洞察力悖论的心理社会影响和慢性精神病障碍中的内化耻辱感
Juan Jesús Muños García1, Ricardo M Hodann-Caudevilla2, Alfonso García Castaño3
1Centro de San Juan de Dios, Orden Hospitalaria San Juan de Dios, 28350 Ciempozuelos, Spain.
Behavioral sciences (Basel, Switzerland)
|April 26, 2025
概括
内化污名化会使精神分裂症患者的心理社会结果恶化. 减少耻辱和提供有针对性的治疗对于改善慢性精神障碍患者的生活质量和康复至关重要.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 社会心理学 社会心理学
背景情况:
- 耻辱和歧视对患有慢性精神障碍,特别是精神分裂症的个体产生重大影响.
- 洞察力的悖论突出了增加疾病意识如何可能恶化结果,如果内化耻辱是高的.
- 了解洞察力和耻辱之间的相互作用对于改善心理社会福祉至关重要.
研究的目的:
- 检查内部化耻辱如何调节精神病频谱障碍男性的洞察力和心理社会结果之间的关系.
- 根据洞察力和耻辱程度以及它们对心理健康的影响来识别不同的个人资料.
- 为旨在减轻耻辱对康复的负面影响的干预提供信息.
主要方法:
- 使用K-means集群,将83名患有精神病谱系障碍的男性参与者分为基于洞察力和内化耻辱的个人资料.
- 评估了心理社会结果,包括抑郁症,生活质量和整体功能.
- 统计分析调查了内化耻辱对洞察力-心理社会结果关系的温和效应.
主要成果:
- 出现了三种不同的形象:良好的洞察力/最小的耻辱感,不良的洞察力/轻微的耻辱感和良好的洞察力/严重的耻辱感.
- 在这些个人资料中观察到抑郁症,生活质量和整体功能方面的显著差异.
- 证实内化污名化会缓和这种关系,当污名化程度高时,会对生活质量和心理健康产生负面影响.
结论:
- 内化耻辱加剧了洞察力对精神分裂症患者心理社会福祉的负面影响.
- 建议进行心理教育干预,社区参与和认知行为疗法,以解决耻辱和改善结果.
- 有针对性的策略对于增强心理社会福祉和支持这一群体的康复至关重要.
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