个人病耻感能预测心理健康资助态度吗?对资源配置与社会气候的理解。

IF 0.5 4区 医学 Q4 PSYCHIATRY
Joseph S DeLuca, Timothy W Clement, Philip T Yanos
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引用次数: 0

摘要

背景:美国精神卫生资助进展不平衡,以及资助环境似乎受到地方和地区差异影响的方式,提出了包括污名在内的哪些因素可能影响精神卫生资助决策的问题。对精神健康病耻感研究过于关注个人的批评导致研究人员考虑更广泛的、宏观层面的病耻感形式——如结构性病耻感——如何与微观层面的个人病耻感形式交叉。虽然一些研究表明宏观和微观柱头水平是不同的过程,但其他研究表明结构柱头和个体柱头之间存在更多的协同关系。方法:本研究的参与者(N = 951;(美国的便利样本)完成了一个假设的心理健康资源分配任务(一种结构性歧视的测量)。然后,我们比较了参与者在心理健康方面的资源分配与参与者对负面刻板印象的认可、对康复和治疗的信念、负面归因、有意的社会距离、微侵犯和寻求帮助(个体耻辱的衡量标准)。结果:负面刻板印象、寻求帮助的自我耻辱感和有意的社会距离行为与心理健康项目的资金分配呈微弱但显著的负相关。更具体地说,责备和愤怒的归因与职业康复的资金正相关;危险和恐惧的归因与支持住房、法院监督和门诊承诺的资金负相关;愤怒的归因与住院费用和住院费用呈负相关。结论:个体病耻感和社会人口学因素似乎只能部分解释结构性病耻感决定。未来的研究应评估更广泛的社会和背景因素,以及其他信仰和世界观(例如,分配偏好问卷,经济信仰)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Does Individual Stigma Predict Mental Health Funding Attitudes? Toward an Understanding of Resource Allocation and Social Climate.

Background: The uneven progression of mental health funding in the United States, and the way that the funding climate seems to be influenced by local and regional differences, raises the issue of what factors, including stigma, may impact mental health funding decisions. Criticisms that mental health stigma research is too individually-focused have led researchers to consider how broader, macro-level forms of stigma - such as structural stigma - intersect with micro-level forms of individual stigma. While some studies suggest that macro and micro stigma levels are distinct processes, other studies suggest a more synergistic relationship between structural and individual stigma.

Method: Participants in the current study (N = 951; national, convenience sample of the U.S.) completed a hypothetical mental health resource allocation task (a measure of structural discrimination). We then compared participants' allocation of resources to mental health to participants' endorsement of negative stereotypes, beliefs about recovery and treatment, negative attributions, intended social distancing, microaggressions, and help-seeking (measures of individual stigma).

Results: Negative stereotyping, help-seeking self-stigma, and intended social distancing behaviors were weakly but significantly negatively correlated with allocating funds to mental health programs. More specifically, attributions of blame and anger were positively correlated to funding for vocational rehabilitation; attributions of dangerousness and fear were negatively correlated to funding for supported housing and court supervision and outpatient commitment; and attributions of anger were negatively correlated to funding for inpatient commitment and hospitalization.

Conclusions: Individual stigma and sociodemographic factors appear to only partially explain structural stigma decisions. Future research should assess broader social and contextual factors, in addition to other beliefs and worldviews (e.g., allocation preference questionnaire, economic beliefs).

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来源期刊
CiteScore
0.80
自引率
25.00%
发文量
0
审稿时长
>12 weeks
期刊介绍: THE ISRAEL JOURNAL OF PSYCHIATRY publishes original articles dealing with the all bio-psycho-social aspects of psychiatry. While traditionally the journal has published manuscripts relating to mobility, relocation, acculturation, ethnicity, stress situations in war and peace, victimology and mental health in developing countries, papers addressing all aspects of the psychiatry including neuroscience, biological psychiatry, psychopharmacology, psychotherapy and ethics are welcome. The Editor also welcomes pertinent book reviews and correspondence. Preference is given to research reports of no more than 5,000 words not including abstract, text, references, tables and figures. There should be no more than 40 references and 4 tables or figures. Brief reports (1,500 words, 5 references) are considered if they have heuristic value. Books to be considered for review should be sent to the editorial office. Selected book reviews are invited by the editor.
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