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An investigation into social work students’ attitudes towards people with mental illness in Greece 希腊社会工作专业学生对精神疾病患者态度的调查
Q1 Social Sciences Pub Date : 2018-10-02 DOI: 10.1080/17542863.2018.1561735
Charis Asimopoulos, S. Martinaki
ABSTRACT Bachelor level social work students in Greece were surveyed to assess their attitudes towards the mentally ill in relation to their level of familiarity with mental illness, their demographics and study-related characteristics. The research sample included 370 students who completed a self-report questionnaire including sociodemographic data, the 40-item Community Attitudes towards the Mentally Ill scale (CAMI) and the 11-item Level of Familiarity Questionnaire. Results from analyses showed that the mean Familiarity index was significantly greater in third- and fourth-year students than in those attending the first and second years. Also, scores on Authoritarianism and Social restrictiveness decreased as the year of study increased. Familiarity index was significantly negatively correlated with both the Authoritarianism and Social restrictiveness dimensions. Increased age and year of studies were found to be positively correlated with Benevolence and Community mental health ideology scores. Furthermore, the Familiarity index was positively correlated with both Benevolence and Community mental health ideology dimensions. The results indicate that the year of studies and level of familiarity play a crucial role in students’ attitudes towards people with mental illness. Implications for additional research and education of bachelor level social work students are discussed.
摘要:本研究调查了希腊本科社会工作专业的学生,以评估他们对精神疾病的态度,包括他们对精神疾病的熟悉程度,他们的人口统计学和研究相关特征。研究样本包括370名学生,他们完成了一份自我报告问卷,包括社会人口学数据、40项社区精神疾病态度量表(CAMI)和11项熟悉程度问卷。分析结果表明,三年级和四年级学生的平均熟悉度指数明显高于一年级和二年级学生。此外,“威权主义”和“社会限制”的得分随着学习年份的增加而下降。熟悉度指数与威权主义维度和社会限制维度均呈显著负相关。年龄和学习年限的增加与爱心和社区心理健康意识形态得分呈正相关。熟悉度指数与爱心和社区心理健康意识形态维度均呈显著正相关。结果表明,学习年限和熟悉程度对学生对精神疾病患者的态度起着至关重要的作用。讨论了对社会工作专业本科学生的进一步研究和教育的影响。
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引用次数: 2
Closing the mental health treatment gap through the collaboration of traditional and Western medicine in Liberia 通过利比里亚传统医学和西医的合作,缩小精神卫生治疗差距
Q1 Social Sciences Pub Date : 2018-10-02 DOI: 10.1080/17542863.2018.1556715
Augusta R. Herman, S. J. Pullen, Brittany C. L. Lange, Nicole Christian-Brathwaite, Melissa Ulloa, Michael P Kempeh, Dyujay G Karnga, Dorothy Johnson, B. Harris, D. Henderson, C. Borba
ABSTRACT Liberians have experienced significant psychological trauma following fourteen years of violent civil war and the 2014–2015 Ebola epidemic, but there are only two psychiatrists for the entire population. However, many traditional healers commonly treat mental health-related illnesses throughout the country. This paper examines the potential for collaboration between traditional and Western medicine to close the mental health treatment gap in Liberia. We conducted 35 semi-structured qualitative interviews with Liberian traditional healers and utilizers of traditional medicine asking questions about common health problems, treatments, beliefs, and personal preferences. Participants discussed cultural attitudes, beliefs, and structural factors that may influence collaboration between traditional and Western medicine. Healers expressed willingness to collaborate in order to strengthen their skills, though realized Western physicians were hesitant to collaborate. Additionally, Liberians believed in both medical traditions, though preferred Western medicine. Finally, structural factors such as geographic distance and financial barriers made traditional medicine more accessible than Western medicine. Traditional healers and utilizers support collaboration as evidenced by their perceptions of cultural attitudes, beliefs, and structural factors within the Liberian context. With Liberia’s overwhelming mental illness burden, a collaboration between traditional healers and Western medicine physicians offers a solution to the treatment gap in Liberian mental health care.
