摘要
目的本研究探索双相情感障碍(Bipolar disorder,BD)患者的内化病耻感(Internalized stigma,IS)的社会心理相关因素。方法研究对象为2021年9月~2023年12月在阜阳市第三人民医院住院的88例BD患者。使用精神疾病内化污名量表(Internalized stigma of mental illness,ISMI)、领悟社会支持量表(Perceived social support scale,PSSS)评估患者IS程度和领悟到的来自不同来源的社会支持。按ISMI量表得分的中位数将患者分为高病耻感组和低病耻感组,对比两组患者ISMI得分、PSSS得分以及社会人口学资料。在总体中使用Spearman相关性分析和多元线性回归分析探索患者IS的危险因素。结果95.45%的BD患者存在IS。对比低病耻感组BD患者,高病耻感组患者的教育年限低、无业比例高、PSSS总分低、PSSS中的家庭支持分低,且差异有统计学意义(P均<0.05)。Spearman相关性分析和多元线性回归分析结果显示:无业(β=-0.236,P<0.01),较长的病程(β=0.183,P<0.05),较低的教育年限(β=-0.330,P<0.01)和较低的家庭支持(β=-0.346,P<0.01)显著预测了更严重的IS。结论针对BD患者制定IS的干预计划时,教育、职业康复和以提高家庭支持为导向的康复措施是非常重要的。
Objective This study explores psychosocial factors associated with internalized stigma(IS)in patients with Bipolar disorder(BD).Methods The study included 88 inpatients with BD who were admitted to the Third Peo-ple's Hospital of Fuyang City from September 2021 to December 2023.The Internalized stigma of mental illness(ISMI)scale and Perceived social support(PSSS)scale were used to measure the degree of IS and perceived social support from different sources.Patients were divided into high-stigma and low-stigma groups based on the median score of the ISMI scale.The two groups were then compared in terms of ISMI scores,PSSS scores,and sociodemographic data.Independent risk factors of patients'IS were explored using Spearman's correlation analysis and multiple linear regres-sion analysis.Results IS was present in 95.45%of BD patients,and compared to control patients,patients in the high-stigma group had a low number of years of education,a high proportion of unemployment,a low total PSSS score,and a low family support score on the PSSS,and the differences were statistically significant(all P<0.05),Spearman's correlation analysis and multivariate linear regression analyses showed a higher proportion of joblessness(β=-0.236,P<0.01),longer duration of illness(β=0.183,P<0.05),lower years of education(β=-0.330,P<0.01)and lower family support(β=-0.346,P<0.01)significantly predicted more severe IS.Conclusions When developing IS inter-ventions for BD patients,educational strategies,vocational rehabilitation,and rehabilitation measures aimed at en-hancing family support are crucial.
作者
顾金杰
崔舒
蒋光明
王佳瑶
GU Jinjie;CUI Shu;JIANG Guangming(The Third People's Hospital of Fuyang,Fuyang 236000,China)
出处
《国际精神病学杂志》
2025年第4期1118-1122,共5页
Journal Of International Psychiatry
基金
安徽省医疗卫生重点专科建设项目(编号:皖卫函[2021]273号)。
关键词
双相情感障碍
内化病耻感
社会支持
相关性分析
Bipolar disorder
Internalized stigma
Social support
Correlation analysis
