更高的元认知能力和更低的负面评价恐惧:精神分裂症患者抗污名化能力提高的潜在因素

IF 0.5 4区 医学 Q4 PSYCHIATRY
Ruth L Firmin, Lauren Luther, Michelle P Salyers, Kelly D Buck, Paul H Lysaker
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引用次数: 0

摘要

背景:污名抵抗,一个人阻止污名内化的能力,似乎是恢复的关键领域。然而,一个人最有可能抵抗耻辱的条件尚未被确定,并且耻辱抵抗的模型尚未纳入一个人考虑他人思想的能力。本研究调查了元认知(或一个人对自己、他人和世界形成综合表征的能力)与对负面评价的恐惧之间的相互作用对一个人抵抗污名的能力的影响。方法:对41例精神分裂症或分裂情感性障碍患者所分享的遭遇耻辱的叙述进行编码,以确定他们对他人负面评价的恐惧的自发表达。然后进行了两步聚类分析,以验证元认知和害怕他人的负面评价是重要的,相互作用的途径,有助于抵抗耻辱的假设。结果:高(n = 11;26.8%),中级(n = 9;22.0%),元认知能力低(n = 21;51.2%)的柱头抗性差异显著(F = 9.49, p
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Greater Metacognition and Lower Fear of Negative Evaluation: Potential Factors Contributing to Improved Stigma Resistance among Individuals Diagnosed with Schizophrenia.

Background: Stigma resistance, one's ability to block the internalization of stigma, appears to be a key domain of recovery. However, the conditions in which one is most likely to resist stigma have not been identified, and models of stigma resistance have yet to incorporate one's ability to consider the mind of others. The present study investigated the impact of the interaction between metacognition, or one's ability to form an integrated representation of oneself, others, and the world, and fear of negative evaluation on one's ability to resist stigma.

Methods: Narratives of encounters with stigma shared by 41 persons with schizophrenia or schizoaffective disorders were first coded for spontaneous expressions of fear of negative evaluation from others. Two-step cluster analyses were then conducted in order to test the hypothesis that metacognition and fearing negative evaluation from others are important, interacting pathways which contribute to resisting stigma.

Results: Those with high (n = 11; 26.8%), intermediate (n = 9; 22.0%), and low metacognition (n = 21; 51.2%) significantly differed on stigma resistance (F = 9.49, p<0.001) and the high metacognition group was most likely to resist stigma. Those with high and low metacognition did not express fear of negative evaluation, while those with intermediate metacognition did express fear of negative evaluation.

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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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