Enacted stigma and felt stigma experienced by adults who stutter

Enacted stigma and felt stigma experienced by adults who stutter
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DOI:
10.1016/j.jcomdis.2018.03.004
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发表时间:
2018-05-01
影响因子:
1.7
通讯作者:
Boyle, Michael P.
Boyle, Michael P.
中科院分区:
医学3区
文献类型:
--
作者:
Boyle, Michael P.

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目的:本研究的目的是 (1) 记录口吃成年人所经历的耻辱感(外部耻辱、经历过歧视)和感受到的耻辱感(对歧视或受到他人负面对待的预期和期待),(2) 调查他们彼此之间的关系,以及 (3) 调查他们与全球心理健康的关系。 方法:参与者是从美国临床医生和自助小组领导中招募的 324 名口吃成年人。 国家。参与者完成了一项匿名网络调查,其中包括对所实施的耻辱感、耻辱感和全球心理健康的测量。数据分析的重点是获得所表现的耻辱和感受到的耻辱的描述性统计数据,并在这些变量之间以及这些变量与全球心理健康之间进行相关分析。结果:大多数参与者报告在他们生命中的某个时刻经历了几种不同形式的社会贬低和来自其他人的负面对待(即所表现的耻辱),尽管他们在过去一年中很少经历这些事件。大多数参与者一致认为,他们预计未来会遭受耻辱经历(即感到耻辱)。去年实施的耻辱表明与感受到的耻辱存在显着的正相关关系。两人在过去一年中都表现出了耻辱感,并且感到耻辱感与全球心理健康存在显着的负面关系。在过去的一年中实施的耻辱和感受到的耻辱是参与者全球心理健康的独特预测因素。结论:口吃的人经历了歧视和社会贬低,并且他们预计未来会遭受耻辱经历。这两种类型的耻辱,无论是表现出来的还是感受到的,都与口吃成年人的心理健康状况下降有关。对成人口吃的评估和治疗应该解决口吃的这些方面。
Purpose: The aim of this study was to (1) document the experiences of enacted stigma (external stigma, experienced discrimination) and felt stigma (anticipation and expectation of discrimination or negative treatment by others) in adults who stutter, (2) investigate their relationships to each other, and (3) investigate their relationships to global mental health.Method: Participants were 324 adults who stutter recruited from clinicians and self-help group leaders in the United States. Participants completed an anonymous web survey consisting of measures of enacted stigma, felt stigma, and global mental health. Data analysis focused on obtaining descriptive statistics for enacted stigma and felt stigma, and performing correlational analysis between these variables, and also between these variables and global mental health.Results: Most participants reported experiencing several different forms of social devaluation and negative treatment from other people at some point in their lives (i.e., enacted stigma), although they rarely experienced these events during the past year. Most participants agreed that they anticipate future stigmatizing experiences (i.e., felt stigma). Enacted stigma in the past year demonstrated a significant positive relationship to felt stigma. Both enacted stigma in the past year and felt stigma demonstrated significant negative relationships with global mental health. Enacted stigma in the past year and felt stigma were unique predictors of participants' global mental health.Conclusions: People who stutter experience discrimination and social devaluation, and they anticipate future stigmatizing experiences. Both of these types of stigma, enacted and felt, are associated with reduced mental health in adults who stutter. Assessment and therapy with adults who stutter should address these aspects of stuttering.