(不可见的) 斗:与精神和慢性身体疾病相关的交叉耻辱如何塑造医疗保健环境中的认知
Edita Fino1, Paolo Maria Russo2, Maria Ida Gobbini2,3
1Department of Psychology "Renzo Canestrari", Alma Mater Studiorum Università di Bologna, Bologna, Italy.
British journal of health psychology
|November 27, 2025
概括
患有精神和身体疾病的患者面临着独特的缺点. 医学学生对这些患者的症状回忆和护理态度不太准确,突出了医疗机构潜在的歧视.
科学领域:
- 医学教育 医学教育
- 健康差异 在健康上的差异
- 健康的社会决定因素
背景情况:
- 与精神疾病相关的耻辱感在医疗保健中得到了充分记录.
- 人们对精神疾病污名化如何与慢性身体疾病污名化相交的理解较少.
- 这种十字路口可以为患者创造独特的不利形式.
研究的目的:
- 调查医学学生如何感知和治疗患有并发精神和身体健康状况的患者.
- 探索交叉的耻辱对患者护理和医学学生态度的影响.
主要方法:
- 采用混合方法设计,涉及临床前医学学生 (N=463).
- 学生评估了单个 (精神或身体) 和多个 (同时精神和身体) 健康状况的患者的临床细节.
- 收集的数据包括情绪反应,疾病归因,照顾者的态度和症状回忆的准确性.
主要成果:
- 耻辱化的状况与增加的护理不适和减少披露相关.
- 同时患有精神和身体疾病的患者得到的护理较少,被认为不太可能隐藏病情,并且记忆症状不太准确.
- 医学学生在患有多种污名化疾病的患者中表现出较低的症状回忆精度.
结论:
- 同时的精神和身体疾病可以导致医学学生的差异感知和潜在的歧视.
- 患有多种污名化疾病的患者可能会成为不那么明显的护理目标.
- 调查结果强调,需要在医学课程中提高对健康社会决定因素的认识,以实现更具包容性的医疗保健实践.
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