Depression increases subjective stigma of chronic pain.
Depression increases subjective stigma of chronic pain.
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DOI：
10.1016/j.jad.2017.12.085
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发表时间：
2018-03-15
影响因子：
6.6
通讯作者：
Leykin Y
中科院分区：
文献类型：
--
作者：
Naushad N;Dunn LB;Muñoz RF;Leykin Y
患有精神和身体疾病的人往往面临耻辱，这可能对功能，寻求治疗和情绪健康产生不利影响。我们比较了患有抑郁症和/或慢性疼痛的个体所经历的耻辱水平，以对比患者与从未经历过这些情况的个体所经历的耻辱感，并确定抑郁症是否与慢性疼痛的耻辱感有关。四组参与者（N=236）参加了这项研究：仅抑郁症，仅慢性疼痛，共病抑郁症和慢性疼痛，以及健康对照。参与者进行了临床访谈，并完成了一项耻辱措施，评估一般自我耻辱，公共耻辱，治疗耻辱，保密和耻辱的经验。健康对照组在很大程度上低估了抑郁症患者所经历的耻辱，但在估计慢性疼痛患者所经历的耻辱方面并不准确。此外，患有慢性疼痛的个体通常只比那些只患有抑郁症的人感到更少的耻辱。然而，与慢性疼痛的个体相比，共病个体对慢性疼痛的耻辱感更差，这表明抑郁症可能会影响抑郁症以外疾病患者的耻辱感。社会期望可能会影响耻辱得分。比较几组需要采用标准化的仪器。结果表明，抑郁症可能在健康状况的社会体验中发挥作用，并表明公众仍然无法理解精神健康状况个体所经历的负面社会压力。
Individuals suffering from mental as well as physical conditions often face stigma, which can adversely affect functioning, treatment seeking, and emotional health. We compared levels of stigma experienced by individuals with depression and/or chronic pain, to contrast the perception of stigma experienced by the sufferers with that of individuals who have never experienced these conditions, and to determine whether depression is related to greater experience of stigma for chronic pain. Four groups of participants (N=236) took part in the study: depression only, chronic pain only, comorbid depression and chronic pain, and healthy controls. Participants underwent a clinical interview and completed a stigma measure that assessed general self-stigma, public stigma, treatment stigma, secrecy, and stigmatizing experiences. Healthy controls largely underestimated the stigma experienced by individuals with depression, but were not inaccurate in estimating stigma experienced by individuals with chronic pain. Further, individuals with chronic pain only generally perceived less stigma for their condition than did those with depression only. However, comorbid individuals perceived worse stigma of chronic pain compared to individuals with chronic pain alone, suggesting that depression may affect the stigma felt by sufferers of conditions other than depression. Social desirability may have influenced stigma scores. Comparing several groups required adapting a standardized instrument. Results suggest that depression may play a role in the social experience of having a health condition, as well as indicate that the general public continues to fail to appreciate the negative social pressures experienced by individuals with mental health conditions.
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影响因子：
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