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美国犹太社区中的情绪障碍公众污名化现象。

Mood Disorder Public Stigma in Jewish Communities in the United States.

作者信息

Smith Limor L, Brewer Kathryne B, Carr L Christian, Roe David, Gearing Robin E

机构信息

Graduate College of Social Work, The University of Houston, 3511 Cullen Boulevard, 110HA, Houston, TX, 77204, USA.

Department of Social Work, University of New Hampshire, Durham, USA.

出版信息

J Relig Health. 2025 Feb;64(1):186-205. doi: 10.1007/s10943-024-02146-w. Epub 2024 Oct 3.

Abstract

This study employed an experimental vignette design in Jewish communities in the United States (n = 243) to investigate whether public stigma toward target individuals with major depressive disorder or bipolar disorder presenting with either mania or depression was associated with their gender and symptomatology. The Mental Illness Stigma Scale (Day et al., in J Appl Soc Psychol 37(10):2191-2219, 2007) was used to measure the following dimensions of public stigma: (a) anxiety; (b) relationship disruption; (c) hygiene; (d) visibility; (e) treatability; (f) professional efficacy; and (g) recovery. The influence of characteristics of survey respondents on public stigma was also examined. In Jewish communities in the United States, mood disorder symptomatology was associated with the stigma dimensions of recovery, relationship disruption, and hygiene. Among respondents, younger and middle-aged males reported increased treatment efficacy stigma. Research implications include designing stigma reduction interventions tailored to specific diagnostic (e.g., bipolar disorder) and demographic (e.g., younger males) groups within the Jewish community.

摘要

本研究在美国犹太社区采用实验性 vignette 设计(n = 243),以调查公众对患有躁狂或抑郁的重度抑郁症或双相情感障碍目标个体的污名化是否与其性别和症状学相关。使用精神疾病污名量表(Day 等人,《应用社会心理学杂志》37(10):2191 - 2219,2007)来测量公众污名的以下维度:(a) 焦虑;(b) 关系破裂;(c) 卫生;(d) 可见性;(e) 可治疗性;(f) 专业效能;以及 (g) 康复。还考察了调查对象的特征对公众污名的影响。在美国犹太社区,情绪障碍症状学与康复、关系破裂和卫生等污名维度相关。在调查对象中,年轻和中年男性报告的治疗效能污名增加。研究意义包括针对犹太社区内特定诊断(如双相情感障碍)和人口统计学(如年轻男性)群体设计减少污名的干预措施。

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