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有益还是有害?诊断标签及其后续撤回对人的印象的影响。

Helpful or harmful? The effect of a diagnostic label and its later retraction on person impressions.

机构信息

School of Psychological Science, University of Western Australia, Australia.

School of Psychological Science, University of Western Australia, Australia.

出版信息

Acta Psychol (Amst). 2024 Aug;248:104420. doi: 10.1016/j.actpsy.2024.104420. Epub 2024 Jul 31.

Abstract

Diagnostic labels for mental health conditions can inadvertently reinforce harmful stereotypes and exacerbate stigma. If a diagnosis is incorrect and a label is wrongly applied, this may negatively impact person impressions even if the inaccurate label is later corrected. This registered report examined this issue. Participants (N = 560) read a vignette about a hospital patient who was either diagnosed with schizophrenia, diagnosed with major depressive disorder, or not diagnosed with a mental health condition. The diagnostic labels were later retracted strongly, retracted weakly, or not retracted. Participants completed several stigma measures (desire for social distance, perceived dangerousness, and unpredictability), plus several inferential-reasoning measures that tested their reliance on the diagnostic label. As predicted, each mental health diagnosis elicited stigma, and influenced inferential reasoning. This effect was stronger for the schizophrenia diagnosis compared to the major depressive disorder diagnosis. Importantly, the diagnostic label continued to influence person judgments after a clear retraction (strong or weak), highlighting the limitations of corrections in reducing reliance on person-related misinformation and mental health stigma.

摘要

心理健康状况的诊断标签可能会无意中强化有害的刻板印象,加剧污名化。如果诊断不正确,标签错误应用,即使不准确的标签后来得到纠正,也可能对人的印象产生负面影响。本注册报告研究了这个问题。参与者(N=560)阅读了一个关于医院病人的小插曲,该病人被诊断为精神分裂症、重度抑郁症,或没有被诊断出患有精神健康疾病。这些诊断标签后来被强烈撤回、弱撤回或没有撤回。参与者完成了几项污名化测量(社会距离的愿望、感知的危险性和不可预测性),以及几项推理测量,测试他们对诊断标签的依赖程度。正如预测的那样,每个心理健康诊断都引发了污名化,并影响了推理。与重度抑郁症诊断相比,精神分裂症诊断的影响更大。重要的是,即使明确撤回(强或弱)后,诊断标签仍继续影响对人的判断,这突出了纠正对人的相关错误信息和心理健康污名的依赖的局限性。

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