Social cognition, internalized stigma, and recovery orientation among adults with serious mental illness.
Social cognition, internalized stigma, and recovery orientation among adults with serious mental illness.
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DOI：
10.1037/prj0000248
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发表时间：
2017-12
影响因子：
1.9
通讯作者：
Lucksted A
中科院分区：
文献类型：
--
作者：
Cunningham KC;Lucksted A
社会认知模型有助于理解内在的耻辱，但研究尚未将其与恢复取向（一个重要的结果）的关系进行检验。这项研究考察了内化耻辱的四个阶段对恢复方向的影响，并评估了作为调节因素的认知洞察力。通过结构化访谈收集了患有严重精神疾病的成年人社区样本（N = 268）的数据。基于回归的分析用于检验内化耻辱对恢复取向的主要影响以及认知洞察力的调节作用。对自己施加污名化信念以及相关的自尊心下降都预示着康复方向的下降。认知洞察力调节了自我应用污名化信念对恢复取向的影响。通过培养自我认知的灵活性来增加认知洞察力可能有助于减少内在的耻辱。解决内在耻辱的情感成分（例如羞耻感）也可能有益于干预措施。
The social cognitive model is useful in understanding internalized stigma, but research has not examined it in relationship to recovery orientation, an important outcome. This study examined the impact of the four stages of internalized stigma on recovery orientation and assessed cognitive insight as a moderator. Data from a community sample of adults with serious mental illness (N = 268) was collected through structured interviews. Regression-based analyses were used to examine the main effects of internalized stigma on recovery orientation and the moderating effect of cognitive insight. Applying stigmatizing beliefs to oneself and the related decrement in self-esteem each predicted decreased recovery orientation. Cognitive insight moderated the effect of self-application of stigmatizing beliefs on recovery orientation. Increasing cognitive insight by fostering flexibility in self-cognitions may help reduce internalized stigma. Interventions may also benefit from addressing the emotional component of internalized stigma, such as feelings of shame.
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