Aptive Resources.
Department of Management, Policy and Community Health, School of Public Health, University of Texas Health Science Center at Houston.
Psychol Serv. 2024 Aug;21(3):426-434. doi: 10.1037/ser0000799. Epub 2023 Sep 7.
Internalized stigma, also known as self-stigma, is negatively associated with a person's willingness to seek mental health services and follow their treatment plan. This can hinder a person's recovery, exacerbate their mental health illnesses, and reduce their quality of life. A primary directive of the Veteran Affairs Psychosocial Rehabilitation and Recovery Center (PRRC) program is to help veterans overcome their internalized stigma. This study is the first to evaluate the association between receiving PRRC services over time and veteran reported levels of internalized stigma based on Internalized Stigma of Mental Illness-Brief-10 scores using longitudinal PRRC Forms Data. The analysis was performed using a random-effects ordered logistic regression adjusting for veteran sociodemographic and clinical characteristics. Our study cohort consisted of 2,774 veterans who received PRRC services between fiscal years 2018 and 2021 and who had an intake form at the start of the PRRC service and at least one follow-up form. Our study found that veterans had lower odds of having a higher level of internalized stigma at the first follow-up relative to their intake (: 0.80; 95% CI [0.70, 0.92]), and these odds continued to decrease with each subsequent follow-up. These results potentially indicate the effectiveness of the PRRC program in reducing levels of internalized stigma among the veterans. Our study also suggests the need for greater clinical attention and resources for subgroups such as older veterans, male veterans, and veterans with posttraumatic stress disorder, anxiety, or personality disorders, who reported higher levels of internalized stigma. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
内化污名，也称为自我污名，与一个人寻求心理健康服务和遵循治疗计划的意愿呈负相关。这可能会阻碍一个人的康复，加重他们的心理健康疾病，并降低他们的生活质量。退伍军人事务部心理社会康复和恢复中心（PRRC）计划的主要目标之一是帮助退伍军人克服他们的内化污名。这项研究首次评估了根据内化精神病耻辱感-简短 10 分（Internalized Stigma of Mental Illness-Brief-10 scores），基于退伍军人接受 PRRC 服务的时间长短与退伍军人报告的内化耻辱感之间的关联，使用纵向 PRRC 表格数据。该分析使用随机效应有序逻辑回归进行，调整了退伍军人的社会人口统计学和临床特征。我们的研究队列包括 2774 名在 2018 财年至 2021 财年期间接受 PRRC 服务的退伍军人，他们在 PRRC 服务开始时有一份入组表格，并且至少有一份随访表格。我们的研究发现，与入组时相比，退伍军人在第一次随访时内化耻辱感水平更高的可能性较低（比值比 [OR]：0.80；95%置信区间 [CI]：0.70，0.92），并且这些可能性随着每次后续随访而继续降低。这些结果可能表明 PRRC 计划在降低退伍军人内化耻辱感水平方面的有效性。我们的研究还表明，需要为年龄较大的退伍军人、男性退伍军人以及报告内化耻辱感水平较高的患有创伤后应激障碍、焦虑症或人格障碍的退伍军人等亚组提供更多的临床关注和资源。
