Perceived stigma and barriers to care for psychological treatment: Implications for reactions to stressors in different contexts
Perceived stigma and barriers to care for psychological treatment: Implications for reactions to stressors in different contexts
复制标题
DOI：
10.1521/jscp.2008.27.4.317
复制
发表时间：
2008-04-01
影响因子：
1.7
通讯作者：
Castro, Carl Andrew
中科院分区：
文献类型：
--
作者：
Britt, Thomas W.;Greene-Shortridge, Tiffany M.;Castro, Carl Andrew
两项研究调查了感知耻辱和心理治疗的障碍如何调节压力源和心理症状之间的关系。一项研究使用了大学生的样本，另一项研究使用了美国陆军士兵的样本。两个样本的因子分析结果支持耻辱和关爱障碍是分开的结构。在学生样本中，感受到的耻辱与主观压力相互作用预测抑郁，因此当感受到耻辱较高时，压力与抑郁之间的关系更强。在军人样本中，护理障碍与工作超负荷相互作用预测抑郁，因此当感知到护理障碍较高时，超负荷与抑郁之间的关系更强。结果揭示了检查耻辱和护理障碍作为应激源-紧张关系的调节因素的重要性，并加强了制定干预措施以解决耻辱和消除护理障碍的必要性。
Two studies examined how perceiving a stigma and barriers to care for psychological treatment moderate the relationships between stressors and psychological symptoms. One study utilized a sample of college students and the other a sample of U.S. Army soldiers. Factor analytic results from the two samples supported stigma and barriers to care being separate constructs. In the student sample, perceived stigma interacted with subjective stress to predict depression, such that the relationship between stress and depression was stronger when perceived stigma was high. In the military sample, barriers to care interacted with work overload to predict depression, such that the relationship between overload and depression was stronger when perceived barriers to care were high. Results reveal the importance of examining both stigma and barriers to care as moderators of the stressor-strain relationship, and reinforce the need to develop interventions to address stigma and remove barriers to care.