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首页> 外文期刊>Asian journal of psychiatry >Effectiveness of group cognitive-behavioral therapy in reducing self-stigma in Japanese psychiatric patients
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Effectiveness of group cognitive-behavioral therapy in reducing self-stigma in Japanese psychiatric patients

机译：团体认知行为疗法在减少日本精神病患者自我耻辱感方面的有效性

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Objective: There is evidence that the stigma surrounding mental illness may be greater in Japan than elsewhere. However, few Japanese studies have focused on self-stigma (the internalization of social stigma), and few interventions to reduce self-stigma exist. To remedy this deficiency, we evaluated the efficacy of group cognitive-behavioral therapy (CBT) in reducing self-stigma and examined the relationship between cognitive restructuring and self-stigma.Methods: We administered a 10-session group CBT program to 46 Japanese outpatients with anxiety and depressive symptoms (36 men, 10 women; mean age = 38.57 years, SD = 8.33; 20 diagnosed with mood disorders; 24 with neurotic, stress-related, or somatoform disorders; and 2 with other disorders). A pretest-posttest design was used to examine the relationship between cognitive restructuring and self-stigma. Outcomes were measured using the Japanese versions of the Devaluation-Discrimination Scale, Dysfunctional Attitude Scale, Beck Depression Inventory-II, State-Trait Anxiety Inventory State-Form, and Rosenberg's Self Esteem Scale.Results: Participants exhibited significant improvements in depression, anxiety, and maladjusted cognitive bias and reductions in self-stigma. Cognitive bias was significantly correlated with self-stigma. Conclusions: Group CBT is effective in improving both emotional symptoms and self-stigma in outpatients with anxiety and depressive symptoms. Reduction in self-stigma plays a mediating role in alleviating emotional symptoms and improving cognition.
机译：目的：有证据表明，围绕精神疾病的污名在日本可能比其他地方更大。但是，很少有日本研究关注自我污名（社会污名的内部化），并且很少有减少自我污名的干预措施。为了弥补这一不足，我们评估了团体认知行为疗法（CBT）在减少自我耻辱感方面的功效，并研究了认知重构与自我耻辱感之间的关系。方法：我们对46名日本门诊患者实施了10个疗程的集体CBT计划患有焦虑和抑郁症状（36名男性，10名女性;平均年龄= 38.57岁，SD = 8.33; 20名诊断为情绪障碍; 24名神经疾病，压力相关或躯体形式障碍; 2名其他障碍）。前测-后测设计用于检验认知重构和自我污名之间的关系。结果使用日语版本的贬值-歧视量表，功能障碍态度量表，贝克抑郁量表-II，状态-特质焦虑量表和罗森伯格的自尊量表进行测量。结果：参与者的抑郁，焦虑，以及不良的认知偏见和自尊的减少。认知偏见与自我耻辱显着相关。结论：CBT组可有效改善焦虑和抑郁症状的门诊患者的情绪症状和自尊。减少自我耻辱感在减轻情绪症状和改善认知方面起着中介作用。

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