随着时间的推移,它会变得更好:老年人慢性身体疾病和心理健康状况恢复的耻辱感

Angela Johnson, Kyaien O. Conner
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引用次数: 2

摘要

老年人是一个脆弱的群体,他们更容易出现心理健康状况,各种身体健康并发症的同时出现往往会加剧症状。尽管有循证干预措施,但由于对心理健康状况的污名化,许多老年人忽视了利用心理健康服务。有限的研究集中在老年人的独特经历上,他们克服了污名化的不利影响,为自己的心理健康状况寻求帮助,目前正在康复中。针对目前患有慢性身体疾病的老年人在心理健康状况康复过程中的耻辱感的研究更少。本研究利用半结构化访谈调查了九名患有慢性身体疾病并目前正在从心理健康状况中康复的老年人寻求专业心理健康服务的独特经历和耻辱感。通过对数据的深入专题分析,确定了四个总体主题:从精神疾病的耻辱中恢复过来、社区参与、文化障碍和社会支持系统。目前的研究结果表明,以前经历过心理健康状况并能够克服这种状况带来的耻辱的老年人更有可能寻求专业帮助。此外,参与社区参与计划以帮助其他目前正经历急性心理健康状况的老年人,似乎可以减少污名感,并对参与者的自尊和整体人生观产生积极影响。
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It Gets Better with Time: The Perception of Stigma Among Older Adults with Chronic Physical Illness and in Recovery from Mental Health Condition
Older adults are a vulnerable population who are more susceptible to developing mental health conditions, and the symptoms are often exacerbated by the co-occurrence of various physical health complications. Despite available evidence-based interventions, many older adults neglect to utilize mental health services, due to the stigmatization of mental health conditions. Limited research has focused on the unique experiences of older adults who have overcome the adverse effects of stigma, have sought help for their mental health condition and are currently in recovery. There are even fewer studies that have addressed perceptions of stigma among older adults in recovery from a mental health condition who are currently living with a chronic physical illness. The present study investigated the unique experiences of seeking professional mental health services and the perceptions of stigma among nine older adults living with a chronic physical illness and currently in recovery from a mental health condition utilizing semi-structured interviews. Through an in-depth thematic analysis of the data, four over-arching themes were identified: Resilience from the Stigma of a Mental Illness, Community Engagement, Cultural Barriers and Social Support System. Findings from the current study suggest that older adults who have previously experienced a mental health condition and were able to overcome the stigma of their condition, were more likely to seek professional help. Additionally, engaging in community engagement programs to help other older adults who are currently experiencing acute mental health conditions seemed to reduce perceptions of stigma and positively impacted participants self-esteem and overall outlook on life.
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