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The Wicked Problem of Stigma for Youth Living With Anxiety

机译:青春患有焦虑的耻辱的邪恶问题

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Anxiety disorders typically emerge in childhood and, if left untreated, can lead to poor health and social outcomes into adulthood. Stigma contributes to the burden of mental illness in youth. Mental health stigma has been conceptualized as a wicked problem and efforts to address this complexity require a greater understanding of how stigma operates in the lives of youth. Fifty-eight youth in Manitoba, Canada aged 10 to 22 years and living with anxiety took part in the study. Data collection involved in-depth interviews and arts-based methodologies. Youth living with anxiety faced stigma at three levels: (a) interpersonal, (b) intrapersonal, and (c) structural. Stigma held by others, internalized by youth and embedded in social institutions led to compromised relationships with family and peers, low self-esteem and self-efficacy, reduced help-seeking, and discrimination in school, workplace and health care settings. Implications and potential strategies for addressing these levels of stigma are discussed.
机译:焦虑症通常出现在儿童时期,如果不进行治疗,可能会导致健康和社会后果不佳,直至成年。耻辱感加重了年轻人的精神疾病负担。心理健康污名被认为是一个邪恶的问题,解决这一复杂问题的努力需要对污名在年轻人生活中的作用有更深入的了解。加拿大马尼托巴省58名10至22岁、生活焦虑的年轻人参加了这项研究。数据收集涉及深度访谈和基于艺术的方法。生活在焦虑中的年轻人在三个层面上面临耻辱感:(a)人际关系,(b)个人内部,以及(c)结构性。由他人持有、被年轻人内化并嵌入社会机构的污名导致与家人和同龄人的关系受损、自尊和自我效能低下、寻求帮助减少,以及在学校、工作场所和医疗保健环境中的歧视。讨论了解决这些耻辱程度的含义和潜在策略。

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