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首页> 外文期刊>Disability and health journal >Perceived stigma, strain, and mental health among caregivers of veterans with traumatic brain injury.
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Perceived stigma, strain, and mental health among caregivers of veterans with traumatic brain injury.

机译：患有颅脑外伤的退伍军人看护者中的耻辱感，劳累和心理健康。

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BACKGROUND: Family caregivers of individuals with stigmatized conditions can experience stigma-by-association and discrimination. Moderate-to-severe traumatic brain injury (TBI) may elicit a stigma response if there are visible physical or neurobehavioral effects of the injury. Stigma is a considerable source of stress and may contribute to caregiver strain and stress-related mental health outcomes. We measured the frequency of perceived stigma and discrimination among caregivers of veterans with TBI and examined whether perceived stigma and discrimination are associated with caregiver strain, social isolation, depression, and anxiety. METHODS: Seventy caregivers of veterans with TBI completed a mailed survey that assessed perceptions of discrimination toward themselves or their care recipient, stigma associated with caregiving, and whether they felt the need to cover up or provide an explanation for their care recipient's injury. Caregiver strain, social isolation, depression, and anxiety were also assessed via the questionnaire. Multivariate linear regression was used to test the associations between stigma and discrimination measures and outcomes, controlling for potential confounders and other caregiver or care recipient characteristics. RESULTS: Both perceptions of caregiver discrimination and stigma associated with caregiving were significantly associated with caregiver strain, social isolation, depression, and anxiety. Perceived discrimination against the individual with TBI was associated with caregiver strain and social isolation. CONCLUSIONS: Our findings suggest that perceived discrimination and stigma experienced by caregivers of individuals with TBI are stressors that may lead to poor caregiver mental health outcomes. In order to promote both caregiver and care recipient health, we suggest that mental health support services consider these important stressors.
机译：背景：患有被污名化的个体的家庭看护者可能会因联想和歧视而受到污名。如果出现明显的身体或神经行为损害，则中度至重度的颅脑外伤（TBI）可能引起耻辱感。污名是很大的压力来源，可能导致照料者劳累和与压力有关的心理健康结果。我们测量了TBI退伍军人看护者中被感知的污名和歧视的频率，并检查了被感知的污名和歧视是否与看护者的压力，社会隔离，抑郁和焦虑有关。方法：70名患有TBI的退伍军人的看护者完成了一项邮寄调查，该调查评估了他们对自己或他们的接受者的歧视，与照顾相关的污名以及是否感到需要掩盖或提供对其接受者伤害的解释。还通过调查表评估了照顾者的压力，社交隔离，抑郁和焦虑。多元线性回归用于检验污名与歧视措施和结果之间的关联，控制潜在的混杂因素和其他照顾者或接受者的特征。结果：护理人员的歧视和与护理相关的污名的观念都与护理人员的压力，社交孤立，抑郁和焦虑显着相关。对TBI患者的感知歧视与照顾者的压力和社会隔离有关。结论：我们的研究结果表明，TBI患者的照顾者所经历的歧视和污名化是压力源，可能导致照顾者心理健康状况较差。为了促进护理人员和受护理者的健康，我们建议心理健康支持服务应考虑这些重要的压力源。

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