重症精神病患者向传统医者寻求帮助及其与内在化污名的关系。

IF 2.5 4区 医学 Q2 PSYCHIATRY
Alp Üçok, Atilla Tekin, Erkan Göçüm, Sena Aydın, Ekin Deniz Sarıbaş, Mehmet Alper Arslan, Ezgi Ince-Guliyev, Neşe Direk Tecirli
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引用次数: 0

摘要

背景:向传统治疗师(TH)寻求帮助在重症精神病患者中很常见。然而,精神分裂症患者与躁郁症患者之间的差异并不为人所知。目的:调查精神分裂症和双相情感障碍患者向传统巫师寻求帮助的情况,以及向传统巫师寻求帮助与内在化成见之间的关系:在这项横断面研究中,我们采用半结构化访谈形式,在两个具有不同社会文化背景的地点收集了 310 名精神分裂症和躁郁症患者的求助信息和临床特征。我们使用精神疾病内部化羞辱量表(ISMI)对内部化羞辱进行了测量:结果:我们发现,47% 的患者在患病的任何阶段都曾到医院就诊,46% 的患者在首次接触精神科医生之前就曾向医院寻求帮助。那些在农村地区长大、受教育程度较低、曾试图自杀、对治疗有抵触情绪以及家庭成员也曾在精神病院就诊的患者在精神病院求助者中的比例较高。这一群体的住院次数也更多,临床总体印象评分更高。研究发现,精神分裂症组患者的内化耻辱感较高,这与他们向精神病院寻求帮助和延迟入住精神病院有关:我们的研究结果表明,精神分裂症和躁郁症患者向精神病院寻求帮助的现象很普遍,而且这种现象与社会文化、疾病和耻辱感有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Help-seeking from traditional healers in patients with severe mental illness and its relationship with internalized stigma.

Background: Help-seeking from traditional healers (TH) is common in patients with severe mental illness. However, the differences between patients with schizophrenia and bipolar disorder are not well-known. Although internalized stigma is also common in patients with severe mental illness, its impact on help-seeking from TH is not studied.

Aim: To investigate help-seeking from TH and the relationship between help-seeking from TH and internalized stigma in patients with schizophrenia and bipolar disorder.

Methods: In this cross-sectional study, we collected information about help-seeking from TH and clinical characteristics by using a semi-structured interview form from 310 patients with schizophrenia and bipolar disorder in two sites with different socio-cultural backgrounds. We measured internalized stigma by using The Internalized Stigma of Mental Illness (ISMI) scale.

Results: We found that 47% of the patients visited TH in any phase of their illness, and 46% of them sought help from TH before their first contact with a psychiatrist. Those who grew up in rural areas, were less educated, who attempted suicide before, with resistance to treatment, and with a family member who also admitted to TH were more frequent among the help-seekers from TH. This group also had more hospitalizations and higher Clinical Global Impression scores. Internalized stigma was found to be higher in the schizophrenia group, and it was related to help-seeking from TH and delay in admission to psychiatric facilities.

Conclusion: Our findings suggest that help-seeking from TH is common both in patients with schizophrenia and bipolar disorder, and it has socio-cultural, illness-related, and stigma-related predictors.

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来源期刊
CiteScore
12.30
自引率
1.30%
发文量
120
期刊介绍: The International Journal of Social Psychiatry, established in 1954, is a leading publication dedicated to the field of social psychiatry. It serves as a platform for the exchange of research findings and discussions on the influence of social, environmental, and cultural factors on mental health and well-being. The journal is particularly relevant to psychiatrists and multidisciplinary professionals globally who are interested in understanding the broader context of psychiatric disorders and their impact on individuals and communities. Social psychiatry, as a discipline, focuses on the origins and outcomes of mental health issues within a social framework, recognizing the interplay between societal structures and individual mental health. The journal draws connections with related fields such as social anthropology, cultural psychiatry, and sociology, and is influenced by the latest developments in these areas. The journal also places a special emphasis on fast-track publication for brief communications, ensuring that timely and significant research can be disseminated quickly. Additionally, it strives to reflect its international readership by publishing state-of-the-art reviews from various regions around the world, showcasing the diverse practices and perspectives within the psychiatric disciplines. This approach not only contributes to the scientific understanding of social psychiatry but also supports the global exchange of knowledge and best practices in mental health care.
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