波兰患者内化耻辱的严重程度和预测因素
Piotr Świtaj1, Paweł Grygiel2, Nina Kożuch3
1Maria Sklodowska-Curie Medical Academy in Warsaw, Warsaw, Poland.
Neurologia i neurochirurgia polska
|June 11, 2025
概括
一个支持性的社交网络和文化资本可以减少患者内在的耻辱感. 更高的残疾和更多的抗发作药物增加了自我耻辱,突出了针对性干预的必要性.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 社会科学 社会科学 社会科学
背景情况:
- 内化耻辱 (自我耻辱) 是患有等慢性疾病的个体的一个重要问题.
- 自我污名化会导致不良的健康结果和降低生活质量.
- 了解影响患者自我耻辱的因素对于有效管理至关重要.
研究的目的:
- 探索波兰患者内化耻辱的强度.
- 确定与这群人内化耻辱的严重程度相关的因素.
主要方法:
- 华沙120名患者的队列完成了自我报告措施.
- 评估包括内化耻辱,社交网络,物质福祉,文化资本和残疾.
- 层次线性多重回归分析确定了内化耻辱的预测因素.
主要成果:
- 大多数 (55%) 报告说内化污名很小或没有;1.7% 报告说严重的污名.
- 一个更大的,支持性的社交网络 (β = -0.36) 和更高的文化资本 (β = -0.17) 与较少的内化耻辱有关.
- 增加抗发作药物的使用 (β = 0.33) 和更高的残疾水平 (β = 0.25) 预测了更大的内化耻辱.
结论:
- 内化耻辱仍然是患者临床和社会挑战.
- 个人资源,如社会支持和文化资本,作为保护因素.
- 疾病严重程度指标 (药物数量,残疾) 与增加自我耻辱的脆弱性有关.
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