重新思考耻辱:偏见的信念影响了美国士兵的精神病治疗
Deane E Aikins1, Julie Wargo Aikins2, Tara Consolino1
1Veterans Affairs Detroit Healthcare System.
Psychological services
|November 7, 2024
概括
患有PTSD的军人经常避免接受治疗. 这项研究发现,对患有创伤后应激障碍 (PTSD) 的自责信念减少了药物接受率,突出了护理的障碍.
科学领域:
- 精神病学是一个精神病学.
- 军人卫生保健 军人卫生保健
- 污名化研究研究
背景情况:
- 三分之二的患有PTSD的军人没有寻求治疗.
- 偏见的信念可能会阻碍接受治疗.
- 了解耻辱的作用对于改善护理至关重要.
研究的目的:
- 检查关于PTSD的偏见信念如何影响现役士兵接受精神病药物.
- 区分公共耻辱与自我耻辱对治疗决策的影响.
主要方法:
- 现役士兵完成了关于偏见信念,公共耻辱,药物信念和PTSD症状的调查.
- 医疗记录和重新评估数据被用来将调查响应与药物供应接受联系起来.
- 进行了统计分析,以确定有意义的关联.
主要成果:
- 增加对PTSD的自我责怪信念与接受精神病药物治疗的可能性较低显著相关.
- 公共耻辱与药物接受没有显著的关联.
- 年龄较大与接受药物的可能性更高相关.
结论:
- 自我耻辱,特别是对创伤后应激障碍的个人责任的信念,是接受精神病治疗药物的重要障碍.
- 当前的反污名化努力如果不解决自我污名化问题,可能会变得不那么有效.
- 公共卫生运动应侧重于减少自我责怪,以改善军队中PTSD治疗参与度.
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