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精神科转诊如何影响肌痛性脑脊髓炎和慢性疲劳综合征患者的污名化:对美国和英国模式的考察

HOW PSYCHIATRIC REFERRALS INFLUENCE STIGMATIZATION IN PATIENTS WITH MYALGIC ENCEPHALOMYELITIS AND CHRONIC FATIGUE SYNDROME: AN EXAMINATION OF AMERICAN AND BRITISH MODELS.

作者信息

Terman Julia M, Cotler Joseph, Jason Leonard A

机构信息

DePaul University, Chicago, USA.

出版信息

Community Psychol Glob Perspect. 2019;5(2):19-29.

PMID:33628951
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7901827/
Abstract

Myalgic encephalomyelitis (ME) and chronic fatigue syndrome (CFS) are controversial chronic illnesses with a myriad of debilitating symptoms. This study aimed to explore physician referrals to psychiatrists or psychologists, perceived stigma, and estrangement for patients with ME and CFS. Findings indicate that patients who have been referred to psychiatrists are likely to perceive illness stigma and feel estranged from others due to their illness. These relationships are moderated by the country of residence, the United States and the United Kingdom. The implications of physician referrals for people with ME and CFS are discussed.

摘要

肌痛性脑脊髓炎(ME)和慢性疲劳综合征(CFS)是存在争议的慢性疾病,伴有众多使人衰弱的症状。本研究旨在探讨医生将患者转介给精神科医生或心理学家的情况、感知到的耻辱感以及ME和CFS患者的疏离感。研究结果表明,被转介给精神科医生的患者可能会感知到疾病耻辱感,并因自身疾病而感到与他人疏离。这些关系受到居住国(美国和英国)的调节。本文讨论了医生转介对ME和CFS患者的影响。

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本文引用的文献

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The Mediating Effects of Stigma on Depressive Symptoms in Patients With Tuberculosis: A Structural Equation Modeling Approach.耻辱感对肺结核患者抑郁症状的中介作用:一种结构方程模型方法。
Front Psychiatry. 2018 Nov 26;9:618. doi: 10.3389/fpsyt.2018.00618. eCollection 2018.
2
Effects of unsupportive social interactions, stigma, and symptoms on patients with myalgic encephalomyelitis and chronic fatigue syndrome.无支持性社交互动、污名化及症状对肌痛性脑脊髓炎和慢性疲劳综合征患者的影响。
J Community Psychol. 2018 Nov;46(8):959-971. doi: 10.1002/jcop.21984. Epub 2018 May 4.
3
Confirmatory factor analysis of a myalgic encephalomyelitis and chronic fatigue syndrome stigma scale.肌痛性脑脊髓炎/慢性疲劳综合征耻辱量表的验证性因子分析。
J Health Psychol. 2020 Nov-Dec;25(13-14):2352-2361. doi: 10.1177/1359105318796906. Epub 2018 Sep 5.
4
Rethinking the treatment of chronic fatigue syndrome-a reanalysis and evaluation of findings from a recent major trial of graded exercise and CBT.重新思考慢性疲劳综合征的治疗方法——对最近一项关于分级运动和认知行为疗法的大型试验结果的重新分析和评估。
BMC Psychol. 2018 Mar 22;6(1):6. doi: 10.1186/s40359-018-0218-3.
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A reexamination of the cognitive behavioral model of chronic fatigue syndrome.慢性疲劳综合征的认知行为模型再探讨。
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Social isolation, health literacy, and mortality risk: Findings from the English Longitudinal Study of Ageing.社会孤立、健康素养与死亡风险:来自英国老龄化纵向研究的发现。
Health Psychol. 2018 Feb;37(2):160-169. doi: 10.1037/hea0000541. Epub 2017 Nov 27.
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Using Principles of Co-Production to Improve Patient Care and Enhance Value.运用共同生产原则改善患者护理并提升价值。
AMA J Ethics. 2017 Nov 1;19(11):1125-1131. doi: 10.1001/journalofethics.2017.19.11.pfor1-1711.
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A Comparison of Case Definitions for Myalgic Encephalomyelitis and Chronic Fatigue Syndrome.肌痛性脑脊髓炎与慢性疲劳综合征病例定义的比较
J Chronic Dis Manag. 2017;2(2). Epub 2017 May 21.
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Access to Medical Care for Individuals with Myalgic Encephalomyelitis and Chronic Fatigue Syndrome: A Call for Centers of Excellence.肌痛性脑脊髓炎和慢性疲劳综合征患者获得医疗护理的情况:呼吁建立卓越中心。
Mod Clin Med Res. 2017 Apr;1(1):28-35. doi: 10.22606/mcmr.2017.11005. Epub 2017 Apr 13.
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