Stigma and Self-Concept Among Adolescents Receiving Mental Health Treatment

Stigma and Self-Concept Among Adolescents Receiving Mental Health Treatment
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DOI:
10.1037/a0015696
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发表时间:
2009-04-01
影响因子:
3.3
通讯作者:
Moses, Tally
Moses, Tally
中科院分区:
医学2区
文献类型:
--
作者:
Moses, Tally

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尽管研究表明,被诊断患有精神障碍的青少年受到美国公众的污名化,但我们对这些青少年所经历的污名化程度及其对他们福祉的影响知之甚少。这项横断面研究利用与60名青少年在一个概括性的计划,检查治疗访谈:(a)被诊断和治疗精神疾病的青少年经历精神疾病污名化并通过使用保密来科普的程度,(B)污名化与自我概念相关的程度(c)哪些临床和人口统计学特征与感知到的耻辱感相关。第二个目的是探索主要从Link的成人污名量表(Link et al.,1991年、1997年)。研究结果支持乐观和悲观的解释,污名及其对诊断和治疗精神障碍的青少年的影响。为这项研究开发的量表表现出良好的内部一致性和结构效度,并显示出作为进一步研究青年所经历的耻辱的工具的承诺。
Although studies indicate that adolescents diagnosed with mental disorders are stigmatized by the American public, we know very little about the extent to which stigma is experienced by these youth and its effects on their well-being. This cross-sectional study utilizes interviews with 60 adolescents treated in a wraparound program to examine: (a) the extent to which adolescents diagnosed and treated for psychiatric disorders experience mental illness stigma and cope by using secrecy, (b) the extent to which stigmatization is associated with self-concept (self-esteem, mastery, future outlook) and morale (depression), and (c) which clinical and demographic characteristics are associated with perceived stigma. A secondary purpose was to explore the usefulness with adolescents of stigma measures created and adapted primarily from Link's adult stigma scales (Link et al., 1991, 1997). The results support both optimistic and pessimistic interpretations regarding stigma and its effects on adolescents diagnosed and treated for mental disorders. The scales developed for this study demonstrate good internal consistency and construct validity and show promise as tools for further research on stigma as experienced by youth.