广义的精神障碍概念可预测自我诊断

IF 4.1 Q1 PSYCHIATRY SSM. Mental health Pub Date : 2024-06-03 DOI:10.1016/j.ssmmh.2024.100326
Jesse S.Y. Tse, Nick Haslam
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引用次数: 0

摘要

了解人们为什么会认为自己患有精神障碍,对于理解最近自我诊断和寻求帮助人数的增加至关重要。以往的研究表明,这与患者的痛苦程度、心理健康素养和耻辱感等因素有关。受概念蠕变研究的启发,我们测试了自我诊断是否也与人们对精神障碍概念的扩展性有关。一个由 474 名美国人组成的具有全国代表性的样本完成了对痛苦、损伤、心理健康素养、耻辱感和新验证的概念广度量表的测量,此外还完成了对当前和终生精神障碍(包括自我诊断和专业诊断)和求助的测量。结构方程模型表明,对精神障碍有更宽泛概念的参与者更有可能自我诊断和寻求帮助,这与痛苦和损伤、心理健康素养和低耻辱感无关。持有更宽泛的概念也部分解释了更年轻、更自由的参与者更高水平的自我诊断,并且预测自我诊断与正式诊断无关。本文讨论了自我诊断激增的影响以及对日常生活病理化的担忧。
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Broad concepts of mental disorder predict self-diagnosis

Understanding why people identify themselves as having a mental disorder is crucial for making sense of recent rises in self-diagnosis and help-seeking. Previous studies have implicated factors such as levels of distress, mental health literacy, and stigma. Motivated by concept creep research, we tested whether self-diagnosis is also associated with the expansiveness of people's concepts of mental disorder. A nationally representative sample of 474 Americans completed measures of distress, impairment, mental health literacy, stigma, and newly validated concept breadth scales, in addition to current and lifetime mental disorder (both self- and professionally-diagnosed) and help-seeking. Structural equation modeling demonstrated that participants with broader concepts of disorder were more likely to self-diagnose and seek help, independent of distress and impairment, mental health literacy, and low stigma. Holding broader concepts also partially accounted for higher levels of self-diagnosis among younger and more liberal participants and predicted self-diagnosis independently of formal diagnosis. Implications for the surge in self-diagnosis and concerns about pathologization of everyday life are discussed.

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来源期刊
SSM. Mental health
SSM. Mental health Social Psychology, Health
CiteScore
2.30
自引率
0.00%
发文量
0
审稿时长
118 days
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