Even mild internalized stigma merits attention among adults with serious mental illness.
Even mild internalized stigma merits attention among adults with serious mental illness.
复制标题
对于患有严重精神疾病的成年人来说，即使是轻微的内在耻辱也值得关注。
DOI：
10.1037/ser0000744
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发表时间：
2023
影响因子：
2.3
通讯作者：
Lucksted,Alicia
中科院分区：
文献类型：
--
作者：
Drapalski,AmyL;Tonge,Natasha;Muralidharan,Anjana;Brown,ClaytonH;Lucksted,Alicia
内化或自我污名化可能会损害心理和社会功能和康复，特别是对患有严重精神疾病的人。大多数研究都集中在高自我耻辱的影响，包括中度和高度的自我耻辱，与低水平的自我耻辱，包括没有，最小或轻度的自我耻辱。因此，很少有人知道这些类别内的变化（例如，最小与轻度自我耻辱）及其对恢复的影响。本文探讨了与不同程度的自我污名严重性相关的人口统计学、临床和心理社会变量的差异。研究了两项同时进行的随机对照试验的基线数据（N= 515），该试验旨在减少内化耻辱及其对患有严重精神疾病的成年人的影响。我们发现，参与者有更大的心理归属感，更大的感知恢复显着不太可能有轻度或中度/高度内化的耻辱比最小的耻辱。然而，那些报告更频繁的耻辱的经验，更有可能有轻度或中度/高度内化的耻辱比最小的耻辱。我们的研究结果进一步强调了自我污名的多方面性质和影响，特别是在人际关系和互动中，并证明了即使是轻微的自我污名认可的重要性。
Internalized or self-stigma can be damaging to psychological and social functioning and recovery, especially for people with serious mental illness. Most studies have focused on the effects of high self-stigma, which has included both moderate and high self-stigma, versus low levels of self-stigma which has included no, minimal, or mild self-stigma. Therefore, little is known about the variation within these categories (eg, minimal versus mild self-stigma) and its impact on recovery. This article examines differences in the demographic, clinical, and psychosocial variables associated with different levels of self-stigma severity. Baseline data (N= 515) from two concurrent randomized controlled trials of a psychosocial intervention aimed at reducing internalized stigma, and its effects among adults with serious mental illnesses were examined. We found that participants with greater psychological sense of belonging, and greater perceived recovery were significantly less likely to have mild or moderate/high internalized stigma than minimal stigma. Those reporting a greater frequency of stigma experiences, however, were more likely to have mild or moderate/high internalized stigma than minimal stigma. Our findings further underscore the multifaceted nature and impact of self-stigma, particularly in interpersonal relationships and interactions, and demonstrate the importance of attending to even mild levels of self-stigma endorsement.