AIMS:Mental health stigma and discrimination are significant problems. Common coping orientations include: concealing mental health problems, challenging others and educating others. We describe the use of common stigma coping orientations and explain variations within a sample of English mental health service users. METHODS:Cross-sectional survey data were collected as part of the Viewpoint survey of mental health service users' experiences of discrimination (n = 3005). Linear regression analyses were carried out to identify factors associated with the three stigma coping orientations. RESULTS:The most common coping orientation was to conceal mental health problems (73%), which was strongly associated with anticipated discrimination. Only 51% ever challenged others because of discriminating behaviour, this being related to experienced discrimination, but also to higher confidence to tackle stigma. CONCLUSIONS:Although stigma coping orientations vary by context, individuals often choose to conceal problems, which is associated with greater anticipated and experienced discrimination and less confidence to challenge stigma. The direction of this association requires further investigation.

译文

目的:心理健康的污名和歧视是重大问题。常见的应对方向包括:隐藏心理健康问题,挑战他人并教育他人。我们描述了常见的耻辱应对方式的使用,并解释了英国精神卫生服务用户样本中的变化。
方法:收集横断面调查数据作为对精神卫生服务使用者歧视经历的观点调查的一部分(n = 3005)。进行了线性回归分析,以确定与三个柱头应对方向相关的因素。
结果:最常见的应对方法是隐瞒心理健康问题(73%),这与预期的歧视密切相关。只有51%的人曾因为歧视行为而挑战过其他人,这既与经历的歧视有关,也与解决污名的更高信心有关。
结论:尽管耻辱应对的方向因环境而异,但个人经常选择隐瞒问题,这与更大的预期和经历的歧视以及挑战耻辱的信心不足有关。该协会的方向需要进一步调查。

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