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心理教育对改善双相情感障碍患者家庭成员对心理障碍的态度及内化耻辱感的有效性:一项准实验研究。

The effectiveness of psychoeducation in improving attitudes towards psychological disorders and internalized stigma in the family members of bipolar patients: A quasi-experimental study.

作者信息

Latifian Maryam, Raheb Ghoncheh, Abdi Kianoush, Alikhani Rosa, Shariful Islam Sheikh Mohammed

机构信息

Department of Social Work, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

Psychosis Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

出版信息

Psych J. 2023 Apr;12(2):272-279. doi: 10.1002/pchj.621. Epub 2022 Dec 12.

Abstract

Family members of bipolar patients experience stigma following being labeled by others, which can disrupt their routine lives and result in social isolation. This study aims to evaluate the effectiveness of psychoeducation in improving the attitudes of bipolar patients' family members towards psychological disorders and internalized stigma. The present study is a quasi-experimental study with a pre- and post-test follow-up design, in which 74 individuals were selected by convenience sampling among families who had a member with a bipolar disorder who was referred to the largest psychiatric hospital in Iran in 2021. The participants were randomly divided into the experimental and control groups (n = 37 per group). The members of the experimental group then underwent eight 90-min sessions of psychoeducation. The control group also received psychoeducation at the end of the study. The results of analysis of covariance showed that psychoeducation reduced internalized stigma in the family members of bipolar patients and increased their positive attitudes towards psychological disorders compared with the control group (p < .01). On this basis, psychoeducation can be useful to reduce the internalized stigma of family members of bipolar patients and to increase their positive attitudes towards psychological disorders.

摘要

双相情感障碍患者的家庭成员在被他人贴上标签后会遭受污名化,这可能会扰乱他们的日常生活并导致社会隔离。本研究旨在评估心理教育在改善双相情感障碍患者家庭成员对心理障碍的态度和内化污名方面的有效性。本研究是一项采用前后测随访设计的准实验研究,通过便利抽样从2021年转诊至伊朗最大精神病医院的患有双相情感障碍患者的家庭中选取了74名个体。参与者被随机分为实验组和对照组(每组n = 37)。实验组的成员随后接受了八次每次90分钟的心理教育课程。对照组在研究结束时也接受了心理教育。协方差分析结果表明,与对照组相比,心理教育降低了双相情感障碍患者家庭成员的内化污名,并增强了他们对心理障碍的积极态度(p < 0.01)。在此基础上,心理教育有助于减少双相情感障碍患者家庭成员的内化污名,并增强他们对心理障碍的积极态度。

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