Who Comes Out With Their Mental Illness and How Does It Help?
Who Comes Out With Their Mental Illness and How Does It Help?
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DOI：
10.1097/nmd.0000000000000461
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发表时间：
2016-03-01
影响因子：
1.9
通讯作者：
Al-Khouja, Maya
中科院分区：
文献类型：
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作者：
Corrigan, Patrick W.;Michaels, Patrick J.;Al-Khouja, Maya
将精神疾病公之于众可能是减少自我羞辱的有效策略。这项研究探讨了出柜的预测因素和后果。报告外出（n = 79）或未外出（n = 27）的严重精神疾病参与者（N = 106）赞同外出的好处（BBO）和留在家中的原因。基线测量的预测因子是自我耻辱、自知力和精神病诊断。在基线和1个月随访时，还完成了三项结果测量：基本心理需求、护理参与和抑郁。在已经外出的参与者中，BBO和留在家中的原因与自我耻辱，洞察力和终身情感诊断显著独立相关。在后果方面，BBO与那些已经退出的参与者的横截面和1个月的参与措施有关，但不适用于封闭的参与者。在未公开的参与者中，BBO与基线和1个月的基本心理需求测量相关。被认为是为了促进披露，以减少自我耻辱的策略的影响。
Coming out with mental illness may be an effective strategy for reducing self-stigma. This study examined predictors and consequences of coming out. Participants (N = 106) with severe mental illness who reported being out (n = 79) or not out (n = 27) endorsed benefits of being out (BBOs) and reasons for staying in. Predictors from baseline measures were self-stigma, insight, and psychiatric diagnosis. Three outcome measuresbasic psychological needs, care engagement, and depressionwere also completed at baseline and 1-month follow-up. Among participants already out, BBOs and reasons for staying in were significantly and independently associated with self-stigma, insight, and lifetime affective diagnoses. In terms of consequences, BBOs were associated with cross-sectional and 1-month measures of engagement for those already out, but not for closeted participants. Among closeted participants, BBOs were associated with baseline and 1-month measures of basic psychological needs. Implications for strategies meant to promote disclosure in order to decrease self-stigma are considered.