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精神分裂症患者亲密关系中的污名化现象:一项对比心理健康专业人员、医学生和普通人群的研究。

Stigmatizing intimate relationships in schizophrenia: a study comparing mental health professionals, health students and the general population.

作者信息

Caiada Meryl, Valery Kevin-Marc, Felix Simon, Guionnet Sarah, Tison Emma, Gonin Maxime, Bonilla-Guerrero Julien, Destaillats Jean-Marc, Pillaud Nicolas, Prouteau Antoinette

机构信息

Laboratory of Psychology, LabPsy UR 4139, University of Bordeaux, Bordeaux, France.

Department of Adult Psychiatry, Jonzac Hospital, Jonzac, France.

出版信息

J Ment Health. 2025 Feb;34(1):46-56. doi: 10.1080/09638237.2024.2390378. Epub 2024 Aug 19.

DOI:10.1080/09638237.2024.2390378
PMID:39159489
Abstract

BACKGROUND

Discrimination in intimate relationships (IR) is frequently reported among persons with schizophrenia. Despite ongoing effort of international organizations to combat mental illness stigma, there remain a limited understanding of specific IR-related stereotypes.

AIMS

The study aimed to i) identify the stereotypes related to IR of persons with schizophrenia held by Mental Health Professionals (MHP), health students and the general population, and ii) explore the effects of several factors associated with these stereotypes.

METHODS

This study used a mixed-methods approach. A survey developed collaboratively with persons with lived experience of mental health conditions (PWLE) was disseminated among MHP, health students and the general population.

RESULTS

The majority of the nine IR-related stereotypes previously identified by PWLE were endorsed by the participants (N = 532). PWLE were perceived as particularly incompetent in the domain of IR (e.g. to achieve couple project). Stereotypes endorsement varied among the groups. Continuum beliefs, perceived similarities and recovery beliefs were negatively associated with stereotype endorsement.

CONCLUSIONS

The general population, MHP and health students endorsed several stereotypes regarding IR of persons with schizophrenia. The results provide support for the role of theoretical beliefs in IR stigmatization, suggesting they may be relevant targets for evidence-based stigma reduction programs.

摘要

背景

精神分裂症患者中经常报告在亲密关系中受到歧视。尽管国际组织一直在努力消除对精神疾病的污名化,但对与亲密关系相关的特定刻板印象的了解仍然有限。

目的

该研究旨在:i)确定心理健康专业人员(MHP)、医学生和普通人群对精神分裂症患者亲密关系的刻板印象,以及ii)探讨与这些刻板印象相关的几个因素的影响。

方法

本研究采用混合方法。与有精神健康状况生活经历的人(PWLE)合作开发的一项调查在心理健康专业人员、医学生和普通人群中进行了传播。

结果

参与者(N = 532)认可了先前由有精神健康状况生活经历的人确定的九个与亲密关系相关的刻板印象中的大多数。有精神健康状况生活经历的人在亲密关系领域(例如完成夫妻计划)被认为特别无能。刻板印象的认可在不同群体中有所不同。连续体信念、感知到的相似性和康复信念与刻板印象的认可呈负相关。

结论

普通人群、心理健康专业人员和医学生认可了关于精神分裂症患者亲密关系的几种刻板印象。研究结果为理论信念在亲密关系污名化中的作用提供了支持,表明它们可能是基于证据的减少污名化项目的相关目标。

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