self-concealment

自我隐瞒

1.

The social consequences of stigma-related self-concealment after acquired brain injury

作者:

Barbara F. Hagger,Gerard A. Riley

作者背景:

·       School of Psychology , University of Birmingham , Birmingham , UK

DOI:10.1080/09602011.2017.1375416

文章关键词:Stigma,Loneliness,Social anxiety,Self-esteem,Self-disclosure,Brain injury

原文摘要:ABSTRACT
Social relationships often decline after brain injury. Although much of this is due to psychosocial impairments caused by the injury, the reactions to the injury of others in the person’s wider social network, along with the response of the person with the injury to those reactions, also need to be considered. Anxiety about stigmatising reactions from others may lead some to conceal information about their brain injury. This study investigated some of the social consequences of such concealment. Sixty-five participants with acquired brain injury completed the Anticipated Stigma and Concealment Questionnaire, the Social Avoidance and Distress Scale, the UCLA Loneliness Scale, the Rosenberg Self-Esteem Scale, the Social Integration subscale of the Community Integration Questionnaire, and the Enacted Social Support Questionnaire. As hypothesised, concealment was associated with social anxiety, social avoidance, loneliness and lower self-esteem; and anxiety mediated the impact that concealment had on avoidance, loneliness and reduced community activity. However, contrary to expectation, concealment was not associated with reduced use of social support. Concealment may have negative consequences, but inappropriate disclosure can also be harmful. Services should support individuals to make optimal decisions about disclosing information about the brain injury and also help them address psychological barriers to disclosure.

获得性脑损伤后与柱头相关的自我隐藏的社会后果

作者：

芭芭拉·哈格（Barbara F.

作者背景：

伯明翰大学心理学院，英国伯明翰

DOI：10.1080 / 09602011.2017.1375416

文章关键词：污名，孤独，社交焦虑，自尊，自披露，脑损伤

摘要：摘要

脑损伤后，社会关系经常下降。尽管这大部分是由于伤害造成的心理社会损害，但也需要考虑该人更广泛的社交网络中对他人伤害的反应，以及伤害者对这些反应的反应。对他人羞辱性反应的焦虑可能会导致一些人隐瞒有关其脑损伤的信息。这项研究调查了这种隐瞒的一些社会后果。 65名获得性脑损伤的参与者完成了“预期的污名和隐瞒问卷”，“社会回避和困扰量表”，“ UCLA孤独感量表”，“ Rosenberg自尊量表”，“社区融合调查表”的“社会融合”子量表和“已制定的社会支持”问卷调查。根据假设，隐瞒与社交焦虑，社交回避，孤独和较低的自尊有关；焦虑介导了隐瞒对回避，孤独和减少社区活动的影响。但是，与预期相反，隐瞒与减少使用社会支持无关。隐藏可能会带来负面影响，但不适当的披露也可能有害。服务应支持个人就披露脑损伤信息做出最佳决策，并帮助他们解决披露信息的心理障碍。

Barbara F. Hagger, Gerard A. Riley. The social consequences of stigma-related self-concealment after acquired brain injury. 2019, 29(7):1129-1148.

3. Hide and "sick": Self-concealment, shame and distress in the setting of psycho-oncology.

作者:

Wertheim Reut,Hasson-Ohayon Ilanit,Mashiach-Eizenberg Michal,Pizem Noam,Shacham-Shmueli Einat,Goldzweig Gil

作者背景:

·       Department of Psychology,Bar-Ilan University,Ramat-Gan,Israel.

·       Department of Psychology,Bar-Ilan University,Ramat-Gan,Israel.

·       Department of Health Systems Management,Max Stern Academic College of Emek Yezreel,Emek Yezreel,Israel.

·       Chaim Sheba Medical Center at Tel Hashomer,Ramat-Gan,Israel.

·       Chaim Sheba Medical Center at Tel Hashomer,Ramat-Gan,Israel.

·       The School of Behavioral Sciences,The Academic College of Tel Aviv-Yaffo,Israel.

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DOI:10.1017/S1478951517000499

文章关键词:Cancer,Distress,Guilt-proneness,Self-concealment,Shame-proneness

原文摘要:OBJECTIVE
Both trait and contextual self-concealment, as well as shame- and guilt-proneness, have previously been found to be associated with psychological distress. However, findings regarding the associations between these variables among patients with cancer and among the spouses of patients with cancer are limited. The aim of the current study was therefore to investigate the relationship between shame-proneness and psychological distress (anxiety and depression) by examining the mediating role of both trait and contextual self-concealment among patients with cancer and among the spouses of patients with cancer.
METHOD
The current study was part of a large-scale cross-sectional study on self-concealment among patients with cancer and spouses of patients with cancer. It was based on two independent subsamples: patients with cancer and spouses of patients with cancer, who were not dyads. A total of 80 patients with cancer and 80 spouses of (other) patients with cancer completed questionnaires assessing shame- and guilt-proneness, trait and contextual self-concealment, anxiety, and depression.
RESULTS
Results indicate that spouses reported both greater shame-proneness and anxiety than did patients (main effect of role). Female participants reported greater shame-proneness, higher levels of contextual self-concealment, and greater depression and anxiety than did male participants (main effect of gender). No group differences (role/gender) were found for guilt-proneness and trait self-concealment. Trait and contextual self-concealment partially mediated the relationship between shame-proneness and distress, pointing out the need to further examine additional mediators.
SIGNIFICANCE OF RESULTS
Findings suggest that contextual self-concealment and shame-proneness are important variables to consider when assessing distress in the setting of psycho-oncology. Study results may have significant clinical implications regarding the need to identify patients and spouses who are more prone to shame and self-concealment behavior in order to better tailor interventions for them.