当前位置: X-MOL 学术Clin. Psychol. Rev. › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
Unpacking stigma: Meta-analyses of correlates and moderators of personal stigma in psychosis
Clinical Psychology Review ( IF 13.7 ) Pub Date : 2021-08-28 , DOI: 10.1016/j.cpr.2021.102077
Emma T Eliasson 1 , Lily McNamee 2 , Linda Swanson 3 , Stephen M Lawrie 2 , Matthias Schwannauer 4
Affiliation  

Personal stigma entails perceived, experienced and internalised stigmatisation. Mental Health stigma has been widely researched across a range of countries and a meta-analysis of their associations and moderators in psychosis is timely. Meta-analyses were conducted examining the correlates and moderators of personal stigma in terms of: (1) demographic variables (2) illness related variables (3) symptoms/negative outcomes, and (4) aspects of wellbeing. Associations were obtained from a total of 216 records. Several demographic factors including age, economic status, employment, and rural residence had small associations with aspects of personal stigma (r's = 0.12 to −0.13). Personal stigma aspects were inversely related to medication adherence (r's = −0.20, −0.21), and positively associated with insight and number of hospitalisations (r's = 0.09–0.19). Most symptoms were positively associated with personal stigma (r's = 0.10–0.43), whereas inverse relations with wellbeing variables were identified (r's = −0.13 to −0.54). Moderator effects emerged including that of cultural setting and sex, age and education level, highlighting the role of cultural and demographic factors in shaping personal stigma aspects in psychosis. The present study also highlights the importance of recognizing the negative effect of actual stigma and discrimination experiences; particularly its detrimental impact on self-image and its complex role in shaping the internalisation of societal stigma.



中文翻译:

揭开耻辱感:精神病中个人耻辱感的相关因素和调节因素的元分析

个人污名包括感知、体验和内化的污名化。心理健康污名已在许多国家/地区得到广泛研究,对它们在精神病中的关联和调节因素进行荟萃分析是及时的。进行了荟萃分析,从以下方面检查个人污名的相关性和调节因素:(1) 人口统计学变量 (2) 疾病相关变量 (3) 症状/负面结果,以及 (4) 幸福感。从总共 216 条记录中获得了关联。包括年龄、经济地位、就业和农村居住在内的几个人口统计因素与个人耻辱感的相关性很小(r = 0.12 到 -0.13)。个人耻辱感与药物依从性呈负相关(r's = -0.20, -0.21),并且与洞察力和住院次数呈正相关(r 's = 0.09–0.19)。大多数症状与个人污名呈正相关(r 's = 0.10–0.43),而与幸福变量呈负相关(r s = -0.13 到-0.54)。出现了调节效应,包括文化背景和性别、年龄和教育水平,突出了文化和人口因素在塑造精神病的个人污名方面的作用。本研究还强调了认识到实际污名和歧视经历的负面影响的重要性;尤其是它对自我形象的不利影响及其在塑造社会污名内化方面的复杂作用。

更新日期:2021-09-23
down
wechat
bug