计算精神病学方法对精神疾病患者的耻辱亚型:明确和隐含的内化耻辱
Mikhail Y Sorokin1, Natalia B Lutova1, Maria O Bocharova1,2
1V.M. Bekhterev National Medical Research Centre for Psychiatry and Neurology.
Consortium psychiatricum
|January 22, 2024
概括
精神病学污名化亚型影响患者的治疗动机. 隐性耻辱与较低的动机有关,而明确的耻辱则显示出不同的模式,突出显示了心理健康护理的复杂性.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 心理健康研究 心理健康研究
背景情况:
- 精神病的耻辱对患者的健康行为有复杂的影响.
- 精神病患者的耻辱化和动机是异质的和多维的.
- 耻辱和治疗动机之间的关系比以前理解的要复杂得多.
研究的目的:
- 为了识别精神病学耻辱的亚型.
- 检查污名化亚型与治疗动机之间的关系.
- 在各种精神障碍的住院患者中调查这些关系.
主要方法:
- 评估了63名精神病医院的住院患者.
- 使用治疗动机评估问卷 (TMAQ).
- 采用俄罗斯版本的精神疾病内部化耻辱度量 (ISMI) 和K-Means集群分析.
主要成果:
- 鉴定了三个耻辱的集群:最少的耻辱 (集群3),明确的耻辱 (集群1),隐含的耻辱 (集群2).
- 集群2 (隐性耻辱) 显示治疗动机最低.
- 与明确污名化个体相比,隐性污名化患者在4个TMAQ因子中的3个下降.
结论:
- 隐含的耻辱与明显较低的治疗动机有关.
- 与医疗保健提供者合作和在应对中自力更生可能有助于克服内化污名.
- 了解污名化亚型对于改善心理健康护理中的治疗参与至关重要.
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