精神疾病的显性和隐性污名对协助性社区治疗从业者康复态度的预测作用。

IF 0.5 4区 医学 Q4 PSYCHIATRY
Laura G Stull, Haley McConnell, John McGrew, Michelle P Salyers
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引用次数: 0

摘要

背景:虽然对精神疾病的显性负面刻板印象已被公认为是康复的障碍,但隐性态度也可能对康复结果产生负面影响。本研究的独特之处在于,它同时关注了显性和隐性成见对心理健康从业者康复态度的预测作用:方法:来自 55 个团队的支持性社区治疗从业人员(n = 154)完成了关于成见、康复态度和内隐关联测试(IAT)的在线测量:结果:四个显性成见变量中的三个(自责感、无助感和危险感)以及所有三个隐性成见变量都与较低的康复态度有关。然而,在一个多变量分层模型中,内隐成见并不能解释康复态度的额外差异。在整体模型中,对危险性的感知和将精神疾病与 "坏 "联系在一起的隐性成见是较低康复态度的重要个体预测因素:当前的研究表明,有必要采取干预措施来降低显性成见,尤其是对危险性的认知,以提高心理健康服务提供者对康复的期望。至于内隐成见和外显成见在多大程度上会对包括康复态度在内的结果产生不同的预测作用,还需要进一步的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Explicit and Implicit Stigma of Mental Illness as Predictors of the Recovery Attitudes of Assertive Community Treatment Practitioners.

Background: While explicit negative stereotypes of mental illness are well established as barriers to recovery, implicit attitudes also may negatively impact outcomes. The current study is unique in its focus on both explicit and implicit stigma as predictors of recovery attitudes of mental health practitioners.

Method: Assertive Community Treatment practitioners (n = 154) from 55 teams completed online measures of stigma, recovery attitudes, and an Implicit Association Test (IAT).

Results: Three of four explicit stigma variables (perceptions of blameworthiness, helplessness, and dangerousness) and all three implicit stigma variables were associated with lower recovery attitudes. In a multivariate, hierarchical model, however, implicit stigma did not explain additional variance in recovery attitudes. In the overall model, perceptions of dangerousness and implicitly associating mental illness with "bad" were significant individual predictors of lower recovery attitudes.

Conclusions: The current study demonstrates a need for interventions to lower explicit stigma, particularly perceptions of dangerousness, to increase mental health providers' expectations for recovery. The extent to which implicit and explicit stigma differentially predict outcomes, including recovery attitudes, needs further research.

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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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