The consequences of stigma for the self-esteem of people with mental illnesses
The consequences of stigma for the self-esteem of people with mental illnesses
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DOI：
10.1176/appi.ps.52.12.1621
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发表时间：
2001-12-01
影响因子：
3.8
通讯作者：
Phelan, JC
中科院分区：
文献类型：
--
作者：
Link, BG;Struening, EL;Phelan, JC
目的：本研究的目的是确定污名化是否会影响严重精神疾病患者的自尊，或者污名化对自尊的影响是否很小。研究方法：自尊和两个方面的耻辱，即贬值歧视和社会退缩，因为感知拒绝的看法，进行了评估，在70名成员的会所计划的人与精神疾病的基线和后续6个月和24个月后。结果如下：当基线自尊、抑郁症状、人口统计学特征和诊断被控制时，这两项对耻辱感的感知措施强烈预测了随访时的自尊。那些在耻辱感测试中得分在第90百分位的参与者在随访时自尊心低的可能性是那些得分在第10百分位的参与者的7到9倍。结论：与精神疾病相关的耻辱伤害了许多患有严重精神疾病的人的自尊。减少耻辱感的一个重要后果是提高精神疾病患者的自尊心。
Objective: The objective of this study, was to determine whether stigma affects the self-esteem of persons who have serious mental illnesses or whether stigma has few, if any; effects on self-esteem. Methods: Self-esteem and two aspects of stigma, namely, perceptions of devaluation-discrimination and social withdrawal because of perceived rejection, were assessed among 70 members of a clubhouse program for people with mental illness at baseline and at follow-up six and 24 months later. Results: The two measures of perceptions of stigma strongly predicted self-esteem at follow-up when baseline self-esteem, depressive symptoms, demographic characteristics, and diagnosis were controlled for. Participants whose scores on the measures of stigma were at the 90th percentile were seven to nine times as likely as those with scores at the 10th percentile to have low self-esteem at follow-up. Conclusions: The stigma associated with mental illness harms the self-esteem of many people who have serious mental illnesses. An important consequence of reducing stigma would be to improve the self-esteem of people who have mental illnesses.