了解内化耻辱在双相情感障碍患者性别特异性自杀想法中的作用
Martina D'Angelo1, Luca Steardo1
1Psychiatry Unit, Department of Health Sciences, University of Catanzaro Magna Graecia, 88100 Catanzaro, Italy.
Journal of clinical medicine
|July 27, 2024
概括
像歧视这样的内化耻辱因素与双相情感障碍 (BD) 患者的自杀想法有关. 这些关联在性别之间存在差异,突出了针对性干预的必要性.
科学领域:
- 精神病学是一个精神病学.
- 心理健康研究 心理健康研究
- 临床心理学 临床心理学
背景情况:
- 耻辱显著影响双相情感障碍 (BD) 患者的心理健康和福祉.
- 了解内化耻辱的细微差别对于解决BD中自杀倾向至关重要.
- 经历污名的基于性别的差异需要进一步调查.
研究的目的:
- 探索双相情感障碍患者内化耻辱和自杀念头的特定因素之间的联系.
- 调查这些关联中的潜在基于性别的差异.
- 为 BD 地区预防自杀的有针对性的干预措施的制定提供信息.
主要方法:
- 横截面研究设计. 截面研究设计.
- 利用双极患者的临床全球印象 (CGI-BP),精神疾病的内化耻辱 (ISMI) 和哥伦比亚自杀严重性评级表 (C-SSRS).
- 包括344名BD受试者;使用描述性分析,ANOVA和后勤回归.
主要成果:
- 在ISMI子项目中发现了性与自杀之间的显著关联 (p = 0.000).
- 歧视一致预测了自杀 (p < 0.001).
- 异化和刻板印象也成为自杀的重要预测因素 (p < 0.001).
结论:
- 内化污名,特别是歧视,与双相情感障碍中自杀倾向有很大关系.
- 性差异存在于耻辱因素和自杀念头之间的关系中.
- 根据这些发现量身定制的早期干预和预防策略至关重要.
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