内化耻辱感对精神分裂症和分裂情感性障碍患者的感知影响。

IF 1.8 3区医学 Q3 PSYCHIATRY

Psychiatric Rehabilitation Journal Pub Date : 2025-03-01 Epub Date: 2025-02-13 DOI:10.1037/prj0000640

Jill R Laquidara, Katelyn Furgason, Lindsay M Banks, Sophia Saavedra, Sarah Hope Lincoln

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引用次数: 0

摘要

目的：精神分裂症谱系障碍（SSDs）患者普遍存在内化耻辱感，即对自我的耻辱感。过去的证据表明，内化的耻辱感可能导致这一人群的功能恢复水平较低，并且较少接受心理健康治疗。本研究首先涉及定量部分，以检查当前样本是否与关于内化耻辱与功能恢复和治疗参与的联系的文献一致。然后，定性分析检查了参与者对他们的内化耻辱经历是否以及如何与他们的功能恢复和治疗参与相关的看法。方法：美国29名被诊断为精神分裂症或分裂情感性障碍的成年参与者完成了内化耻辱、治疗参与和功能恢复的自我报告定量测量，然后，他们回答了关于他们观点的开放式书面问题。数据收集于2022-2023年。结果：定量结果表明，内化耻辱感与较低的功能恢复和较低的治疗参与度相关，与先前文献的发现一致。对书面答复的定性分析显示，许多（但不是所有）参与者认为内化的耻辱影响了他们的功能和治疗参与。详细描述了主题，包括关系问题，难以离开家，自我怀疑，减少与治疗提供者的接触。结论和对实践的影响：内化耻辱是一个普遍存在的问题，对ssd患者有不同的影响。这项研究强调了解决内化耻辱及其后果作为ssd患者心理健康治疗的一部分的重要性。（PsycInfo Database Record (c) 2025 APA，版权所有）。

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Perceived impacts of internalized stigma in individuals with schizophrenia and schizoaffective disorder.

Objective: Internalized stigma, a stigmatized view of oneself, is a prevalent issue in individuals with schizophrenia spectrum disorders (SSDs). Past evidence has suggested that internalized stigma may contribute to lower levels of functional recovery and lower engagement with mental health treatment in this population. The present study first involved a quantitative portion to check whether the current sample aligned with the literature regarding internalized stigma's links with functional recovery and treatment engagement. Then, a qualitative analysis examined participants' perceptions of whether and how their experiences with internalized stigma are related to their functional recovery and treatment engagement.

Methods: Adult participants in the United States (N = 29) with diagnoses of schizophrenia or schizoaffective disorder completed self-report quantitative measures of internalized stigma, treatment engagement, and functional recovery, and then, they answered open-ended written questions on their perspectives. Data were collected in the Years 2022-2023.

Results: Quantitative results indicate that internalized stigma was associated with lower functional recovery and lower treatment engagement, aligning with prior findings in the literature. Qualitative analysis of written responses revealed that many but not all participants perceive internalized stigma as impacting their functioning and treatment engagement. Themes are described in detail and involve relationship issues, difficulty leaving the house, self-doubt, and decreased engagement with treatment providers.

Conclusions and implications for practice: Internalized stigma is a prevalent issue with varying impacts on individuals with SSDs. This study highlights the importance of addressing internalized stigma and its consequences as a part of mental health treatment for individuals with SSDs. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

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来源期刊

Psychiatric Rehabilitation Journal Multiple-

CiteScore

3.80

自引率

5.30%

发文量

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.