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洞察力在精神疾病中的矛盾作用:精神分裂症、心境障碍和焦虑障碍中耻辱感和羞耻感的体验。

The paradoxical role of insight in mental illness: The experience of stigma and shame in schizophrenia, mood disorders, and anxiety disorders.

机构信息

Doctoral School of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary; Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary.

XVI District Center for Mental Health Care, Budapest, Hungary; Integrated Day Care Center for Psychiatric Patients, Cogito Foundation, Budapest, Hungary.

出版信息

Arch Psychiatr Nurs. 2020 Dec;34(6):449-457. doi: 10.1016/j.apnu.2020.07.009. Epub 2020 Jul 10.

DOI:10.1016/j.apnu.2020.07.009
PMID:33280665
Abstract

This study examined the factor structure of the Hungarian version of the Birchwood Insight Scale (BIS) and analyzed its association with socio-demographics, diagnosis, internalized stigma, and shame using confirmatory factor analysis (CFA) with covariates. Mentally ill patients (N = 200) completed self-report questionnaires. CFA supported a two-factor structure. While previous hospitalizations and diagnosis were associated with insight, insight predicted higher internalized stigma and shame. Efforts to increase insight should be matter of importance in the wider spectrum of mental diagnoses. However, such efforts should be conducted with special care as further research is needed to understand the impact of insight on wellbeing.

摘要

本研究旨在检验匈牙利版 Birchwood Insight Scale(BIS)的因素结构,并通过包含协变量的验证性因子分析(CFA)分析其与社会人口统计学、诊断、内化污名和羞耻感之间的关系。精神疾病患者(N=200)完成了自我报告问卷。CFA 支持两因素结构。尽管先前的住院治疗和诊断与洞察力相关,但洞察力预测了更高的内化污名和羞耻感。在更广泛的精神诊断范围内,提高洞察力的努力应该是重要的事项。然而,由于需要进一步研究来了解洞察力对幸福感的影响,因此此类努力应特别谨慎进行。

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