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自我污名与创伤后应激障碍:概念化及对研究与治疗的启示。

Self-Stigma and PTSD: Conceptualization and Implications for Research and Treatment.

机构信息

Massachusetts Veterans Epidemiological Research and Information Center, VA Boston Healthcare System, Boston (Benfer) VA Capitol Health Care Network (VISN 5) Mental Illness Research, Education, and Clinical Center, Baltimore (Howell, Lucksted, Romero, Drapalski); Department of Psychiatry, University of Maryland School of Medicine, Baltimore (Lucksted, Romero, Drapalski).

出版信息

Psychiatr Serv. 2023 Oct 1;74(10):1081-1083. doi: 10.1176/appi.ps.20220397. Epub 2023 Mar 20.

Abstract

Preliminary empirical evidence suggests that self-stigma may be a significant problem for those with posttraumatic stress disorder (PTSD). Although research on self-stigma for persons with PTSD is limited, some PTSD symptoms, such as negative thoughts about oneself, feelings of shame, and avoidance-particularly of social interactions-may be conceptually related to self-stigma, potentially explaining the co-occurrence and relevance of self-stigma in PTSD. This Open Forum reviews how the social cognitive model may explain the co-occurrence of self-stigma and PTSD, considers how this model may inform treatment approaches for self-stigma in PTSD, and identifies next steps to empirically test the proposed theory.

摘要

初步的实证证据表明,创伤后应激障碍(PTSD)患者可能存在严重的自我污名问题。尽管针对 PTSD 患者的自我污名研究有限,但一些 PTSD 症状,如对自己的负面想法、羞耻感和回避行为——尤其是社交互动——可能在概念上与自我污名有关,这可能解释了自我污名在 PTSD 中的同时存在和相关性。本专题论坛回顾了社会认知模型如何解释自我污名和 PTSD 的同时存在,考虑了该模型如何为 PTSD 中的自我污名治疗方法提供信息,并确定了下一步的实证检验该理论的步骤。

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