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心理疾病患者自我污名及影响初探 被引量:26

Preliminary Research on the Mental Illness Self Stigma and its Impact
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摘要 目的:初步探讨心理疾病患者自我污名现状及负面后果。方法:以天津市第一中心医院心理卫生科206名求诊患者为对象进行问卷调查。结果:心理疾病患者存在一定程度的自我污名;自我污名程度在年龄、婚姻状况上存在显著差异;多元回归分析发现,内化污名的生活无意义、刻板印象认同、价值否定、社交退缩等维度对患者的自尊、自我效能、抑郁状态、社交回避状况和康复信心有显著预测力;逻辑回归分析显示刻板印象认同、社交退缩、歧视体验等维度对患者主动求医行为预测作用显著。结论:在中国文化背景中,心理疾病患者的自我污名在一定程度上可解释患者治疗和康复受阻的原因。 Objective: To explore the actuality and the effect of mental illness self-stigma.Methods: 206 people with mental illness were taken as the participants to finish the questionnaire.Results: The patients were self stigmatized to some extent,and significant differences were found in age and marital state.Multiple regression analysis revealed that life meaningless、stereotype endorsement、value negation and social withdrawal subscales of ISMI could remarkably predict self-esteem,self-efficacy,depressive symptoms,social avoidance and recovery confidence.Logical regression analysis revealed that the stereotype endorsement、social withdrawal and perceived discrimination could significantly predict seeking help behavior.Conclusion: In Chinese culture,the self-stigma of mental illness patients is significantly associated with the factors impeding their treatment and rehabilitation.
出处 《中国临床心理学杂志》 CSSCI CSCD 2010年第3期323-325,319,共4页 Chinese Journal of Clinical Psychology
基金 国家社会科学基金项目(06BSHO29)
关键词 自我污名 心理疾病患者 心理疾病内化污名量表 Self stigma Mental illness patient ISMIS
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参考文献14

  • 1Yang LH, Kleinman A, Bruce G, et al. Culture and stigma: Adding moral experience to stigma theory. Social Science and Medicine, 2007, 64(7): 1524-1535. 被引量:1
  • 2Lysaker PH, Davis LW, Warrnan DM, et al. Stigma, social function and symptoms in schizophrenia and schizoaffeetive disorder: Associations across 6 months. Psychiatry Rescatch, 2007, 149(1-3): 85-89. 被引量:1
  • 3Lee S, Marcus YL, Adley Tsang, et al. Stigmatizing experience and structural discrimination associated with the treatment of schizophrenia in Hong Kong. Social Science and Medicine, 2006, 62(7): 1685-1696. 被引量:1
  • 4高士元,费立鹏,王向群,徐东,贾志民,高维成,胥德广.精神分裂症病人及家属受歧视状况[J].中国心理卫生杂志,2005,19(2):82-85. 被引量:139
  • 5Dinos S, Stevens S, Serfaty M, et al. Stigma: The feelings and experiences of 46 people with mental illness. British Journal of Psychiatry, 2004, 184(2): 176-181. 被引量:1
  • 6Corrigan PW, Kerr A, Knudsen L. The stigma of mental illness: Explanatory models and methods for change. Applied and Preventive Psychology, 2005, 11(3): 179-190. 被引量:1
  • 7Corrigan PW, Kleinlein P. The impact of mental illness stigma. In: Corrigan PW. On the stigma of mental illness: Practical strategies for research and social change. Washington, DC: American Psychology Association, 2005. 11-44. 被引量:1
  • 8Markowitz FE. Sociological models of mental illness stigma: Progress and prospects. In: Corrigan PW. On the stigma of mental illness: Practical strategies for research and social change. Washington, DC: American Psychology Association, 2005. 129-144. 被引量:1
  • 9Camp DL, Finlay WM, Lyons E. Is low self-esteem an inevitable consequence of stigma? An example from women with chronic mental health problems. Social Science and Medicine, 2002, 55(5): 823-834. 被引量:1
  • 10Ritsher JB, Otilingam PG, Grajiales M. Internalized stigma of mental illness: psychometric properties of a new measure. Psychiatry Research, 2003, 121(1): 31-49. 被引量:1

二级参考文献28

  • 1高士元,费立鹏,王向群,徐东,贾志民,高维成,胥德广.精神分裂症病人及家属受歧视状况[J].中国心理卫生杂志,2005,19(2):82-85. 被引量:139
  • 2Yang LH, Kleinman A, Bruce G, et al. Culture and stigma: Adding moral experience to stigma theory. Social Science and Medicine, 2007, 64(7):1524-1535 被引量:1
  • 3Lysaker PH, Davis LW, Warman DM, et al. Stigma, social function and symptoms in schizophrenia and schizoaffective disorder: Associations across 6 months. Psychiatry Research, 2007, 149:85-89 被引量:1
  • 4Angermeyer MC, Matschinger H. Causal beliefs and attitudes to people with schizophrenia.: Trend analysis based on data from two population surveys in Germany. British Journal of Psychiatry, 2005, 186:331-334 被引量:1
  • 5Rusch N, Angermeyer MC, Corrigan PW. Mental illness stigma: Concepts, consequences, and initiatives to reduce stigma. European Psychiatry, 2005, 20:529-539 被引量:1
  • 6Corrigan PW, Kerr A, Knudsen L. The stigma of mental illness: Explanatory models and methods for change. Applied and Preventive Psychology, 2005, 11:179-190 被引量:1
  • 7Corrigan PW, Kleinlein P. The impact of mental illness stigma. In: Corrigan PW. On the stigma of mental illness: Practical strategies for research and social change. Washington, DC: American Psychology Association, 2005. 11-44 被引量:1
  • 8Markowitz FE. Sociological models of mental illness stigma: Progress and prospects. In: Corrigan PW. On the stigma of mental illness: practical strategies for research and social change. Washington, DC: American Psychology Association, 2005. 129-144 被引量:1
  • 9Camp DL, Finlay WM, Lyons E. Is low serf-esteem an inevitable consequence of stigma? An example from women with chronic mental health problems. Social Science and Medicine, 2002, 55:823-834 被引量:1
  • 10Ritsher JB, Otilingam PG, Grajiales M. Internalized stigma of mental illness: Psychometric properties of a new measure. Psychiatry Research, 2003, 121:31-49 被引量:1

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