Stuetzle Stefan, Brieger Anna, Lust Christian, Ponew Angel, Speerforck Sven, von Peter Sebastian
Evangelische Hochschule Dresden, University of Applied Sciences for Social Work, Education and Care, Dresden, Germany.
Department of Psychiatry and Psychotherapy, Medical University Brandenburg Theodor Fontane, Neuruppin, Germany.
Front Psychiatry. 2023 Jan 12;13:1078478. doi: 10.3389/fpsyt.2022.1078478. eCollection 2022.
The stigma of mental illness is widespread in the general population and also among healthcare and psychiatric professionals. Yet, research on the self-stigma of the latter is still limited. The purpose of this article was to assess self-stigma and its correlates in mental health professionals with lived experiences of mental crisis and treatment.
In a cross-sectional exploratory research project, 182 mental health professionals with lived experiences of mental crisis and treatment from 18 psychiatric hospital departments in the German federal states of Berlin and Brandenburg were surveyed on their lived experiences, self-stigma, perceived stigma in the workplace, subjective vulnerability to crises, and meaningfulness of lived experiences. To investigate the relationships between the variables, manifest and latent correlation analyses were calculated.
Results showed low levels of self-stigma and perceived public stigma in the workplace. Self-stigma was significantly and positively associated with workplace stigma and subjective vulnerability to crisis, but not with identification with lived experiences.
The relationship between self-stigma, workplace stigma, and vulnerability should be investigated in terms of mutual causality in order to derive possible strategies of reducing self-stigma along with its detrimental effects. Possible reasons for the low levels of self-stigma are discussed in the light of limitations, including processes of self-selection, with highly self-stigmatizing individuals being possibly discouraged from participating. Strategies to enhance sampling quality are briefly discussed.
精神疾病的污名在普通人群中广泛存在，在医疗保健和精神科专业人员中也同样如此。然而，关于后者自我污名的研究仍然有限。本文旨在评估有精神危机和治疗经历的心理健康专业人员的自我污名及其相关因素。
在一个横断面探索性研究项目中，对来自德国柏林和勃兰登堡联邦州18个精神科医院科室的182名有精神危机和治疗经历的心理健康专业人员进行了调查，内容包括他们的生活经历、自我污名、工作场所的感知污名、对危机的主观易感性以及生活经历的意义。为了研究变量之间的关系，进行了显变量和潜变量相关分析。
结果显示自我污名和工作场所感知到的公众污名水平较低。自我污名与工作场所污名和对危机的主观易感性显著正相关，但与对生活经历的认同无关。
应从相互因果关系的角度研究自我污名、工作场所污名和易感性之间的关系，以便得出减少自我污名及其有害影响的可能策略。鉴于研究局限性，包括自我选择过程，即高度自我污名化的个体可能不愿参与，讨论了自我污名水平较低的可能原因。简要讨论了提高抽样质量的策略。
