基于群体的心理社会干预减少了精神疾病的内化污名：以ISMI为重点的系统评价
Group-based psychosocial interventions reduce internalized stigma in psychiatric disorders: ISMI-focused systematic review.
摘要(中文译文)
内化污名对精神疾病患者群体的康复结局、生活质量和自我概念产生负面影响。基于团体的心理社会干预已被提出作为有效的污名削减策略，但其在不同人群中的效果仍缺乏充分评估。本系统综述综合了关于团体干预在减少成年精神疾病患者群体内化污名方面有效性的全球证据，重点关注使用精神疾病内化污名量表（ISMI）的研究。遵循PRISMA 2020指南，我们检索了PubMed、PsycINFO和Web of Science，并额外筛选了全文平台（SpringerLink、ScienceDirect、SAGE Journals和Wiley Online Library），检索2003年至2025年间发表的研究。纳入标准要求研究对象为成年精神疾病患者群体、采用团体干预、并以内化污名为主要结局。研究筛选、偏倚风险评估和数据提取由两名评审者（US和GOC）独立完成。共有来自五个国家的十项研究[ n= 1,088]符合纳入标准，包括随机对照试验和前后对照设计。大多数研究报告干预后ISMI评分显著降低，尤其是在刻板印象认同和社会退缩领域。在中国、波兰和西班牙进行的文化适应性干预显示出可行性和效果，但各分量表的信度存在地区差异。基于ISMI证据基础，团体心理社会干预可能有助于减少精神疾病患者群体的内化污名。迄今为止，ISMI量表仍是使用最频繁的工具之一，但污名抵抗等分量表的文化适应性仍是一个值得关注的问题。
Abstract
Internalized stigma negatively impacts recovery outcomes, quality of life, and self-concept among individuals with psychiatric diagnoses. Group-based psychosocial interventions have been proposed as effective stigma-reduction strategies, but their impact across diverse populations remains under-evaluated. This systematic review synthesizes global evidence on the effectiveness of group-based interventions in reducing internalized stigma in adult psychiatric populations, with a focus on studies using the Internalized Stigma of Mental Illness (ISMI) scale. Following PRISMA 2020 guidelines, we searched PubMed, PsycINFO and Web of Science, and additionally screened full-text platforms (SpringerLink, ScienceDirect, SAGE Journals, and Wiley Online Library), for studies published between 2003 and 2025. Inclusion criteria required adult psychiatric populations, group-based interventions, and internalized stigma as a primary outcome. Study selection, risk of bias assessment, and data extraction were performed independently by two reviewers (US and GOC). Ten studies [n= 1,088], across five countries, met inclusion criteria, including randomized controlled trials and pre-post designs. Most studies reported significant reductions in ISMI scores post-intervention, particularly in the domains of stereotype endorsement and social withdrawal. Culturally adapted interventions in China, Poland, and Spain demonstrated feasibility and impact, though subscale reliability varied regionally. Group-based psychosocial interventions may help reduce internalized stigma in psychiatric populations within an ISMI-based evidence base. The ISMI scale is, to this day, among the most frequently used instrument, though cultural adaptation of subscales such as stigma resistance remains a concern.
如何引用
AMA
Ioana-Alexandra Riviş, Sorin Ursoniu, Cătălina Giurgi-Oncu, Adriana-Camelia Neagu, Ion Papavă, Ana-Cristina Bredicean. Group-based psychosocial interventions reduce internalized stigma in psychiatric disorders: ISMI-focused systematic review.. Frontiers in psychiatry. 2026; doi:10.3389/fpsyt.2026.1724365.
APA
Ioana-Alexandra Riviş, Sorin Ursoniu, Cătălina Giurgi-Oncu, Adriana-Camelia Neagu, Ion Papavă, Ana-Cristina Bredicean (2026). Group-based psychosocial interventions reduce internalized stigma in psychiatric disorders: ISMI-focused systematic review.. Frontiers in psychiatry. https://doi.org/10.3389/fpsyt.2026.1724365
GB/T 7714
Ioana-Alexandra Riviş, Sorin Ursoniu, Cătălina Giurgi-Oncu, Adriana-Camelia Neagu, Ion Papavă, Ana-Cristina Bredicean. Group-based psychosocial interventions reduce internalized stigma in psychiatric disorders: ISMI-focused systematic review.[J]. Frontiers in psychiatry, 2026 doi:10.3389/fpsyt.2026.1724365.
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