心理疾病患者自我污名及影响初探  

Preliminary Research on the Mental Illness Self Stigma and its Impact

作　　者：李强[1] 高文珺[1] 龙鲸[2] 白炳清[3] 赵宝然[3] 

机构地区：[1]南开大学心理学研究中心,天津300071 [2]天津市安定医院临床心理科,天津300022 [3]天津市第一中心医院心理卫生科

出　　处：《中国临床心理学杂志》2010年第3期323-325,319,共4页Chinese Journal of Clinical Psychology

基　　金：国家社会科学基金项目(06BSHO29)

摘　　要：目的:初步探讨心理疾病患者自我污名现状及负面后果。方法:以天津市第一中心医院心理卫生科206名求诊患者为对象进行问卷调查。结果:心理疾病患者存在一定程度的自我污名;自我污名程度在年龄、婚姻状况上存在显著差异;多元回归分析发现,内化污名的生活无意义、刻板印象认同、价值否定、社交退缩等维度对患者的自尊、自我效能、抑郁状态、社交回避状况和康复信心有显著预测力;逻辑回归分析显示刻板印象认同、社交退缩、歧视体验等维度对患者主动求医行为预测作用显著。结论:在中国文化背景中,心理疾病患者的自我污名在一定程度上可解释患者治疗和康复受阻的原因。Objective： To explore the actuality and the effect of mental illness self-stigma.Methods： 206 people with mental illness were taken as the participants to finish the questionnaire.Results： The patients were self stigmatized to some extent,and significant differences were found in age and marital state.Multiple regression analysis revealed that life meaningless、stereotype endorsement、value negation and social withdrawal subscales of ISMI could remarkably predict self-esteem,self-efficacy,depressive symptoms,social avoidance and recovery confidence.Logical regression analysis revealed that the stereotype endorsement、social withdrawal and perceived discrimination could significantly predict seeking help behavior.Conclusion： In Chinese culture,the self-stigma of mental illness patients is significantly associated with the factors impeding their treatment and rehabilitation.

关 键 词：自我污名 心理疾病患者 心理疾病内化污名量表 

分 类 号：R395.2[哲学宗教—心理学]