Perceived stigma and community integration among clients of assertive community treatment

Perceived stigma and community integration among clients of assertive community treatment
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DOI:
10.1037/h0095005
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发表时间:
2002-03-01
影响因子:
1.9
通讯作者:
Prince, CR
Prince, CR
中科院分区:
医学3区
文献类型:
--
作者:
Prince, PN;Prince, CR

文献摘要

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促进精神病残疾人融入社会是社区方案的一个重要目标。除了住房不足、贫困和失业等限制外,精神障碍患者确定的社区适应的一个常见障碍是他们认为自己被污名化了。本研究采用序贯多元回归分析方法,对95名自主式社区治疗(ACT)团队的受试者进行了污名知觉与社区整合之间的关系研究。调查结果表明,尽管他们在社区中实际存在,并得到了密集的支持,ACT的客户相信其他社区成员会拒绝他们。此外,这种感觉似乎干扰了他们的归属感,特别是在那些也感受到较少社会支持和具有更大心理社会技能缺陷的人中。在本研究的背景下,全球自尊并没有调节这种关系。除了以社区为重点的反污名运动外,与污名相关的问题也应该与ACT服务对象本身一起解决。
Facilitating the integration of persons with psychiatric disabilities is an important goal of community programs. In addition to limitations such as inadequate housing, poverty, and unemployment, a common barrier to community adjustment identified by people with psychiatric disabilities Is their perception of being stigmatized. This study examined the relationships between perceived stigma and community integration in 95 clients of assertive community treatment (ACT) teams, using sequential multiple regression procedures. Findings indicate that despite their physical presence in the community and the intensive support they receive, ACT clients believe other community members will reject them. Moreover, this perception appears to interfere with their sense of belonging, particularly among those who also perceive less social support and who have greater psychosocial skill deficits. In the context of the present study, global self-esteem did not mediate this relationship. In addition to community-focused antistigma campaigns, stigma-related issues should also be addressed with ACT clients themselves.