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减轻精神疾病污名:在黑人社区讲故事的影响。

Mitigating the Stigma of Mental Illness: The Impact of Story-Telling in the Black Community.

机构信息

School of Social Work, University of Pittsburgh, 4200 Fifth Ave, Pittsburgh, PA 15260, USA.

Department of Mental Health, Law & Policy, College of Behavioral & Community Sciences, University of South Florida, 4204 E. Fowler Ave, Tampa, FL 33612, USA.

出版信息

Int J Environ Res Public Health. 2024 Nov 6;21(11):1473. doi: 10.3390/ijerph21111473.

DOI:10.3390/ijerph21111473
PMID:39595740
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11593431/
Abstract

Racial/ethnic minorities, including the Black community, experience stigma as a significant barrier to mental health care, with fears of being devalued or discriminated against deterring individuals from seeking help. Racial stigma further exacerbates mental health issues and negatively influences perceptions of service utilization. To address this, our research team partnered with a national non-profit storytelling organization to develop and evaluate a virtual narrative storytelling intervention series that amplifies the voices and experiences of Black Americans living with mental illness and addiction. We randomly assigned 193 participants to either the intervention (n = 102) or an active control condition (n = 91) and used a pre-post survey design to assess the changes in the outcome variables. Contrary to our hypothesis, there were no race-based interactions; instead, the results show significant reductions in public stigma and perceived discrimination and increased positive attitudes toward seeking treatment universally among all the intervention participants. This study provided preliminary evidence that a virtual storytelling intervention is instrumental across varied demographic cohorts, transcending potential cultural barriers in the discourse and understanding of mental health to effectively mitigate stigma and improve attitudes toward mental health treatment.

摘要

少数民族群体,包括黑人社区,在寻求心理健康护理时面临着严重的污名化问题,他们担心自己会被贬低或歧视,这阻碍了他们寻求帮助。种族污名进一步加剧了心理健康问题,并对服务利用的看法产生负面影响。为了解决这个问题,我们的研究团队与一家全国性的非营利性讲故事组织合作,开发并评估了一个虚拟叙事式讲故事干预系列,以放大患有精神疾病和成瘾的美国黑人的声音和经历。我们将 193 名参与者随机分配到干预组(n=102)或主动对照组(n=91),并使用前后测设计来评估结果变量的变化。与我们的假设相反,没有基于种族的交互作用;相反,结果表明,干预组所有参与者普遍减少了公众污名、感知歧视,并增加了对寻求治疗的积极态度。这项研究提供了初步证据,表明虚拟讲故事干预措施在不同人口群体中都具有重要作用,可以克服话语和理解心理健康方面的潜在文化障碍,有效地减轻污名化,并改善对心理健康治疗的态度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98b0/11593431/e869f85d50c5/ijerph-21-01473-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98b0/11593431/e869f85d50c5/ijerph-21-01473-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98b0/11593431/e869f85d50c5/ijerph-21-01473-g001.jpg

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本文引用的文献

1
Mental health stigma and service use among Black American youth: A systematic review.美国黑人青少年中的心理健康污名与服务利用:一项系统综述。
Am J Orthopsychiatry. 2024;94(6):655-667. doi: 10.1037/ort0000749. Epub 2024 Jun 27.
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Examining the Effects of Digital Stories to Address Mental Illness and Sexual and Gender Minority-Related Stigma.探究数字故事对解决精神疾病以及与性少数群体相关的污名化问题的影响。
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3
The impact of racism on Black American mental health.
种族主义对美国黑人心理健康的影响。
Lancet Psychiatry. 2024 Jan;11(1):56-64. doi: 10.1016/S2215-0366(23)00361-9.
4
Multilevel stigma and depression among a national sample of Black and Latinx LGBTQ+ adolescents in the United States.美国全国范围内黑人和拉丁裔 LGBTQ+青少年中存在多层次污名和抑郁现象。
J Psychopathol Clin Sci. 2023 Jul;132(5):577-589. doi: 10.1037/abn0000841.
5
Editorial: Racism and discrimination in mental health services: What is the question?社论:精神卫生服务中的种族主义与歧视:问题是什么?
Int Rev Psychiatry. 2023 May-Jun;35(3-4):229-233. doi: 10.1080/09540261.2023.2212459.
6
Mental health of ethnic minorities: the role of racism.少数民族的心理健康:种族主义的作用。
Int Rev Psychiatry. 2023 May-Jun;35(3-4):258-267. doi: 10.1080/09540261.2023.2189951. Epub 2023 Mar 22.
7
The Impact of a Culturally Meaningful Storytelling Intervention on Stigma and Attitudes About Mental Health Treatment.文化相关的叙事干预对心理健康治疗污名和态度的影响。
J Nerv Ment Dis. 2023 Jun 1;211(6):419-426. doi: 10.1097/NMD.0000000000001640. Epub 2023 Mar 5.
8
Racial-Ethnic Disparities in Outpatient Mental Health Care in the United States.美国门诊心理健康护理中的种族-族裔差异
Psychiatr Serv. 2023 Jul 1;74(7):674-683. doi: 10.1176/appi.ps.20220365. Epub 2023 Jan 4.
9
Unmet need for mental health services utilization among under-resourced Black and Latinx adults.资源匮乏的黑人和拉丁裔成年人对心理健康服务的需求未得到满足。
Fam Syst Health. 2023 Jun;41(2):149-159. doi: 10.1037/fsh0000750. Epub 2022 Dec 15.
10
Perceived Discrimination and Mental Health: The Role of Immigrant Social Connectedness during the COVID-19 Pandemic.感知到的歧视与心理健康:新冠疫情期间移民社会联系的作用
J Migr Health. 2022;6:100127. doi: 10.1016/j.jmh.2022.100127. Epub 2022 Sep 5.