精神病のリスクが非常に高い若者の認知された汚名と自己汚名:アイデンティティ関連,心理的および機能的結果との関連
Zoe Waters1, Jeneva L Ohan1, Yael Perry2
1The University of Western Australia School of Psychological Science, 35 Stirling Highway, Crawley, WA, 6009, Australia; The Kids Research Institute Australia, 15 Hospital Avenue, Nedlands, WA, 6009, Australia.
Schizophrenia research
|September 4, 2025
まとめ
精神病の超高リスク (UHR) を抱える若者に 自己侮辱は自尊心と苦悩を害し 認識された自己侮辱は人とのやり取りに影響し 支援の必要性を強調します
科学分野:
- 精神科
- 心理学
- メンタルヘルスの研究
背景:
- 認知と自己侮辱はアイデンティティや 心理的幸福感や 差別化された集団の機能に 負の影響を及ぼします
- 精神病の超高リスク (UHR) の若い人における汚名の影響に関する研究は限られている.
- この研究は,UHRの若者に対する汚名を調査することで,このギャップを埋めています.
研究 の 目的:
- 認知された汚名と自己汚名とUHRの若者のアイデンティティ関連,心理的,機能的な結果との関連を調べる.
- 幸福感のさまざまな側面に対する認識と自己汚名を区別する
- 汚名を経験しているUHRの若者向けに標的を絞った介入の情報を提供すること.
主な方法:
- 精神病のUHR基準を満たす61人の若者を採用しました.
- 認知された汚名,自己汚名,自尊心,自己有効性,自己同情,心理的苦痛,認知されたストレス,および開示の苦痛を測定するオンライン調査を実施しました.
- CanARY試験 (うつ病,不安,弱まった精神病症状,社会的/職業的機能) の測定値を含む結果の予測因子としての汚名を評価するために複数の回帰分析を使用した.
主要な成果:
- 心理的な症状 (不安,うつ,陽性精神症状) を除いて,バイバリエーションの相関は,予期されるスティグマとアウトカムとの関係を示した.
- 認知された汚名とは違いますが 自己汚名とは違いますが 暴露の苦痛と正に相関しています
- 逆行分析では 自己侮辱が 独特で否定的な自己評価や 心理的苦痛や ストレスを予測することを明らかにしました
結論:
- 認知されたスティグマと自己スティグマは,UHRの若者の精神病の有害な結果と関連しています.
- 自己侮辱は自己認識 (自尊心,苦悩) により害があるように見えるが,知覚された恥辱は社会的相互作用 (開示苦悩) に影響する.
- この脆弱な集団を支援するには,長期的な影響と緩和要因に関するさらなる研究が不可欠です.
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