Support for the social-cognitive model of internalized stigma in serious mental illness.
Support for the social-cognitive model of internalized stigma in serious mental illness.
复制标题
DOI：
10.1016/j.jpsychires.2021.02.014
复制
发表时间：
2021-05
影响因子：
4.8
通讯作者：
Drapalski AL
中科院分区：
文献类型：
--
作者：
Catalano LT;Brown CH;Lucksted A;Hack SM;Drapalski AL
一个突出的内化污名的社会认知模型提出，个人暴露于社会对精神疾病的刻板印象，至少默许他们，并可能将其应用于自己，产生有害的自我信念。在严重的精神疾病中，这一模型的实证支持有限。此外，尚不清楚内化的耻辱感及其相关因素如何影响这一人群的康复。目前的研究使用结构方程模型（SEM），以评估社会认知模型的拟合优度在一个样本的退伍军人与严重的精神疾病（退伍军人样本，n = 248），然后验证该模型在第二个独立的样本个人接受社区为基础的精神病康复服务（社区样本，n = 267）。参与者完成了精神疾病的自我耻辱量表（SSMIS）和自尊，自我效能和恢复态度的措施。与科里根和同事的内化耻辱的公式一致，SEM分析显示了一个显着的间接路径，从刻板印象意识，刻板印象的协议，应用到自我，自尊衰减，较差的恢复态度。此外，刻板印象意识对自尊有显着的直接影响。这项研究表明，患有严重精神疾病的人通过两种方式经历耻辱的心理伤害：（1）通过感知公众的偏见和偏见，以及（2）通过内化这些负面信息。特别是，成见损害了个人的自尊，从而降低了他们的康复态度。
One prominent social-cognitive model of internalized stigma by) proposes that individuals are exposed to societal stereotypes about mental illness, at least tacitly agree with them, and may apply them to oneself, engendering harmful self-beliefs. There is limited empirical support for this model in serious mental illness. Moreover, it is not clearly established how internalized stigma and its associated factors impact recovery in this population. The current study uses structural equation modeling (SEM) to assess the social-cognitive model’s goodness of fit in a sample of Veterans with serious mental illness (Veteran sample, n = 248), and then validates the model in a second and independent sample of individuals receiving community-based psychiatric rehabilitation services (community sample, n = 267). Participants completed the Self-Stigma of Mental Illness Scale (SSMIS) and measures of self-esteem, self-efficacy, and recovery attitudes. Consistent with Corrigan and colleagues’ formulation of internalized stigma, SEM analyses showed a significant indirect pathway from stereotype awareness, to stereotype agreement, to application to self, to self-esteem decrement, to poorer recovery attitudes. Additionally, there was a significant direct effect from stereotype awareness to self-esteem. This study shows that individuals with serious mental illness experience psychological harm from stigma in two ways: (1) through perceived public prejudice and bias, and (2) through internalizing these negative messages. In particular, stigma harms individuals’ self-esteem, which then reduces their recovery attitudes.
登录
查看更多内容
影响因子：
9.5
作者：
Chen, G;Gully, SM;Eden, D
通讯作者：
Eden, D
影响因子：
3.8
作者：
Ji, Yinyin;Rana, Chandni;Zhong, Yuan
通讯作者：
Zhong, Yuan
影响因子：
6.6
作者：
Bellack, Alan S.
通讯作者：
Bellack, Alan S.
影响因子：
1.7
作者：
Corrigan, Patrick W.;Watson, Amy C.;Barr, Leah
通讯作者：
Barr, Leah
影响因子：
3.8
作者：
Drapalski, Amy L.;Medoff, Deborah;Bellack, Alan S.
通讯作者：
Bellack, Alan S.