Personal stigma and coping strategies in families of patients with schizophrenia: Comparison between Japan and Korea
Personal stigma and coping strategies in families of patients with schizophrenia: Comparison between Japan and Korea
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DOI：
10.1111/j.1758-5872.2010.00065.x
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发表时间：
2010-06-01
影响因子：
3.5
通讯作者：
Nakane, Yoshibumi
中科院分区：
文献类型：
--
作者：
Hanzawa, Setsuko;Bae, Jeong-Kyu;Nakane, Yoshibumi
引言它已被广泛记录，照顾者的人谁有严重和持续的精神障碍，必须成功地科普许多具有挑战性的问题，以提供良好的照顾。然而，很少有人知道家庭耻辱感和应对精神分裂症患者的策略之间的关系。因此，本研究比较了个人的耻辱和应对策略的精神分裂症患者的家庭检查的社会文化因素，影响家庭的护理经验，在东北亚countries.MethodsTwo自评量表被用来比较个人的耻辱和应对策略的精神分裂症患者的家庭成员在47个日本和92个韩国家庭。受访者报告了他们的个人态度结果分析显示：1）虽然在应对策略上没有差异，但韩国家庭的个人耻辱感明显高于日本;（2）韩国家庭中的应对策略，如积极沟通、强迫和回避，与个人污名显著相关;然而，在日本家庭中，辞职与个人耻辱感显著相关。讨论目前的研究结果表明，个人家庭耻辱感在韩国高于日本，与应对战略相关的特征因国家而异。重要的是要确定与精神分裂症相关的个人耻辱的特征。此外，两国都必须强调基于跨文化考虑的精神分裂症家庭教育和支持计划。
IntroductionIt has been extensively documented that caregivers of persons who have serious and persistent mental disorders must successfully cope with many challenging problems in order to provide good care. However, little is known about the relationship between family stigma and strategies for coping with patients with schizophrenia. Therefore, the present study compared the personal stigma and coping strategies of families of patients with schizophrenia by examining the socio-cultural factors that affect the care experience of families in Northeast Asian countries.MethodsTwo self-rating scales were used to compare personal stigma and coping strategies regarding family members of patients with schizophrenia in 47 Japanese and 92 Korean families. Respondents reported their personal attitudes (personal stigma) with respect to a case vignette that described a person with chronic schizophrenia.ResultsAnalysis revealed the following: 1) although no differences in coping strategies were observed between the countries, the personal stigma of families was significantly higher in Korea than in Japan; 2) coping strategies, such as positive communication, coercion, and avoidance, were significantly associated with personal stigma in Korean families; however, in Japanese families, resignation was significantly associated with personal stigma.DiscussionThe present findings suggest that personal family stigma was higher in Korea than Japan, and the features associated with coping strategies differ between countries. It is important to determine the features of personal stigma that are associated with schizophrenia. Furthermore, education and support programs for families with schizophrenia based on trans-cultural considerations must be emphasized in both countries.