Self-stigma in borderline personality disorder - cross-sectional comparison with schizophrenia spectrum disorder, major depressive disorder, and anxiety disorders.
Self-stigma in borderline personality disorder - cross-sectional comparison with schizophrenia spectrum disorder, major depressive disorder, and anxiety disorders.
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DOI：
10.2147/ndt.s114671
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发表时间：
2016
影响因子：
3.2
通讯作者：
Slepecky M
中科院分区：
文献类型：
--
作者：
Grambal A;Prasko J;Kamaradova D;Latalova K;Holubova M;Marackova M;Ociskova M;Slepecky M
自我污名源于一个人对社会偏见的接受，在精神病患者中很常见。本研究比较了边缘型人格障碍（BPD）、精神分裂症谱系障碍（SCH）、重性抑郁障碍（MDD）、双相情感障碍（BAD）和焦虑障碍（AD）患者的自我污名，并结合主观和客观的疾病严重程度和人口学因素探讨了自我污名。对184例确诊为BPD、SCH、MDD、BAP和AD的精神科住院患者进行了精神病内化污名（ISMI）量表的比较。ISMI总分与疾病严重程度的主观和客观评价（临床总体印象）以及临床和人口统计学因素相关。诊断组间自我污名水平差异有统计学意义（BPD 71.15±14.74; SCH 63.2±13.27; MDD 64.09±12.2; BAD 62.0±14.21; AD 57.62±15.85;单因素方差分析：F=8.698，df=183; P<0.005）。但经Bonferroni多重比较检验，只有BPD组与AD组之间有显著性差异（P<0.001）。逐步回归分析显示，与自我污名相关性最强的因素是无伴侣、住院次数和疾病严重程度。与AD患者相比，BPD患者遭受更高水平的自我耻辱。在实践中，有必要通过使用特定的治疗策略，如认知疗法，来解决自我污名的减少问题。
Self-stigma arises from one’s acceptance of societal prejudices and is common in psychiatric patients. This investigation compares the self-stigma of a sample of patients with borderline personality disorder (BPD), schizophrenia spectrum disorder (SCH), major depressive disorder (MDD), bipolar affective disorder (BAD), and anxiety disorders (AD) and explores of the self-stigma with the subjective and objective measures of the severity of the disorder and demographic factors. The total of 184 inpatients admitted to the psychotherapeutic department diagnosed with BPD, SCH, MDD, BAP, and AD were compared on the internalized stigma of mental illness (ISMI) scale. The ISMI-total score was correlated with the subjective and objective evaluation of the disorder severity (clinical global impression), and clinical and demographic factors. The self-stigma levels were statistically significantly different among the diagnostic groups (BPD 71.15±14.74; SCH 63.2±13.27; MDD 64.09±12.2; BAD 62.0±14.21; AD 57.62±15.85; one-way analysis of variance: F=8.698, df=183; P<0.005). However after applying the Bonferroni’s multiple comparison test, the only significant difference was between the BPD patients and the patients with AD (P<0.001). Stepwise regression analysis showed that the strongest factors connected with the higher level of self-stigma were being without partner, the number of hospitalization, and the severity of the disorder. The BPD patients suffer from a higher level of self-stigma compared to patients with AD. In practice, it is necessary to address the reduction of self-stigma by using specific treatment strategies, such as cognitive therapy.