在经历了14年的暴力内战和2014-2015年的埃博拉疫情后,利比里亚人经历了严重的心理创伤,但全国只有两名精神科医生。然而,在全国范围内,许多传统治疗师通常治疗与精神健康相关的疾病。本文探讨了传统和西方医学之间合作的潜力,以缩小利比里亚精神卫生治疗的差距。我们对利比里亚传统治疗师和传统医学使用者进行了35次半结构化定性访谈,询问有关常见健康问题、治疗方法、信仰和个人偏好的问题。与会者讨论了可能影响传统和西方医学合作的文化态度、信仰和结构性因素。治疗师表示愿意合作以加强他们的技能,尽管意识到西方医生对合作犹豫不决。此外,利比里亚人相信两种医学传统,尽管更喜欢西医。最后,地理距离和经济障碍等结构性因素使传统医学比西医更容易获得。传统治疗师和利用者支持合作,他们对利比里亚背景下的文化态度、信仰和结构因素的看法证明了这一点。由于利比里亚精神疾病负担沉重,传统治疗师和西医医生之间的合作为解决利比里亚精神卫生保健方面的治疗差距提供了一个解决方案。
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引用次数: 7
Looking back, moving forward: a culture-based framework to promote mental wellbeing in Manitoba First Nations communities 回顾过去,向前迈进:以文化为基础的框架,以促进马尼托巴省第一民族社区的心理健康
Q1 Social Sciences Pub Date : 2018-10-02 DOI: 10.1080/17542863.2018.1556714
Grace Kyoon-Achan, Wanda Philips-Beck, J. Lavoie, R. Eni, Stephanie Sinclair, Kathi Avey Kinew, Naser Ibrahim, A. Katz
ABSTRACT In Canada, high rates of anxiety, depression and suicides have resulted in mental health crises in First Nation (FN) communities. To date, Indigenous worldviews and approaches have not been fully heeded in mainstream strategies to address the complexity of living in colonial oppression, despite ongoing crises for decades. We describe perspectives of eight FN communities explaining cultural facilitators of mental wellbeing. The objective is to promote understanding of wellbeing in the context of sociocultural realities of FN communities and elaborate community-based practices. Qualitative methods involved FN partners in study design, implementation and data interpretation processes. Local research assistants collected data in all participating communities. Respondents were purposefully selected, Elders were recommended based on their knowledge of FN cultures and traditional wellness practices and awareness of health and social issues in respective communities. Results challenge specific histories of dispossession and assaults on community, language, identity, Elders, family; traditional healing practices emerged as important in enhancing mental wellbeing among FN. Culturally informed approaches aim to restore balance and harmony as pre-requisite to health. A framework based on the voices of FN in Manitoba is proposed for achieving mental wellbeing by and for FN people as an integral part of primary healthcare.
在加拿大,焦虑、抑郁和自杀的高发率导致了原住民(FN)社区的心理健康危机。迄今为止,尽管几十年来危机不断,但在解决殖民压迫下生活的复杂性的主流战略中,土著的世界观和方法尚未得到充分重视。我们描述了八个FN社区的观点,解释了心理健康的文化促进因素。其目标是在民族民族社区的社会文化现实背景下促进对福利的理解,并详细阐述以社区为基础的做法。定性方法涉及FN合作伙伴的研究设计、实施和数据解释过程。当地研究助理收集了所有参与社区的数据。受访者是有目的地选择的,根据长者对民族文化和传统保健做法的了解以及对各自社区卫生和社会问题的认识来推荐他们。结果挑战了对社区、语言、身份、长者和家庭的剥夺和攻击的具体历史;传统的治疗方法在提高FN群体的心理健康方面发挥了重要作用。了解文化的方法旨在恢复平衡与和谐,这是健康的先决条件。提出了一个以马尼托巴民族的声音为基础的框架,以实现民族人民的精神健康,并将其作为初级保健的一个组成部分。
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引用次数: 13
Acculturation, ethnic identity, and psychological well-being of Albanian-American immigrants in the United States 美国阿尔巴尼亚裔移民的文化适应、种族认同和心理健康
Q1 Social Sciences Pub Date : 2018-10-02 DOI: 10.1080/17542863.2018.1556717
A. Balidemaj, M. Small
ABSTRACT This study examined the relationship between acculturation, ethnic identity, and psychological well-being of the Albanian-American immigrant community in United States. A total of 139 Albanian-American immigrants aged 21–35 years old participated in the study. In order to utilize the data, participants filled out four different surveys, including a demographic questionnaire, the Multigroup Ethnic Identity Measure (MEIM), the Vancouver Index of Acculturation (VIA), and Ryff’s Psychological Well-Being scale. A correlational design relying on cross-sectional survey data and multiple regression analysis was used to study the correlations between acculturation, ethnic identity, and psychological well-being. The results showed that ethnic identity, acculturation, and psychological well-being were positively correlated to each other. In addition, the results showed that both ethnic identity and acculturation affected the psychological well-being of Albanian-American immigrants in the United States. This relationship was further moderated by gender and length of residency in the United States and mediated through graduate school education. The results of this study will help clinicians, social workers, and policy makers that work with immigrants to better understand the psychological consequences of immigration due to acculturation and ethnic identity factors.
