Intersections of discrimination due to unemployment and mental health problems: the role of double stigma for job- and help-seeking behaviors
Intersections of discrimination due to unemployment and mental health problems: the role of double stigma for job- and help-seeking behaviors
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失业和心理健康问题造成的歧视的交叉点：求职和寻求帮助行为的双重耻辱的作用
DOI：
10.1007/s00127-018-1535-9
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发表时间：
2018
影响因子：
4.4
通讯作者：
Rüsch N
中科院分区：
文献类型：
--
作者：
Staiger T;Waldmann T;Oexle N;Wigand M;Rüsch N
研究目的有心理健康问题的失业者的日常生活会受到多重歧视的影响，但关于这一群体双重污名（身份和歧视经历的重叠）的研究却很缺乏。因此，我们研究了多重歧视与心理健康问题的失业人员和其后果的工作和寻求帮助的behaviors.MethodsEveryday歧视和归因于失业和/或心理健康问题的歧视进行了检查，301名失业人员与心理健康问题。求职自我效能、护理障碍和认为需要治疗在四个亚组中进行了比较，这取决于经历过的歧视对失业和精神健康问题的归因（第一组）;既不失业也不精神健康问题（第二类）;主要是失业（第三组）;或者主要是精神健康问题结果在所有参与者的多重回归中，较高的歧视程度预示着求职自我效能降低和护理障碍增加;将歧视归因于失业与护理障碍增加有关。在亚组比较的方差分析中，将歧视归因于失业和精神健康问题的第一组参与者报告说，与第三组参与者相比，求职自我效能感较低，更多的感知到与耻辱相关的护理障碍，以及更多的治疗需求，结论多重歧视可能会影响求职和帮助-在有心理健康问题的失业人员中寻找。应制定干预措施，减少公众对这一群体的污名化，并改善对这一群体多重歧视的应对。
PurposeThe everyday lives of unemployed people with mental health problems can be affected by multiple discrimination, but studies about double stigma—an overlap of identities and experiences of discrimination—in this group are lacking. We therefore studied multiple discrimination among unemployed people with mental health problems and its consequences for job- and help-seeking behaviors.MethodsEveryday discrimination and attributions of discrimination to unemployment and/or to mental health problems were examined among 301 unemployed individuals with mental health problems. Job search self-efficacy, barriers to care, and perceived need for treatment were compared among four subgroups, depending on attributions of experienced discrimination to unemployment and to mental health problems (group i); neither to unemployment nor to mental health problems (group ii); mainly to unemployment (group iii); or mainly to mental health problems (group iv).ResultsIn multiple regressions among all participants, higher levels of discrimination predicted reduced job search self-efficacy and higher barriers to care; and attributions of discrimination to unemployment were associated with increased barriers to care. In ANOVAs for subgroup comparisons, group i participants, who attributed discrimination to both unemployment and mental health problems, reported lower job search self-efficacy, more perceived stigma-related barriers to care and more need for treatment than group iii participants, as well as more stigma-related barriers to care than group iv.ConclusionsMultiple discrimination may affect job search and help-seeking among unemployed individuals with mental health problems. Interventions to reduce public stigma and to improve coping with multiple discrimination for this group should be developed.
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对披露心理健康问题和再就业的态度：一项纵向研究
DOI：
10.1097/nmd.0000000000000810
发表时间：
2018
期刊：
The Journal of Nervous and Mental Disease
影响因子：
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作者：
Rüsch N;Corrigan PW;Waldmann T;Staiger T;Bahemann A;Oexle N;Wigand M;Becker T
通讯作者：
Becker T
使用改进版的 CAGE 筛查老年人中的药物和酒精滥用情况。
DOI：
10.1111/j.1521-0391.2001.tb00521.x
发表时间：
2001
期刊：
The American journal on addictions
影响因子：
--
作者：
C. Hinkin;S. Castellon;Elizabeth Dickson;Garrett Daum;Jerome Jaffe;Lissy F. Jarvik
通讯作者：
Lissy F. Jarvik
影响因子：
4.7
作者：
Luck-Sikorski, Claudia;Schomerus, Georg;Riedel-Heller, Steffi G.
通讯作者：
Riedel-Heller, Steffi G.
影响因子：
8.1
作者：
Oexle, N.;Waldmann, T.;Ruesch, N.
通讯作者：
Ruesch, N.
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