Examining a progressive model of self-stigma and its impact on people with serious mental illness.
Examining a progressive model of self-stigma and its impact on people with serious mental illness.
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DOI：
10.1016/j.psychres.2011.05.024
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发表时间：
2011-10-30
影响因子：
11.3
通讯作者：
Ruesch, Nicolas
中科院分区：
文献类型：
--
作者：
Corrigan, Patrick W.;Rafacz, Jennifer;Ruesch, Nicolas
一些患有严重精神疾病的人的自尊心可能会因为内化关于精神疾病的刻板印象而受到伤害。一个渐进的自我污名模型产生了四个阶段，导致自尊和希望的减少：意识到相关的刻板印象，同意他们，将刻板印象应用于自己，并遭受较低的自尊。我们希望发现近端阶段（意识和同意）之间的联系比远端阶段（意识和伤害）之间的联系更大。该模型在85名患有精神分裂症或其他严重精神疾病的人身上进行了测试，这些人完成了代表自我耻辱四个阶段的测量，这是另一种独立开发的工具，代表自我耻辱，伤害代理（降低自尊和绝望）和抑郁症。在6个月随访时也重复了这些措施。结果喜忧参半，但一些证据支持自我污名的渐进性质。最重要的是，渐进模式的不同阶段与自尊和希望的降低显著相关。污名变化的模型的影响进行了讨论。
The self-esteem of some people with serious psychiatric disorders may be hurt by internalizing stereotypes about mental illness. A progressive model of self-stigma yields four stages leading to diminished self-esteem and hope: being aware of associated stereotypes, agreeing with them, applying the stereotypes to one's self, and suffering lower self-esteem. We expect to find associations between proximal stages -- awareness and agreement -- to be greater than between more distal stages: awareness and harm. The model was tested on 85 people with schizophrenia or other serious mental illnesses who completed measures representing the four stages of self-stigma, another independently-developed instrument representing self-stigma, proxies of harm (lowered self-esteem and hopelessness), and depression. These measures were also repeated at 6-month follow-up. Results were mixed but some evidence supported the progressive nature of self-stigma. Most importantly, separate stages of the progressive model were significantly associated with lowered self-esteem and hope. Implications of the model for stigma change are discussed.
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影响因子：
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