子宫内膜异位症的孤独感和社会支持感:身体形象障碍和预期耻辱的作用。

IF 2 3区 心理学 Q3 PSYCHOLOGY, CLINICAL
Catherine Calvi, Kerry A Sherman, Dione Pham
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引用次数: 0

摘要

背景:研究表明,患有慢性炎症性疾病子宫内膜异位症会对社会功能和人际关系产生不利影响,特别是孤独感和缺乏社会支持。常见的身体形象障碍(BID),再加上其他人对子宫内膜异位症相关污名的预期,可能会导致进一步的社交退缩。本研究旨在定量调查BID与社会功能(孤独感和感知到的社会支持减少)之间的关系,以及预期污名对这些关系的潜在调节作用。方法:参与者(N = 212)完成了一份在线问卷,测量社交和情感孤独感、感知的社会支持、BID、预期的耻辱感以及人口统计学和医学特征。结果:平均分表明BID水平高,情绪孤独,感知社会支持减少。Bootstrap多变量回归分析表明,BID与更大的情感孤独感和更低的社会支持感显著相关。BID也与更大的社交孤独感双变量相关。来自医护人员的预期污名调节了BID与感知社会支持的关联,因此,尽管存在最小的BID,但当预期污名较高时,报告的感知支持较差。结论:这些发现突出了子宫内膜异位症患者在感到孤独和缺乏支持的情况下,在高度流行的BID方面面临的心理挑战。预期污名化的进一步负面影响表明,心理社会干预可能受益于额外针对这些污名化观念。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Loneliness and Perceived Social Support in Endometriosis: The Roles of Body Image Disturbance and Anticipated Stigma.

Loneliness and Perceived Social Support in Endometriosis: The Roles of Body Image Disturbance and Anticipated Stigma.

Background: Research has identified that living with the chronic inflammatory disease endometriosis adversely impacts social functioning and interpersonal relationships, specifically, feelings of loneliness and a lack of perceived social support. Commonly experienced body image disturbance (BID), combined with the anticipation of endometriosis-related stigma from others, may result in further social withdrawal. This study aimed to quantitatively investigate the association between BID and social functioning (loneliness and diminished perceived social support), and the potential moderating effect of anticipated stigma on these associations.

Method: Participants (N = 212) with a self-reported endometriosis diagnosis completed an online questionnaire measuring social and emotional loneliness, perceived social support, BID, anticipated stigma and demographic and medical characteristics.

Results: Mean scores indicated high levels of BID, emotional loneliness and diminished perceived social support. Bootstrapped multivariable regression analyses indicated that BID was significantly associated with greater emotional loneliness and lower perceived social support. BID was also associated bivariately with greater social loneliness. Anticipated stigma from healthcare workers moderated the association of BID with perceived social support, such that poorer perceived support was reported when anticipated stigma was high, despite the presence of minimal BID.

Conclusion: These findings highlight the psychological challenges of living with endometriosis in terms of highly prevalent BID, in the context of feeling lonely and poorly supported. The further negative impact of anticipated stigma suggests that psychosocial interventions may benefit from additionally targeting these perceptions of stigma.

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来源期刊
CiteScore
5.20
自引率
3.70%
发文量
97
期刊介绍: The International Journal of Behavioral Medicine (IJBM) is the official scientific journal of the International Society for Behavioral Medicine (ISBM). IJBM seeks to present the best theoretically-driven, evidence-based work in the field of behavioral medicine from around the globe. IJBM embraces multiple theoretical perspectives, research methodologies, groups of interest, and levels of analysis. The journal is interested in research across the broad spectrum of behavioral medicine, including health-behavior relationships, the prevention of illness and the promotion of health, the effects of illness on the self and others, the effectiveness of novel interventions, identification of biobehavioral mechanisms, and the influence of social factors on health. We welcome experimental, non-experimental, quantitative, qualitative, and mixed-methods studies as well as implementation and dissemination research, integrative reviews, and meta-analyses.
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