Department of Psychology, The Education University of Hong Kong, Hong Kong; Centre for Psychosocial Health, The Education University of Hong Kong, Hong Kong.
Department of Psychology, The Education University of Hong Kong, Hong Kong.
Psychiatry Res. 2023 Apr;322:115099. doi: 10.1016/j.psychres.2023.115099. Epub 2023 Feb 6.
The present study examined the longitudinal impact of stigma on mental health among people with mental disorders. Specifically, this study tested whether higher levels of experienced discrimination would be longitudinally associated with lower levels of symptomatic remission, functional restoration, well-being, and life satisfaction and whether these associations would be mediated by higher levels of self-stigma content and process. A total of 202 people with mental disorders completed questionnaires at three time points (i.e., T1, T2, and T3) over two years. Path analyses showed that experienced discrimination at T1 was positively associated with self-stigma content and process at T2, which were, in turn, negatively associated with symptomatic remission, functional restoration, well-being, and life satisfaction at T3. Bootstrap analyses further revealed that experienced discrimination at T1 had indirect effects on symptomatic remission, functional restoration, well-being, and life satisfaction at T3 through self-stigma content and process at T2. This study shows that experienced discrimination may exacerbate self-stigma content and process and, in turn, impede recovery and wellness among people with mental disorders. Our findings highlight the importance of designing and implementing stigma and self-stigma reduction programs in order to enable people with mental disorders to attain mental illness recovery and positive mental health.
本研究考察了污名对精神障碍患者心理健康的纵向影响。具体来说，本研究检验了更高水平的体验性歧视是否与症状缓解、功能恢复、幸福感和生活满意度水平降低存在纵向关联，以及这些关联是否通过更高水平的自我污名内容和过程来介导。共有 202 名精神障碍患者在两年内的三个时间点（即 T1、T2 和 T3）完成了问卷调查。路径分析表明，T1 时的体验性歧视与 T2 时的自我污名内容和过程呈正相关，而自我污名内容和过程又与 T3 时的症状缓解、功能恢复、幸福感和生活满意度呈负相关。Bootstrap 分析进一步表明，T1 时的体验性歧视通过 T2 时的自我污名内容和过程对 T3 时的症状缓解、功能恢复、幸福感和生活满意度产生间接影响。本研究表明，体验性歧视可能会加剧自我污名内容和过程，从而阻碍精神障碍患者的康复和健康。我们的研究结果强调了设计和实施减少污名和自我污名的项目的重要性，以便使精神障碍患者能够实现精神疾病康复和积极的心理健康。