摘要本研究考察了美国阿尔巴尼亚裔移民社区的文化适应、种族认同和心理健康之间的关系。共有139名年龄在21-35岁的阿尔巴尼亚裔美国移民参与了这项研究。为了利用这些数据,参与者填写了四项不同的调查,包括人口统计问卷、多群体种族认同量表(MEIM)、温哥华文化适应指数(VIA)和Ryff心理健康量表。采用横断面调查数据和多元回归分析相结合的相关设计,研究了文化适应、民族认同和心理健康之间的相关性。结果表明,民族认同、文化适应与心理健康呈显著正相关。此外,研究结果显示,种族认同和文化适应都影响在美阿尔巴尼亚裔移民的心理健康。这种关系进一步被性别和在美国居住的时间长短所调节,并通过研究生教育起到中介作用。本研究的结果将有助于临床医生、社会工作者和政策制定者更好地理解由于文化适应和种族认同因素而导致的移民心理后果。
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引用次数: 19
Psychometric properties of the Arabic version of the Alexithymia Questionnaire for Children (AQC) in children and adolescents 阿拉伯语版儿童述情障碍问卷(AQC)在儿童和青少年中的心理测量特性
Q1 Social Sciences Pub Date : 2018-10-02 DOI: 10.1080/17542863.2018.1556716
F. Z. El Abiddine, G. Loas
ABSTRACT This study had the aim to explore the psychometric properties of the Arabic version of the Alexithymia Questionnaire for Children (AQC) that measures the three dimensions of alexithymia (DIF, difficulty identifying feelings; DDF, difficulty describing feelings; EOT, externally oriented thinking). 817 healthy children or adolescents (407 girls, 410 boys) with a mean age of 12.10 years (SD = 1.91, range from 9 to 16 years) were included in the study. Confirmatory factor analyses (CFA) were done exploring seven-factor models and Cronbach’s alpha coefficients were calculated to rate reliability. The results showed that the one-factor model without EOT item and the two-factor model (DIF, DDF) provided acceptable fits and had significant advantages over the three-factor model (DIF, DDF, EOT). Based on the χ2 differences, the two-factor model has been preferred. Low alpha coefficients for the EOT and DDF subscale were reported (.55 and .66, respectively). Satisfactory Cronbach’s alpha coefficients for the AQC or AQC without the EOT items were also found, the values were .83 and .79, respectively. Alexithymia can be reliably assessed in adolescents using the AQC without the 8 items rating the EOT dimension.
