Mental illness and identity are related, with issues in identity contributing to the development of psychopathology and vice versa. However, little work has examined how mental illness and identity can become interwoven (i.e., mental illness identity). Mental illness identity may be particularly important during adolescence, as this life phase is marked by the salience of identity and an increase in psychopathology. In the present study, we conducted a qualitative examination of the high point, low point, turning point, and psychopathology-related narratives of 69 Dutch adolescents (Mage = 16.5, 75.4% female, 15.9% male, 8.7% other). The participants were diagnosed with a mood, anxiety, and/or eating disorder, and the majority of them (82.6%) were in treatment at the time of the study. We found that adolescents' mental illness identity could take different forms and that these forms may be more adaptive or maladaptive depending on the context of each adolescent's life. Furthermore, mental illness identity was related to several factors within adolescents (e.g., sense of agency) and their environment (e.g., stigma). These findings contribute to our understanding of adolescent mental illness identity and may be used to improve the treatment of their internalizing problems. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

中文翻译：

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有内化问题的青少年的精神疾病和身份：对身份相关叙事的定性探索。


精神疾病和身份是相关的，身份问题有助于精神病理学的发展，反之亦然。然而，很少有工作研究精神疾病和身份如何交织在一起（即精神疾病身份）。精神疾病身份在青春期可能特别重要，因为这个生命阶段的特点是身份的显著性和精神病理学的增加。在本研究中，我们对 69 名荷兰青少年（Mage = 16.5,75.4% 女性，15.9% 男性，8.7% 其他）的高点、低点、转折点和精神病理学相关叙述进行了定性检查。参与者被诊断出患有情绪、焦虑和/或饮食失调，他们中的大多数 （82.6%） 在研究时正在接受治疗。我们发现青少年的精神疾病身份可以采取不同的形式，并且这些形式可能更具适应性或适应性差，具体取决于每个青少年的生活背景。此外，精神疾病认同与青少年内部的几个因素 （例如，代理感） 和他们的环境 （例如，耻辱感） 有关。这些发现有助于我们理解青少年精神疾病的身份，并可用于改善对他们内化问题的治疗。（PsycInfo 数据库记录 （c） 2024 APA，保留所有权利）。