文献类型：期刊文献

英文题名：The stigma paradox: sympathetic and discriminatory responses toward trauma survivors in China

作者：Chen, Wanzhen[1];Cheung, Monit[2];Leung, Patrick[2];Brewer, Kathryne B.[3];He, Xuesong[1];Gearing, Robin E.[2]

机构：[1]East China Univ Sci & Technol, Sch Social & Publ Adm, Shanghai, Peoples R China;[2]Univ Houston, Grad Coll Social Work, 3511 Cullen Blvd, Houston, TX 77204 USA;[3]Univ New Hampshire, Dept Social Work, Durham, NH USA

年份：2025

外文期刊名：JOURNAL OF ETHNIC & CULTURAL DIVERSITY IN SOCIAL WORK

收录：WOS:【ESCI(收录号:WOS:001513436800001)】；

语种：英文

外文关键词：Trauma disclosure; mental illness in China; vignette study; dual sympathetic-discriminatory stigma

摘要：This study investigates factors influencing public attitudes toward trauma survivors in China, focusing on how traumatic situations shape perceptions of mental health. We conducted a community survey with 249 participants invited from public places in Shanghai. Each consented respondent read a randomly assigned vignette describing one of eight cases varying by gender and trauma type (accident, sexual assault, or childhood abuse). They also completed standardized stigma scales, attitude and belief measures, and demographic items. Factor analyses identified four types of public stigma, revealing Personal Stigma positively correlated with Sympathetic Response, while Community Stigma positively correlated with Discriminatory Response. Regression analyses showed no significant differences in stigma scores across the vignettes but highlighted two predictors of public stigma: respondents' perceived problem severity and mental health problem exposure. A stigma paradox has emerged. This counterintuitive but important finding reveals that mental health problem exposure could simultaneously reduce sympathy and increase discriminatory reactions. It provides insights into ethically sensitive social work through studies disputing the double-label of mental health issues in China. It offers practical recommendations for reducing the negative impact of discriminatory stigma on individuals who exhibit traumatic reactive symptoms and advocating sympathy-oriented education programs for stigma prevention. This dual sympathetic-discriminatory stigma underscores the need for mental health awareness training to reduce negativity by fostering education on sympathetic responses, especially by demonstrating examples where early care prevents negative consequences.