摘要本研究旨在探讨阿拉伯语版儿童述情障碍问卷(AQC)的心理测量特性,该问卷测量述情障碍的三个维度(DIF,情感识别困难;DDF,难以描述感情;EOT(面向外部的思维)。817名健康儿童或青少年(407名女孩,410名男孩)被纳入研究,平均年龄为12.10岁(SD = 1.91,范围为9至16岁)。验证性因子分析(CFA)对七因素模型进行了探索,并计算了Cronbach 's alpha系数来评估可靠性。结果表明,不含EOT项目的单因素模型和双因素模型(DIF、DDF)拟合效果良好,且优于三因素模型(DIF、DDF、EOT)。基于χ2差异,首选双因素模型。EOT和DDF分量表的α系数较低。分别为55和0.66)。AQC和不含EOT项目的AQC的Cronbach’s alpha系数也令人满意,分别为0.83和0.79。使用AQC可以可靠地评估青少年述情障碍,而不需要对EOT维度进行8项评定。
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引用次数: 3
Patients’ views and experiences of involuntary hospitalization in Greece: a focus group study 希腊患者对非自愿住院的看法和经验:焦点小组研究
Q1 Social Sciences Pub Date : 2018-10-02 DOI: 10.1080/17542863.2017.1409778
S. Stylianidis, L. Peppou, N. Drakonakis, G. Iatropoulou, S. Nikolaidi, Kyriaki Tsikou, K. Souliotis
ABSTRACT Involuntary hospitalization of people with mental illness raises important ethical and legal concerns worldwide; however, only a handful of studies have investigated the patients’ perspective in depth. The present study aims at exploring patients’ views about the rightfulness of compulsory admission, their experience of hospitalization and potential interventions for reducing its effect in Athens. Fourteen patients who were involuntarily admitted to a psychiatric hospital in the Attica region and had been discharged one month prior to the group discussion, participated in the study. A focus group design drawing on Interpretative Thematic Analysis was employed. The themes that emerged include conflicting attitudes towards the rightfulness of admission, the absence of patient participation in any form of decision-making, substantial infringement of human rights and patients’ dearth of knowledge about them. Therefore, raising awareness initiatives, adequate training of all involved parties, the integration of psychotherapy in the treatment plan, the creation of a therapeutic milieu and less coercive alternatives to acute psychiatric care were the course of action suggested by patients. In line with this, concerted efforts on the part of patients, their families, clinicians and policy makers should be channelled towards securing strict enforcement of pertinent legislation and advancing patient-centred care.
精神疾病患者的非自愿住院在世界范围内引起了重要的伦理和法律问题;然而,只有少数研究深入调查了患者的观点。本研究旨在探讨病人对强制入院的正确性的看法,他们的住院经验和潜在的干预措施,以减少其在雅典的影响。14名非自愿入住阿提卡地区一家精神病院并在小组讨论前一个月出院的病人参加了这项研究。采用解释性主题分析的焦点小组设计。出现的主题包括对入院合法性的相互矛盾的态度,患者没有参与任何形式的决策,严重侵犯人权以及患者缺乏有关人权的知识。因此,提高认识的倡议、对所有有关各方进行充分培训、将心理治疗纳入治疗计划、创造治疗环境以及减少对急性精神病治疗的强制性替代方案是患者建议的行动方针。据此,应引导患者、其家属、临床医生和决策者共同努力,确保严格执行相关立法,推进以患者为中心的护理。
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引用次数: 44
Coping and spirituality among caregivers of patients with schizophrenia: a descriptive study from South India 精神分裂症患者照护者的应对和精神:一项来自南印度的描述性研究
Q1 Social Sciences Pub Date : 2018-10-02 DOI: 10.1080/17542863.2017.1391856
A. Gojer, R. Gopalakrishnan, A. Kuruvilla
ABSTRACT In many parts of the world family members are the primary caretakers of persons with mental illness. The chronic stress associated with being a caregiver for an individual with schizophrenia can result in a variety of emotional responses, influenced by religion, spirituality and different styles of coping. The aim of this study was to assess patterns of coping, and spiritual and religious beliefs among caregivers of patients with schizophrenia. Consecutive patients with schizophrenia and their caregivers attending an outpatient clinic were recruited. Patients were rated on the Positive and Negative Symptom Scale. The Royal Free Interview for Religious and Spiritual Beliefs, Modified Jalowiec Coping Scale and General Health Questionnaire-12 were administered to caregivers. Socio-demographic details of carers and clinical details of patients were recorded. Caregivers of patients with schizophrenia were found to cope in a variety of ways; the most useful and frequently used was the optimistic style of coping. While religious beliefs had an influence, factors significantly associated with coping included caregiver education and employment and patient psychopathology. Providing support to carers of patients with schizophrenia and enhancing their coping is an essential part of quality clinical care. Spirituality and religion can serve as a positive coping strategy.
