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Stigma and Psychosis: A Prospective Study

耻辱与精神病：一项前瞻性研究

基本信息

批准号：
7230210
负责人：
Bruce G Link
金额：
$ 21.1万
依托单位：
COLUMBIA UNIVERSITY HEALTH SCIENCES
依托单位国家：
美国
项目类别：
财政年份：
2006
资助国家：
美国
起止时间：
2006-04-05 至 2010-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7230210
关键词：
Accounting Adherence Anger Audiotape Code Communities Development Emotions Employment Event Feeling Funding Future Goals Group Hospitalization Hospital Records Hospitalization Hospitals Individual Intervention Interview Knowledge Label Lead Life Longitudinal Studies Manuals Measurement Measures Mental Health Mental Health Services Mental disorders Mentally Ill Persons Methods Outcome Patients Process Prospective Studies Protocols documentation Psychotic Disorders Publications Quality of life Rate Recruitment Activity Rehabilitation therapy Relative (related person)Reporting Research Research Personnel Sampling Shame Social Network Source Stigmata Structure Surgeon Testing Time Transcript United States Dept. of Health and Human Services Validity and Reliability Week Well in self Work base career contextual factors design experience humiliation interest prospective response self esteem severe mental illness social stigma

项目摘要

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）：外科医生心理健康报告肯定了许多心理健康服务消费者的观点，将克服耻辱置于国家促进心理健康努力的首要位置。尽管我们非常了解耻辱如何对心理健康产生不利影响并剥夺人们获得机会的机会，但我们需要更多地了解精神疾病标签最初如何对接触这些标签的个人产生意义和后果。随着时间的推移，我们需要捕捉这些在患有严重精神疾病的人的职业生涯中逐渐显现的信息。作为实现理解和干预这一最终目标的一步，该发展提案寻求资金来制定和评估新措施，以实现对耻辱的多方法评估。具体来说，我们将：a）使用从与患者首次住院之前、期间和之后的事件相关的半结构化访谈中获得的叙述来制定耻辱成分的评级，b）通过对有关过程和事件的开放式报告的录音带和笔录进行编码，制定评估耻辱，尴尬，屈辱，愤怒和其他与耻辱相关的感受的评级，c）进行直接观察和关键信息者访谈以评估与耻辱相关的背景因素，并构建与患者叙述平行的叙述，但源自医院记录以及对心理健康工作人员和亲属的采访。该 R21 将产生访谈和观察协议、编码手册以及有关评估耻辱的多方法方法的可靠性和有效性的证据。这些信息将对其他研究耻辱的研究人员有用，并将构成更大规模的前瞻性研究的基础，该研究将评估耻辱对重要结果的影响，并为减少耻辱对精神疾病患者生活的影响的干预措施提供信息。