Factors associated with stigma among caregivers of patients with bipolar disorder in the STEP-BD study.
Factors associated with stigma among caregivers of patients with bipolar disorder in the STEP-BD study.
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STEP-BD 研究中双相情感障碍患者的护理人员中与耻辱相关的因素。
DOI：
10.1176/ps.2007.58.1.41
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发表时间：
2007
期刊：
影响因子：
--
通讯作者：
STEP-BDFamilyExperienceStudyGroup
中科院分区：
文献类型：
--
作者：
Gonzalez,JodiM;Perlick,DeborahA;Miklowitz,DavidJ;Kaczynski,Richard;Hernandez,Melissa;Rosenheck,RobertA;Culver,JeniferL;Ostacher,MichaelJ;Bowden,CharlesL;STEP-BDFamilyExperienceStudyGroup
很少有人知道的因素，有助于精神疾病的耻辱之间的照顾者的人与双相情感障碍。MethodsA共500照顾者的患者参加了系统的治疗增强计划双相情感障碍（STEP-BD）的研究进行了采访，在一个横截面设计的耻辱，情绪，负担和应对措施。双相情感障碍的亲属和朋友进行了评估的诊断和临床状态的措施，确定了一天，以及来自精神科医生的DSM-IV发作状态的评级措施。由于患者的临床状态差异很大，因此对过去一年中至少四分之三的患者（良好组）和那些在过去一年中至少四分之一的患者（不适组）进行了单独的模型。逐步多元回归被用来确定病人，疾病，和照顾者的特点与照顾者stigment.ResultsIn不适组，更大的精神疾病的耻辱与双相I（与II）障碍，较少的社会支持的照顾者，较少的照顾者的社会互动，和照顾者的西班牙裔血统。在良好的组，更大的耻辱是与照顾者谁是成年子女的父母与双相情感障碍，谁有大学教育，谁有较少的社会交往，谁照顾一个女性双相patient.ConclusionsMental疾病的耻辱被发现是普遍存在的照顾者的人与双相情感障碍谁有活动的症状，以及那些谁有缓解症状的照顾者。污名通常与在症状期将患者识别为“不同”的因素相关。需要进行研究，以了解照顾者在疾病稳定期所经历的耻辱与患者疾病状态期间所经历的耻辱有何不同。（精神病学服务58：41-48，2007）
ObjectiveLittle is known about the factors contributing to mental illness stigma among caregivers of people with bipolar disorder.MethodsA total of 500 caregivers of patients participating in the Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD) study were interviewed in a cross-sectional design on measures of stigma, mood, burden, and coping. Relatives and friends with bipolar disorder were assessed on measures of diagnosis and clinical status, determined by a days-well measure derived from psychiatrist ratings of DSM-IV episode status. Because patients’ clinical status varied widely, separate models were run for patients who were euthymic for at least threefourths of the past year (well group) and for those who met criteria for an affective episode for at least one-fourth of the previous year (unwell group). Stepwise multiple regression was used to identify patient, illness, and caregiver characteristics associated with caregiver stigma.ResultsIn the unwell group, greater mental illness stigma was associated with bipolar I (versus II) disorder, less social support for the caregiver, fewer caregiver social interactions, and being a caregiver of Hispanic descent. In the well group, greater stigma was associated with being a caregiver who is the adult child of a parent with bipolar disorder, who has a college education, who has fewer social interactions, and who cares for a female bipolar patient.ConclusionsMental illness stigma was found to be prevalent among caregivers of persons with bipolar disorder who have active symptoms as well as for caregivers of those who have remitted symptoms. Stigma is typically associated with factors identifying patients as “different” during symptomatic periods. Research is needed to understand how the stigma experienced by caregivers during stable phases of illness differs from the stigma experienced during patients’ illness states.(Psychiatric Services 58: 41–48, 2007)
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作者：
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影响因子：
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作者：
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