在世界上许多地方,家庭成员是精神疾病患者的主要照顾者。照顾精神分裂症患者的慢性压力会导致各种情绪反应,受宗教、精神和不同应对方式的影响。本研究的目的是评估精神分裂症患者护理人员的应对模式、精神和宗教信仰。连续的精神分裂症患者和他们的护理人员在门诊就诊被招募。采用阳性和阴性症状量表对患者进行评分。采用皇家宗教信仰自由访谈、修正Jalowiec应对量表和一般健康问卷-12对照顾者进行调查。记录了护理人员的社会人口学细节和患者的临床细节。精神分裂症患者的护理人员被发现以各种方式应对;最有用和最常用的是乐观的应对方式。虽然宗教信仰有影响,但与应对显著相关的因素包括照顾者的教育、就业和患者的精神病理。为精神分裂症患者的照护者提供支持并提高他们的应对能力是优质临床护理的重要组成部分。精神和宗教可以作为一种积极的应对策略。
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引用次数: 4
Associated factors with major depression: a path analysis on NHANES 2013–2014 study 重度抑郁症相关因素:NHANES 2013-2014研究的路径分析
Q1 Social Sciences Pub Date : 2018-10-02 DOI: 10.1080/17542863.2018.1563623
M. Majidi, Naghmeh Khadembashi, K. Etemad, M. Jafari, S. Khodakarim
ABSTRACT Depression is a common mental disorder. The purpose of this study was to survey the direct and indirect effects of associated factors with major depression (MD) among the population aged 18 years and older of the NHANES 2013–2014. The study was based on a sample of the National Health and Nutrition Examination Survey data, including 5393 people. To detect MD, the Patient Health Questionnaire (PHQ-9) was used. Path analysis with Mplus software was used to perform analyses. The prevalence of MD was 6.9% in men and 12.4% in women. The final model was fitted well with sample data (p = 0.00; RMSEA = 0.05; CFI = 0.89; TLI = 0.77; WRMR = 1.93 in men and p = 0.00; RMSEA = 0.05; CFI = 0.92; TLI = 0.86; WRMR = 2.03 in women). Income, body mass index, chronic diseases and sleep disorder in both men and women and HDL cholesterol and drug use only in women have a direct effect on MD. Income, body mass index, smoking, and chronic diseases have an indirect effect on MD. Sleep disorder has the greatest total effect on MD. It is necessary to pay attention to these effective factors in control of major depression.
抑郁症是一种常见的精神障碍。本研究的目的是调查NHANES 2013-2014中18岁及以上人群中与重度抑郁症(MD)相关因素的直接和间接影响。这项研究是基于全国健康和营养检查调查数据的样本,其中包括5393人。采用患者健康问卷(PHQ-9)检测MD。采用Mplus软件进行通径分析。男性的MD患病率为6.9%,女性为12.4%。最终模型与样本数据拟合良好(p = 0.00;rmsea = 0.05;cfi = 0.89;tli = 0.77;男性WRMR = 1.93, p = 0.00;rmsea = 0.05;cfi = 0.92;tli = 0.86;女性WRMR = 2.03)。收入、体重指数、慢性疾病和睡眠障碍对男性和女性都有直接影响,只有女性的高密度脂蛋白胆固醇和药物使用对MD有间接影响,收入、体重指数、吸烟和慢性疾病对MD有间接影响,睡眠障碍对MD的总影响最大,在控制重度抑郁症时需要注意这些有效因素。
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引用次数: 4
Victimization on the job: the influence of thefts and robberies on Irish and Italian employees and its relationship with psychological well-being 工作中的受害:盗窃和抢劫对爱尔兰和意大利雇员的影响及其与心理健康的关系
Q1 Social Sciences Pub Date : 2018-08-02 DOI: 10.1080/17542863.2018.1505924
V. Sommovigo, I. Setti, Deirdre O’Shea, P. Argentero
ABSTRACT Although some similarities are evident in manifestations, etiology and coping, research suggests that cultural variations may explain different reactions to workplace violence. This study explores similarities and differences between Italian and Irish workers’ well-being in relation to robberies and theft exposure. A sample of Italian (N = 319) and Irish (N = 251) employees working in small businesses completed a self-report questionnaire examining post-traumatic symptoms and trauma-related coping self-efficacy. Results indicated that Italian victims reported higher post-traumatic symptoms than their Irish counterparts. When compared to those who experienced thefts only, Italian victims who had experienced both thefts and robberies experienced more post-traumatic symptoms and lower coping self-efficacy, whereas Irish employees differed significantly only in hyper-arousal symptomatology. Regression analyses revealed that coping self-efficacy had a protective role against the risk of developing post-traumatic symptomatology. In both countries, interventions fostering employees’ coping self-efficacy perceptions might stimulate psychological recovery, especially among victims of both thefts and robberies.
