Pathways Between Internalized Stigma and Outcomes Related to Recovery in Schizophrenia Spectrum Disorders
Pathways Between Internalized Stigma and Outcomes Related to Recovery in Schizophrenia Spectrum Disorders
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DOI：
10.1176/appi.ps.59.12.1437
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发表时间：
2008-12-01
影响因子：
3.8
通讯作者：
Lysaker, Paul H.
中科院分区：
文献类型：
--
作者：
Yanos, Philip T.;Roe, David;Lysaker, Paul H.
目的：内化的耻辱感影响严重精神疾病患者康复结果的机制尚未得到明确的研究。本研究实证评估了一个模型，如何内化的耻辱影响与恢复相关的重要成果。研究方法：共有102名精神分裂症谱系障碍患者完成了内化耻辱，精神疾病的认识，精神症状，自尊，自信心和应对措施。路径分析测试了预测模型和替代模型的变量之间的关系。结果如下：模型1的结果支持这样的观点，即内化的耻辱感增加回避应对，积极的社会回避，抑郁症状，这些关系是由内化的耻辱感对希望和自尊的影响介导的。模型2的结果复制了模型1的显着关系，但也支持了这一假设，即积极的症状可能会影响希望和自尊。结论：两个模型的研究结果支持这一假设，即内化的耻辱感影响希望和自尊，导致与恢复有关的负面结果。建议制定和测试干预措施，以解决内化的耻辱感对康复的重要影响。（精神病学服务59：1437 - 1442，2008）
Objective: The mechanisms by which internalized stigma affects outcomes related to recovery among people with severe mental illness have yet to be explicitly studied. This study empirically evaluated a model for how internalized stigma affects important outcomes related to recovery. Methods: A total of 102 persons with schizophrenia spectrum disorders completed measures of internalized stigma, awareness of mental illness, psychiatric symptoms, self-esteem, hopefulness, and coping. Path analyses tested a predicted model and an alternative model for the relationships between the variables. Results: Results from model 1 supported the view that internalized stigma increases avoidant coping, active social avoidance, and depressive symptoms and that these relationships are mediated by the impact of internalized stigma on hope and self-esteem. Results from model 2 replicated significant relationships from model 1 but also supported the hypothesis that positive symptoms may influence hope and self-esteem. Conclusions: Findings from two models supported the hypothesis that internalized stigma affects hope and self-esteem, leading to negative outcomes related to recovery. It is recommended that interventions be developed and tested to address the important effects of internalized stigma on recovery. ( Psychiatric Services 59: 1437 -1442, 2008)