Chan Kevin Ka Shing, Tsui Jack Ka Chun
Department of Psychology, The Education University of Hong Kong, Tai Po, Hong Kong.
Centre for Psychosocial Health, The Education University of Hong Kong, Tai Po, Hong Kong.
Qual Life Res. 2025 Apr 21. doi: 10.1007/s11136-025-03967-2.
This study evaluated a conceptual model regarding the longitudinal impact of stigma resistance on the mental health of individuals with mental disorders. Specifically, it examined whether stigma resistance is longitudinally associated with reduced psychological distress, improved personal recovery, and enhanced life satisfaction, and tested whether these associations are mediated by increased identity affirmation and heightened valued living.
A total of 235 individuals with mental disorders completed questionnaire measures of stigma resistance, identity affirmation, valued living, psychological distress, personal recovery, and life satisfaction at baseline (Month 0; M0) and 12 months later (Month 12; M12). The relations among these variables were examined using path analyses and bootstrap analyses.
Path analyses revealed that stigma resistance at M0 was associated with increased identity affirmation and heightened valued living at M12, which, in turn, were associated with reduced psychological distress, improved personal recovery, and enhanced life satisfaction at M12. Bootstrap analyses further demonstrated that stigma resistance at M0 had indirect effects on psychological distress, personal recovery, and life satisfaction at M12 through identity affirmation and valued living at M12.
Theoretically, our findings elucidate how stigma resistance can help individuals with mental disorders improve their mental health by fostering a positive identity and aligning their lives with personal values. Practically, these findings underscore the importance of developing interventions aimed at promoting stigma resistance in these individuals, enabling them to lead more fulfilling and flourishing lives.
本研究评估了一个关于抗耻辱感对精神障碍患者心理健康的纵向影响的概念模型。具体而言，研究考察了抗耻辱感是否与心理困扰减轻、个人康复改善以及生活满意度提高存在纵向关联，并检验了这些关联是否通过身份认同增强和有价值生活的提升来介导。
共有235名精神障碍患者在基线期（第0个月；M0）和12个月后（第12个月；M12）完成了关于抗耻辱感、身份认同、有价值生活、心理困扰、个人康复和生活满意度的问卷调查。使用路径分析和自抽样分析检验了这些变量之间的关系。
路径分析显示，M0时的抗耻辱感与M12时身份认同增强和有价值生活提升相关，而这又与M12时心理困扰减轻、个人康复改善和生活满意度提高相关。自抽样分析进一步表明，M0时的抗耻辱感通过M12时的身份认同和有价值生活对M12时的心理困扰、个人康复和生活满意度产生间接影响。
从理论上讲，我们的研究结果阐明了抗耻辱感如何通过培养积极的身份认同并使生活与个人价值观保持一致，帮助精神障碍患者改善心理健康。在实践中，这些发现强调了开展旨在促进这些个体抗耻辱感的干预措施的重要性，使他们能够过上更充实、繁荣的生活。
