Effects of a Natural Contact Program on Decreasing Self-Stigma among Individuals with Schizophrenia in Taiwan

一日接觸方案降低台灣思覺失調症患者的自我污名之成效分析

韓德彥(Der-Yan Han) ； 陳志軒(Chih-Hsuan Chen) ； 黎士鳴(Shih-Ming Li)

《臨床心理學刊》 10卷1期 (2016/06) Pp. 33-38

https://doi.org/10.6550/ACP.1001.003

摘要

Objective: Research evidence suggests that interpersonal contact reduces public stigma, but few studies focus on the self-stigma. Based on this contact hypothesis, we developed a 1-day natural contact program to reduce self-stigma of schizophrenic patients. Methods: In total, 17 in patients with chronic schizophrenia joined the program and completed the Perceived Psychiatric Stigma Scale before and after the activity. A paired t-test was used to test the effect of the program. Results: It showed that the subscale fear of social ostracism significantly improved, but concerns over marital prospects and self-deprecation did not. Conclusion: The finding suggests that interpersonal contact would be a practical strategy to reduce patients' fear of social ostracism, and it is necessary to create advanced strategies for reducing the other dimensions of self-stigma.

關鍵字

stigma ； schizophrenia ； contact hypothesis ； social ostracism

並列摘要

目的：過去文獻指出，人際接觸可降低民眾對於思覺失調症患者之公眾污名，但較少研究著重在自我污名化。基於接觸假說，本研究發展一日自然人際互動方案，嘗試運用人際接觸活動來降低思覺失調病患的自我污名。方法：共17名慢性思覺失調症患者參加此方案（包含:破冰活動、共餐活動、合作活動）並在活動前後完成精神疾病自我污名量表（包含:他人排斥、婚姻障礙與自設負面標籤等分量表）。結果：透過成對樣本t檢定驗證結果發現分量表他人排斥貶抑得分明顯下降，但婚姻阻礙與自設負面標籤兩分量表則未達顯著。結論：人際接觸活動可以是降低思覺失調症患者自我污名化中的擔心的一個務實策略，面對降低污名化這個課題，惟仍有必要發展進階策略以降低自我污名的其他向度。

並列關鍵字

污名 ； 思覺失調 ； 接觸假說 ； 社會排斥

參考文獻

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