精神疾病和物质使用障碍耻辱:在结构和个人之间绘制路径,以加速研究和干预
Valerie A Earnshaw1, Mohammad Mousavi1, Xueli Qiu1
1Department of Human Development and Family Sciences, University of Delaware, Newark, Delaware, USA;
Annual review of clinical psychology
|January 13, 2025
概括
结构性耻辱加剧精神疾病 (MI) 和物质使用障碍 (SUD) 的风险和治疗结果. 本综述阐明了社会结构如何通过各种污名化途径影响MI / SUD护理.
科学领域:
- 公共卫生 公共卫生
- 心理健康研究 心理健康研究
- 社会学 社会学 社会学
背景情况:
- 结构性耻辱显著影响精神疾病 (MI) 和物质使用障碍 (SUD) 的风险.
- 现有研究强调了耻辱对MI/SUD治疗和康复的有害影响.
- 连接结构性耻辱与MI/SUD结果的确切途径需要进一步阐明.
研究的目的:
- 审查与MI/SUD相关的结构性耻辱现有奖学金.
- 识别和描述结构性耻辱影响MI/SUD结果的途径.
- 提出一个概念框架,说明这些关系.
主要方法:
- 对结构性MI/SUD污名的研究进行系统文献综述.
- 开发一个概念框架,详细说明耻辱机制和调解过程.
- 分析MI / SUD污名和其他形式的污名 (例如种族,性别,性取向) 之间的交叉点.
主要成果:
- 结构性耻辱通过人际关系和个人耻辱影响MI/SUD治疗级联.
- 调解过程,如资源获取,心理和行为反应以及社会隔离是关键.
- 交叉的耻辱 (例如种族,性别,性取向) 加剧了这些影响.
结论:
- 了解结构性耻辱的途径对于有效的MI/SUD干预至关重要.
- 拟议的框架可以指导未来的研究,政策和临床实践.
- 解决结构性耻辱需要针对社会和个人因素的多层次战略.
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