精神病理特征和抗精神病治疗可能与精神分裂症的内化耻辱有关-一项横断面研究

IF 0.7 Q4 PSYCHIATRY
Juliusz Rodak, A. Witusik, K. Nowakowska-Domagała, T. Pietras, Ł. Mokros
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引用次数: 3

摘要

目的:本研究的目的是评估精神分裂症患者与使用抗精神病药物治疗相关的精神疾病内化耻辱与精神病理特征之间的关系。方法:研究对象为64例精神分裂症患者。本研究采用心理疾病内化污名量表,从疏离感、刻板印象认同、歧视体验、社会退缩和污名抵抗五个方面评估自我污名化程度。由精神科医生使用精神分裂症综合征临床评估量表对症状进行评估。其他感兴趣的变量包括当前药物治疗、身体质量指数(BMI)和一般功能的数据。建立多元线性回归模型来评估感兴趣的变量与ISMI子量表得分之间的关系。当p < 0.05时,认为结果有统计学意义。结果:长效注射剂Zuclopenthixol具有较高的疏离感、刻板印象背书和歧视体验,而利培酮具有较高的刻板印象背书指数。口服利培酮与较低的疏离感严重程度和较高的污名抵抗水平有关。缺乏洞察力得分的上升预示着疏离感、刻板印象认可、歧视经历和社会退缩得分的下降。自我意识干扰得分的上升预示着疏离感、刻板印象认同和歧视体验的上升。ISSN: 1230-2813卷26 /第1期2017精神病学与神经病学进展
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Psychopathological profile and antipsychotic treatment may be linked to internalised stigma in schizophrenia – a cross-sectional study
Purpose: The aim of this study was to assess the relationship between the internalised stigma of mental illness associated with the use of antipsychotic treatment and psychopathological profile among patients diagnosed with schizophrenia. Method: The study group comprised 64 patients diagnosed with schizophrenia. The Internalised Stigma of Mental Illness Inventory was used to assess the degree of self-stigmatisation in five aspects: Alienation, Stereotype Endorsement, Discrimination experience, Social withdrawal and Stigma resistance. The symptoms were assessed by a psychiatrist using the Clinical Assessment of Schizophrenic Syndromes Scale. Other variables of interest included data on current pharmacotherapy, body-mass index (BMI) and general functioning. Multivariate linear regression models were created to assess the association between variables of interest and ISMI subscale scores. Results were considered statistically significant when p < 0.05. Results: Zuclopenthixol, a long-acting injectable (LAI), was linked to greater Alienation, Stereotype endorsement and Discrimination experience, while risperidone LAI was associated with higher indices of Stereotype endorsement. Oral risperidone was linked to lower severity of Alienation and a greater level of Stigma resistance. A rise in the Lack of insight score predicted falls in Alienation, Stereotype endorsement, Discrimination experience and Social withdrawal scores. A rise in the Disturbances of Sense of Self score predicted rises in Alienation, Stereotype endorsement and Discrimination experience. ISSN: 1230-2813 volume 26 / Issue 1 2017 ADVANCES IN PSYCHIATRY & NEUROLOGY
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来源期刊
Postepy Psychiatrii i Neurologii
Postepy Psychiatrii i Neurologii Psychology-Clinical Psychology
CiteScore
0.90
自引率
0.00%
发文量
13
期刊介绍: The quarterly Advances in Psychiatry and Neurology is aimed at psychiatrists, neurologists as well as scientists working in related areas of basic and clinical research, psychology, social sciences and humanities. The journal publishes original papers, review articles, case reports, and - at the initiative of the Editorial Board – reflections or experiences on currently vivid theoretical and practical questions or controversies. Articles submitted to the journal are evaluated first by the Section Editors, specialists in the fields of psychiatry, clinical psychology, science of the brain and mind and neurology, and reviewed by acknowledged authorities in the respective field. Authors and reviewers remain anonymous to each other.
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