Psychiatric illness and family stigma
Psychiatric illness and family stigma
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DOI：
10.1093/oxfordjournals.schbul.a033304
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发表时间：
1998-01-01
影响因子：
6.6
通讯作者：
Link, BG
中科院分区：
文献类型：
--
作者：
Phelan, JC;Bromet, EJ;Link, BG
大量的研究已经记录了精神疾病患者的污名化及其负面后果，最近有研究表明，污名化也可能严重影响精神病患者的家庭，但很少有实证研究解决这个问题。我们调查了156名首次入院的精神病患者的父母和配偶对污名化的看法和反应。虽然大多数家庭成员并不认为自己因为亲属住院而被他人回避，但有一半的家庭成员至少在一定程度上隐瞒了住院情况。精神疾病的特征（污名标记）和家庭的社会特征都与家庭污名水平显著相关，如果家庭成员不与患病的亲属住在一起，他们更有可能隐瞒精神疾病。如果亲属是女性，如果亲属的阳性症状不那么严重，受教育程度较高的家庭成员及其亲属在过去6个月内经历过一次疾病发作，其他人报告的回避程度更高。
Considerable research has documented the stigmatization of people with mental illnesses and its negative consequences, Recently it has been shown that stigma may also seriously affect families of psychiatric patients, but little empirical research has addressed this problem, We examine perceptions of and reactions to stigma among 156 parents and spouses of a population-based sample of first-admission psychiatric patients, While most family members did not perceive themselves as being avoided by others because of their relative's hospitalization, half reported concealing the hospitalization at least to some degree, Both the characteristics of the mental illness (the stigmatizing mark) and the social characteristics of the family were significantly related to levels of family stigma, Family members were more likely to conceal the mental illness if they did not live with their ill relative, if the relative was female, and if the relative had less severe positive symptoms, Family members with more education and whose relative had experienced an episode of illness within the past 6 months reported greater avoidance by others.