PDF(Pubmed)
Abstract：
We present the results of a phenomenological study understanding the personal meaning of self-stigma in people with chronic psychosis. Self-stigma is a frequent phenomenon in the lives of people with psychosis and their families and it functions as a barrier to recovery. Semi-structured in-depth interviews were conducted with fourteen outpatients that suffer from chronic psychosis during January 2020. Data analysis was carried out using an inductive approach as described by Graneheim and Lundman through the MAXQDA 2022 program. The themes observed were: \"Contextual Stigma\", \"Components of Self-Stigma\", \"Skills Loss\" and \"Coping with Self-Stigma\". The main categories and subcategories were avoidance and escape behaviours from their social environment, labelling, loss of social relationships, negative impact and self-concealment of the diagnosis. Our results revealed influence on each other, forming a looping effect that explains and amplifies the lived experience of self-stigma. These findings highlight the need to implement strategies in nursing practice aimed at training the acceptance and distancing necessary to minimize the impact of self-stigma on people with chronic psychosis. This study adheres to the EQUATOR guidelines for the Consolidated Criteria for Reporting Qualitative Research (COREQ).
摘要：
我们介绍了一项现象学研究的结果，该研究了解了慢性精神病患者自我污名的个人含义。自我污名是精神病患者及其家人生活中的常见现象，它是康复的障碍。在2020年1月期间，对14名患有慢性精神病的门诊患者进行了半结构化深入访谈。数据分析是使用Graneheim和Lundman通过MAXQDA2022计划描述的归纳方法进行的。观察到的主题是：“上下文污名”，“自我污名的组成部分”，“技能损失”和“应对自我污名”。主要类别和子类别是逃避和逃避社会环境的行为，标签,失去社会关系，诊断的负面影响和自我隐瞒。我们的结果揭示了对彼此的影响，形成循环效应，解释和放大自我污名的生活经验。这些发现强调了在护理实践中实施策略的必要性，旨在培训必要的接受度和距离，以最大程度地减少自我污名对慢性精神病患者的影响。本研究遵循EQUATOR《报告定性研究综合标准》(COREQ)准则。
