和影响中的作用，并可能有助于制定反耻辱干预措施。
