From discrimination to internalized mental illness stigma: The mediating roles of anticipated discrimination and anticipated stigma.
From discrimination to internalized mental illness stigma: The mediating roles of anticipated discrimination and anticipated stigma.
复制标题
从歧视到内在的精神疾病耻辱：预期歧视和预期耻辱的中介作用。
DOI：
10.1037/prj0000136
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发表时间：
2015
影响因子：
1.9
通讯作者：
Weisz,BradleyM
中科院分区：
文献类型：
--
作者：
Quinn,DianeM;Williams,MichelleK;Weisz,BradleyM
内化精神疾病的耻辱感与较差的幸福感有关，但对预测内化耻辱感水平的因素知之甚少。本研究探讨了歧视的经验如何与更大的歧视和贬值的预期在未来和如何预期的耻辱反过来预测更大的耻辱internalization.MethodParticipants是105名成年人与精神疾病谁自我报告的经验，歧视的基础上，他们的精神疾病，他们的预期歧视和社会贬值，从其他人在未来，以及他们的内在耻辱感。参与者在几个地点接触，并完成了调查，在笔记本电脑computers.ResultsCorrelational分析表明，更多的经验，歧视，由于一个人的精神疾病有关的增加预期的歧视，在未来，增加预期的社会耻辱，从其他人，更大的内化耻辱。多个系列中介分析表明，歧视经历对内化耻辱的影响完全由预期歧视和预期耻辱的增加所介导。结论和实践启示一生中的歧视经历不仅可能影响精神疾病患者对未来歧视的担忧程度，还可能影响他们对自我的负面感受的内化程度。心理健康专业人员可能需要解决对未来歧视和贬值的担忧，以减少内化的耻辱。（PsycINFO数据库记录（c）2016阿帕，保留所有权利）
ObjectiveInternalizing mental illness stigma is related to poorer well-being, but less is known about the factors that predict levels of internalized stigma. This study explored how experiences of discrimination relate to greater anticipation of discrimination and devaluation in the future and how anticipation of stigma in turn predicts greater stigma internalization.MethodParticipants were 105 adults with mental illness who self-reported their experiences of discrimination based on their mental illness, their anticipation of discrimination and social devaluation from others in the future, and their level of internalized stigma. Participants were approached in several locations and completed surveys on laptop computers.ResultsCorrelational analyses indicated that more experiences of discrimination due to one’s mental illness were related to increased anticipated discrimination in the future, increased anticipated social stigma from others, and greater internalized stigma. Multiple serial mediator analyses showed that the effect of experiences of discrimination on internalized stigma was fully mediated by increased anticipated discrimination and anticipated stigma.Conclusion and Implications for PracticeExperiences of discrimination over one’s lifetime may influence not only how much future discrimination people with mental illness are concerned with but also how much they internalize negative feelings about the self. Mental health professionals may need to address concerns with future discrimination and devaluation in order to decrease internalized stigma.(PsycINFO Database Record (c) 2016 APA, all rights reserved)