内化耻辱和疾病知识在精神灵活性和精神分裂症症状严重程度之间的关系中的调解作用
Buket Koparal1, İlknur Kiraz Avci2
1Department of Psychiatry, Faculty of Medicine, Gazi University, Ankara, Turkey. buketsevinc@gazi.edu.tr.
The Psychiatric quarterly
|April 4, 2025
概括
心理灵活性可以减少精神分裂症患者内在的耻辱感,改善症状严重程度. 通过干预措施提高灵活性和疾病知识可以改善临床结果和恢复.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 临床心理学 临床心理学
- 健康心理学 心理健康心理学
背景情况:
- 精神分裂症是一种慢性精神疾病,严重影响日常功能和生活质量.
- 在精神分裂症患者中,内化污名是普遍存在的,加剧了症状并减少了幸福感.
- 心理灵活性是一种潜在的保护因素,可以防止耻辱的不良影响.
研究的目的:
- 研究精神灵活性,内化耻辱和精神分裂症症状严重程度之间的关系.
- 检查内部化耻辱在心理灵活性和症状之间的关联中扮演的调解角色.
- 评估疾病知识对耻辱和症状严重性的影响.
主要方法:
- 一项涉及土耳其社区精神卫生中心253名精神分裂症患者的横截面研究.
- 参与者完成了经过验证的尺度:心理灵活性的接受和行动问卷-II (AAQ-II),精神疾病的内化耻辱 (ISMI) 尺度,精神分裂症知识 (KASQ) 尺度和积极和消极综合征尺度 (PANSS).
- 调解分析使用SPSS PROCESS宏观进行,以评估间接影响.
主要成果:
- 心理灵活性与较低的内化耻辱程度显著相关 (β = -1.046,p < 0.001).
- 内化耻辱显著调解了心理灵活性和症状严重程度之间的关系 (β = 0.506,p < 0.001).
- 更大的疾病知识显示出保护作用,与较低的症状严重程度相关 (β =-1.582,p < 0.001).
结论:
- 心理灵活性在减轻内化耻辱对精神分裂症症状严重性的负面影响方面发挥着至关重要的作用.
- 旨在增强心理灵活性的干预措施可以改善精神分裂症患者的临床结果.
- 增加疾病知识的精神教育计划可以进一步减少症状严重程度并支持功能恢复.
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