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双相情感障碍患者的残疾、内化耻辱感与心理康复之间的相关性。

Correlation between disability, internalized stigma and mental recovery in patients with bipolar disorder.

作者信息

Yıldız Elif Nur, Tarsuslu Bedia, Durat Gulgun

机构信息

Department of Emergency, Kocaali District State Hospital, Sakarya Provincial Health Directorate, Sakarya, Türkiye.

Department of Psychiatric Nursing, Faculty of Health Sciences, Ordu University, Ordu, Türkiye.

出版信息

Front Psychol. 2025 Apr 4;16:1396545. doi: 10.3389/fpsyg.2025.1396545. eCollection 2025.

Abstract

BACKGROUND

This study aimed to examine the correlation between disability, internalized stigma and mental recovery in patients with bipolar disorder. It further examined the impact of internalized stigma and disability on mental recovery.

METHODS

The study was conducted with 103 patients diagnosed with bipolar disorder in remission who had been referred to a Community Mental Health Center. Data were collected using the Short Disability Assessment Schedule, Internalized Stigma of Mental Illness Scale and Recovery Process Inventory. Data were analyzed using an independent -test, a one-way analysis of variance, and a multiple linear regression analysis.

RESULTS

No disability was diagnosed in 33.0% of the participants, while 25.2% had mild disability, 30.1% had moderate disability and 11.7% had severe disability. DAS-S scores indicated differences between the recovery process and internalized stigma scores ( < 0.05). While disability levels, alienation and perceived discrimination were not found to be effective on recovery, endorsement of stereotypes, social withdrawal, and resistance to stigma were found to be effective (F:43.343, < 0.001, R: 0.787).

CONCLUSION

The prevalence of disability in patients with bipolar disorder increases the likelihood that these individuals will need more help from others. The mental recovery is positively affected by the endorsement of stereotypes, social withdrawal, and resistance to stigma.

摘要

背景

本研究旨在探讨双相情感障碍患者的残疾、内化耻辱感与心理康复之间的相关性。它还进一步研究了内化耻辱感和残疾对心理康复的影响。

方法

该研究对103名被转介至社区心理健康中心的缓解期双相情感障碍患者进行。使用简短残疾评估量表、精神疾病内化耻辱感量表和康复过程量表收集数据。采用独立样本t检验、单因素方差分析和多元线性回归分析对数据进行分析。

结果

33.0%的参与者未被诊断出有残疾,而25.2%有轻度残疾,30.1%有中度残疾,11.7%有重度残疾。DAS-S评分表明康复过程与内化耻辱感评分之间存在差异(P<0.05)。虽然未发现残疾水平、疏离感和感知到的歧视对康复有影响,但刻板印象认同、社交退缩和对耻辱感的抵抗被发现有影响(F:43.343,P<0.001,R:0.787)。

结论

双相情感障碍患者的残疾患病率增加了这些个体需要更多他人帮助的可能性。刻板印象认同、社交退缩和对耻辱感的抵抗对心理康复有积极影响。

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