A brief anti-stigma intervention for Chinese immigrant caregivers of individuals with psychosis: adaptation and initial findings.
A brief anti-stigma intervention for Chinese immigrant caregivers of individuals with psychosis: adaptation and initial findings.
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DOI：
10.1177/1363461513512015
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发表时间：
2014-04
影响因子：
2.5
通讯作者：
Dixon L
中科院分区：
文献类型：
--
作者：
Yang LH;Lai GY;Tu M;Luo M;Wonpat-Borja A;Jackson VW;Lewis-Fernández R;Dixon L
精神疾病污名对照顾者的心理健康和消费者接受的护理效果都有不利影响。虽然针对西方家庭照料者的反耻辱干预措施最近显示出了效果，但这些干预措施可能不会同样适用于不同文化背景的群体。具体地说，中国移民照顾者经历了高度的内在化污名，这使他们倾向于采取有害的应对策略，降低了社交网络的质量。我们提出了一种基于同辈-家庭小组形式的反耻辱干预，由一名临床医生和一名训练有素的家庭照顾者共同领导，以对抗中国移民中的耻辱。数据来自对11名中国移民照顾者的试点样本的简短干预，提供了：心理教育，对抗经验歧视的策略，以及抵制内在化污名的技巧。案例小插曲说明了这一干预措施的实施情况，以及通过互动接触的同龄人-家庭形式如何抵消内在化的刻板印象，鼓励适应性应对战略，并重振社会网络。量化结果进一步表明，对于那些至少证明了一些先前的内在化耻辱的照顾者来说，在减少内在化耻辱方面具有初步效果。这项研究是朝着减少亚裔美国人对精神疾病的耻辱迈出的第一步，但也是重要的一步，对亚裔美国人来说，耻辱在延误治疗和治疗不足方面发挥了强大的作用。
Mental illness stigma has adverse effects on both the caregivers’ psychological well-being and the effectiveness of care that consumers receive. While anti-stigma interventions for family caregivers from Western settings have recently shown efficacy, these interventions may not be equally applicable across culturally diverse groups. Specifically, Chinese immigrant caregivers experience heightened internalized stigma, which predisposes the adoption of harmful coping strategies and reduced quality of social networks. We present an anti-stigma intervention based on a peer-family group format, co-led by a clinician and a trained family caregiver, to counter stigma among Chinese immigrants. Data are presented from a brief intervention administered to a pilot sample of 11 Chinese immigrant caregivers that provides: psychoeducation, strategies to counter experienced discrimination, and techniques to resist internalized stigma. Case vignettes illustrate implementation of this intervention, and how the peer-family format via interactive contact counteracts internalized stereotypes, encourages adaptive coping strategies, and reinvigorates social networks. Quantitative results further suggest preliminary efficacy in reducing internalized stigma for caregivers who evidenced at least some prior internalized stigma. This study constitutes an initial but important step towards reducing mental illness stigma among Asian Americans, for whom stigma has played a powerful role in the delay and underuse of treatment.