Stigma and Psychosis: A Prospective Study

耻辱与精神病：一项前瞻性研究

• 批准号: 7094516
• 负责人: Bruce G Link
• 金额: $ 18.11万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-04-05 至 2008-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7094516
• 关键词: audiotape; behavior test; behavioral /social science research tag; clinical research; emotions; epidemiology; hospital utilization; human subject; interview; method development; psychological stressor; psychosis; psychosocial separation; social psychology

DESCRIPTION (provided by applicant): Affirming the view of many consumers of mental health services, the Surgeon General's Report on Mental Health places overcoming stigma at the forefront of the nation's efforts to promote mental health. Although we know a great deal about how stigma adversely impacts psychological well-being and denies people access to opportunities, we need to know more about how mental illness labels initially come to have meaning and consequences for individuals who are exposed to them. We need to capture this information as it unfolds over time in the careers of people who develop serious mental illnesses. As a step towards reaching this ultimate goal of understanding and intervention, this developmental proposal seeks funds to develop and evaluate new measures in order to achieve a multi-method assessment of stigma. Specifically we will: a) develop ratings of stigma components using narratives derived from semi-structured interviews with patients concerning events in the period before, during and after their first hospitalization, b) develop ratings that assess shame, embarrassment, humiliation, anger and other stigma-related feelings by coding audiotapes and transcripts of open-ended reports about processes and events and, c) conduct direct observations and key- informant interviews to assess stigma-relevant contextual factors and to construct a narrative parallel to the patients narrative but derived from hospital records and interviews with mental health staff and relatives. This R21 will yield interview and observation protocols, coding manuals, and evidence concerning the reliability and validity of a multi-method approach to assessing stigma. This information will be useful to other researchers studying stigma and will form the basis of a larger prospective study that will assess the impact of stigma on important outcomes and inform interventions to reduce the influence of stigma in the lives of people with mental illness.

描述（由申请人提供）：肯定了许多心理健康服务消费者的观点，卫生部长关于心理健康的报告将克服耻辱置于国家促进心理健康努力的最前沿。虽然我们知道很多关于污名如何对心理健康产生不利影响并剥夺人们获得机会的问题，但我们需要更多地了解精神疾病标签最初是如何对接触它们的个人产生意义和后果的。我们需要捕捉这些信息，因为随着时间的推移，这些信息会在患有严重精神疾病的人的职业生涯中展现出来。作为实现理解和干预这一最终目标的一个步骤，这一发展提案寻求资金，以制定和评估新的措施，从而实现对成见的多方法评估。具体而言，我们将：a）使用从患者首次住院前、住院期间和住院后的事件半结构化访谈中获得的叙述，制定污名成分的评级，B）通过编码关于过程和事件的开放式报告的录音带和文字记录，制定评估羞耻、尴尬、羞辱、愤怒和其他污名相关感受的评级，c）进行直接观察和关键知情人访谈，以评估与污名相关的背景因素，并构建一个与患者叙述平行的叙述，但来自医院记录和与精神卫生工作人员和亲属的访谈。该R21将产生访谈和观察协议、编码手册以及关于评估耻辱感的多方法方法的可靠性和有效性的证据。这一信息将有助于其他研究污名的研究人员，并将构成一项更大规模的前瞻性研究的基础，该研究将评估污名对重要结果的影响，并为减少污名对精神疾病患者生活的影响的干预措施提供信息。