The stigma of childhood mental disorders: a conceptual framework.
The stigma of childhood mental disorders: a conceptual framework.
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儿童精神障碍的耻辱：概念框架。
DOI：
10.1097/00004583-201002000-00003
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发表时间：
2010
影响因子：
13.3
通讯作者：
Wallston,KennethA
中科院分区：
文献类型：
--
作者：
Mukolo,Abraham;Heflinger,CraigAnne;Wallston,KennethA
PROTETIVETo描述的状态与儿童的精神疾病和突出的差距实证work.METHODWe回顾了儿童精神疾病的耻辱（仅英文）同行评议的期刊，可通过Medline和PsychInfo的文学耻辱。我们增加了这些与成人为导向的污名的文章，侧重于理论和测量。PsychInfo中共有145篇文章，MEDLINE中有77篇文章符合检索标准。审查过程中涉及识别和评估文献收敛的定义的关键方面的耻辱，前因，和实证研究中报告的结果。countTSWe发现同意的三个方面的耻辱（负面的刻板印象，贬值，歧视），两个背景下的耻辱（自我，公众），和两个目标的耻辱（自我/个人，家庭）。关于儿童群体的制度性和自我污名的理论和实践很少。文献报道很少的理论框架和概念化的儿童精神疾病的耻辱。一个模型的帮助寻求（FINIS）明确承认的作用，在儿童的访问和使用的心理健康services.CONCLUSIONSCompared与成人相比，儿童受到独特的污名化的情况下，还没有得到充分的研究。该领域需要概念框架，更接近与父母/照顾者如何科普儿童的情绪和行为问题（如寻求专业帮助）有因果关系的污名经历。为了进一步研究儿童精神疾病，我们建议一种方法，以适应当前的理论框架和可操作的耻辱，突出三个方面的耻辱，三个背景下的耻辱（包括机构），和三个目标的耻辱（自我/儿童，家庭和服务）。
OBJECTIVETo describe the state of the literature on stigma associated with children's mental disorders and highlight gaps in empirical work.METHODWe reviewed child mental illness stigma articles in (English only) peer-reviewed journals available through Medline and PsychInfo. We augmented these with adult-oriented stigma articles that focus on theory and measurement. A total of 145 articles in PsychInfo and 77 articles in MEDLINE met search criteria. The review process involved identifying and appraising literature convergence on the definition of critical dimensions of stigma, antecedents, and outcomes reported in empirical studies.RESULTSWe found concurrence on three dimensions of stigma (negative stereotypes, devaluation, and discrimination), two contexts of stigma (self, general public), and two targets of stigma (self/individual, family). Theory and empirics on institutional and self-stigma in child populations were sparse. Literature reports few theoretic frameworks and conceptualizations of child mental illness stigma. One model of help seeking (the FINIS) explicitly acknowledges the role of stigma in children's access and use of mental health services.CONCLUSIONSCompared with adults, children are subject to unique stigmatizing contexts that have not been adequately studied. The field needs conceptual frameworks that get closer to stigma experiences that are causally linked to how parents/caregivers cope with children's emotional and behavioral problems, such as seeking professional help. To further research in child mental illness, we suggest an approach to adapting current theoretical frameworks and operationalizing stigma, highlighting three dimensions of stigma, three contexts of stigma (including institutions), and three targets of stigma (self/child, family, and services).