尽管在表现、病因和应对方面存在明显的相似性,但研究表明,文化差异可能解释了人们对职场暴力的不同反应。本研究探讨了意大利和爱尔兰工人在遭遇抢劫和盗窃时幸福感的异同。在小型企业工作的意大利(N = 319)和爱尔兰(N = 251)员工完成了一份自我报告问卷,调查创伤后症状和创伤相关应对自我效能。结果表明,意大利受害者报告的创伤后症状高于爱尔兰受害者。与那些只经历过盗窃的人相比,既经历过盗窃又经历过抢劫的意大利受害者经历了更多的创伤后症状和更低的应对自我效能感,而爱尔兰员工仅在超唤醒症状上存在显著差异。回归分析显示,应对自我效能对发展为创伤后症状的风险具有保护作用。在这两个国家,培养员工应对自我效能感的干预措施可能会刺激心理康复,尤其是在盗窃和抢劫的受害者中。
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引用次数: 9
Association of internalized stigma and insight in patients with schizophrenia 精神分裂症患者内化污名与洞察力的关系
Q1 Social Sciences Pub Date : 2018-07-03 DOI: 10.1080/17542863.2017.1381750
S. Grover, Swapnajeet Sahoo, S. Chakrabarti, A. Avasthi
ABSTRACT Aim: To evaluate the association of internalized stigma with insight (clinical and cognitive insight) among patients with schizophrenia. Methods: 136 patients with schizophrenia were assessed on the Internalised Stigma of Mental Illness Scale (ISMIS), Positive and Negative Syndrome Scale (PANSS) and Beck Cognitive Insight Scale (BCIS). Clinical insight was assessed by PANSS-G12 item. Results: 38.2% of patients experienced internalized stigma. On the basis of mean scores of various domains of ISMIS, about two-fifths (41.9%) of participants reported stereotype endorsement, followed by discrimination experience (38.2%), stigma resistance (36.8%), social withdrawal (30.1%) and alienation (30.1%). Insight as assessed by PANSS-G12 item did not correlate significantly with stigma. Higher cognitive insight in the form of composite score (R-C index) and higher cognitive self-reflectiveness was associated with a higher level of stigma in all the domains except for stigma resistance. Higher stigma was associated with negative symptoms. Conclusion: The present study suggests that internalized stigma is highly prevalent among patients with schizophrenia. Clinical insight doesn’t have any association with stigma, but cognitive insight in the form of self-reflectiveness is associated with higher stigma.
摘要目的:探讨精神分裂症患者内化污名与洞察力(临床和认知洞察力)的关系。方法:对136例精神分裂症患者采用精神疾病内化污名量表(ISMIS)、阳性与阴性症状量表(PANSS)和贝克认知洞察力量表(BCIS)进行评估。采用PANSS-G12项目评估临床洞察力。结果:38.2%的患者有内化耻辱感。从ISMIS各领域的平均得分来看,约有五分之二(41.9%)的参与者认同刻板印象,其次是歧视经历(38.2%)、污名抵抗(36.8%)、社会退缩(30.1%)和疏离(30.1%)。PANSS-G12项目评估的洞察力与病耻感无显著相关。在综合得分(R-C指数)和认知自我反思方面,较高的认知洞察力和较高的认知自我反思在除污耻感抵抗外的所有领域都与较高的污耻感水平相关。较高的耻辱感与阴性症状相关。结论:本研究提示精神分裂症患者普遍存在内化病耻感。临床洞察力与病耻感没有任何联系,但自我反思形式的认知洞察力与更高的病耻感有关。
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引用次数: 11
期刊
International Journal of Culture and Mental Health
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