Stigma by association
Stigma by association
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联想带来的耻辱
DOI：
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发表时间：
2002
影响因子：
10.5
通讯作者：
L. Kjellin
中科院分区：
文献类型：
--
作者：
M. Östman;L. Kjellin
背景污名不仅影响精神疾病患者，也影响他们的家人。了解耻辱如何影响家庭成员对病人的心理反应以及他们与精神病服务机构的接触，将改善与家庭的互动。目的探讨与亲属耻辱相关的心理因素。方法在瑞典的一项多中心研究中，对162名自愿和强制入院的急性精神科病房患者的亲属进行了访谈，了解与耻辱相关的心理因素。结果大部分亲属经历了因交往而产生的耻辱心理因素。18%的亲属有时认为病人死了会更好，10%的人有过自杀的念头。在亲属自身经历精神健康问题时，由于关联而产生的污名更大，并且不受患者背景特征的影响。结论在精神病患者亲属中，应通过交往减少与污名相关的心理因素的负面影响。
Background Stigma affects not only people with mental illnesses, but their families as well. Understanding how stigma affects family members in terms of both their psychological response to the ill person and their contacts with psychiatric services will improve interactions with the family. Aims To investigate factors of psychological significance related to stigma of the relatives. Method In a Swedish multi-centre study, 162 relatives of patients in acute psychiatric wards following both voluntary and compulsory admissions were interviewed concerning psychological factors related to stigma. Results A majority of relatives experienced psychological factors of stigma by association. Eighteen per cent of the relatives had at times thought that the patient would be better off dead, and 10% had experienced suicidal thoughts. Stigma by association was greater in relatives experiencing mental health problems of their own, and was unaffected by patient background characteristics. Conclusions Interventions are needed to reduce the negative effects of psychological factors related to stigma by association in relatives of people with mental illness.