服务用户对精神病风险术语的看法:一项关于标签术语偏好和耻辱的意大利研究
Tommaso Boldrini1, Gabriele Lo Buglio2, Arianna Schiano Lomoriello3
1Department of Psychology and Educational Science, Pegaso Telematic University, Naples, Italy.
Asian journal of psychiatry
|October 11, 2024
概括
"处于危险心理状态" (ARMS) 是意大利青年和临床医生中精神病风险的首选和最不耻辱的术语,与精神病超高风险 (UHR) 不同. 像"改变个人现实" (CPR) 这样的新术语显示出希望.
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:
- 目前的精神病风险术语,包括风险精神状态 (ARMS),精神病超高风险 (UHR) 和减弱精神病综合征 (APS),缺乏一致的理解,可能带有耻辱感.
- 与现有的精神病风险标签相关的可接受性和潜在的耻辱感尚未得到充分理解,特别是在患有精神疾病的年轻人中.
- 需要探索和评估精神病风险概念的新术语,以改善沟通并减少临床环境中的耻辱感.
研究的目的:
- 通过让意大利青年参与实践经验,为精神病风险概念创造新的标签术语.
- 评估年轻人,亲属和临床医生对现有和新产生的术语的识字,态度和偏好.
- 调查关于在临床实践中披露危险术语的意见.
主要方法:
- 新的诊断术语 (精神病倾向 (PP),个人现实变化 (CPR),主观性失调 (HSD) 的暗示) 通过双主持人重点小组被创造出来.
- 47名寻求帮助的年轻人,60名亲属和61名临床医生接受了问卷调查,以评估对现有和新术语的识字能力,态度和偏好.
- 该研究评估了与不同标签相关的耻辱感,并探索了披露风险概念的偏好.
主要成果:
- 在青少年 (42%) 和亲属 (38%) 中,已确定的精神病风险术语的识字率很低.
- 风险心理状态 (ARMS) 是青少年和临床医生的首选和最不耻辱的术语,而精神病的超高风险 (UHR) 被认为是最耻辱的.
- 在新的术语中,改变个人现实 (CPR) 被发现是最不耻辱和最有信息的;在建立信任后,披露是首选的.
结论:
- 风险心理状态 (ARMS) 是一个建议的术语,用于临床实践与年轻人,因为它的可接受性和较低的耻辱与UHR相比.
- 个人现实变化 (CPR) 显示出作为一种不那么污名化,更具信息性的标签的潜力,需要进一步的跨文化验证.
- 迫切需要提高意大利的心理健康素养和预防意识,特别是关于精神病风险.
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