Predictors of internalized mental health stigma in a help-seeking sample of youth: The roles of psychosis-spectrum symptoms and family functioning.
Predictors of internalized mental health stigma in a help-seeking sample of youth: The roles of psychosis-spectrum symptoms and family functioning.
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DOI：
10.1037/abn0000679
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发表时间：
2021-08
影响因子：
4.6
通讯作者：
Schiffman J
中科院分区：
文献类型：
--
作者：
DeLuca JS;Akouri-Shan L;Jay SY;Redman SL;Petti E;Lucksted A;Rouhakhtar PR;Klaunig MJ;Edwards SM;Reeves GM;Schiffman J
对年轻人来说，经历精神病谱系症状是一种挑战。在许多困难中，内在化的心理健康污名--负面成见的内在化--可能导致羞愧和退缩。这项研究的目的是为了更好地了解内在化污名在具有精神病谱系症状的青年临床样本中的相关性。参与者(n=66；12-25岁)由美国马里兰州的社区提供者转介。精神病谱症状通过精神病风险综合征(SIPS)的结构化访谈来测量；家庭功能通过家庭评估装置来测量。面试者通过全球功能：社会和角色量表对参与者的社会/角色功能进行评分。使用内化污名精神疾病(ISMI)总量表和分量表测量内化污名。样本包括34名临床高风险精神病患者，16名经历早期精神病的人，以及16名寻求帮助的对照组。回归分析表明，不寻常的信仰、悲伤、角色功能和较低的家庭功能(照顾者报告)与内在化污名的更高方面显著相关，控制其他症状和社会人口统计学。这些模型解释了ISMI总量表中27%的方差(调整后的R2)和ISMI分量表中15%-49%的方差。在这些寻求帮助的样本中，不寻常的信念、孤独感、较高的角色功能和较低的家庭功能(照顾者报告)与更多内化的污名有关。在未来进行更大样本的研究之前，专注于这些因素及其相关性的治疗干预可能会使年轻人受益。未来的研究需要确定这些关联在时间上的优先顺序。支持不寻常的思想内容和暴力，以及角色功能不佳和照顾者报告的家庭功能较低，与自我报告的内在化心理健康污名增加有关。这项研究支持特定的临床变量与内在化污名有关的观点。在未来的研究之前，可能会开发和调整以个人、团体和/或家庭为基础的干预措施，以具体针对这些领域，并减少寻求帮助的青年的内在化污名。
Experiencing psychosis-spectrum symptoms is challenging to youth. Among many difficulties, internalized mental health stigma—the internalization of negative stereotypes—can lead to shame and withdrawal. The objective of this study was to better understand the correlates of internalized stigma among a clinical sample of youth with psychosis-spectrum symptoms. Participants (n=66; 12-25-years-old) were referred by community providers in Maryland, United States. Psychosis-spectrum symptoms were measured via the Structured Interview for Psychosis-Risk Syndromes (SIPS); family-functioning was measured via the Family Assessment Device. Interviewers rated participants’ social/role functioning via the Global Functioning: Social and Role Scales. Internalized stigma was measured using the Internalized Stigma of Mental Illness (ISMI) total scale and subscales. The sample included 34 individuals at clinical high risk for psychosis, 16 experiencing early psychosis, and 16 help-seeking controls. Regression analyses indicated that unusual beliefs, avolition, role functioning, and lower family-functioning (caregiver-reported) were significantly associated with higher aspects of internalized stigma, controlling for other symptoms and sociodemographics. These models explained 27% of the variance (adjusted R2) in the total ISMI scale and between 15%-49% of the variance in ISMI-subscales. Among this help-seeking sample, unusual beliefs, avolition, higher role functioning, and lower family-functioning (caregiver-reported) were associated with more internalized stigma. Pending future research with larger samples, therapeutic interventions focused on these factors and their correlates may benefit youth. Future research is needed to determine temporal precedence of these associations. Endorsement of unusual thought content and avolition, as well as poor role functioning and lower caregiver-reported family functioning, were associated with increased self-reported internalized mental health stigma. This study supports the notion that specific clinical variables are related to internalized stigma. Pending future research, individual, group, and/or family-based interventions may be developed and adapted to specifically target these areas and to reduce internalized stigma across help-seeking youth.
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影响因子：
2
作者：
Firmin, Ruth L.;Lysaker, Paul H.;Vohs, Jenifer L.
通讯作者：
Vohs, Jenifer L.
影响因子：
3.3
作者：
Moses, Tally
通讯作者：
Moses, Tally
影响因子：
3.9
作者：
Mansfield, Abigail K.;Keitner, Gabor I.;Dealy, Jennifer
通讯作者：
Dealy, Jennifer
DOI：
10.1177/2167702619855660
发表时间：
2019-11
期刊：
Clinical psychological science : a journal of the Association for Psychological Science
影响因子：
--
作者：
Millman ZB;Gold JM;Mittal VA;Schiffman J
通讯作者：
Schiffman J
影响因子：
2.2
作者：
EPSTEIN, NB;BALDWIN, LM;BISHOP, DS
通讯作者：
BISHOP, DS