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精神障碍确诊者的耻辱感与生活质量:一项叙述性综述

Stigma and quality of life among people diagnosed with mental disorders: a Narrative Review.

作者信息

Ciobanu Adela M, Catrinescu Larisa M, Ivașcu Daniel M, Niculae Carmen P, Szalontay Andreea S

出版信息

Consort Psychiatr. 2021 Dec 31;2(4):23-29. doi: 10.17816/CP83. eCollection 2021.

Abstract

INTRODUCTION

The anti-psychiatric movements that emerged in the early 1960s led to the appearance of stigma in psychiatry. The misunderstanding of the concept of mental disorder, the negative way in which associated hospitalization was perceived, the inclination to treat patients through psychological therapies, and the criticism of pharmacological treatment led to the discrediting of psychiatry.

AIM

The current paper aims to review the available literature regarding the impact of stigma on the quality of life of people diagnosed with mental disorders.

MATERIAL AND METHODS

A narrative review of relevant literature published between 1999 and 2021 was conducted. The authors analysed studies found on PubMed and the Web of Science electronic databases. The search terms combined two overlapping areas with keywords such as "stigma" and "mental disorders". A descriptive analysis was employed to synthesize the obtained data.

RESULTS

Stigma continues to be an important challenge to the management of health conditions in people with mental disorders. A lack of comprehension may give the impression that all psychiatric patients are aggressive and are unable to function adequately. Such stigmatizing beliefs and habits have proven to be very difficult to change.

CONCLUSIONS

Due to the stigmatization and repulsive attitudes in society, patients are reluctant to be linked to any form of mental disorder or to be seen as having any contact with mental health professionals. This undermines the beneficial effects of treatment, resulting in a poor quality of life and diminished socio-occupational functioning.

摘要

引言

20世纪60年代初出现的反精神病学运动导致了精神病学中耻辱感的出现。对精神障碍概念的误解、对相关住院治疗的负面看法、倾向于通过心理疗法治疗患者以及对药物治疗的批评导致了精神病学的声誉受损。

目的

本文旨在综述现有关于耻辱感对被诊断患有精神障碍者生活质量影响的文献。

材料与方法

对1999年至2021年间发表的相关文献进行叙述性综述。作者分析了在PubMed和科学网电子数据库上找到的研究。搜索词将两个重叠领域与“耻辱感”和“精神障碍”等关键词结合起来。采用描述性分析来综合所获得的数据。

结果

耻辱感仍然是精神障碍患者健康状况管理的一项重要挑战。缺乏理解可能会让人觉得所有精神病患者都具有攻击性且无法正常生活。事实证明,这种带有耻辱性的观念和习惯很难改变。

结论

由于社会中的耻辱化和排斥态度,患者不愿与任何形式的精神障碍联系在一起,或被视为与心理健康专业人员有任何接触。这破坏了治疗的有益效果,导致生活质量低下和社会职业功能受损。

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本文引用的文献

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The Impact of Mental Illness Stigma on Psychiatric Emergencies.精神疾病污名化对精神科急诊的影响。
Front Psychiatry. 2020 Jun 19;11:573. doi: 10.3389/fpsyt.2020.00573. eCollection 2020.
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Reducing the stigma of mental illness.减少精神疾病的污名化。
Glob Ment Health (Camb). 2016 May 10;3:e17. doi: 10.1017/gmh.2016.11. eCollection 2016.
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Interventions to reduce discrimination and stigma: the state of the art.减少歧视和耻辱感的干预措施:最新进展。
Soc Psychiatry Psychiatr Epidemiol. 2017 Mar;52(3):249-258. doi: 10.1007/s00127-017-1341-9. Epub 2017 Jan 31.

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