在历史上被边缘化,患有严重精神疾病的年轻成年人中的耻辱:一种混合方法研究
Aaron H Rodwin1, Rei Shimizu2, Moiyattu Banya1
1New York University, Silver School of Social Work, New York, NY.
Stigma and health
|February 24, 2025
概括
患有严重精神疾病 (SMI) 的有色人种年轻人经历了预期的耻辱,特别是严重抑郁症. 积极的治疗信念可能会减少这种耻辱,突出心理健康支持的关键因素.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 卫生社会学 卫生社会学
- 健康差异 在健康上的差异
背景情况:
- 围绕精神疾病的耻辱感阻碍了服务获取和恢复.
- 有限的研究存在于严重精神疾病 (SMI) 边缘化的年轻成年人之间的耻辱经历.
研究的目的:
- 为了调查与预期的污名化相关的因素,在SMI的年轻成年有色人种.
- 通过使用定性方法,探索这个人群中对耻辱的经历.
主要方法:
- 融合混合方法研究包括113名有SMI的有色人种年轻成年人.
- 定量阶段:多变量回归分析.
- 定性阶段:基于理论编码和面试数据的持续比较.
主要成果:
- 更高的抑郁症症状严重程度与预期的耻辱感增加相关.
- 更积极的治疗信念与预期的耻辱感较低有关.
- 定性主题揭示了与自我认知,社会观点和生活影响有关的耻辱感.
结论:
- 患有严重抑郁症和负面治疗信念的年轻人面临着更大的耻辱.
- 了解这些因素对于制定有针对性的干预措施至关重要.
- 解决污名化问题对于改善精神卫生服务参与度和边缘化青年的结果至关重要.
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