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首页> 外文期刊>The Journal of Nervous and Mental Disease >Use of indigenous cultural idioms by Chinese immigrant relatives for psychosis: impacts on stigma and psychoeducational approaches.
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Use of indigenous cultural idioms by Chinese immigrant relatives for psychosis: impacts on stigma and psychoeducational approaches.

机译：中国移民亲属使用本土文化习语治疗精神病：对耻辱感和心理教育方式的影响。

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摘要

Indigenous interpretations of mental illness might negatively impact treatment adherence. However, psychiatric "labeling" potentially leads to stigma among Chinese groups, thus encouraging the use of indigenous idioms. We examined how relatives' use of indigenous labeling varied with the consumers' experience of illness and whether indigenous labeling protected relatives from internalized and experienced forms of stigma. Forty-nine relatives of Chinese-immigrant consumers with psychosis were sampled. Although consumers had progressed to the middle stages of psychosis, 39% of relatives used indigenous idioms to label psychosis. Indigenous labeling decreased when illness duration increased and when visual hallucinations were present. Indigenous labeling further predicted lower internalized stigma among relatives. Relatives who used indigenous labeling also reported fewer indirect stigma experiences, although not after controlling for illness severity. The frequency of direct discrimination among relatives did not differ by labeling. These forms of felt stigma might be embedded into relatives' psychoeducation programs to mitigate adverse consequences of psychiatric labeling.
机译：土著对精神疾病的解释可能会对治疗依从性产生负面影响。但是，精神病学的“标签”可能会导致中国人的污名化，从而鼓励使用土著习语。我们研究了亲戚对土著标签的使用随消费者的疾病经历而变化，以及土著标签是否保护亲戚免受内部化和有经验的污名化。抽取了49位患有精神病的中国移民消费者的亲属。尽管消费者已经发展到精神病的中期，但仍有39％的亲戚使用土著习语来标记精神病。当疾病持续时间增加和出现幻觉时，土著标签减少。土著标签进一步预测了亲戚中较低的内在污名。使用土著标签的亲戚也报告较少的间接耻辱经历，尽管在控制疾病的严重程度之后没有这样做。亲属之间直接歧视的频率因标签而异。这些形式的感觉污名可能会嵌入亲戚的心理教育计划中，以减轻精神病标签的不利后果。

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