When mental health care is stigmatizing: A participative study in schizophrenia.

IF 1.8 3区 医学 Q3 PSYCHIATRY
Kevin-Marc Valery, Thomas Fournier, Louis Violeau, Sarah Guionnet, Julien Bonilla-Guerrero, Aude Caria, Antonin Carrier, Jean-Marc Destaillats, Alice Follenfant, Sonia Laberon, Nadeja Lalbin-Wander, Eric Martinez, Danielle Quemper, Bérénice Staedel, Roselyne Touroude, Luc Vigneault, Antoinette Prouteau
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引用次数: 0

Abstract

Objectives: Mental health care has been identified as a major source of mental illness stigmatization. Detailed information about these stigmatization experiences is thus needed to reduce stigma in mental health practices. The study aimed to (a) identify the most relevant stigmatizing situations in mental health care encountered by users with schizophrenia and their families; (b) characterize the relative importance of these situations in terms of frequency, experienced stigmatization, and associated suffering; and (c) identify contextual and individual factors associated with these experiences.

Method: An online survey was conducted in France among users and family members to characterize situations of stigmatization in mental health care and identify associated factors. The survey content was first developed from a participative perspective, through a focus group including users.

Results: A total of 235 participants were included in the survey: 59 participants with schizophrenia diagnosis, 96 with other psychiatric diagnoses, and 80 family members. The results revealed 15 relevant situations with different levels of frequency, stigmatization, and suffering. Participants with a diagnosis of schizophrenia experienced more situations of stigmatization, with a higher frequency. Moreover, contextual factors were strongly associated with experienced stigmatization, including recovery-oriented practices (negatively associated) and measures without consent (positively associated).

Conclusions and implications for practice: These situations, as well as associated contextual factors, could be targeted to reduce stigmatization and related suffering in mental health practices. Results strongly underscore the potential of recovery-oriented practice as an instrument to fight stigma in mental health care. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

当精神卫生保健被污名化:一项精神分裂症的参与性研究。
目的:精神卫生保健已被确定为精神疾病污名化的主要来源。因此,需要有关这些污名化经历的详细信息,以减少精神卫生实践中的污名化。该研究旨在(a)确定精神分裂症患者及其家人在精神卫生保健中遇到的最相关的污名化情况;(b)从频率、经历的污名化和相关痛苦等方面描述这些情况的相对重要性;(c)确定与这些经历相关的环境和个人因素。方法:在法国对使用者及其家庭成员进行在线调查,以表征精神卫生保健中的污名化情况并确定相关因素。调查内容首先从参与性的角度出发,通过包括用户在内的焦点小组进行开发。结果:共纳入235名参与者,其中精神分裂症患者59名,其他精神疾病患者96名,家庭成员80名。结果揭示了15种相关的情况,这些情况有不同程度的频率、污名化和痛苦。被诊断为精神分裂症的参与者经历了更多的污名化情况,频率更高。此外,环境因素与经历的污名化密切相关,包括以康复为导向的做法(负相关)和未经同意的措施(正相关)。结论和对实践的影响:这些情况以及相关的背景因素可以有针对性地减少精神卫生实践中的污名化和相关痛苦。结果强烈强调康复为导向的做法的潜力,作为一种工具,以打击耻辱在精神卫生保健。(PsycInfo数据库记录(c) 2023 APA,版权所有)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.80
自引率
5.30%
发文量
40
期刊介绍: The Psychiatric Rehabilitation Journal is sponsored by the Center for Psychiatric Rehabilitation, at Boston University"s Sargent College of Health and Rehabilitation Sciences and by the US Psychiatric Rehabilitation Association (USPRA) . The mission of the Psychiatric Rehabilitation Journal is to promote the development of new knowledge related to psychiatric rehabilitation and recovery of persons with serious mental illnesses.
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