Self-stigma, group identification, perceived legitimacy of discrimination and mental health service use

被引：117

作者：

Ruesch, Nicolas ^{[1
,2
]}

Corrigan, Patrick W. ^{[2
]}

Wassel, Abigail ^{[2
]}

Michaels, Patrick ^{[2
]}

Larson, Jonathon E. ^{[2
]}

Olschewski, Manfred

Wilkniss, Sandra ^{[3
]}

Batia, Karen ^{[4
]}

机构：

[1] Univ Freiburg, Dept Psychiat & Psychotherapy, D-79104 Freiburg, Germany

[2] IIT, Chicago, IL 60616 USA

[3] Thresholds Inst, Chicago, IL USA

[4] Heartland Alliance Human Needs & Human Rights, Chicago, IL USA

来源：

BRITISH JOURNAL OF PSYCHIATRY | 2009年 / 195卷 / 06期

关键词：

DISORDERS; ILLNESS;

D O I：

10.1192/bjp.bp.109.067157

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Stigma may interfere with mental health service use. We measured self-stigma and stigma-related cognitions (group identification and perceived legitimacy of discrimination) at baseline in 85 people with schizophrenia, schizoaffective or affective disorders. After 6 months, 75 (88%) had reported use of mental health services. Controlling for baseline psychopathology, perceived stigma and diagnosis, low perceived legitimacy of discrimination predicted use of counselling/psychotherapy. Strong group identification was associated with participation in mutual-help groups. More self-stigma predicted psychiatric hospitalisation. Cognitive indicators of stigma resilience may predict out-patient service use, whereas self-stigma may increase the risk of psychiatric hospitalisation.

引用

页码：551 / 552

页数：2

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