The Effect of Self-Stigma on the Hope of Chinese with Mental Illness: The Mediating Role of Family Function.

IF 2.7 4区医学 Q2 PSYCHIATRY Psychiatry-Interpersonal and Biological Processes Pub Date : 2023-01-01 DOI:10.1080/00332747.2022.2154505

Lu-Yin Liang, Yi-Nan Zhang

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Abstract

Objective: This cross-sectional study examined the levels of self-stigma, hope, and family functioning among Chinese people with mental illness (MI). We also investigated the mediating role of family functioning in the relationship between self-stigma and hope. Method: Three-hundred thirty participants with MI (M_age = 42.73, SD = 14.11, 52.09% female, 61.74% schizophrenia) were surveyed. Hayes' PROCESS macro analysis (Model 4) was performed to verify the mediating effect. Results: The analysis revealed that 43.1% of the respondents had a high level of self-stigma, 68.5% indicated a low/moderate level of hope, and 54% had moderate/severe impairment in family functioning. This supports the partial mediating effect of family functioning on the relationship between self-stigma and hope. Conclusions: The self-stigmatizing experiences of Chinese people with MI adversely impair normal family functioning and reduce hope, limiting recovery prospects. Relevant results highlight the influence of the family environment on the psychological mechanisms of PMI. Limitations and future research directions are addressed.

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自我耻感对中国精神疾病患者希望的影响:家庭功能的中介作用。

目的:本横断面研究探讨了中国精神疾病患者的自我耻辱、希望和家庭功能水平。我们还研究了家庭功能在自我耻感与希望的关系中的中介作用。方法:对330例MI患者(Mage = 42.73, SD = 14.11，女性52.09%，精神分裂症61.74%)进行调查。采用Hayes’PROCESS宏观分析(模型4)验证中介效应。结果:43.1%的被调查者有高度的自我耻辱感，68.5%的被调查者有低/中等程度的希望，54%的被调查者有中度/重度的家庭功能障碍。这支持了家庭功能对自我耻感与希望关系的部分中介作用。结论:中国心肌梗死患者的自我污名化经历损害了正常的家庭功能，降低了希望，限制了康复前景。相关研究结果突出了家庭环境对PMI心理机制的影响。指出了局限性和未来的研究方向。

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来源期刊

Psychiatry-Interpersonal and Biological Processes 医学-精神病学

CiteScore

2.70

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Internationally recognized, Psychiatry has responded to rapid research advances in psychiatry, psychology, neuroscience, trauma, and psychopathology. Increasingly, studies in these areas are being placed in the context of human development across the lifespan, and the multiple systems that influence individual functioning. This journal provides broadly applicable and effective strategies for dealing with the major unsolved problems in the field.